The National AIDS Control Programme launched by GOI in 1992 was intended to achieve maintenance of HIV prevalence rate below 1 per cent, reduction in blood borne transmission of HIV, creating awareness among youth, etc. This performance review of the implementation of the National AIDS Control Programmee in Kerala covering the period 1996-97 to 2000-01 was conducted by scrutiny of the records in the offices of the State AIDS Cell, State AIDS Control Society, Health and Family Welfare Department in the Secretariat, State Drugs Controller, Thiruvananthapuram, four out of 14 District Medical Offices, 10 (out of 31) modernised blood banks attached to Medical Colleges and hospitals, five (out of 20) STD clinics attached to hospitals, two (out of 3) blood component separation units and the Surveillance Centre attached to Microbiology Department of Medical College, Thiruvananthapuram. The performance review revealed lack of infrastructure for starting new blood banks even in hospitals where equipment were supplied by National AIDS Control Organisation (NACO), delay in renewal of licence to blood banks leading to illegal functioning of blood banks, non-functioning of blood component separation units leading to lack of optimum utilisation of blood.