The use of report cards in a HIV/AIDSprevention program in Cameroon appears to be a promisingtool for galvanizing community interest, discussion andaction.This paper includes the following content:genesisof the report cards; the report card methodology;implementation of the report card approach; observations onthe report card process; refining the report card approach;and suggestions for improving the program.The paperconcludes that people seem to appreciate and to be drawninto engagement in the difficult discourse on HIV/AIDS bythe innocence and even fun of the report card game.Theyfeel a sense of power by influencing actions on HIV/AIDS andjudging the quality of health and support services.Itappears that this report card approach may well beinternalized in the HIV/AIDS program of Cameroon in such away that it will provide a sustainable contribution to theprevention of this disease.