This first progress report shows that members of the Global HIV Prevention Coalition have mobilized around strengthening HIV primary prevention. There are clear signs of renewed political commitment and strengthened institutional arrangements for planning and managing prevention programmes. Most member countries have moved fast to develop HIV prevention action plans, and there are many examples of excellent and innovative new initiatives. Furthermore, interest in the HIV prevention agenda and the Coalition is growing. A global accountability process has been set up, with score cards that track progress across a range of high-priority prevention programme areas.