The United Nations Children’s Fund (UNICEF) regional office for the Pacific in Fiji commissioned this review of education sector responses to Human Immunodeficiency Virus (HIV) in four Pacific countries: Fiji, Kiribati, the Solomon Islands and Vanuatu. In line with UNICEF’s mandate, the focus of the review was on the learners: young people aged 10-24. This review considered ‘education sector’ broadly, and took non-formal and out-of-school educational efforts into consideration, especially since in many countries covered by this review the education system has been unable, for economical and geographical reasons, to reach all in need of a formal education, especially beyond the primary level. However, the main focus of the report was on the formal education system, as it is here that most progress can be made, with least overall investment, towards providing universal and comprehensive sexuality, reproductive health and HIV prevention education to all children and adolescents who need it.