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CDC Oversight of the President's Emergency Plan for AIDS Relief Funds

The Centers for Disease Control and Prevention (CDC) has been working to combat HIV since the start of the HIV epidemic. As an implementing agency of the President's Emergency Plan for AIDS Relief (PEPFAR), CDC works side by side with foreign ministries of health and other partners, leveraging its scientific and technical expertise to help deliver high-impact, sustainable HIV treatment and prevention services to millions of people in the countries most affected by HIV. CDC received more than $5.5 billion in PEPFAR funds during FY 2018 through FY 2020 (an amount equal to about 96 percent of the total PEPFAR funds received by the Department of Health and Human Services (HHS) during these 3 fiscal years) to accelerate HIV treatment and prevention worldwide by using public health, innovation, and data-driven approaches to achieve the global goal of HIV epidemic control. To date, the HHS Office of Inspector General (OIG) has conducted 10 audits of CDC's PEPFAR oversight operations in 5 countries on 3 continents (Africa, Asia, and North America). OIG's PEPFAR oversight has helped CDC and other HHS staff members learn important grant and program integrity lessons that apply to ongoing and future responses to infectious diseases. In previous audits of CDC offices in the United States and foreign countries, OIG identified noncompliance with policies, inadequate monitoring of grantees, and internal control weaknesses in the awarding of PEPFAR funds. We will determine whether CDC: (1) effectively awarded, monitored and accounted for PEPFAR funds in accordance with Federal and departmental requirements, and the Office of the U.S. Global AIDS Coordinator and Global Health Diplomacy guidance; and (2) followed established processes for the reprogramming and/or the redirection of PEPFAR funds used for COVID-19. The audit of controls over reprogramming and/or redirection of PEPFAR funds for COVID-19 will be a collaborative audit conducted by HHS-OIG and the U.S. Agency for International Development's OIG. Each OIG will issue a separate report.

Announced or Revised Agency Title Component Report Number(s) Expected Issue Date (FY)
November 2021 Centers for Disease Control and Prevention CDC Oversight of the President's Emergency Plan for AIDS Relief Funds Office of Audit Services W-00-22-57301 2022