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Foreign Assistance to Combat HIV/AIDS, Tuberculosis, and Malaria Inspectors General Coordinated PEPFAR Oversight Plan

The U.S. Government provides foreign assistance to fight HIV/AIDS, tuberculosis, and malaria-three of the world's deadliest infectious diseases-in order to help stem human suffering, economic loss, and political instability in developing countries. In 2003, President George W. Bush established the President's Emergency Plan for AIDS Relief (PEPFAR) and Congress passed the United States Leadership Against HIV/AIDS, Tuberculosis, and Malaria Act (the Act). The Act established the Office of the U.S. Global AIDS Coordinator and Health Diplomacy (OGAC) at the Department of State and gave OGAC primary responsibility for coordinating all resources and international activities of the U.S. Government for combating the HIV/AIDS pandemic. OGAC allocates funds to PEPFAR-implementing agencies, particularly HHS's Centers for Disease Control and Prevention (CDC) and the U.S. Agency for International Development (USAID). CDC and USAID, in turn, provide funds for HIV treatment, care, and prevention activities through grants, cooperative agreements, and contracts with selected implementing partners such as U.S.-based and international nongovernmental organizations and partner-country governmental entities. The inspectors general of the implementing agencies are required to coordinate their activities and jointly develop coordinated annual plans for oversight to avoid duplication and maximize efficiency. This plan includes our planned work related to CDC's oversight and recipients' use of PEPFAR funding.

Announced or Revised Agency Title Component Report Number(s) Expected Issue Date (FY)
Active Centers for Disease Control and Prevention Foreign Assistance to Combat HIV/AIDS, Tuberculosis, and Malaria Inspectors General Coordinated PEPFAR Oversight Plan Office of Audit Services WA-23-0017 (W-00-23-57304);
A-04-23-01027		 2025