Foreign Assistance to Combat HIV/AIDS, Tuberculosis, and Malaria—Fiscal Year 2020 Inspectors General Coordinated Oversight Plan

For the FY 2020 coordinated audit plan, HHS's Office of Inspector General (HHS OIG) requests $1.5 million to conduct program integrity and fraud prevention activities for the President's Emergency Plan for AIDS Relief (PEPFAR) program. The Centers for Disease Control and Prevention (CDC) received over $1.8 billion in FY 2018 PEPFAR funds (about 97 percent of the funds received by HHS) to accelerate progress toward achieving an AIDS-free generation and to create a lasting infrastructure that allows partner countries to respond to a range of health challenges and threats.

CDC has been working to combat HIV since the start of the HIV epidemic. As an implementing agency of PEPFAR, CDC works side by side with ministries of health, leveraging its scientific and technical expertise to help deliver high-impact, sustainable prevention, care, and treatment to millions of people in countries most affected by HIV. To date, HHS OIG has conducted 29 PEPFAR audits at CDC and in 8 countries on 2 continents (Asia and Africa). HHS OIG's PEPFAR oversight has helped CDC and other HHS staff, as well as grant recipients, learn important grant and program integrity lessons that apply in ongoing and future responses to infectious diseases.

To advance program-integrity efforts, HHS OIG has developed a 5-year plan (FYs 2019-2023) to continue oversight of the PEPFAR program. For FY 2020, HHS OIG has ongoing and planned work to complete three audits; start three audits-one domestic and two international (in-country); and conduct fraud-prevention training.