Foreign Assistance to Combat HIV/AIDS, Tuberculosis, and Malaria Fiscal Year 2021 Inspectors General Coordinated PEPFAR Oversight Plan U.S. Department of Health and Human Services, Office of Inspector General

For the fiscal year (FY) 2021 coordinated oversight plan, the U.S. Department of Health and Human Services, Office of Inspector General (HHS-OIG), plans to conduct PEPFAR program integrity and fraud prevention activities. The Centers for Disease Control and Prevention (CDC) received over $1.9 billion in FY 2019 PEPFAR funds (about 95 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 and sustainable prevention, care, and treatment to millions of people in the 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 to 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 2021, HHS-OIG has ongoing and planned work to complete four audits, start two audits (one domestic and one international (in-country)), and conduct fraud-prevention training.