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Audit of CDC'S Redirection of PEPFAR Funds to Support COVID-19

Announced on  | Last Modified on  | Project Number: A-04-23-01028
Status
Completed
Agency
Centers for Disease Control and Prevention

OBJECTIVE

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 to improve methods for finding, treating, and preventing HIV. CDC received more than $5.4 billion for FY 2019 through FY 2021 (about 97 percent of the funds received by HHS during the three FYs) 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, HHS-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 U.S. and foreign countries, OIG identified noncompliance with policies, inadequate monitoring of recipients, 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.

TIMELINE

REPORT PUBLISHED

CDC Lacked Documentation for Its Redirections of PEPFAR Funds to Support the COVID-19 Response (A-04-23-01028)

25-A-04-052.01 to CDC - Open Unimplemented
Update expected on 02/28/2026
We recommend that the Centers for Disease Control and Prevention: Develop, implement, and maintain a centralized repository to store required documentation pertaining to PEPFAR funds that are redirected due to a pandemic or other emergency.

View in Recommendation Tracker
Work Plan Type
Office of Audit Services
HHS Agencies
Centers for Disease Control and Prevention
Issue Areas
COVID-19 Public Health Issues
Target Groups
-
Financial Groups
Grants