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Series: Grantees' Use of President's Emergency Plan for AIDS Relief Funds

Announced on  | Last Modified on  | Series Number: W-00-24-57300
Status
Completed
Agency
Centers for Disease Control and Prevention

OBJECTIVE

In more than 60 countries, Centers for Disease Control and Prevention (CDC) grantees such as ministries of health and other partners work to control the HIV/AIDS epidemic. CDC awarded more than $5.5 billion in President's Emergency Plan for AIDS Relief (PEPFAR) funds to grantees during FYs 2018 through 2020 (about 96 percent of PEPFAR 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/AIDS epidemic control. To date, HHS-OIG has conducted 21 audits of grantees in 8 countries on 2 continents (Africa and Asia). OIG's PEPFAR oversight has helped grant recipients learn important grant and program integrity lessons that apply to ongoing and future responses to infectious diseases. In previous audits of foreign PEPFAR grantees, OIG identified unallowable expenditures, inadequate accounting systems, and internal control weaknesses. We will determine whether selected foreign or domestic grantees: (1) managed and expended PEPFAR funds in accordance with award requirements, and (2) have controls to mitigate potential risk to the PEPFAR program.

There are 2 projects in this series.

COMPLETED PROJECTS IN THIS SERIES (2)

ICAP at Columbia University

Project A-04-20-01020 • Completed on December 20, 2024

Audit of Thailand Ministry of Public Health's PEPFAR Program under the Umbrella Cooperative Agreement NU2GGH001923

Project A-04-21-01021 • Completed on March 26, 2024

TIMELINE

  • June 19, 2020
    Series Number W-00-24-57300 Assigned
  • June 19, 2020
    Project Announced

    ICAP at Columbia University - A-04-20-01020

  • November 6, 2020
    Project Announced

    Audit of Thailand Ministry of Public Health's PEPFAR Program under the Umbrella Cooperative Agreement NU2GGH001923 - A-04-21-01021

  • March 26, 2024
    Project Complete - A-04-21-01021

    Audit of Thailand Ministry of Public Health's PEPFAR Program under the Umbrella Cooperative Agreement NU2GGH001923 has been marked as complete. This audit resulted in 1 recommendation.

  • December 20, 2024
    Project Complete - A-04-20-01020

    ICAP at Columbia University has been marked as complete. This audit resulted in 2 recommendations.

  • December 20, 2024
    Series Complete

    Grantees' Use of President's Emergency Plan for AIDS Relief Funds has been marked as complete.

2 REPORT PUBLISHED

ICAP at Columbia University Generally Managed Its PEPFAR Expenditures Appropriately but Lacked a Robust Financial Management System (A-04-20-01020)

25-A-04-032.01 to CDC - Open Unimplemented
Update expected on 06/15/2026
We recommend that ICAP refund $58,111 to CDC for transactions that it could not adequately support.

25-A-04-032.02 to CDC - Open Unimplemented
Update expected on 01/14/2026
We recommend that ICAP fully implement its new grants management system, which will allow it to track and record its PEPFAR expenditures by CoAg and award year; and maintain supporting documentation for expenditures contained in its accounting records.

View in Recommendation Tracker

The Thailand Ministry of Public Health Managed PEPFAR Funds According to Federal Regulations but Internal Controls Could Be Improved (A-04-21-01021)

24-A-04-052.01 to CDC - Closed Implemented
Closed on 09/25/2025
We recommend that Thailand's Ministry of Public Health develop and implement policies and procedures that address the retention of employee timesheets and FFR and audit reporting requirements for Federal awards.

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