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HIV/AIDS, tuberculosis, and malaria are three of the world’s deadliest infectious diseases that
cause tremendous human suffering and economic loss and threaten political stability in many
countries in sub-Saharan Africa and the developing world. In 2003, the Administration
established the President’s Emergency Plan for AIDS Relief (PEPFAR) to help save the lives of
those suffering from HIV/AIDS around the world, and the U.S. Congress passed the Leadership
Against HIV/AIDS, Tuberculosis, and Malaria Act. The act established the Office of the U.S.
Global AIDS Coordinator and Health Diplomacy (OGAC) at the Department of State (State)
and gave OGAC primary responsibility for coordinating all resources and international activities
of the U.S. Government to combat the HIV/AIDS pandemic.
OGAC also allocates appropriated funds to PEPFAR implementing agencies, particularly the
Department of Health and Human Services’ (HHS) Centers for Disease Control and Prevention
(CDC) and the U.S. Agency for International Development (USAID). CDC and USAID obligate
the majority of PEPFAR funds for HIV treatment, care, and prevention activities through grants,
cooperative agreements, and contracts with selected implementing partners, such as U.S.-based
nongovernmental organizations (NGO), and partner-country governmental entities.
The U.S. Government’s strategy to combat these diseases is a coordinated effort between
Federal agencies, NGOs, partner-country Government entities, and other implementing
partners. Given the coordination required to implement this strategy, it is equally critical for
inspectors general of the implementing agencies to coordinate oversight of the foreign
assistance to combat HIV/AIDS, tuberculosis, and malaria. Therefore, the Offices of Inspector
General (OIG) of USAID, State, and HHS held a planning conference to discuss oversight
activities in Washington DC on August 15th, 2017, and prepared this fiscal year (FY) 2018
coordinated plan for providing oversight of foreign assistance to combat HIV/AIDS,
tuberculosis, and malaria.
Consistent with past practice, the offices of inspector general will continue to coordinate their
activities with the Government Accountability Office, as well as with the Offices of Inspector
General of the Departments of Commerce, Defense, and Labor and of the Peace Corps. We
have also shared this plan with the Office of the Global AIDS Coordinator and the U.S. Global
Malaria Coordinator. We look forward to continued engagement among the agencies,
Congress, and other key stakeholders around the world as we implement this plan during
FY 2018.
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Notice
This report may be subject to section 5274 of the National Defense Authorization Act Fiscal Year 2023, 117 Pub. L. 263.