Foreign Assistance to Combat HIV/AIDS, Tuberculosis, and Malaria Fiscal Year 2019 Inspectors General Coordinated Oversight Plan U.S. Department of Health and Human Services Office of Inspector General

For the fiscal year (FY) 2019 coordinated audit plan, the U.S. Department of Health and Human

Services, 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 $1.7 billion in FY 2017 PEPFAR funds (about 97 percent of the PEPFAR funds received by HHS) to accelerate progress toward achieving an AIDS-free generation and creating a lasting infrastructure that enables 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 28 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 outbreaks of infectious disease.

To advance program-integrity efforts, HHS-OIG has developed a 5-year plan (FYs 2019-2023) to continue its oversight activities of the PEPFAR program. For FY 2019, HHS-OIG has ongoing and planned work to complete two audits, conduct one domestic and two international (incountry) audits, conduct a followup audit of CDC's award process, prepare a rollup report to CDC, and conduct fraud-prevention training.

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