Although CDC Implemented Corrective Actions To Improve Oversight of the President’s Emergency Plan for AIDS Relief Recipients, Some Internal Control Weaknesses Remained

The U.S. Congress authorized the President's Emergency Plan for AIDS Relief (PEPFAR) to receive $48 billion in funding for the 5-year period beginning October 1, 2008, to assist foreign countries in combating HIV/AIDS, tuberculosis, and malaria. Congress authorized additional funds to be appropriated through 2023.The Tom Lantos and Henry J. Hyde United States Global Leadership Against HIV/AIDS, Tuberculosis, and Malaria Reauthorization Act of 2008 (the Act) requires the Department of Health and Human Services (HHS), Office of Inspector General (OIG), among others, to provide oversight of the programs implemented under the Act, including PEPFAR. To meet this requirement, we have conducted a series of audits of organizations receiving PEPFAR funds from HHS, Centers for Disease Control and Prevention (CDC). In audits of PEPFAR recipients, some findings indicated common trends among the recipients.Our objectives were to identify: (1) trends related to findings in our prior audits of CDC PEPFAR recipients, (2) CDC's actions to improve oversight of PEPFAR recipients, and (3) internal control weaknesses in CDC's post-award oversight of PEPFAR recipients.