Financial Audit of USAID Resources Managed by Program for Appropriate Technology in Health in Kenya Under Multiple Awards, January 1 to December 31, 2024

We recommend that USAID determine the allowability of $66,733 in ineligible questioned costs on page 23 of the audit report and recover any amount that is unallowable.

We recommend that USAID verify that Program for Appropriate Technology in Health in Kenya corrects the one instance of material noncompliance detailed on pages 29 to 30 of the audit report.

We recommend that USAID verify that Program for Appropriate Technology in Health in Kenya provides AMREF Health Africa in Kenya with a copy of the finding raised in Ernst & Young LLP's audit report for their review (a) to determine the allowability of any ineligible questioned costs identified on pages 16 and 23 of the audit report pertaining to their particular subaward; and (b) to take any corrective actions regarding the instance of material noncompliance related to the subaward detailed on pages 29 to 30 of the report.