Audit of USAID/Rwanda’s HIV/AIDS Treatment Activities

Recommendations

Recommendation
1

USAID/Rwanda develop and implement a plan, with milestones, to train all implementing partners and service outlets for treatment services on how to properly update patient records, maintain source documents, reconcile patient records at least once a year, and report program results.

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Recommendation
2

USAID/Rwanda develop and implement a plan, with milestones, to train all implementing partners and service outlets providing treatment services to maintain inventory records and manage stocks effectively.

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Recommendation
3

USAID/Rwanda develop and implement a plan, with milestones, to investigate and correct the problem of service outlets receiving insufficient quantities of treatment commodities from the national pharmaceutical procurement agency.

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Recommendation
4

USAID/Rwanda develop and implement a plan, with milestones, to investigate and correct the problem of inadequate maintenance of test equipment by the national maintenance unit.

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Recommendation
5

USAID/Rwanda establish written procedures that require performance management plans to be complete, containing all performance indicators and reference sheets, and provide for data-quality testing.

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Recommendation
6

USAID/Rwanda revise its current performance management plan for the treatment program to include all five performance indicators.

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7

USAID/Rwanda establish written procedures requiring that data-quality assessments be completed in a timely manner in accordance with applicable guidance.

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Recommendation
8

USAID/Rwanda complete data-quality assessments for the five treatment program indicators in accordance with Automated Directives System requirements.

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Recommendation
9

USAID/Rwanda establish written procedures requiring that site visits provide for data-quality testing and adequate documentation of the test results

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