We conducted this audit to assess USAID’s overall management and coordination of the Ebola outbreak and the Agency’s ability to react to future international public health emergencies. Although USAID’s Ebola response strategy provided needed flexibility to adjust operations as the disease and other circumstances evolved, challenges related to funding and the transition to recovery weakened USAID’s response, as did shortcomings in leadership, staffing, and coordination. For example, officials from USAID and the Centers for Disease Control and Prevention disagreed on response priorities, and response and recovery efforts were delayed.
For future emergencies, OIG determined that USAID’s policies and processes need improvement. USAID has not developed a policy framework for responding quickly to large-scale international public health emergencies, nor has it captured Agency-wide lessons from its experiences. Without them, responders are left to re-create processes as emergencies evolve.
OIG made 14 recommendations. USAID agreed with all the recommendations.