With this audit, OIG sought to determine whether OFDA effectively (1) assessed needs for medical facilities and commodities in the affected countries and (2) oversaw the items it funded. USAID/OFDA neither effectively determined initial needs nor sufficiently reassessed those needs as the outbreak evolved. OFDA identified a general need for protective equipment, structures, personnel, and supplies, but did not indicate the number and size of facilities, where to build them, and when they needed to be operational. Insufficient assessments contributed to the delayed opening of facilities. By the time most were operational, the majority of confirmed Ebola cases had already occurred, resulting in an excess of medical commodities. In addition, OFDA did not adequately oversee what it funded, and it lacked the information it needed to track activities and determine the funding’s effectiveness.
OIG made eight recommendations. USAID agreed with all eight, but two remain unresolved because the Agency’s proposed corrective actions centered on implementers rather than on Agency personnel and guidance.