Audit of USAID/Haiti's Community Health and AIDS Mitigation Project

Recommendations

Recommendation 1

USAID/Haiti complete anddocument a needs assessment and cost-benefit analysis to determine the correct number and appropriate location for the Community Health and AIDS Mitigation Project's community service delivery points.

Questioned Cost:
$0
Close Date:
Recommendation 2

USAID/Haiti, after conducting the assessment and analysis, modify the agreement with Family Health International in writing to reflect the changes in the number of community service delivery points and other major project targets and adjust the budget and resources accordingly.

Questioned Cost:
$0
Close Date:
Recommendation 3

USAID/Haiti require Family Health International to implement capacity-building activities, with particular emphasis on sustainability, leadership,
management, lessons learned, and monitoring and
evaluation, as defined in the agreement.

Questioned Cost:
$0
Close Date:
Recommendation 4

USAID/Haiti instruct Family Health International in writing to implement best practices and lessons learned at all community service delivery points.

Questioned Cost:
$0
Close Date:
Recommendation 5

USAID/Haiti review existing indicators and activity reporting in writing, to determine whether the mission is receiving consistent, accurate, and useful information regarding the project's status and impact. If not, the mission should develop and implement a corrective action plan.

Questioned Cost:
$0
Close Date:
Recommendation 6

USAID/Haiti, in collaboration with the Ministry of Public Health and Population, evaluate the three registry books to determine what modifications they need to track enrollees effectively, and make the modifications to the books.

Questioned Cost:
$0
Close Date:
Recommendation 7

USAID/Haiti direct Family Health International in writing to develop standardized procedures and documentation to implement at each of the community service delivery points to assist in
tracking and reporting on indicators.

Questioned Cost:
$0
Close Date:
Recommendation 8

USAID/Haiti direct Family Health International in writing to conduct data quality assessments, as described in the agreement, and provide data validation monthly and quarterly, along with documentation of site visits performed, issues
identified with data validation, actions taken to resolve issues, and training conducted on monitoring and evaluation.

Questioned Cost:
$0
Close Date:
Recommendation 9

USAID/Haiti's Office of Acquisition and Assistance review each subaward issued by Family
Health International to confirm that the subaward
received appropriate review and approval by an
authorized official in accordance with the agreement and relevant guidance and document the results. In addition, we recommend that the Office of Financial Management conduct payment verification of these subawards.

Questioned Cost:
$0
Close Date:
Recommendation 10

USAID/Haiti's Office of Acquisition and Assistance review existing contracting officer's
technical representative and agreement officer's
technical representative designation letters to confirm that the letters provide appropriate authorities and approval thresholds for subawards, and document results.

Questioned Cost:
$0
Close Date:
Recommendation 11

USAID/Haiti work with Family Health International to establish memorandums of understanding between health facilities and community service delivery points, detailing roles and responsibilities, expectations, and monitoring channels.

Questioned Cost:
$0
Close Date:
Recommendation 12

USAID/Haiti reevaluate the environmental plan to determine what is applicable to community service delivery points, and document results, complete the environmental assessment form for each existing community service delivery point sites, and establish and implement a process to verify that any future environmental assessments are
conducted where needed.

Questioned Cost:
$0
Close Date:
Recommendation 13

USAID/Haiti direct Family Health International in writing to train key personnel to implement the Community Health and AIDS Mitigation Project's environmental plan.

Questioned Cost:
$0
Close Date:
Recommendation 14

USAID/Haiti require Family Health International to develop a procurement plan that is approved by the mission and implemented in the Community Health and AIDS Mitigation Project.

Questioned Cost:
$0
Close Date: