Audit of USAID/Kenya’s PEPFAR-Funded Activities and Commodities for the Prevention of Mother-to-Child Transmission of HIV

Recommendations

Recommendation 1

USAID/Kenya develop and implement a workload redistribution plan that will enable the mission to devote substantially more time to activities for the prevention of mother-tochild transmission of HIV.

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Recommendation 2

USAID/Kenya develop suitable trip reporting tools, such as an activity checklist or a reporting template, that will assist mission officials in documenting site visits with complete and timely reports.

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Recommendation 3

USAID/Kenya reevaluate its policy establishing the Kenya Medical Supplies Agency as the distributor of HIV test kits and determine whether it would be in the U.S. Government's best interest to use a different commodity distribution service.

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Recommendation 4

In the event the Kenya Medical Supplies Agency is retained as the distributor of HIV test kits-that USAID/Kenya require the Kenya Medical Supplies Agency to bring its warehousing and distribution systems into compliance with industry best practices and World Health Organization guidelines.

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Recommendation 5

USAID/Kenya determine the dollar value of HIV test kits that have been lost since the program's inception and determine whether this or any amount is recoverable under existing agreements with the Government of Kenya.

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Recommendation 6

USAID/Kenya 1) identify key performance indicators to track for HIV commodity performance management purposes; 2) assess the suitability, effectiveness, and reliability of the existing HIV commodity monitoring and evaluation system; 3) resolve any deficiencies in the existing HIV commodity monitoring and evaluation system, the processes and documentation for collecting data entered into that system, and the quality of the data therein; and 4) arrange to receive periodic reporting on key performance indicators for mission review and action on areas of concern.

Questioned Cost:
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