Audit of USAID/El Salvador's Maternal and Child Health Activities

Recommendation
1

USAID/El Salvador work with the Government of El Salvador Ministry of Health and University Research Corporation to assess the contract accomplishments to date and design and schedule critical activities that University Research Corporation is required to accomplish in order to contribute to the goal of sustainable results.

Questioned Cost
0
Close Date
Recommendation
2

USAID/El Salvador work with the Government of El Salvador Ministry of Health to assess the project accomplishments to date and design and schedule critical activities that Abt Associates needs to accomplish in order to contribute to the goal of sustainable results.

Questioned Cost
0
Close Date
Recommendation
3

USAID/El Salvador reassess the feasibility of the public/private alliance component of the Abt Associates cooperative agreement with the assistance of the mission public/private alliance advisor, and modify the award as appropriate.

Questioned Cost
0
Close Date
Recommendation
4

USAID/El Salvador work with Abt Associates and University Research Corporation to establish performance indicators that directly reflect program activities and measure the program's intended goals.

Questioned Cost
0
Close Date
Recommendation
5

USAID/El Salvador revise the reporting requirements specified in the Abt Associates and University Research Corporation awards to better reflect the timeframe for reporting on the selected indicators and require implementer compliance with the revised requirements.

Questioned Cost
0
Close Date
Recommendation
6

USAID/El Salvador establish and implement procedures to improve the oversight of its maternal and child health activities and to verify the data reported by its implementing partners in their progress reports.

Questioned Cost
0
Close Date
Recommendation
7

USAID/El Salvador develop and maintain a schedule for the completion of Data Quality Assessments that complies with the requirements of Automated Directives System chapter 203.3.5.2.

Questioned Cost
0
Close Date
Recommendation
8

USAID/El Salvador and Abt Associates host a user forum for the Sistema Nacional de Abastecimiento to discuss improvements to the system and reach agreement on which improvements are to be implemented.

Questioned Cost
0
Close Date
Recommendation
9

USAID/El Salvador and Abt Associates work with the Ministry of Health to develop and implement a plan to adapt the Sistema Nacional de Abastecimiento to incorporate the lower levels of health care units (Equipo Comunitario de Salud).

Questioned Cost
0
Close Date
Recommendation
10

USAID/El Salvador and University Research Corporation perform a site visit to verify that the end users of the fumigation equipment are safely operating the fumigation equipment, which includes verifying that operators have personal protective equipment and that procedures are in place to notify residents in spray areas prior to fumigation activities.

Questioned Cost
0
Close Date
Recommendation
11

USAID/El Salvador modify the contract with University Research Corporation to include a clause stating its responsibility concerning USAID environmental compliance requirements.

Questioned Cost
0
Close Date