Audit of Bangladesh's NGO Health Service Delivery Project

USAID/Bangladesh require Pathfinder International to develop and implement a comprehensive sustainability plan, which includes other methods to raise program income beyond the 40 percent cost-recovery rate.

USAID/Bangladesh develop and implement procedures to ensure that nongovernment organizations' requests to use program income to expand clinic services are submitted, reviewed, and approved in a timely manner.

USAID/Bangladesh require Pathfinder International to determine how many other clinics have not paid their staff salaries on time, implement a plan to verify that nongovernmental organizations' program income funds are readily available to pay project expenses, and establish procedures to have nongovernmental organizations pay salaries on time.

USAID/Bangladesh establish a procedure for timely reviews and approvals of annual project budgets.

USAID/Bangladesh require Pathfinder International to work with the nongovernmental organization grantees to review the training model and implement a plan to address training needs of clinic employees.

USAID/Bangladesh require Pathfinder International to review the management information system and data processing procedures it developed for the project to verify that the system addresses user needs.

USAID/Bangladesh require Pathfinder International to set a deadline to complete the translation of the revised Surjer Hashi Management Guideline to Bangla and provide copies to all clinics.

USAID/Bangladesh require Pathfinder International to check whether clinics are using the revised Surjer Hashi Management Guideline and to incorporate this task into its monitoring process.

USAID/Bangladesh require Pathfinder International to provide training to clinics on the updated sections of Surjer Hashi Management Guideline and emphasize the importance of using the guideline.