Audit of USAID/Cambodia's Better Health Services Project

USAID/Cambodia work with the project staff to implement a strategy for disease surveillance and document the results.

USAID/Cambodia, through its agreement officer, determine the allowability of and recover, as appropriate, questioned costs of $699,559 (ineligible) as identified in the finding above.

USAID/Cambodia, through its agreement officer, ratify the addition of activities to provide food, day care, and other support to families affected by HIV, or disallow the changes in the project's scope. Whether the activities are ratified or disallowed, in whole or in part, the agreement officer should determine and document the appropriate corrective actions taken.

USAID/Cambodia work with the prime implementer to clearly define each indicator in writing-including how it should be measured-so that reported results accurately reflect accomplishments.

USAID/Cambodia require the prime implementer to implement improved internal controls governing collecting, maintaining, and processing data.

After the implementer has improved internal controls in response to Recommendation 5, we recommend that USAID/Cambodia implement procedures for conducting data quality assessments that include (1) evaluating whether data for each indicator meet all five quality standards, (2) evaluating the implementing partner's data collection, maintenance, and processing procedures, and (3) testing the data's accuracy and consistency.

USAID/Cambodia work with the prime implementer to update the project's performance management plan to include all performance indicators used to measure activities implemented since the start of the project, along with justifications for those that were cancelled or added.

USAID/Cambodia work with the prime implementer to implement a formal process to document, track, and analyze complaints within the health equity financing system.