Audit of USAID's HIV/AIDS Activities in Côte D'Ivoire

USAID develop and implement a strategy to address Le Soutien's lack of performance and misuse of U.S.
Government funds.

USAID make a final determination for the allowability of $708,080 of program expenses, which includes the costs of the motorbikes, desks, and scanner that have not been returned, and recover amounts determined to be disallowed.

USAID develop and implement a strategy to address Reseau Ivoirien des Organisations de Personnes Vivant avec le VIH (RIP Plus's) misconduct and misuse of U.S. Government funds.

USAID settle and document any outstanding fees related to the financial audit of Reseau Ivoirien des Organisations de Personnes Vivant avec le VIH (RIP Plus) by the external auditors to obtain the audit report.

USAID, in conjunction with Supply Chain Management System, review the inputs used to forecast demand to
ensure that drugs are available when needed.

USAID, in conjunction with Supply Chain Management System, request the Government of Cote d'Ivoire, in writing, to communicate all changes in drug protocols to dispensing facilities in a timely manner to ensure that the right prescriptions are given to patients.

USAID, in conjunction with Supply Chain Management System, upgrade or develop a mechanism in the Logistic Management Information System to track drugs that are out of stock or will be
out of stock to ensure timely replacement/reorders.

USAID advise, in writing, the Government of Cote d'Ivoire's Ministry of Health of the need for greater accountability for the maintenance and disposition of U.S. Government procured drugs and request that the Ministry of Health provide USAID with copies of its supervision reports on physical inventory and status of U.S. Government drugs at health facilities for the duration of the project.

USAID, in conjunction with Supply Chain Management System, work with the Ministry of Health to establish a plan and schedule for implementing quality control procedures for the distribution and handling of cotrimoxazole at service delivery sites to prevent future losses.

USAID work with the Government of Cote d'Ivoire to develop and implement a plan to destroy the expired drugs currently in storage.

USAID work with the Government of Cote d'Ivoire to develop and implement a policy for storage, pickup, and destruction of expired drugs and effectively communicate it to all health facilities affected.

USAID improve the Logistics Management Information System to identify expiring drugs and implement a plan to use drugs before they expire to prevent waste.

USAID work with the Government of Cote d'Ivoire to develop and implement a plan to address proper storage of HIV/AIDS drugs at all warehouses.

USAID work with the University of North Carolina to implement the action plans developed as a result of the program assessment conducted in fiscal year 2008.

USAID, in conjunction with John
Snow, Inc., work with the Ministry of Health to develop and implement a
monitoring plan, which includes communication with health districts, frequent site
visits, and prompt attention to problems to improve data use, analysis and
decision-making at the local level.

USAID develop and implement a monitoring plan for PEPFAR activities in Cote d'[Ivoire that includes adequate resources to provide regular communication with users, frequent site visits, and prompt attention to problems to improve program implementation.

USAID perform a data quality assessment of the results/reported data of the program.

USAID, in coordination with the Centers for Disease Control and Prevention, establish and define roles and responsibilities for its PEPFAR staff.

USAID verify and document that activities at the 35 sites not visited by the audit team are in fact active and that hospital participation is apparent.