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Investigation by the Office of Inspector General (OIG)

On the 15 June 2011, the OIG published a report critical of the CDC's failure to oversee recipients’ use of President’s Emergency Plan for AIDS Relief (PEPFAR) funds.[1] The report read in part:

Our review found that CDC did not always monitor recipients’ use of President’s Emergency Plan for AIDS Relief (PEPFAR) funds in accordance with departmental and other Federal requirements. CDC implements PEPFAR, working with ministries of health and other public health partners to combat HIV/AIDS by strengthening health systems and building sustainable HIV/AIDS programs in more than 75 countries in Africa, Asia, Central and South America, and the Caribbean. HHS receives PEPFAR funds from the Department of State through a memorandum of agreement.

There was evidence that CDC performed some monitoring of recipients’ use of PEPFAR funds. However, most of the award files did not include all required documents or evidence to demonstrate that CDC performed required monitoring on all cooperative agreements. Of the 30 cooperative agreements in our sample, the award file for only 1 agreement contained all required documents. The remaining 29 award files were incomplete. In addition, 14 of 21 files were missing audit reports. (A report was not yet due for 9 of the 30 cooperative agreements.) The lack of required documentation demonstrates that CDC has not exercised proper stewardship over Federal PEPFAR funds because it did not consistently follow departmental and other Federal requirements in monitoring PEPFAR recipients.

Press Release

I'm not sure how relevant this is, but here goes anyway:

U.S. Government Hands Over E 12.5 Million in Materials and Equipment to USDF to Fight HIV/AIDS March 22, 2011 On Tuesday, March 22, 2011, the United States Embassy in Swaziland and the Umbutfo Swaziland Defence Force held a handover ceremony at the Pocweni Clinic in Matsapha. During the ceremony, the U.S. government officially handed over a wide range of materials in support of the USDF’s efforts to combat HIV/AIDS. To highlight a few of the items, the handover included 2 vehicles, prefabricated medical facilities for the Pocweni Clinic and 5 other base facilities, 7 prefabricated medical facilities supporting the Soka Uncobe male circumcision campaign, medical supplies and laboratory equipment, as well as funding for a full-time physician to staff the Pocweni Clinic. The materials handed over at the ceremony and those that will be arriving over the coming weeks are valued at over E 12.5 million and demonstrate the significant partnership between the United States and the USDF in fighting HIV/AIDS.

Participating in the ceremony on behalf of the USDF were the Deputy Commander of the Umbutfo Swaziland Defence Force Major General Jeffrey Tshabalala, as well as Senior Officers and members of the clinic staff. Representing the United States Government were Chargé d’Affaires Craig Cloud, joined by Dr. Anne Thomas of the U.S. Department of the Defense and members of the PEPFAR Swaziland team.

During the ceremony, both the United States government and the USDF each noted the longstanding and growing partnership between the U.S. Government and the USDF in the fight against HIV/AIDS. Chargé d’Affaires Cloud complemented the USDF on their concerted efforts to stop the spread of HIV/AIDS in their ranks and to provide adequate care and treatment to those in need of treatment. He said the U.S. government is proud to support the USDF in their efforts to ensure a healthier life for the soldiers and their families.

Cloud emphasized the important leadership role the USDF and SUSAH (Swaziland Uniformed Services Alliance for HIV) have to play in the Soka Uncobe campaign, the innovative male circumcision campaign led by the Ministry of Health. He called on the USDF leadership to fully support the national campaign and to encourage their soldiers to do so as well. In his speech, Cloud noted that, if the Soka Uncobe campaign is successful in circumcising 152,000 men during 2011, it could prevent 88,000 people from getting infected with HIV and save the government and the people of Swaziland E 4.5 billion in medical treatment costs.

For his part, Deputy Commander Major General Tshabalala expressed his appreciation to the United States Government for their support. He noted that by strengthening the clinical services at Pocweni, there has been a positive impact not only for members of the military, but also for people in the surrounding communities. He expressed the support of the soldiers for the male circumcision campaign and said that together with the Ministry of Health, the USDF wants to defend the nation against HIV/AIDS.

Orly21 18:51, 10 May 2011 (CDT)


Uganda launches PEPFAR-supported mobile male circumcision clinic Published on May 17, 2011 at 7:15 AM

U.S. Ambassador to Uganda Jerry Lanier on Friday in Kampala launched a Mobile Medical Male Circumcision clinic, a project of the PEPFAR-supported Makerere University Walter Reed Project (MUWRP), New Vision reports. Lanier said one of PEPFAR's targets was to increase access to male circumcision in areas with high HIV prevalence and low circumcision rates. However, he cautioned circumcision, which is endorsed by the WHO as an HIV prevention strategy, simply lowers the risk of transmission but does not negate it, according to New Vision.

Speaking at the launch, MUWRP Country Program Director Monica Millard said the clinic had been field tested among fisherman and performed 200 circumcisions in two months, the newspaper adds (Ssemootuke, 5/15).

Orly21 10 May 2011 (CDT)


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