Office of the Inspector General

Follow-up Audit of Global Fund Grants in the Democratic Republic of Congo

16 July 2019

The Democratic Republic of Congo (DRC) is a challenging operating environment characterized by poor infrastructure, recurring armed conflicts and repeated Ebola outbreaks. Despite this, Global Fund-supported programs have achieved impact in the country, with significant progress made in reducing the burden of the three diseases. A Long-Lasting Insecticidal Nets mass campaign and expanded community case management have contributed to a decrease in malaria mortality. HIV-related deaths halved between 2012 and 2017, and new infections fell by 25% over the same period. For tuberculosis, treatment success rates improved from 77% in 2013 to 87% in 2018.

The previous OIG audit in 2016 identified various deficiencies regarding programmatic oversight, delivery of quality health services, internal financial controls, and mechanisms to trace health commodities to health facility level. Since then, the Secretariat has put in place enhanced safeguards to improve program implementation and oversight, supply chain management and financial controls. Pervasive stock-outs of HIV test kits remain, however, and there is insufficient stock of malaria commodities at health facilities. Reported numbers people living with HIV under ARV treatment are inaccurate, making it difficult to determine and monitor numbers lost to follow-up. Finally, financial management in DRC remains inadequate, due to limited controls in place at the Ministry of Health, an absence of quality assurance over the work of the Fiscal Agent, and limited Secretariat oversight.

  • Follow-up audit of Global Fund Grants in the Democratic Republic of Congo
    (GF-OIG-19-014 - 16 July 2019)
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For more information:

Dougal Thomson
Mobile: + 41 (0)79 717 6694


The Office of the Inspector General safeguards the assets, investments, reputation and sustainability of the Global Fund by ensuring that it takes the right action to defeat AIDS, tuberculosis and malaria. Through audits, investigations and consultancy work, it promotes good practice, reduces risk and reports fully and transparently on abuse.

Established in 2005, the Office of the Inspector General is an independent yet integral part of the Global Fund. It is accountable to the Board through its Audit and Ethics Committee and serves the interests of all Global Fund stakeholders. Its work conforms to the International Standards for the Professional Practice of Internal Auditing and the Uniform Guidelines for Investigations of the Conference of International Investigators.

The Global Fund believes that every dollar counts and has zero tolerance for fraud, corruption and waste. Through its whistle-blowing channels, the Office of the Inspector General encourages all to speak out to report fraud, abuse and human rights violations that prevent Global Fund resources from reaching those who need them.