26 September 2019
Uganda has achieved significant progress in fighting malaria and HIV. The number of new HIV cases fell by 44% between 2012 and 2017, with AIDS-related deaths falling by 38% over the same period. Improvement is required, however, in TB case detection and treatment: there are around 47% of TB missing cases, and treatment success rates are consistently below 80%. The quality of community case management varies widely across the country.
The audit noted continuous availability of anti-retroviral drugs and malaria commodities, but found significant stock-outs of HIV rapid tests and TB first-line drugs; the Ministry of Health’s internal controls and ability to track commodities require strengthening.
While oversight over Global Fund grants has improved since the OIG’s 2015 audit, oversight by the Principal Recipient and internal controls at the Ministry of Health need further strengthening.
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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.