Audit of Grants in Uganda
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.