Health Services in Afghanistan: USAID Continues Providing Millions of Dollars to the Ministry of Public Health Despite the Risk of Misuse of Funds.

摘要

In July 2008, USAID and the MoPH signed an implementation letter establishing the $236 million PCH program. The program, which began in November 2009, supports the MoPH in its delivery of health services to local Afghan clinics and hospitals. The MoPH uses USAID provided funds to contract with nongovernmental organizations to provide basic health care in 13 provinces and hospital services in 5 provinces. The objectives of this audit were to determine the extent to which (1) USAID assessed the financial management capability of the MoPH and (2) cost estimates for the PCH program were developed appropriately. To accomplish these objectives, SIGAR reviewed USAID policies, including USAID and third party assessments of the MoPH; interviewed USAID and MoPH officials; and examined documentation on funds obligated and disbursed for the PCH program.