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CDC's Country Management and Support Initiative : report summary for August 2011 country management and support visit to Central Asia
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August 2011
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Description:As the U.S. science-based public health and disease prevention agency, the Centers for Disease Control and Prevention (CDC) plays an important role in implementing the U.S. President’s Emergency Plan for AIDS Relief (PEPFAR) under the direction of the Department of State Office of the U.S. Global AIDS Coordinator. CDC uses its technical expertise in public health science and long-standing relationships with Ministries of Health across the globe to work side-by-side with countries to build strong national programs and sustainable public health systems that can respond effectively to the global HIV/AIDS epidemic. All CDC global HIV/AIDS PEPFAR-related activities are implemented by the Division of Global HIV/AIDS (DGHA) in CDC’s Center for Global Health.
CDC’s Commitment to Accountability: CDC/DGHA launched the Country Management and Support (CMS) initiative in 2011 to identify any challenges resulting from the rapid scale-up of complex PEPFAR/CDC programming as part of CDC’s commitment to transparency and accountability. This initiative serves as a basis for ongoing, monitored quality improvement of CDC/DGHA’s programs and operations through internal programmatic and financial oversight. CMS is a proactive response on the part of CDC to ensure that CDC/DGHA is supporting the Presidential Initiatives, Department of State, and Office of the U.S. Global AIDS Coordinator. The CMS strategy is designed to assess CDC/DGHA’s accountability in the following key areas: Intramural Resources: Ensuring proper management and stewardship of financial resources, property, and human resources within CDC’s overseas offices; Extramural Funding: Ensuring responsible and accurate management of financial and other resources external to CDC’s overseas offices; Public Health Impact: Ensuring the delivery of consistently high quality interventions and technical assistance that positively impact the populations the program serves.
Central Asia Region Country Management and Support Visit: =CDC conducted a CMS visit to the CDC Central Asia Regional Office in Kazakhstan, Tajikistan, and Kyrgyzstan from August 22-26, 2011. The principal objectives of this CMS visit were to: Perform a CDC/DGHA headquarters assessment of internal controls in the field to ensure the highest level of accountability; Provide clear feedback and support to the country office to improve current internal controls; Refine, systematize, and modify CMS methodologies, processes, and associated tools for full implementation of the CMS across all CDC/DGHA-supported programs in the field.
CDC headquarters (CDC/HQ) in Atlanta, Georgia assembled an intra-agency multidisciplinary team of ten experts in the following areas to perform the CMS assessment: country management and operations, program budget and extramural resources, procurements and grants, financial management, and several key technical program areas (e.g., prevention of mother-to-child transmission, laboratories, care and treatment).
The CMS team conducted a five-day visit to the CDC office in Kazakhstan, which included reviews of financial documents, administrative and technical site visits with grantees, one-on-one meetings with staff, data quality spot checks, and reviews of internal financial controls at CDC and grantee offices. The visit also involved site visits to DGHA grantees in neighboring Kyrgyzstan and Tajikistan. Assessment tools and checklists were developed by CMS leadership in consultation with subject matter experts at CDC/HQ. This methodology was designed to provide a “point in time” synopsis of operations in the CDC office in Kazakhstan.
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