PEPFAR in Ukraine: USAID/Ukraine Achieved Mixed Results When Implementing Programs Due to Wartime Challenges and Did Not Conduct Independent Performance Monitoring

Excerpt:  “Before Russia’s full-scale invasion in February 2022, an estimated 260,000 people in Ukraine were living with HIV, the second-highest number of cases in Europe. USAID and other government agencies implement U.S. President’s Emergency Plan for AIDS Relief (PEPFAR) programs to support Ukraine’s efforts to end HIV as a public health threat by 2030. The ongoing war has altered the landscape of the country’s HIV/AIDS epidemic and created significant challenges in providing essential HIV services. To address the healthcare needs of people living with HIV during wartime conditions, USAID’s Mission in Ukraine (USAID/Ukraine) continued to fund Healthlink and Community Action for HIV Control, two programs that aim to improve HIV testing in Ukraine. We conducted this audit to assess the extent to which USAID/Ukraine implemented and monitored selected PEPFAR programs to achieve its intended results.”