(2016-11) Audit of Procurement Procedures — Ministry of Public Health and Population (MSPP), FY 2014-2015
Summary — This final report presents the findings of an audit of procurement procedures at Haiti's Ministry of Public Health and Population (MSPP) for the 2014-2015 fiscal year. Conducted by Daniel Thirion International (DTI) and TURNIER S.A., the audit revealed significant issues including insufficient internal controls, poor archiving, lack of proper planning, and frequent project stoppages due to funding shortfalls. The report provides recommendations to improve transparency, efficiency, and compliance with public procurement regulations.
Key Findings
- Insufficient internal controls and deficient archiving systems hinder effective public procurement at MSPP.
- The use of restricted tendering (AOR) and subjective evaluation criteria for standard works limits competition and transparency.
- Frequent project stoppages, particularly for hospital rehabilitation, are caused by unpredictable budget allocations and lack of funds, leading to costly delays and demobilization.
- Instances of contract splitting, such as for ambulance acquisition, were used to circumvent regulatory review thresholds and promote non-competitive awards.
- The Direction de l'Organisation des Services de Santé (DOSS) lacked the necessary resources for adequate supervision and monitoring of works contracts.
Full Description
This comprehensive audit report, commissioned by the Project Coordination Unit (UCP) of the Ministry of Economy and Finance (MEF) and conducted by Daniel Thirion International (DTI) in collaboration with TURNIER S.A., scrutinizes the public procurement and contract management procedures of the Ministry of Public Health and Population (MSPP) for the 2014-2015 fiscal year. The audit identified systemic weaknesses, including the absence of a dedicated procurement unit, insufficient internal controls, and a deficient archiving system, leading to non-compliance with regulatory frameworks and principles of transparency and efficiency. A significant finding was the frequent interruption of works, particularly for hospital rehabilitation projects, due to unpredictable budget allocations and subsequent funding shortfalls, which not only delays critical infrastructure but also undermines the credibility of public contracting.
The report highlights issues such as the inappropriate use of restricted tendering for standard works, subjective evaluation criteria, and instances of contract splitting to circumvent regulatory oversight, notably in the acquisition of ambulances. Recommendations include establishing a dedicated procurement unit within MSPP, implementing robust internal control and archiving systems, transforming the procurement plan into a genuine management tool, and ensuring the timely payment of contractors to prevent costly project delays and demobilization.
Notes
Series: CNMP Rapport d'Audit, part of the same six-institution FY2014-2015 batch (see MENFP entry above). Marked 'Rapport Final', dated 'Novembre 2016' on the cover. Site 'Publié le' 2016-11-12. A separately listed MSPP audit entry ('Publié le' 2015-12-14, upload filename 1757906234_1757890216_Rapport_MSPP.pdf) was checked and found to be a broken link (HTTP 404, HTML 'Not Found' page returned instead of a PDF) — not downloaded, not counted as a duplicate document since its actual content could not be verified.