The FFC analysed the Department's Health strategic plans, performance plan and spending patterns. Highlighted is that South Africa's health outcomes are poor despite the country spending is on par with its peer countries. According to the FFC the DOH's budget is driven by Programme 3 and 5, making up 94% of the total allocation. Slight under-spending was identified in Programme 4 and 6. Provinces over expenditure were reported in the Eastern Cape, Limpopo, Gauteng and Northern Cape. Under-spending of the NHI grant was highlighted by the FFC, with no audited financial performance of the grant recorded for prior and current financial year.