d) Contractors experienced cash flow problems which negatively affected progress on projects as they were unable to pay their suppliers, subcontractors and workforce. Late payments, which contributed to the cash flow problems, were made to the contractors by the provincial Department of Health or the implementing agents in the Eastern Cape, Free State, Gauteng, KwaZulu-Natal, Limpopo, Mpumalanga and North West provinces. The contractors were therefore not financially able to complete the projects.