The Department outlined the increase in increase accessing healthcare provision citing the example of the large increase in the number of people accessing ARVs in public healthcare facilities from approximately 200 000 in 2004 to over 1.7 million in 2011. This results in added pressure to the public health care's human and physical infrastructure. Furthermore, there was a need to build more tertiary institutions dedicated to the health care sciences given the increasing demands for quality health care services.