The NDoH reported that based on the first and second quarter reports of the 2010/11 financial year, it appears as if the Grant would be underspent by R1.6 billion (projected under-expenditure). For the first quarter, the Grant was underspent by 16 per cent. The NDoH added that, based on the spending patterns by provinces, only R2 887 854 will be spent by the end of the 2010/11 financial year.