It is noted that though the department has under-spent in the first six months, the budget of the department has been adjusted from R21.4 billion to R21.6 billion an amount of R146 million was adjusted to its budget which includes R49.6 million from roll-overs and R105 million from unforeseeable and unavoidable expenditure. This also includes an amount of R9.7 million which was adjusted for increased remuneration on personnel and housing subsidies for certain programmes. The Department made virements and shifting of R6.1 million or 1.4 per cent, this movement of funds was mainly done in order to strengthen service delivery on programmes 1 and 3. The Department and treasury indicated that most of the shifting and virements were done from the savings made due to the reduction on consultants and special services in the 2010 FIFA World Cup expenditure. While the Committee has noted the movement of funds and under spending of the department in the first six months, during its oversight the Committee identified a number of challenges this include the non availability of mobile or immobile clinics in some areas, usage of mud structures as clinics, prepaid electricity and solar panels of which some of these require maintenance and repairs yet it was not clear whose responsibility it is to maintain this facility.