The PoMPU reported that monitoring and evaluation officials monitor and support the implementation of the grant on a quarterly basis. The monitoring and evaluation officials monitor the implementation by visiting the accredited facilities and submitting reports to the provincial office in order to ensure effective monitoring and adequate support for all the facilities. Furthermore, compliance to reporting procedures was observed at all times and this, in turn, ensures that monthly, quarterly and annual reports, with both financial and non-financial indicators, are compiled and submitted to the National Department of Health, National Treasury and Provincial Treasury. The PoMPU reported that the Comprehensive HIV and AIDS grant's implementation experienced some challenges due to the increase in number of patients from an average of 1 800 to 2 000 new intake monthly whereas the PoMPU had projected a monthly intake of 1 600. The PoMPU added that the budget increase was not aligned to demands for these services. Furthermore, staff shortage affected the monitoring and evaluation of the service delivery. The PoMPU informed the Committee that poor infrastructure was hindering increase in the number of accredited facilities that are available in the Mpumalanga province. The PoMPU argued that the accreditation of facilities, which is the competency of National Department of Health, should be fast-tracked.