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The compilation of the 2017/18 APP has been a significant challenge due to the format which is yet to be standardized and also the planning started later than expected. The 2017/18 financial year is the first year of the five-year cycle covered by the Strategic Plan. Continued financial constraints will require stringent monitoring of the budget to ensure an optimal return on the investment of the health budget. In spite of the challenges the Department will make every effort to build on the lessons learned in the past financial year 2017/2018 to provide the people it serves with improved patient-centred quality of care.