The NDOH has recently started this with the implementation of the health patient registration system. At the same time, national and provincial departments of health set and monitor targets related to health outputs and health system performance. Recent efforts at the district level (District Health Expenditure Reviews, District Health Barometers) linking health spending with non-financial health indicators provide a good example. Such monitoring efforts provide useful information on inter-district and inter-province variations that allow assessing whether the allocated resources are used effectively and efficiently.