Such increased spending has led to more HIV/AIDS patients having access to antiretroviral treatments (ARTs), and declining HIV incidence and AIDS deaths over time. The GFATM move away from round-based funding has improved predictability of external funding from one of the main sources of external funds. Further, in the Western Cape province, GFATM support has been integrated into the provincial budgeting system, making it easier for government officials to plan. However, other international donors have different financial schemes, transferring resources directly to government departments and NGOs or their facilities.