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Running a community health clinic in East London means working within real constraints—limited resources, high patient volume, and the need to stretch every rand. Duncan Village Community Health Clinic operates on the practical reality that most people arrive with multiple health concerns stacked together: a child needing immunisation, a parent with a chronic script, and someone acute who just walked in. The clinic coordinates with local pharmacies, manages referral pathways to provincial hospitals, and handles the administrative side of chronic disease programmes without the overhead of private practice. Staff navigate load-shedding affecting cold-chain storage for vaccines, manage walk-in queues, and work within Department of Health protocols. It's healthcare delivery shaped by the actual environment where people live and work.