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Running a clinic in George means adapting to the realities of a town spread across suburban areas and townships, where transport and access shape who gets care and who doesn't. Kwanokuthula Community Day Centre operates within those constraints—managing patient flow from communities where regular transport to city-centre clinics isn't guaranteed, coordinating with local transport, and working through the logistics of chronic disease management when patients travel distances to attend. The clinic's functioning depends on understanding local geography, community patterns, and the infrastructure gaps that medical services here have to bridge. It's healthcare delivery shaped by how George actually works on the ground.