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Running a clinic in Gauteng means working within real constraints. Mandela Sisulu Clinic navigates load shedding schedules that affect refrigeration for vaccines and medications, manages the logistics of serving a dispersed catchment area where transport isn't straightforward, and handles the paperwork that comes with medical aid billing and SARS compliance. The clinic has to stock for unpredictable demand — some days driven by seasonal flu, other days by workplace injuries from the light industrial areas nearby. They work with limited equipment, manage infection control in an environment with water pressure fluctuations, and coordinate with referral hospitals during times when ambulance services are stretched. It's not glamorous work. It's the kind of operational competence that keeps a community clinic functioning when infrastructure is variable.
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