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Shanty Clinic operates in the rhythm of Randburg's mixed communities, where service delivery means adapting to real constraints. Load shedding, traffic congestion, and water outages — common in Gauteng — shape how clinics function day to day. Staffing continuity matters here; a clinic needs to maintain vaccine cold chains despite power cuts, sterilise equipment reliably, and keep patient records legible when paper might be the backup to a failed system. Clinics in this setting also navigate the social complexity of their catchment: they see patients who walk in, those who use informal transport, and those navigating language barriers or documentation challenges. The work isn't just clinical — it's logistical problem-solving in an environment where supply chains are unpredictable and demand fluctuates with seasonal illness patterns. A functioning clinic becomes a small anchor point in chaotic logistics.
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