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Primary healthcare clinics like Walmer 14th Avenue operate at a different level than hospital emergency departments, handling the volume of day-to-day medical needs that keep a city moving. In Gqeberha's Walmer neighbourhood, a clinic serves the function of first contact for most patients—managing chronic conditions, acute minor illnesses, wound care, and referrals to secondary facilities. The work involves GoodX or Elixir practice systems, medical aid point-of-sale processing, and coordinating upward when hospitalisation is needed. Load shedding affects clinic hours and appointment scheduling. Staff manage occupational health certificates, chronic script dispensing, and the practical reality that many patients can't afford private care elsewhere. This is where most healthcare actually happens in South Africa.
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