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1. Background? Majority of the South African population lives in rural areas and predominantly believes in traditional healing (Sangomas)? Many consult traditional healers first before going to clinics or hospitals? Apartheid had disadvantaged black people with resources, therefore most rural communities still travel long distances to access health? The Primary Health care is closer to communities? Primary Health Care (PHC) is run by Nurses2. Policy reformGovement introduced the following to ensure Access to Quality Health care for all:? Office of Health Standard Compliance, it regulates health care (Issues licence for all health facilities)? Health ombudsman? National Health Insurance (Universal Health Coverage), white paper released for comments3. Strength? Policies in place? Regulatory Body in Place? Highly organized communities within the control of traditional leaders? Advanced Nurse Practitioners e.g PHC4. Weaknesses? Inadequate infrastructure, some dilapidated? Distance to access health care? Indigenous knowledge not integrated into healthcare? Inadequate equipment leading to delay in diagnostics and intervention? Shortage of nurses5. Opportunities? Integration of indigenous knowledge into healthcare training and provision? Finalisation of the NHI policy and promulgation of Act of Parliament? Shift from hospital-centred to PHC approach6. Threats6.1. Increasing burden of disease? HIV, AIDS and tuberculosis (TB)? High mateal and child mortality? non-communicable diseases? Violence and injuries6.2. Increasing in migrationEconomic migrants especially from the Southe African Development Community (SADC).