How a traveling ‘health train’ has become an essential source of free care in South Africa

By Mogomotsi Magome

Thethiwe Mahlangu woke early on a chilly morning and walked through her busy South African township, where minibuses hooted to pick up commuters and smoke from sidewalk breakfast stalls hung in the air.

Her eyes had been troubling her. But instead of going to her nearby health clinic, Mahlangu was headed to the train station for an unusual form of care.

A passenger train known as Phelophepa — or “good, clean, health” in the Sesotho language — had been transformed into a mobile health facility. It circulates throughout South Africa for much of the year, providing medical attention to the sick, young and old who often struggle to receive the care they need at crowded local clinics.

For the past 30 years —- ever since South Africa’s break with the former racist system of apartheid — the train has carried doctors, nurses and optometrists on an