A dissertation submitted to the Faculty of Architecture, University of the Witwatersrand, Johannesburg in fulfilment of the requirements for the Degree of Master of Architecture. / The theoretical case that architecture should he functionally responsive to user needs is examined with particular reference to tne design of Primary Health Care (PHC) facilities in rural South Africa, In particular, the study investigates the effectiveness of architectural practice in meeting the spatial demands of health care facilities in a changing social and cultural environment. The functlonal requirernents of modern and traditional health care facilities are examined, the aim being to examine to what extent important traditlonal requirements are taken into account in the modern sector. The research relies on: 1. A comparative literature review on the interaction between the social requirements, architectural practices, traditional and modern healing systems. 2. Data collection on the study case (Mhala). 3. In-depth interview with 'users' (patients, relatives and health professionals) from both formal and informal health sectors. 4. A physical survey of traditional healers stations and Primary Health Care (PHC)facilities. 5. Analysis. 6. Conclusions and recommendations / AC2017