Sixteen years after the advent of democracy in South Africa, our country remains plagued with chronic inequitable access to health services. While the intention, the policies, facilities and even budgets are in place, we're still missing the key ingredient: people.

Despite its challenges, many people find working in rural and public health to be highly rewarding. The medical experience gained is both diverse and challenging, and one has the opportunity to feel truly appreciated in one's work, making a real difference in people's lives. Last but not least is the calmer, safer lifestyle, in serene and beautiful settings.

For those needing champagne and city lights, the life of a rural health professional is potentially not a great choice. Facilities and equipment may be limited, and infrastructure may be erratic. But there are also substantial advantages, such as a safe and simple life, idyllic surroundings and diverse travel and leisure options, with quite an active social life.

Realities are changing at many of South Africa's public and rural hospitals, and the common actor is always the arrival of good people. Raising a hospital from a place of disease and desperation to a functional facility where people come to find treatment and health is without exception dependent on a team of good staff.

They come for different reasons - to make a difference, to experience something new, to put their training into real and challenge practice - but they all seem to find themselves challenged and ultimately charmed by the crazy, sometimes heart-wrenching, but always fulfilling life of a health worker in rural Africa.