As it has been communicated at a national level, the need for a revitalisation of primary health care is imperative. Working towards HCT as an integrated and comprehensive health programme in schools is a good idea. Life skills, peer education, HCT and career guidance are all part of a set of services in which learners are exposed to the possibilities for growth and achievement. What we need to be unpacking is why HCT is currently so focused on targets, targets and more targets. Why is quantity high on the agenda and quality so low? Are the clients’ best interests at heart - the learners, adults, children, sex workers, teachers or the doctors?