The six rural health centers under the Zimbabwe East Annual Conference are not up to standard Government recommended model. There are new services that the facilities now offer but the infrastructure has never been improved to accommodate these services. Malaria testing, HIV testing/primary care counseling now being offered at rural health center facility level as well as dispensing of ARVs which has been recently decentralized by the MoH to these centers are all new services that the facilities never used to manage when they were established.