Primary care, as the first point of entry to the health system is reliant on access to healthcare services required by populations. This paper reflects on health service delivery by private healthcare practitioners and their contribution to district-based primary health care. Private health facilities were mainly doctors private consulting rooms. The healthcare providers included general practitioners (medical doctors), nurse specialists, and allied health professionals who provided primary and continued care to diverse populations in rural areas. Private health providers were mainly engaged in consultative and curative services while their participation in primary care included promotive and preventive services such as emergency care, family planning, antenatal care, HIV testing, general assessment, chronic care, Tuberculosis and malaria prevention and control amongst others. It is noteworthy that the practitioners provided services for extended hours out of normal working time such as doing evening home visits, weekends, and holidays. Private healthcare service consumers were urban and rural residents, who visited private health facilities for primary health care using medical aid services or out-of-pocket payments. Due to the high demand of healthcare services in public primary healthcare centers, clients opted to attend primary care at private healthcare facilities. The contribution of the private health sector in health service delivery complements the efforts undertaken to attain health goals through primary healthcare in the province.