16 western cape province health... · 2019-01-22 · 108 044 128 200 144 783 159 742 164 945 185...
TRANSCRIPT
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Section B: District Health Profiles
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Section B: Profile Western Cape Province
16 Western Cape Province
Cape Town Metropolitan Municipality (CPT)
Overview of the district
The City of Cape Town Metropolitan Municipalitya is a Category A municipality and is situated on the southern peninsula of the Western Cape Province. It has a coastline of 294km. It stretches from Gordon’s Bay to Atlantis and includes the suburbs of Khayelitsha and Mitchells Plain. The municipalities adjacent to it are Swartland and West Coast to the north; Drakenstein, Cape Winelands and Stellenbosch to the north-east; and Theewaterskloof, Overberg and Overstrand to the south-east. It is also bound by the Atlantic Ocean to the south and west. The City of Cape Town Metropolitan Municipality is South Africa’s second-largest economic centre and second most populous city after Johannesburg. It is the provincial capital and primary city of the Western Cape, as well as the legislative capital of South Africa, where the National Parliament and many government offices are located.
‘The Mother City’ as it is affectionately known because it is the oldest city in South Africa, is famous for its harbour, as well as its natural setting in the Cape Floral Kingdom, including such well-known landmarks as Table Mountain and Cape Point. It is hailed as one of the most beautiful cities in the world according to Forbes Magazine. It is also Africa’s most popular tourist destination. The City of Cape Town Metropolitan Municipality incorporates eight health sub-districts; namely, Cape Town Eastern, Cape Town Northern, Cape Town Southern, Cape Town Western, Khayelitsha, Klipfontein, Mitchells Plain and Tygerberg
Area: 2 446km²
Population (2016)b: 4 027 060
Population density (2016): 1 646.4 persons per km2
Estimated medical scheme coverage: 23.9%
Cities/Towns: Athlone, Atlantis, Belhar, Bellville, Blackheath, Blouberg, Blue Downs, Brackenfell, Cape Point, Cape Town, Delft, Durbanville, Elsies River, Fish Hoek, Goodwood, Gordon’s Bay, Grassy Park, Gugulethu, Hout Bay, Khayelitsha, Kommetjie, Kraaifontein, Kuils River, Langa, Macassar, Matroosfontein, Melkbosstrand, Milnerton, Mitchells Plain, Muizenberg, Noordhoek, Nyanga, Parow, Philadelphia, Philippi, Robben Island, Scarborough, Simon›s Town, Sir Lowry’s Pass, Somerset West, Southern Suburbs, Strand, Table View.
Main Economic Sectors: Finance and business services (36.1%), manufacturing (16.1%), community services (15.6%), trade and hospitality (15.6%), transport, storage and communication (11.2%), agriculture (9.7%), construction (4.1%).
a The Local Government Handbook South Africa 2017. A complete guide to municipalities in South Africa. Seventh edition. Accessible at: www.municipalities.co.za.
b Mid-Year Population Estimates 2016, Stats SA.
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Section B: District Health Profiles
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Population distribution, sub-district boundaries and health facility locations
Source: Mid-Year Population Estimates 2016, Stats SA.
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AgeGrpYear
2006 2016
500 000 0 500 000
Population
500 000 0 500 000
Population
65+60-64 years55-59 years50-54 years45-49 years40-44 years35-39 years30-34 years25-29 years20-24 years15-19 years10-14 years05-09 years00-04 years
118 766137 179
148 780153 676146 925
159 974155 440159 381154 770
108 608123 320142 836153 320167 198160 398160 107153 552151 756150 595
69 80447 619
62 83378 460
98 855
96 85055 80571 05186 859
115 341
108 044128 200
144 783159 742164 945
185 610169 095158 963154 668
168 238171 904
152 988
114 942134 742147 705167 175170 659179 113
166 630153 843151 331163 454166 029
66 09286 800
77 12898 896
Cape Town MM (CPT)
AgeGrp
2006 2016
8% 6% 4% 2% 0% 2% 4% 6% 8%
South Africa % of total population [Male | Female] - lines
8% 6% 4% 2% 0% 2% 4% 6% 8%
South Africa % of total population [Male | Female] - lines
8% 6% 4% 2% 0% 2% 4% 6% 8%
District % of total population [Male | Female] - bars
8% 6% 4% 2% 0% 2% 4% 6% 8%
District % of total population [Male | Female] - bars
65+60-64 years55-59 years50-54 years45-49 years40-44 years35-39 years30-34 years25-29 years20-24 years15-19 years10-14 years05-09 years00-04 years
2.0%
1.8%2.3%
2.8%3.4%
3.9%4.3%4.4%4.2%
4.6%4.5%4.6%4.5%
2.8%1.6%2.0%2.5%
3.1%3.5%
4.1%4.4%4.8%4.6%4.6%4.4%4.4%4.3%
2.9%1.6%
2.2%2.7%
3.2%3.6%
4.0%4.1%
4.6%4.2%3.9%3.8%
4.2%4.3%
3.8%1.9%
2.5%2.9%3.3%3.7%4.2%4.2%4.4%
4.1%3.8%3.8%4.1%4.1%
Gendermalefemale
Graph 1: District population pyramid 2006 and 2016Graph 2: District % population by age-gender group in 2006 and 2016 compared to South AfricaCape Town MM (CPT)
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Section B: Profile Western Cape Province
District population pyramid and comparison with the national pyramid
Source: Mid-Year Population Estimates 2016, Stats SA.
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Section B: District Health Profiles
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Section B: Profile Western Cape Province
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Social determinants of health
Source: Stats SA (Local Government Handbook), 2014 Blue Drop Report.
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AgeGroup.. 2006-2010 2011-2015<5 years
5-1415-2425-64
65+Total 10%
6%6%6%
15%66%
19%3%
30%24%
14%9%
58%89%
48%12%
29%17%
13%3%
15%58%
42%8%
9%6%5%5%
21%63%
15%2%
26%17%
8%5%
62%88%
52%13%
30%25%
14%3%
17%65%
41%7%
WC, Cape Town: CPT
Rank_.. 2006-2010 2011-2015
<5 y
ears
12345678910
5-14
12345678910
15-2
4
12345678910
25-6
4
12345678910
65+
12345678910
Other congenital abnormalities (2.3%)
Congenital heart anomalies (4.1%)Sepsis/other newborn infectious (4.8%)Birth asphyxia (5.7%)
Protein-energy malnutrition (2.6%)
Preterm birth complications (15.9%)
Septicaemia (2.7%)
Diarrhoeal diseases (18.1%)
Lower respiratory infections (11.3%)HIV/AIDS (7.4%)
Leukaemia (3.4%)
Drowning (4.4%)
Fires, hot substances (7.0%)
Accidental threats to breathing (4.4%)
Meningitis/encephalitis (2.5%)
Interpersonal violence (4.9%)
Road injuries (17.6%)
Lower respiratory infections (3.6%)
HIV/AIDS (8.2%)
Tuberculosis (6.0%)
Fires, hot substances (2.7%)
Epilepsy (1.1%)
Accidental threats to breathing (4.1%)
Mechanical forces (11.8%)
Interpersonal violence (29.6%)
Road injuries (7.2%)
Nephritis/nephrosis (1.1%)Lower respiratory infections (1.6%)
HIV/AIDS (10.8%)
Tuberculosis (13.8%)
Trachea/bronchi/lung (4.1%)
Mechanical forces (2.8%)
Interpersonal violence (5.7%)
COPD (2.7%)
Road injuries (3.1%)Diabetes mellitus (2.9%)
Ischaemic heart disease (7.2%)
Cerebrovascular disease (4.7%)
HIV/AIDS (14.0%)Tuberculosis (16.5%)
Alzheimer’s and other dementias (3.3%)Colo-rectal (2.7%)
Trachea/bronchi/lung (5.5%)
COPD (5.1%)
Nephritis/nephrosis (3.9%)Hypertensive heart disease (4.0%)
Diabetes mellitus (5.1%)
Ischaemic heart disease (19.1%)Cerebrovascular disease (12.4%)
Lower respiratory infections (3.6%)
Other congenital abnormalities (3.5%)
Congenital heart anomalies (5.0%)Other perinatal conditions (4.0%)
Sepsis/other newborn infectious (6.0%)Birth asphyxia (6.2%)
Other respiratory (3.9%)
Preterm birth complications (17.5%)
Diarrhoeal diseases (10.4%)Lower respiratory infections (11.6%)
HIV/AIDS (3.5%)
Leukaemia (2.8%)Other malignant neoplasms (2.8%)
Drowning (7.0%)Fires, hot substances (8.5%)
Accidental threats to breathing (4.6%)Mechanical forces (4.9%)
Meningitis/encephalitis (3.1%)Interpersonal violence (3.6%)
Road injuries (10.2%)
HIV/AIDS (5.5%)
Leukaemia (0.9%)Drowning (1.0%)
Fires, hot substances (2.7%)
Accidental threats to breathing (5.0%)
Mechanical forces (24.4%)Interpersonal violence (26.3%)
Road injuries (3.6%)
Lower respiratory infections (1.4%)
HIV/AIDS (9.2%)Tuberculosis (8.0%)
Trachea/bronchi/lung (4.9%)Mechanical forces (5.1%)
Interpersonal violence (4.7%)
COPD (3.1%)Nephritis/nephrosis (2.8%)
Diabetes mellitus (3.2%)
Ischaemic heart disease (6.9%)Cerebrovascular disease (5.4%)
HIV/AIDS (15.6%)Tuberculosis (10.3%)
Alzheimer’s and other dementias (3.2%)Colo-rectal (2.8%)
Trachea/bronchi/lung (6.0%)COPD (5.6%)
Nephritis/nephrosis (4.7%)
Hypertensive heart disease (3.5%)
Diabetes mellitus (5.3%)
Ischaemic heart disease (16.6%)Cerebrovascular disease (11.8%)
Lower respiratory infections (3.5%)
Rank..Maternal conditions
2006-2010 2011-2015
Fem
ale
15-4
9
123456
Abortion (8.1%) n=6Maternal haemorrhage (4.8%) n=3
Hypertension in pregnancy (17.4%) n=12Other maternal (28.6%) n=20Indirect maternal (41.2%) n=29
Maternal sepsis (2.0%) n=5
Abortion (11.9%) n=27Maternal haemorrhage (5.5%) n=12
Hypertension in pregnancy (17.6%) n=40Other maternal (30.6%) n=69
Indirect maternal (32.3%) n=73
BroadcauseInjuryNCDHIV and TBComm_mat_peri_nut
Percentages are shownaccording to all the
deaths within theage/period category of
each box, although onlythe leading 10 causes are
displayed.
Percentage of deaths by broad causes and single leading causesWC, Cape Town: CPT
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Section B: District Health Profiles
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Section B: Profile Western Cape Province
Burden of disease – leading causes of death in district
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Section B: District Health Profiles
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Women and maternal health
Source: DHIS.
Value highlighted in green – performance is ranked among the 10 best in the countryValue highlighted in red – performance is ranked among the 10 worst in the country
Value highlighted in orange – performance of the local municipality is possibly below the performance of the district.
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Section B: District Health Profiles
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Section B: Profile Western Cape Province
Child and school health
Source: DHIS.
Value highlighted in green – performance is ranked among the 10 best in the countryValue highlighted in red – performance is ranked among the 10 worst in the country
Value highlighted in orange – performance of the local municipality is possibly below the performance of the district.
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Section B: District Health Profiles
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Section B: Profile Western Cape Province
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HIV
Source: DHIS.
Value highlighted in green – performance is ranked among the 10 best in the countryValue highlighted in red – performance is ranked among the 10 worst in the country
Value highlighted in orange – performance of the local municipality is possibly below the performance of the district.
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Section B: District Health Profiles
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Section B: Profile Western Cape Province
Tuberculosis
Source: DHIS, ETR.Net, EDRWeb.
Value highlighted in green – performance is ranked among the 10 best in the countryValue highlighted in red – performance is ranked among the 10 worst in the country.
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Section B: District Health Profiles
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Non-communicable diseases
Source: DHIS.
Value highlighted in green – performance is ranked among the 10 best in the countryValue highlighted in red – performance is ranked among the 10 worst in the country
Value highlighted in orange – performance of the local municipality is possibly below the performance of the district.
Numbers of deaths in facilities
Source: DHIS.
Percentage ideal clinics
Source: Ideal Clinic database.
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Section B: District Health Profiles
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Section B: Profile Western Cape Province
Vital ideal clinic elements in Primary Health Care facilities score (%)
Cap
e To
wn
Cap
e To
wn
East
ern
SD
Cap
e To
wn
Nor
ther
n SD
Cap
e To
wn
Sout
hern
SD
Cap
e To
wn
Wes
tern
SD
Kha
yelit
sha
SD
Klip
font
ein
SD
Mitc
hells
Pla
in S
D
Tyge
rber
g SD
Restore the emergency trolley daily or after every time it was used 50 50 67 64 42 62 33 71 19
Resuscitation room is equipped with functional basic equipment for resuscitation 68 63 75 50 50 92 43 81 94
90% of the tracer medicines are available 88 94 83 86 75 100 76 95 94
Cold chain procedure for vaccines is maintained 92 81 83 100 100 100 81 95 100There is at least one functional wall mounted room thermometer in the medicine room/dispensary 93 94 92 93 67 100 90 100 100
Source: Ideal Clinic database.
Number of facilities by level, 2017/18
Source: DHIS.
Human resources – filled posts
Source: Persal, Ward-based outreach team database.
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Section B: District Health Profiles
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Section B: Profile Western Cape Province
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Dis
tric
t hea
lth e
xpen
ditu
re a
nd b
udge
t, 20
17/1
8
2017
/18
Bud
get
2017
/18
Prov
inci
al E
xpen
ditu
re
Tota
l 201
7/18
B
udge
t To
tal 2
017/
18
Prov
inci
al
Expe
nditu
re
% O
vers
pent
(u
nder
spen
t)Pr
ovin
cial
Tran
sfer
to L
GLG
Prov
inci
alTr
ansf
er to
LG
LG
2.1
Dis
trict
Man
agem
ent
198
686
709
195
966
423
198
686
709
195
966
423
(1.4
%)
2.2
Com
mun
ity H
ealth
Clin
ics
315
130
080
315
187
236
315
130
080
315
187
236
0.0%
2.3
Com
mun
ity H
ealth
Cen
tres
1 78
3 88
9 65
5
1
756
213
5 35
1 78
3 88
9 6 5
51
756
213
535
(1.6
%)
2.4
Com
mun
ity-b
ased
Ser
vice
s15
3 96
0 00
0
15
5 92
5 03
7
15
3 96
0 00
015
5 92
5 03
71.
3%2.
5 O
ther
Com
mun
ity S
ervi
ces
234
637
233
844
234
637
233
844
(0.3
%)
2.6
HIV
/AID
S95
9 21
5 16
5
95
5 63
2 41
7
95
9 21
5 16
595
5 63
2 41
7(0
.4%
)2.
7 N
utrit
ion
21 5
73 6
30
24
622
146
21 5
73 6
3024
622
146
14.1%
2.9
Dis
trict
Hos
pita
ls1
963
025
190
2 01
8 11
3 68
1
1
963
025
190
2 01
8 11
3 68
12.
8%2.
Oth
er*
56 5
28 5
20
33
167
295
56 5
28 5
2033
167
295
(41.
3%)
Loca
l gov
ernm
ent e
xpen
ditu
re
-355
918
291
1 08
6 52
8 81
8
-299
382
942
1 06
9 43
0 37
473
0 61
0 52
777
0 04
7 43
25.
4%G
rand
Tot
al5
452
243
585
-355
918
291
1 08
6 52
8 81
85
455
061
614
-299
382
942
1 06
9 43
0 37
46
182
854
112
6 22
5 10
9 04
60.
7%
Sour
ce:
BAS,
*L
G –
Loc
al G
over
nmen
t.
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Section B: District Health Profiles
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Section B: Profile Western Cape Province
West Coast District Municipality (DC1)
Overview of the district
The West Coast District Municipalitya is a Category C municipality located in the Western Cape Province. The municipalities adjacent to the West Coast District are the Namakwa District to the north and north-east, City of Cape Town to the south and Cape Winelands District to the south-east. It is also bordered by the Atlantic Ocean to the west. It is comprised of five local municipalities: Swartland, with Malmesbury as the administrative centre; Bergrivier, with Piketberg as the administrative centre; Matzikama, with Vredendal as the administrative centre; Cederberg, with Clanwilliam as the administrative centre; and Saldanha Bay, with Vredenburg as the administrative centre. Moorreesburg is the seat of the district.
Area: 31 119km²
Population (2016)b: 439 008
Population density (2016): 14.1 persons per km2
Estimated medical scheme coverage: 16.3%
Cities/Towns: Abbotsdale, Aurora, Bitterfontein, Chatsworth, Citrusdal, Clanwilliam, Darling, Doring Bay, Ebenhaezer, Eendekuil, Elands Bay, Graafwater, Grotto Bay, Hopefield, Jacobs Bay, Kalbaskraal, Klawer, Kliprand, Koekenaap, Koringberg, Lamberts Bay, Langebaan, Leipoldtville, Lutzville, Malmesbury, Molsvlei, Moorreesburg, Nuwerus, Paternoster, Piketberg, Porterville, Putsekloof, Redelinghuys, Riebeeck Kasteel, Riebeeck West, Rietpoort, Riverlands, Saldanha, St Helena Bay, Stofkraal, Strandfontein, Vanrhynsdorp, Velddrif, Vredenburg, Vredendal, Wupperthal, Yzerfontein.
Main Economic Sectors: Finance, insurance, real estate and business services (24%), manufacturing (18%), agriculture, forestry and fishing (15%), wholesale and retail trade, catering and accommodation (13%), general government (11%), transport, storage and communication (9%), construction (5%), community, social and personal services (4%).
Population distribution, local municipality boundaries and health facility locations
Source: Mid-Year Population Estimates 2016, Stats SA.
a The Local Government Handbook South Africa 2017. A complete guide to municipalities in South Africa. Seventh edition. Accessible at: www.municipalities.co.za.
b Mid-Year Population Estimates 2016, Stats SA.
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AgeGrpYear
2006 2016
500 000 0 500 000
Population
500 000 0 500 000
Population
65+60-64 years55-59 years50-54 years45-49 years40-44 years35-39 years30-34 years25-29 years20-24 years15-19 years10-14 years05-09 years00-04 years
10 22312 62814 80914 47513 72714 57516 92117 21317 11716 729
10 40812 28614 60314 32814 02215 14217 26517 61417 13316 360
7 1695 0066 4528 465
9 1455 6436 7218 040
10 099
11 64114 43915 14415 62017 93921 51820 00818 45218 05919 14020 185
13 359
11 75114 49414 99715 62317 82820 86920 22818 63817 62918 87319 929
7 0179 034
7 0209 475
West Coast DM (DC1)
AgeGrp
2006 2016
8% 6% 4% 2% 0% 2% 4% 6% 8%
South Africa % of total population [Male | Female] - lines
8% 6% 4% 2% 0% 2% 4% 6% 8%
South Africa % of total population [Male | Female] - lines
8% 6% 4% 2% 0% 2% 4% 6% 8%
District % of total population [Male | Female] - bars
8% 6% 4% 2% 0% 2% 4% 6% 8%
District % of total population [Male | Female] - bars
65+60-64 years55-59 years50-54 years45-49 years40-44 years35-39 years30-34 years25-29 years20-24 years15-19 years10-14 years05-09 years00-04 years
2.0%
1.8%2.4%
2.9%3.6%
4.2%4.1%3.9%4.1%
4.8%4.9%4.8%4.7%
2.6%1.6%1.9%2.3%
2.9%3.5%
4.1%4.0%4.0%4.3%
4.9%5.0%4.8%4.6%
2.3%1.6%
2.1%2.7%
3.3%3.4%3.6%
4.1%4.9%4.6%4.2%4.1%
4.4%4.6%
3.0%1.6%
2.2%2.7%
3.3%3.4%3.6%4.1%
4.8%4.6%
4.2%4.0%4.3%4.5%
Gendermalefemale
Graph 1: District population pyramid 2006 and 2016Graph 2: District % population by age-gender group in 2006 and 2016 compared to South AfricaWest Coast DM (DC1)
Show history
Section B: District Health Profiles
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Section B: Profile Western Cape Province
633
District population pyramid and comparison with the national pyramid
Source: Mid-Year Population Estimates 2016, Stats SA.
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634
Section B: District Health Profiles
634
Section B: Profile Western Cape Province
Social determinants of health
Source: Stats SA (Local Government Handbook), 2014 Blue Drop Report.
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AgeGroup.. 2006-2010 2011-2015<5 years
5-1415-2425-64
65+Total 11%
6%7%6%12%
76%
19%4%
30%28%15%
7%
57%88%
48%12%
14%10%
13%3%
16%54%
59%7%
8%5%4%6%
20%70%
18%4%
30%23%
9%5%
62%88%
51%10%
19%16%
12%3%
15%61%
52%8%
WC, West Coast: DC1
Rank_.. 2006-2010 2011-2015
<5 y
ears
12345678910
5-14
12345678910
15-2
4
12345678910
25-6
4
12345678910
65+
12345678910
Other perinatal conditions (2.4%)Sepsis/other newborn infectious (2.5%)
Birth asphyxia (7.7%)
Protein-energy malnutrition (2.3%)
Preterm birth complications (23.1%)
Accidental threats to breathing (2.8%)
Diarrhoeal diseases (16.9%)Lower respiratory infections (19.5%)
HIV/AIDS (4.1%)Tuberculosis (2.9%)
Leukaemia (4.1%)
Drowning (35.2%)
Accidental threats to breathing (10.5%)
Mechanical forces (3.9%)
Meningitis/encephalitis (4.4%)
Road injuries (18.9%)
Lower respiratory infections (3.6%)
HIV/AIDS (10.1%)Tuberculosis (9.3%)
Drowning (7.4%)Fires, hot substances (7.1%)
Accidental threats to breathing (12.7%)
Mechanical forces (8.5%)
Interpersonal violence (15.3%)
Road injuries (3.9%)
Cerebrovascular disease (1.7%)Lower respiratory infections (2.9%)
HIV/AIDS (10.1%)
Tuberculosis (19.4%)
Trachea/bronchi/lung (3.8%)
Accidental threats to breathing (2.7%)Interpersonal violence (3.0%)
COPD (4.0%)
Road injuries (2.3%)
Ischaemic heart disease (8.2%)Cerebrovascular disease (6.3%)
Lower respiratory infections (3.3%)
HIV/AIDS (10.0%)Tuberculosis (19.8%)
Prostate (2.7%)
Trachea/bronchi/lung (5.9%)COPD (6.4%)
Nephritis/nephrosis (3.3%)
Hypertensive heart disease (3.8%)Diabetes mellitus (4.4%)
Ischaemic heart disease (21.9%)Cerebrovascular disease (16.0%)
Lower respiratory infections (3.5%)Tuberculosis (3.5%)
Upper respiratory infections (4.6%)
Other congenital abnormalities (3.3%)Congenital heart anomalies (3.2%)
Drowning (4.1%)
Birth asphyxia (8.4%)
Other respiratory (3.0%)
Preterm birth complications (19.8%)Diarrhoeal diseases (11.6%)
Lower respiratory infections (21.7%)
HIV/AIDS (4.4%)
Drowning (67.1%)
Fires, hot substances (6.3%)Accidental threats to breathing (4.8%)
Lower respiratory infections (9.1%)Tuberculosis (12.7%)
Other malignant neoplasms (1.4%)
Drowning (6.3%)Fires, hot substances (3.7%)
Accidental threats to breathing (9.7%)
Mechanical forces (12.9%)
Interpersonal violence (28.3%)
Road injuries (1.8%)Lower respiratory infections (2.7%)
HIV/AIDS (10.3%)
Tuberculosis (14.6%)
Drowning (2.1%)
Trachea/bronchi/lung (4.7%)Accidental threats to breathing (2.9%)
Interpersonal violence (4.8%)
COPD (5.9%)
Diabetes mellitus (2.5%)
Ischaemic heart disease (8.1%)
Cerebrovascular disease (5.8%)
HIV/AIDS (12.2%)Tuberculosis (17.6%)
Prostate (3.4%)
Trachea/bronchi/lung (5.5%)COPD (8.0%)
Nephritis/nephrosis (3.7%)
Hypertensive heart disease (4.9%)Diabetes mellitus (5.0%)
Ischaemic heart disease (17.5%)Cerebrovascular disease (15.1%)
Lower respiratory infections (3.3%)
Tuberculosis (3.7%)
Rank..Maternal conditions
2006-2010 2011-2015
Fem
ale
15-4
9
123456
Other maternal (44.7%) n=4Indirect maternal (55.3%) n=5
BroadcauseInjuryNCDHIV and TBComm_mat_peri_nut
Percentages are shownaccording to all the
deaths within theage/period category of
each box, although onlythe leading 10 causes are
displayed.
Percentage of deaths by broad causes and single leading causesWC, West Coast: DC1
Show history
Section B: District Health Profiles
635
Section B: Profile Western Cape Province
635
Burden of disease – leading causes of death in district
![Page 17: 16 Western Cape Province Health... · 2019-01-22 · 108 044 128 200 144 783 159 742 164 945 185 610 169 095 158 963 154 668 168 238 171 904 152 988 114 942 134 742 147 705 167 175](https://reader034.vdocuments.net/reader034/viewer/2022043001/5f79ce812b0210087c44325f/html5/thumbnails/17.jpg)
636
Section B: District Health Profiles
636
Section B: Profile Western Cape Province
Women and maternal health
Source: DHIS.
Value highlighted in green – performance is ranked among the 10 best in the countryValue highlighted in red – performance is ranked among the 10 worst in the country
Value highlighted in orange – performance of the local municipality is possibly below the performance of the district.
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Section B: District Health Profiles
637
Section B: Profile Western Cape Province
637
Child and school health
Source: DHIS.
Value highlighted in green – performance is ranked among the 10 best in the countryValue highlighted in red – performance is ranked among the 10 worst in the country
Value highlighted in orange – performance of the local municipality is possibly below the performance of the district.
![Page 19: 16 Western Cape Province Health... · 2019-01-22 · 108 044 128 200 144 783 159 742 164 945 185 610 169 095 158 963 154 668 168 238 171 904 152 988 114 942 134 742 147 705 167 175](https://reader034.vdocuments.net/reader034/viewer/2022043001/5f79ce812b0210087c44325f/html5/thumbnails/19.jpg)
638
Section B: District Health Profiles
638
Section B: Profile Western Cape Province
HIV
Source: DHIS.
Value highlighted in green – performance is ranked among the 10 best in the countryValue highlighted in red – performance is ranked among the 10 worst in the country
Value highlighted in orange – performance of the local municipality is possibly below the performance of the district.
![Page 20: 16 Western Cape Province Health... · 2019-01-22 · 108 044 128 200 144 783 159 742 164 945 185 610 169 095 158 963 154 668 168 238 171 904 152 988 114 942 134 742 147 705 167 175](https://reader034.vdocuments.net/reader034/viewer/2022043001/5f79ce812b0210087c44325f/html5/thumbnails/20.jpg)
Section B: District Health Profiles
639
Section B: Profile Western Cape Province
639
Tuberculosis
Source: DHIS, ETR.Net, EDRWeb.
Value highlighted in green – performance is ranked among the 10 best in the countryValue highlighted in red – performance is ranked among the 10 worst in the country.
![Page 21: 16 Western Cape Province Health... · 2019-01-22 · 108 044 128 200 144 783 159 742 164 945 185 610 169 095 158 963 154 668 168 238 171 904 152 988 114 942 134 742 147 705 167 175](https://reader034.vdocuments.net/reader034/viewer/2022043001/5f79ce812b0210087c44325f/html5/thumbnails/21.jpg)
640
Section B: District Health Profiles
640
Section B: Profile Western Cape Province
Non-communicable diseases
Source: DHIS.
Value highlighted in green – performance is ranked among the 10 best in the countryValue highlighted in red – performance is ranked among the 10 worst in the country
Value highlighted in orange – performance of the local municipality is possibly below the performance of the district.
Numbers of deaths in facilities
Source: DHIS.
Percentage ideal clinics
Source: Ideal Clinic database.
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Section B: District Health Profiles
641
Section B: Profile Western Cape Province
641
Vital ideal clinic elements in Primary Health Care facilities score (%)
Wes
t Coa
st
Ber
griv
ier L
M
Ced
erbe
rg L
M
Mat
zika
ma
LM
Sald
anha
Bay
LM
Swar
tland
LM
Restore the emergency trolley daily or after every time it was used 4 0 17 0 0 0
Resuscitation room is equipped with functional basic equipment for resuscitation 42 67 33 25 38 60
Cold chain procedure for vaccines is maintained 81 100 83 50 75 100
The temperature of the medicine room/dispensary is recorded daily 88 88 100 83 75 88
90% of the tracer medicines are available 88 88 100 83 75 88
Source: Ideal Clinic database.
Number of facilities by level, 2017/18
Source: DHIS.
Human resources – filled posts
Source: Persal, Ward-based outreach team database.
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642
Section B: District Health Profiles
642
Section B: Profile Western Cape ProvinceD
istr
ict h
ealth
exp
endi
ture
and
bud
get,
2017
/18
2017
/18
Bud
get
2017
/18
Prov
inci
al E
xpen
ditu
re
Tota
l 201
7/18
B
udge
t To
tal 2
017/
18
Prov
inci
al
Expe
nditu
re
% O
vers
pent
(u
nder
spen
t)Pr
ovin
cial
Tran
sfer
to L
GLG
Prov
inci
alTr
ansf
er to
LG
LG
2.1
Dis
trict
Man
agem
ent
30 2
52 7
88
27
729
162
30 2
52 7
8827
729
162
(8.3
%)
2.2
Com
mun
ity H
ealth
Clin
ics
162
225
224
170
448
082
162
225
224
170
448
082
5.1%
2.3
Com
mun
ity H
ealth
Cen
tres
41 3
69 8
54
33
748
629
41 3
69 8
5433
748
629
(18.
4%)
2.4
Com
mun
ity-b
ased
Ser
vice
s15
054
000
14 6
88 5
44
15
054
000
14 6
88 5
44(2
.4%
)2.
5 O
ther
Com
mun
ity S
ervi
ces
69
0
690
(100
.0%
)2.
6 H
IV/A
IDS
107
204
904
112
021
861
107
204
904
112
021
861
4.5%
2.7
Nut
ritio
n3
368
794
3 38
2 29
6
3
368
794
3 38
2 29
60.
4%2.
9 D
istri
ct H
ospi
tals
316
294
892
315
632
469
316
294
892
315
632
469
(0.2
%)
2. O
ther
*1
897
250
1 33
9 10
3
1
897
250
1 33
9 10
3(2
9.4%
)Lo
cal g
over
nmen
t exp
endi
ture
-1
0 02
7 49
624
996
476
-1
0 07
8 60
422
202
054
14 9
68 9
8012
123
450
(19.
0%)
Gra
nd T
otal
677
667
776
-10
027
496
24 9
96 4
7667
8 99
0 14
6-1
0 07
8 60
422
202
054
692
636
756
691
113
596
(0.2
%)
Sour
ce:
BAS,
*L
G –
Loc
al G
over
nmen
t.
![Page 24: 16 Western Cape Province Health... · 2019-01-22 · 108 044 128 200 144 783 159 742 164 945 185 610 169 095 158 963 154 668 168 238 171 904 152 988 114 942 134 742 147 705 167 175](https://reader034.vdocuments.net/reader034/viewer/2022043001/5f79ce812b0210087c44325f/html5/thumbnails/24.jpg)
Section B: District Health Profiles
643
Section B: Profile Western Cape Province
643
Cape Winelands District Municipality (DC2)
Overview of the district
The Cape Winelands District Municipalitya (CWDM) is a Category C municipality situated in the Western Cape Province next to the Cape Metropolitan area. It was formerly known as the Boland District Municipality. The CWDM is a landlocked area inbetween the West Coast and Overberg coastal districts. The district includes five local municipalities, namely, Drakenstein, Stellenbosch, Witzenberg, Breede Valley and Langeberg. The area is one of the ‘pearls’ of South Africa’s rural and small-town sub-regions with a relatively high and diverse level of development. It’s a superb wine-producing area, and indeed, the best known in South Africa. The magnificent mountain ranges around Stellenbosch and Franschhoek provide ideal micro-climates for the vines. It is a major tourism draw-card and revenue-generator.
Area: 21 473km²
Population (2016)b: 882 083
Population density (2016): 41.1 persons per km2
Estimated medical scheme coverage: 15.9%
Cities/Towns: Ashton, Bonnievale, Ceres, De Doorns, Franschhoek, Gouda, Klapmuts, McGregor, Montagu, Op-Die-Berg, Paarl, Pniel, Prince Alfred Hamlet, Rawsonville, Robertson, Saron, Stellenbosch, Stellenbosch Farms, Touws River, Tulbagh, Wellington, Wolseley, Worcester.
Main Economic Sectors: Finance and business services (23.9%), manufacturing (19.6%), wholesale and retail trade (15.2%), agriculture, forestry and fishing (13.1%), transport and communication (9%), construction (4.5%).
Population distribution, local municipality boundaries and health facility locations
Source: Mid-Year Population Estimates 2016, Stats SA.
a The Local Government Handbook South Africa 2017. A complete guide to municipalities in South Africa. Seventh edition. Accessible at: www.municipalities.co.za.
b Mid-Year Population Estimates 2016, Stats SA.
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AgeGrpYear
2006 2016
500 000 0 500 000
Population
500 000 0 500 000
Population
65+60-64 years55-59 years50-54 years45-49 years40-44 years35-39 years30-34 years25-29 years20-24 years15-19 years10-14 years05-09 years00-04 years
12 453
12 44315 73319 25223 82328 12128 32231 34933 51035 90234 98734 95935 682
15 91710 09212 82516 55520 95624 25229 74129 38432 78335 20335 04834 51034 15534 532
9 19317 05412 29516 16621 39226 78128 89334 01838 80944 57541 15037 14837 30340 08040 288
22 54313 83118 57322 77228 96930 14535 19939 40042 12640 35036 70736 59439 45439 468
Cape Winelands DM (DC2)
AgeGrp
2006 2016
8% 6% 4% 2% 0% 2% 4% 6% 8%
South Africa % of total population [Male | Female] - lines
8% 6% 4% 2% 0% 2% 4% 6% 8%
South Africa % of total population [Male | Female] - lines
8% 6% 4% 2% 0% 2% 4% 6% 8%
District % of total population [Male | Female] - bars
8% 6% 4% 2% 0% 2% 4% 6% 8%
District % of total population [Male | Female] - bars
65+60-64 years55-59 years50-54 years45-49 years40-44 years35-39 years30-34 years25-29 years20-24 years15-19 years10-14 years05-09 years00-04 years
1.7%
1.7%2.2%
2.7%3.3%
3.9%3.9%
4.3%4.6%5.0%4.8%4.8%4.9%
2.2%1.4%1.8%2.3%
2.9%3.4%
4.1%4.1%4.5%4.9%4.9%4.8%4.7%4.8%
1.9%
1.8%2.4%
3.0%3.3%
3.9%4.4%
5.1%4.7%4.2%4.2%
4.5%4.6%
2.6%1.6%
2.1%2.6%
3.3%3.4%4.0%4.5%4.8%
4.6%4.2%4.1%4.5%4.5%
Gendermalefemale
Graph 1: District population pyramid 2006 and 2016Graph 2: District % population by age-gender group in 2006 and 2016 compared to South AfricaCape Winelands DM (DC2)
Show history
644
Section B: District Health Profiles
644
Section B: Profile Western Cape Province
District population pyramid and comparison with the national pyramid
Source: Mid-Year Population Estimates 2016, Stats SA.
![Page 26: 16 Western Cape Province Health... · 2019-01-22 · 108 044 128 200 144 783 159 742 164 945 185 610 169 095 158 963 154 668 168 238 171 904 152 988 114 942 134 742 147 705 167 175](https://reader034.vdocuments.net/reader034/viewer/2022043001/5f79ce812b0210087c44325f/html5/thumbnails/26.jpg)
Section B: District Health Profiles
645
Section B: Profile Western Cape Province
645
Social determinants of health
Source: Stats SA (Local Government Handbook), 2014 Blue Drop Report.
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AgeGroup.. 2006-2010 2011-2015<5 years
5-1415-2425-64
65+Total 10%
6%5%6%
15%67%
19%4%
30%26%
9%9%
58%87%
50%10%
14%14%
13%3%
15%58%
61%10%
8%6%4%5%
16%61%
18%4%
30%23%
8%8%
63%87%
52%11%17%
22%
11%3%
14%62%59%
9%
WC, Cape Winelands: DC2
Rank_.. 2006-2010 2011-2015
<5 y
ears
12345678910
5-14
12345678910
15-2
4
12345678910
25-6
4
12345678910
65+
12345678910
Congenital heart anomalies (3.0%)Sepsis/other newborn infectious (3.7%)
Birth asphyxia (8.9%)
Protein-energy malnutrition (3.8%)
Preterm birth complications (16.0%)
Accidental threats to breathing (4.5%)
Diarrhoeal diseases (22.0%)
Lower respiratory infections (9.0%)
HIV/AIDS (7.3%)
Tuberculosis (2.3%)
Brain (2.8%)
Drowning (20.2%)
Fires, hot substances (7.5%)
Accidental threats to breathing (19.6%)
Meningitis/encephalitis (3.8%)
Road injuries (12.9%)
Diarrhoeal diseases (2.6%)Lower respiratory infections (2.6%)
HIV/AIDS (3.0%)
Tuberculosis (7.2%)
Self-inflicted injuries (2.0%)
Drowning (5.6%)
Fires, hot substances (3.7%)
Accidental threats to breathing (14.4%)
Mechanical forces (3.8%)
Interpersonal violence (19.2%)
Road injuries (8.1%)
Lower respiratory infections (1.6%)
HIV/AIDS (10.7%)
Tuberculosis (16.3%)
Trachea/bronchi/lung (4.4%)
Accidental threats to breathing (2.4%)
Interpersonal violence (5.5%)COPD (5.8%)
Road injuries (2.4%)
Ischaemic heart disease (6.2%)
Cerebrovascular disease (5.4%)
Lower respiratory infections (2.4%)
HIV/AIDS (11.1%)Tuberculosis (18.6%)
Prostate (2.7%)
Trachea/bronchi/lung (4.8%)COPD (7.9%)
Nephritis/nephrosis (4.0%)
Hypertensive heart disease (2.7%)
Diabetes mellitus (4.3%)
Ischaemic heart disease (17.4%)Cerebrovascular disease (15.9%)
Lower respiratory infections (3.6%)Tuberculosis (3.7%)
Congenital heart anomalies (4.2%)
Sepsis/other newborn infectious (3.2%)
Birth asphyxia (8.4%)
Protein-energy malnutrition (4.8%)
Other respiratory (7.2%)
Preterm birth complications (15.5%)
Accidental threats to breathing (3.7%)
Diarrhoeal diseases (12.7%)Lower respiratory infections (9.4%)
HIV/AIDS (6.7%)
Other neoplasms (3.1%)
Drowning (28.8%)
Fires, hot substances (7.0%)
Accidental threats to breathing (8.9%)
Mechanical forces (4.9%)
Meningitis/encephalitis (3.2%)Interpersonal violence (3.5%)
Road injuries (7.2%)
HIV/AIDS (3.2%)
Tuberculosis (5.2%)
Other neurological conditions (1.2%)
Drowning (5.6%)
Fires, hot substances (4.3%)
Accidental threats to breathing (11.0%)Mechanical forces (10.6%)
Interpersonal violence (25.0%)
Road injuries (4.6%)
Lower respiratory infections (2.1%)
HIV/AIDS (13.1%)Tuberculosis (11.1%)
Trachea/bronchi/lung (5.3%)
Accidental threats to breathing (2.8%)Interpersonal violence (4.1%)
COPD (6.1%)
Nephritis/nephrosis (2.2%)Diabetes mellitus (2.6%)
Ischaemic heart disease (6.3%)
Cerebrovascular disease (5.7%)
HIV/AIDS (16.2%)Tuberculosis (13.8%)
Prostate (3.0%)
Trachea/bronchi/lung (5.8%)COPD (8.0%)
Nephritis/nephrosis (4.2%)
Hypertensive heart disease (3.1%)
Diabetes mellitus (4.2%)
Ischaemic heart disease (15.3%)Cerebrovascular disease (15.5%)
Lower respiratory infections (3.6%)
Tuberculosis (3.1%)
Rank..Maternal conditions
2006-2010 2011-2015
Fem
ale
15-4
9
123456
Indirect maternal (100.0%) n=3
Hypertension in pregnancy (16.0%) n=3Other maternal (37.4%) n=8
Indirect maternal (46.7%) n=10
BroadcauseInjuryNCDHIV and TBComm_mat_peri_nut
Percentages are shownaccording to all the
deaths within theage/period category of
each box, although onlythe leading 10 causes are
displayed.
Percentage of deaths by broad causes and single leading causesWC, Cape Winelands: DC2
Show history
646
Section B: District Health Profiles
646
Section B: Profile Western Cape Province
Burden of disease – leading causes of death in district
![Page 28: 16 Western Cape Province Health... · 2019-01-22 · 108 044 128 200 144 783 159 742 164 945 185 610 169 095 158 963 154 668 168 238 171 904 152 988 114 942 134 742 147 705 167 175](https://reader034.vdocuments.net/reader034/viewer/2022043001/5f79ce812b0210087c44325f/html5/thumbnails/28.jpg)
Section B: District Health Profiles
647
Section B: Profile Western Cape Province
647
Women and maternal health
Source: DHIS.
Value highlighted in green – performance is ranked among the 10 best in the countryValue highlighted in red – performance is ranked among the 10 worst in the country
Value highlighted in orange – performance of the local municipality is possibly below the performance of the district.
![Page 29: 16 Western Cape Province Health... · 2019-01-22 · 108 044 128 200 144 783 159 742 164 945 185 610 169 095 158 963 154 668 168 238 171 904 152 988 114 942 134 742 147 705 167 175](https://reader034.vdocuments.net/reader034/viewer/2022043001/5f79ce812b0210087c44325f/html5/thumbnails/29.jpg)
648
Section B: District Health Profiles
648
Section B: Profile Western Cape Province
Child and school health
Source: DHIS.
Value highlighted in green – performance is ranked among the 10 best in the countryValue highlighted in red – performance is ranked among the 10 worst in the country
Value highlighted in orange – performance of the local municipality is possibly below the performance of the district.
![Page 30: 16 Western Cape Province Health... · 2019-01-22 · 108 044 128 200 144 783 159 742 164 945 185 610 169 095 158 963 154 668 168 238 171 904 152 988 114 942 134 742 147 705 167 175](https://reader034.vdocuments.net/reader034/viewer/2022043001/5f79ce812b0210087c44325f/html5/thumbnails/30.jpg)
Section B: District Health Profiles
649
Section B: Profile Western Cape Province
649
HIV
Source: DHIS.
Value highlighted in green – performance is ranked among the 10 best in the countryValue highlighted in red – performance is ranked among the 10 worst in the country
Value highlighted in orange – performance of the local municipality is possibly below the performance of the district.
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650
Section B: District Health Profiles
650
Section B: Profile Western Cape Province
Tuberculosis
Source: DHIS, ETR.Net, EDRWeb.
Value highlighted in green – performance is ranked among the 10 best in the countryValue highlighted in red – performance is ranked among the 10 worst in the country.
![Page 32: 16 Western Cape Province Health... · 2019-01-22 · 108 044 128 200 144 783 159 742 164 945 185 610 169 095 158 963 154 668 168 238 171 904 152 988 114 942 134 742 147 705 167 175](https://reader034.vdocuments.net/reader034/viewer/2022043001/5f79ce812b0210087c44325f/html5/thumbnails/32.jpg)
Section B: District Health Profiles
651
Section B: Profile Western Cape Province
651
Non-communicable diseases
Source: DHIS.
Value highlighted in green – performance is ranked among the 10 best in the countryValue highlighted in red – performance is ranked among the 10 worst in the country
Value highlighted in orange – performance of the local municipality is possibly below the performance of the district.
Numbers of deaths in facilities
Source: DHIS.
Percentage ideal clinics
Source: Ideal Clinic database.
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652
Section B: District Health Profiles
652
Section B: Profile Western Cape Province
Vital ideal clinic elements in Primary Health Care facilities score (%)
Cap
e W
inel
ands
Bre
ede
Valle
y LM
Dra
kens
tein
LM
Lang
eber
g LM
Stel
lenb
osch
LM
Witz
enbe
rg L
M
Restore the emergency trolley daily or after every time it was used 29 57 36 29 13 11
Resuscitation room is equipped with functional basic equipment for resuscitation 42 71 43 43 50 11
90% of the tracer medicines are available 80 86 86 71 88 67
Cold chain procedure for vaccines is maintained 89 89 100 100 57 75
The temperature of the medicine room/dispensary is recorded daily 91 100 93 71 88 100
Source: Ideal Clinic database.
Number of facilities by level, 2017/18
Source: DHIS.
Human resources – filled posts
Source: Persal, Ward-based outreach team database.
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Section B: District Health Profiles
653
Section B: Profile Western Cape Province
653
Dis
tric
t hea
lth e
xpen
ditu
re a
nd b
udge
t, 20
17/1
8
2017
/18
Bud
get
2017
/18
Prov
inci
al E
xpen
ditu
re
Tota
l 201
7/18
B
udge
t To
tal 2
017/
18
Prov
inci
al
Expe
nditu
re
% O
vers
pent
(u
nder
spen
t)Pr
ovin
cial
Tran
sfer
to L
GLG
Prov
inci
alTr
ansf
er to
LG
LG
2.1
Dis
trict
Man
agem
ent
85 2
94 1
78
86
874
594
85 2
94 1
7886
874
594
1.9%
2.2
Com
mun
ity H
ealth
Clin
ics
262
788
201
253
392
844
262
788
201
253
392
844
(3.6
%)
2.3
Com
mun
ity H
ealth
Cen
tres
164
969
549
158
915
4 90
164
969
5 49
158
915
490
(3.7
%)
2.4
Com
mun
ity-b
ased
Ser
vice
s5
952
000
7 15
4 79
9
5
952
000
7 15
4 79
920
.2%
2.5
Oth
er C
omm
unity
Ser
vice
s14
0
0
140
0(1
00.0
%)
2.6
HIV
/AID
S18
5 99
0 93
2
18
4 22
6 55
4
18
5 99
0 93
218
4 22
6 55
4(0
.9%
)2.
7 N
utrit
ion
8 94
5 57
7
8
715
903
8 94
5 57
78
715
903
(2.6
%)
2.9
Dis
trict
Hos
pita
ls22
8 45
5 64
7
23
3 59
2 28
9
22
8 45
5 64
723
3 59
2 28
92.
2%2.
Oth
er*
8 75
0 57
3
3
748
535
8 75
0 57
33
748
535
(57.
2%)
Loca
l gov
ernm
ent e
xpen
ditu
re
-350
000
36 5
63 8
25
-515
987
5 37
8 49
336
213
825
4 86
2 50
6(8
6.6%
)G
rand
Tot
al95
1 14
6 79
7-3
50 0
0036
563
825
936
621
008
-515
987
5 37
8 49
398
7 36
0 62
294
1 48
3 51
4(4
.6%
)
Sour
ce:
BAS,
*L
G –
Loc
al G
over
nmen
t.
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654
Section B: District Health Profiles
654
Section B: Profile Western Cape Province
Overberg District Municipality (DC3)
Overview of the district
The Overberg District Municipalitya is a Category C municipality situated in the Western Cape Province, just over Sir Lowry’s Pass to the southernmost tip of Africa. The adjacent municipalities are the Cape Winelands District to the north, Eden District to the east and City of Cape Town to the west. It is also bounded by the Indian Ocean to the south-west and Atlantic Ocean to the west. The municipality is the smallest district in the province, making up only 9% of its geographical area. The following local municipalities form part of the Overberg region: Theewaterskloof, Swellendam, Overstrand and Cape Agulhas. The seat of the municipality is Bredasdorp.
Area: 12 239km²
Population (2016)b: 282 023
Population density (2016): 23.0 people per km2
Estimated medical scheme coverage: 16.8%
Cities/Towns: Agulhas, Arniston, Barrydale, Betty’s Bay, Birkenhead, Bot River, Bredasdorp, Buffeljagsrivier, Caledon/Myddleton, De Kelders, Elim, Fishershaven, Franskraal, Gansbaai, Genadendal, Grabouw, Greyton, Hawston, Hermanus, Infanta, Kleinmond, Klipdale, Malgas, Napier, Onrus, Pearly Beach, Pringle Bay, Protem, Riviersonderend, Rooi-Els, Sandbaai, Stanford, Struisbaai, Suiderstrand, Suurbraak, Swellendam, Theewaterskloof, Van Dyks Bay, Vermont, Villiersdorp.
Main Economic Sectors: Finance, insurance, real estate and business services (25.1%), manufacturing (16.3%), wholesale and retail trade, catering and accommodation (13.7%), agriculture, forestry and fishing (12.1%), general government (10.5%), construction (8.5%), transport, storage and communication (8.3%), community, social and personal services (4.2%).
Population distribution, local municipality boundaries and health facility locations
Source: Mid-Year Population Estimates 2016, Stats SA.
a The Local Government Handbook South Africa 2017. A complete guide to municipalities in South Africa. Seventh edition. Accessible at: www.municipalities.co.za.
b Mid-Year Population Estimates 2016, Stats SA.
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AgeGrpYear
2006 2016
500 000 0 500 000
Population
500 000 0 500 000
Population
65+60-64 years55-59 years50-54 years45-49 years40-44 years35-39 years30-34 years25-29 years20-24 years15-19 years10-14 years05-09 years00-04 years
10 06110 37010 66510 223
10 05810 26210 447
6 6273 7824 4725 3496 7608 2659 6769 8589 4258 995
7 5674 3134 6585 2686 4217 5159 0179 1879 2549 558
9 812
10 35610 71311 41713 38212 18811 42710 99211 75512 015
11 150
10 40911 50512 55511 96311 34610 68811 52711 680
9 1714 7426 1547 8439 560
5 0406 2227 4329 1059 686
Overberg DM (DC3)
AgeGrp
2006 2016
8% 6% 4% 2% 0% 2% 4% 6% 8%
South Africa % of total population [Male | Female] - lines
8% 6% 4% 2% 0% 2% 4% 6% 8%
South Africa % of total population [Male | Female] - lines
8% 6% 4% 2% 0% 2% 4% 6% 8%
District % of total population [Male | Female] - bars
8% 6% 4% 2% 0% 2% 4% 6% 8%
District % of total population [Male | Female] - bars
65+60-64 years55-59 years50-54 years45-49 years40-44 years35-39 years30-34 years25-29 years20-24 years15-19 years10-14 years05-09 years00-04 years
2.9%1.7%
2.0%2.3%
3.0%3.6%
4.2%4.3%4.1%3.9%
4.4%4.6%4.7%4.5%
3.3%1.9%2.0%2.3%2.8%3.3%
4.0%4.0%4.1%4.2%4.4%4.5%4.6%
4.3%
3.3%1.7%
2.2%2.8%
3.4%3.7%3.8%4.0%
4.7%4.3%4.1%3.9%
4.2%4.3%
4.0%1.8%2.2%2.6%
3.2%3.4%3.7%4.1%4.5%4.2%4.0%
3.8%4.1%4.1%
Gendermalefemale
Graph 1: District population pyramid 2006 and 2016Graph 2: District % population by age-gender group in 2006 and 2016 compared to South AfricaOverberg DM (DC3)
Show history
Section B: District Health Profiles
655
Section B: Profile Western Cape Province
655
District population pyramid and comparison with the national pyramid
Source: Mid-Year Population Estimates 2016, Stats SA.
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656
Section B: District Health Profiles
656
Section B: Profile Western Cape Province
Social determinants of health
Source: Stats SA (Local Government Handbook), 2014 Blue Drop Report.
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AgeGroup.. 2006-2010 2011-2015<5 years
5-1415-2425-64
65+Total 9%
5%5%5%
14%65%
15%2%
25%22%5%
10%
62%89%
50%17%
20%15%
14%3%
19%56%
61%11%
8%5%4%7%12%
67%
13%2%
23%20%6%
7%
66%89%
54%12%
17%13%
13%3%
18%61%
64%13%
WC, Overberg: DC3
Rank_.. 2006-2010 2011-2015
<5 y
ears
12345678910
5-14
12345678910
15-2
4
12345678910
25-6
4
12345678910
65+
12345678910
Other perinatal conditions (2.4%)Sepsis/other newborn infectious (2.4%)
Birth asphyxia (8.2%)
Protein-energy malnutrition (3.4%)Other respiratory (2.5%)
Preterm birth complications (12.2%)
Accidental threats to breathing (4.4%)
Diarrhoeal diseases (22.1%)Lower respiratory infections (17.9%)
HIV/AIDS (8.6%)
Other malignant neoplasms (8.1%)
Drowning (43.1%)Accidental threats to breathing (26.5%)
Road injuries (9.0%)Diarrhoeal diseases (13.3%)
Drowning (8.1%)
Fires, hot substances (2.0%)
Accidental threats to breathing (10.8%)
Mechanical forces (6.0%)
Interpersonal violence (13.1%)Road injuries (16.0%)
Nephritis/nephrosis (2.0%)Lower respiratory infections (2.0%)
HIV/AIDS (11.6%)Tuberculosis (12.5%)
Trachea/bronchi/lung (5.3%)
Accidental threats to breathing (2.6%)
Interpersonal violence (3.2%)COPD (3.9%)
Road injuries (4.8%)
Ischaemic heart disease (8.1%)
Cerebrovascular disease (4.0%)
Lower respiratory infections (2.6%)
HIV/AIDS (9.9%)Tuberculosis (15.6%)
Alzheimer’s and other dementias (3.8%)Prostate (3.8%)
Colo-rectal (2.8%)
Trachea/bronchi/lung (5.1%)COPD (5.6%)
Hypertensive heart disease (3.8%)Diabetes mellitus (4.1%)
Ischaemic heart disease (18.3%)Cerebrovascular disease (14.1%)
Lower respiratory infections (3.1%)
Congenital heart anomalies (4.7%)
Sepsis/other newborn infectious (3.0%)
Birth asphyxia (8.6%)Protein-energy malnutrition (6.7%)
Fires, hot substances (3.1%)
Preterm birth complications (16.6%)
Accidental threats to breathing (5.4%)
Diarrhoeal diseases (11.6%)
Lower respiratory infections (18.9%)
HIV/AIDS (6.5%)
Drowning (55.9%)Road injuries (36.0%)
Tuberculosis (8.1%)
Self-inflicted injuries (4.9%)
Drowning (4.3%)Fires, hot substances (4.6%)
Accidental threats to breathing (4.2%)Mechanical forces (2.7%)
Interpersonal violence (28.0%)Road injuries (20.1%)
Lower respiratory infections (1.7%)
HIV/AIDS (10.5%)Tuberculosis (12.9%)
Trachea/bronchi/lung (6.4%)
Interpersonal violence (5.5%)COPD (5.5%)
Road injuries (5.8%)
Diabetes mellitus (2.4%)
Ischaemic heart disease (8.6%)
Cerebrovascular disease (5.6%)
Lower respiratory infections (2.2%)
HIV/AIDS (11.2%)Tuberculosis (11.9%)
Alzheimer’s and other dementias (4.0%)
Colo-rectal (2.9%)
Trachea/bronchi/lung (6.5%)COPD (6.7%)
Nephritis/nephrosis (3.9%)Hypertensive heart disease (3.8%)Diabetes mellitus (3.8%)
Ischaemic heart disease (16.1%)Cerebrovascular disease (13.5%)
Lower respiratory infections (4.0%)
Rank..Maternal conditions
2006-2010 2011-2015
Fem
ale
15-4
9
123456
Indirect maternal (100.0%) n=3 Hypertension in pregnancy (59.0%) n=5Other maternal (41.0%) n=3
BroadcauseInjuryNCDHIV and TBComm_mat_peri_nut
Percentages are shownaccording to all the
deaths within theage/period category of
each box, although onlythe leading 10 causes are
displayed.
Percentage of deaths by broad causes and single leading causesWC, Overberg: DC3
Show history
Section B: District Health Profiles
657
Section B: Profile Western Cape Province
657
Burden of disease – leading causes of death in district
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658
Section B: District Health Profiles
658
Section B: Profile Western Cape Province
Women and maternal health
Source: DHIS.
Value highlighted in green – performance is ranked among the 10 best in the countryValue highlighted in red – performance is ranked among the 10 worst in the country
Value highlighted in orange – performance of the local municipality is possibly below the performance of the district.
![Page 40: 16 Western Cape Province Health... · 2019-01-22 · 108 044 128 200 144 783 159 742 164 945 185 610 169 095 158 963 154 668 168 238 171 904 152 988 114 942 134 742 147 705 167 175](https://reader034.vdocuments.net/reader034/viewer/2022043001/5f79ce812b0210087c44325f/html5/thumbnails/40.jpg)
Section B: District Health Profiles
659
Section B: Profile Western Cape Province
659
Child and school health
Source: DHIS.
Value highlighted in green – performance is ranked among the 10 best in the countryValue highlighted in red – performance is ranked among the 10 worst in the country
Value highlighted in orange – performance of the local municipality is possibly below the performance of the district.
![Page 41: 16 Western Cape Province Health... · 2019-01-22 · 108 044 128 200 144 783 159 742 164 945 185 610 169 095 158 963 154 668 168 238 171 904 152 988 114 942 134 742 147 705 167 175](https://reader034.vdocuments.net/reader034/viewer/2022043001/5f79ce812b0210087c44325f/html5/thumbnails/41.jpg)
660
Section B: District Health Profiles
660
Section B: Profile Western Cape Province
HIV
Source: DHIS.
Value highlighted in green – performance is ranked among the 10 best in the countryValue highlighted in red – performance is ranked among the 10 worst in the countryValue highlighted in orange – performance of the local municipality is possibly below the performance of the district.
![Page 42: 16 Western Cape Province Health... · 2019-01-22 · 108 044 128 200 144 783 159 742 164 945 185 610 169 095 158 963 154 668 168 238 171 904 152 988 114 942 134 742 147 705 167 175](https://reader034.vdocuments.net/reader034/viewer/2022043001/5f79ce812b0210087c44325f/html5/thumbnails/42.jpg)
Section B: District Health Profiles
661
Section B: Profile Western Cape Province
661
Tuberculosis
Source: DHIS, ETR.Net, EDRWeb.
Value highlighted in green – performance is ranked among the 10 best in the countryValue highlighted in red – performance is ranked among the 10 worst in the country.
![Page 43: 16 Western Cape Province Health... · 2019-01-22 · 108 044 128 200 144 783 159 742 164 945 185 610 169 095 158 963 154 668 168 238 171 904 152 988 114 942 134 742 147 705 167 175](https://reader034.vdocuments.net/reader034/viewer/2022043001/5f79ce812b0210087c44325f/html5/thumbnails/43.jpg)
662
Section B: District Health Profiles
662
Section B: Profile Western Cape Province
Non-communicable diseases
Source: DHIS.
Value highlighted in green – performance is ranked among the 10 best in the countryValue highlighted in red – performance is ranked among the 10 worst in the country
Value highlighted in orange – performance of the local municipality is possibly below the performance of the district.
Numbers of deaths in facilities
Source: DHIS.
Percentage ideal clinics
Source: Ideal Clinic database.
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Section B: District Health Profiles
663
Section B: Profile Western Cape Province
663
Vital ideal clinic elements in Primary Health Care facilities score (%)
Ove
rber
g
Cap
e A
gulh
as L
M
Ove
rstr
and
LM
Swel
lend
am L
M
Thee
wat
ersk
loof
LM
Restore the emergency trolley daily or after every time it was used 37 0 60 40 33
Resuscitation room is equipped with functional basic equipment for resuscitation 68 33 100 60 67
90% of the tracer medicines are available 79 33 100 80 83
The temperature of the medicine room/dispensary is recorded daily 79 33 100 100 67
The temperature of the medicine room/dispensary is maintained within the safety range 79 33 100 100 67
Source: Ideal Clinic database.
Number of facilities by level, 2017/18
Source: DHIS.
Human resources – filled posts
Source: Persal, Ward-based outreach team database.
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664
Section B: District Health Profiles
664
Section B: Profile Western Cape ProvinceD
istr
ict h
ealth
exp
endi
ture
and
bud
get,
2017
/18
2017
/18
Bud
get
2017
/18
Prov
inci
al E
xpen
ditu
re
Tota
l 201
7/18
B
udge
t To
tal 2
017/
18
Prov
inci
al
Expe
nditu
re
% O
vers
pent
(u
nder
spen
t)Pr
ovin
cial
Tran
sfer
to L
GLG
Prov
inci
alTr
ansf
er to
LG
LG
2.1
Dis
trict
Man
agem
ent
32 1
97 5
45
28
927
570
32 1
97 5
4528
927
570
(10.
2%)
2.2
Com
mun
ity H
ealth
Clin
ics
108
044
179
109
402
477
108
044
179
109
402
477
1.3%
2.3
Com
mun
ity H
ealth
Cen
tres
68 1
57 0
09
60
905
908
68 1
57 0
0960
905
908
(10.
6%)
2.4
Com
mun
ity-b
ased
Ser
vice
s5
680
000
6 17
9 82
5
5
680
000
6 17
9 82
58.
8%2.
5 O
ther
Com
mun
ity S
ervi
ces
45
0
450
(100
.0%
)2.
6 H
IV/A
IDS
87 8
05 9
76
86
394
442
87 8
05 9
7686
394
442
(1.6
%)
2.7
Nut
ritio
n3
469
605
3 47
1 06
4
3
469
605
3 47
1 06
40.
0%2.
9 D
istri
ct H
ospi
tals
179
360
816
187
830
970
179
360
816
187
830
970
4.7%
2. O
ther
*1
392
600
1 02
2 23
3
1
392
600
1 02
2 23
3(2
6.6%
)Lo
cal g
over
nmen
t exp
endi
ture
-2
71 1
9613
022
818
-3
51 1
0611
484
936
12 7
51 6
2211
133
830
(12.
7%)
Gra
nd T
otal
486
107
776
-271
196
13 0
22 8
1848
4 13
4 49
0-3
51 1
0611
484
936
498
859
398
495
268
320
(0.7
%)
Sour
ce:
BAS,
*L
G –
Loc
al G
over
nmen
t.
![Page 46: 16 Western Cape Province Health... · 2019-01-22 · 108 044 128 200 144 783 159 742 164 945 185 610 169 095 158 963 154 668 168 238 171 904 152 988 114 942 134 742 147 705 167 175](https://reader034.vdocuments.net/reader034/viewer/2022043001/5f79ce812b0210087c44325f/html5/thumbnails/46.jpg)
Section B: District Health Profiles
665
Section B: Profile Western Cape Province
665
Eden District Municipality (DC4)
Overview of the district
The Eden District Municipalitya is a Category C municipality situated in the Western Cape Province. Eden District shares borders with four other district municipalities, namely: Sarah Baartman District Municipality in the Eastern Cape, and Overberg, Cape Winelands and Central Karoo District Municipalities in the Western Cape. The district municipality comprises seven local municipalities: George, Mossel Bay, Knysna, Bitou, Oudtshoorn, Hessequa and Kannaland. The region is defined as a medium-capacity functional municipality. Eden District has a diverse natural resource-base. It is marketed with regards to tourism under the internationally acclaimed brands, the ‘Garden Route’ and ‘Klein Karoo’.
Area: 23 331km²
Population (2016)b: 612 779
Population density (2016): 23.6 persons per km2
Estimated medical scheme coverage: 17.5%
Cities/Towns: Albertinia, Boggoms Bay, Brandwag, Brenton, Brenton-on-Sea, Buffels Bay, Calitzdorp, De Rust, Dysselsdorp, Friemersheim, George, Gouritz, Great Brak River, Haarlem, Heidelberg, Herbertsdale, Herolds Bay, Jongensfontein, Keurboomstrand, Knoetzie, Knysna, Krantshoek, Kurland, Kwanokuthula, Ladismith, Mossel Bay, Nature’s Valley, Oudtshoorn, Plettenberg Bay, Rheenendal, Riversdale, Sedgefield, Slangrivier, Still Bay, Uniondale, Vanwyksdorp, Victoria Bay, Vleesbaai, Wilderness, Witsand, Wittedrift, Zoar.
Main Economic Sectors: Finance and business services (23.4%), manufacturing (17.3%), wholesale and accommodation (17%), general government (12.1%), construction (9.5%), transport and communication (7.8%), community services (5.5%), agriculture, forestry and fishing (5.5%).
Population distribution, local municipality boundaries and health facility locations
Source: Mid-Year Population Estimates 2016, Stats SA.
a The Local Government Handbook South Africa 2017. A complete guide to municipalities in South Africa. Seventh edition. Accessible at: www.municipalities.co.za.
b Mid-Year Population Estimates 2016, Stats SA.
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AgeGrpYear
2006 2016
500 000 0 500 000
Population
500 000 0 500 000
Population
65+60-64 years55-59 years50-54 years45-49 years40-44 years35-39 years30-34 years25-29 years20-24 years15-19 years10-14 years05-09 years00-04 years
14 950
10 27212 58015 22818 09920 93919 59619 02622 18926 89826 96826 59723 987
17 39810 00811 47313 43015 99318 69221 51320 93620 32923 16126 87226 12225 77423 216
8 65819 72910 36713 02116 12619 51119 40919 72023 06527 55026 74126 67624 96025 93626 604
26 02312 05214 59617 41920 60620 92320 96324 02927 71626 66226 45724 46625 39426 058
Eden DM (DC4)
AgeGrp
2006 2016
8% 6% 4% 2% 0% 2% 4% 6% 8%
South Africa % of total population [Male | Female] - lines
8% 6% 4% 2% 0% 2% 4% 6% 8%
South Africa % of total population [Male | Female] - lines
8% 6% 4% 2% 0% 2% 4% 6% 8%
District % of total population [Male | Female] - bars
8% 6% 4% 2% 0% 2% 4% 6% 8%
District % of total population [Male | Female] - bars
65+60-64 years55-59 years50-54 years45-49 years40-44 years35-39 years30-34 years25-29 years20-24 years15-19 years10-14 years05-09 years00-04 years
2.8%1.6%
1.9%2.3%
2.8%3.3%
3.9%3.6%3.5%
4.1%5.0%5.0%4.9%4.4%
3.2%1.9%2.1%2.5%3.0%3.5%4.0%3.9%3.8%4.3%
5.0%4.8%4.8%
4.3%
3.2%1.7%
2.1%2.6%
3.2%3.2%3.2%
3.8%4.5%4.4%4.4%4.1%4.2%4.3%
4.2%2.0%2.4%2.8%3.4%3.4%3.4%3.9%
4.5%4.4%4.3%
4.0%4.1%4.3%
Gendermalefemale
Graph 1: District population pyramid 2006 and 2016Graph 2: District % population by age-gender group in 2006 and 2016 compared to South AfricaEden DM (DC4)
Show history
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Section B: Profile Western Cape Province
District population pyramid and comparison with the national pyramid
Source: Mid-Year Population Estimates 2016, Stats SA.
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Section B: Profile Western Cape Province
667
Social determinants of health
Source: Stats SA (Local Government Handbook), 2014 Blue Drop Report.
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AgeGroup.. 2006-2010 2011-2015<5 years
5-1415-2425-64
65+Total 10%
7%6%6%13%
66%
19%4%
30%25%13%
12%
59%87%
49%13%22%
13%
12%3%
15%56%52%
9%
9%7%5%5%
19%70%
17%3%
29%30%
6%5%
65%87%
54%16%
19%19%
10%3%
12%49%
56%7%
WC, Eden: DC4
Rank_.. 2006-2010 2011-2015
<5 y
ears
12345678910
5-14
12345678910
15-2
4
12345678910
25-6
4
12345678910
65+
12345678910
Congenital heart anomalies (2.3%)Sepsis/other newborn infectious (2.3%)
Birth asphyxia (4.8%)
Protein-energy malnutrition (3.3%)
Preterm birth complications (20.9%)
Accidental threats to breathing (4.1%)
Diarrhoeal diseases (13.6%)Lower respiratory infections (17.3%)
HIV/AIDS (8.4%)
Tuberculosis (4.3%)
Drowning (20.4%)
Fires, hot substances (5.5%)
Endocrine nutritional,blood, immune (2.7%)
Accidental threats to breathing (6.2%)
Meningitis/encephalitis (3.1%)Interpersonal violence (3.2%)
Road injuries (25.7%)
Lower respiratory infections (4.7%)
HIV/AIDS (7.6%)Tuberculosis (8.2%)
Self-inflicted injuries (2.3%)
Drowning (3.8%)Fires, hot substances (3.7%)
Accidental threats to breathing (5.9%)
Mechanical forces (2.7%)
Interpersonal violence (25.2%)
Road injuries (12.4%)
Lower respiratory infections (2.6%)
HIV/AIDS (11.1%)
Tuberculosis (14.6%)
Trachea/bronchi/lung (3.9%)
Interpersonal violence (5.3%)COPD (4.3%)Road injuries (4.2%)
Diabetes mellitus (2.2%)
Ischaemic heart disease (7.6%)Cerebrovascular disease (5.3%)
Lower respiratory infections (3.1%)
HIV/AIDS (11.0%)Tuberculosis (19.0%)
Prostate (3.2%)
Trachea/bronchi/lung (4.7%)
COPD (6.5%)
Nephritis/nephrosis (3.3%)Hypertensive heart disease (4.6%)
Diabetes mellitus (3.3%)
Ischaemic heart disease (18.8%)Cerebrovascular disease (14.1%)
Lower respiratory infections (4.8%)
Tuberculosis (3.2%)
Other congenital abnormalities (2.5%)
Congenital heart anomalies (4.5%)
Other perinatal conditions (3.3%)
Sepsis/other newborn infectious (5.3%)Birth asphyxia (6.8%)
Other respiratory (3.7%)
Preterm birth complications (22.0%)
Diarrhoeal diseases (9.9%)Lower respiratory infections (19.2%)
HIV/AIDS (3.9%)
Drowning (24.8%)
Fires, hot substances (7.3%)
Cardiomyopathy (4.9%)Accidental threats to breathing (5.1%)
Meningitis/encephalitis (3.9%)Interpersonal violence (4.0%)
Road injuries (18.5%)
Lower respiratory infections (2.9%)
HIV/AIDS (3.4%)Tuberculosis (3.2%)
Self-inflicted injuries (3.4%)Drowning (5.5%)
Fires, hot substances (2.3%)
Accidental threats to breathing (7.1%)
Mechanical forces (2.2%)
Interpersonal violence (17.7%)
Road injuries (13.4%)
Lower respiratory infections (2.4%)
HIV/AIDS (16.1%)Tuberculosis (16.4%)
Trachea/bronchi/lung (5.1%)
Interpersonal violence (3.1%)
COPD (4.7%)Road injuries (3.2%)
Diabetes mellitus (2.7%)
Ischaemic heart disease (7.2%)Cerebrovascular disease (6.4%)
Lower respiratory infections (2.6%)
HIV/AIDS (14.6%)Tuberculosis (14.1%)
Prostate (3.4%)
Trachea/bronchi/lung (5.0%)COPD (6.7%)
Nephritis/nephrosis (3.6%)
Hypertensive heart disease (4.0%)Diabetes mellitus (3.7%)
Ischaemic heart disease (16.7%)Cerebrovascular disease (14.6%)
Lower respiratory infections (4.3%)
Tuberculosis (2.7%)
Rank..Maternal conditions
2006-2010 2011-2015
Fem
ale
15-4
9
123456
Other maternal (67.8%) n=9Indirect maternal (32.2%) n=4
BroadcauseInjuryNCDHIV and TBComm_mat_peri_nut
Percentages are shownaccording to all the
deaths within theage/period category of
each box, although onlythe leading 10 causes are
displayed.
Percentage of deaths by broad causes and single leading causesWC, Eden: DC4
Show history
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Section B: Profile Western Cape Province
Burden of disease – leading causes of death in district
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Section B: District Health Profiles
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669
Women and maternal health
Source: DHIS.
Value highlighted in green – performance is ranked among the 10 best in the countryValue highlighted in red – performance is ranked among the 10 worst in the country
Value highlighted in orange – performance of the local municipality is possibly below the performance of the district.
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670
Section B: District Health Profiles
670
Section B: Profile Western Cape Province
Child and school health
Source: DHIS.
Value highlighted in green – performance is ranked among the 10 best in the countryValue highlighted in red – performance is ranked among the 10 worst in the country
Value highlighted in orange – performance of the local municipality is possibly below the performance of the district.
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Section B: District Health Profiles
671
Section B: Profile Western Cape Province
671
HIV
Source: DHIS.
Value highlighted in green – performance is ranked among the 10 best in the countryValue highlighted in red – performance is ranked among the 10 worst in the country
Value highlighted in orange – performance of the local municipality is possibly below the performance of the district.
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Section B: District Health Profiles
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Section B: Profile Western Cape Province
Tuberculosis
Source: DHIS, ETR.Net, EDRWeb.
Value highlighted in green – performance is ranked among the 10 best in the countryValue highlighted in red – performance is ranked among the 10 worst in the country.
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Section B: District Health Profiles
673
Section B: Profile Western Cape Province
673
Non-communicable diseases
Source: DHIS.
Value highlighted in green – performance is ranked among the 10 best in the countryValue highlighted in red – performance is ranked among the 10 worst in the country
Value highlighted in orange – performance of the local municipality is possibly below the performance of the district.
Numbers of deaths in facilities
Source: DHIS.
Percentage ideal clinics
Source: Ideal Clinic database.
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Section B: District Health Profiles
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Section B: Profile Western Cape Province
Vital ideal clinic elements in Primary Health Care facilities score (%)
Eden
Bito
u LM
Geo
rge
LM
Hes
sequ
a LM
Kan
nala
nd L
M
Kny
sna
LM
Mos
sel B
ay L
M
Oud
tsho
orn
LM
Restore the emergency trolley daily or after every time it was used 37 20 25 75 75 0 67 50
Resuscitation room is equipped with functional basic equipment for resuscitation 63 80 50 75 100 50 33 75
90% of the tracer medicines are available 89 80 92 100 100 83 67 100
Cold chain procedure for vaccines is maintained 92 80 83 100 100 100 100 100
The temperature of the medicine room/dispensary is recorded daily 95 80 92 100 100 100 100 100
Source: Ideal Clinic database.
Number of facilities by level, 2017/18
Source: DHIS.
Human resources – filled posts
Source: Persal, Ward-based outreach team database.
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Section B: District Health Profiles
675
Section B: Profile Western Cape Province
675
Dis
tric
t hea
lth e
xpen
ditu
re a
nd b
udge
t, 20
17/1
8
2017
/18
Bud
get
2017
/18
Prov
inci
al E
xpen
ditu
re
Tota
l 201
7/18
B
udge
t To
tal 2
017/
18
Prov
inci
al
Expe
nditu
re
% O
vers
pent
(u
nder
spen
t)Pr
ovin
cial
Tran
sfer
to L
GLG
Prov
inci
alTr
ansf
er to
LG
LG
2.1
Dis
trict
Man
agem
ent
50 4
05 6
11
47
176
143
50 4
05 6
1147
176
143
(6.4
%)
2.2
Com
mun
ity H
ealth
Clin
ics
346
495
375
338
917
505
346
495
375
338
917
505
(2.2
%)
2.3
Com
mun
ity H
ealth
Cen
tres
28 4
08 5
00
25
518
147
28 4
08 5
0025
518
147
(10.
2%)
2.4
Com
mun
ity-b
ased
Ser
vice
s11
048
000
11 8
36 1
88
11
048
000
11 8
36 1
887.1
%2.
5 O
ther
Com
mun
ity S
ervi
ces
97
0
970
(100
.0%
)2.
6 H
IV/A
IDS
157
772
690
155
881
425
157
772
690
155
881
425
(1.2
%)
2.7
Nut
ritio
n6
077
066
5 33
0 15
0
6
077
066
5 33
0 15
0(1
2.3%
)2.
9 D
istri
ct H
ospi
tals
368
918
909
368
561
6 70
368
918
9 09
368
561
670
(0.1%
)2.
Oth
er*
2 48
9 86
0
1
672
113
2 48
9 86
01
672
113
(32.
8%)
Loca
l gov
ernm
ent e
xpen
ditu
re
-3 0
22 5
4953
819
469
-2
357
20 7
82 0
0850
796
920
20 7
79 6
51(5
9.1%
)G
rand
Tot
al97
1 61
6 10
8-3
022
549
53 8
19 4
6995
4 89
3 34
3-2
357
20 7
82 0
081
022
413
028
975
672
994
(4.6
%)
Sour
ce:
BAS,
*L
G –
Loc
al G
over
nmen
t.
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Section B: District Health Profiles
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Section B: Profile Western Cape Province
Central Karoo District Municipality (DC5)
Overview of the district
The Central Karoo District Municipalitya is a Category C municipality located in the Western Cape Province. It is bordered by the Pixley Ka Seme District Municipality in the north, Namakwa District Municipality in the north-west, Eden District Municipality in the south, Sarah Baartman District Municipality in the east and Cape Winelands District Municipality in the west. Central Karoo is the largest district in the province, making up a third of its geographical area. It is comprised of three local municipalities: Laingsburg, Prince Albert and Beaufort West. The seat of the district is Beaufort West.
Area: 38 854km²
Population (2016)b: 75 342
Population density (2016): 1.9 persons per km2
Estimated medical scheme coverage: 13.3%
Cities/Towns: Beaufort West, Klaarstroom, Laingsburg, Leeu-Gamka, Matjiesfontein, Merweville, Murraysburg, Nelspoort, Prince Albert, Welgemoed.
Main Economic Sectors: Agriculture (47%), finance and business services (22%), community services (19%), construction (7%).
Population distribution, local municipality boundaries and health facility locations
Source: Mid-Year Population Estimates 2016, Stats SA.
a The Local Government Handbook South Africa 2017. A complete guide to municipalities in South Africa. Seventh edition. Accessible at: www.municipalities.co.za.
b Mid-Year Population Estimates 2016, Stats SA.
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AgeGrpYear
2006 2016
500 000 0 500 000
Population
500 000 0 500 000
Population
65+60-64 years55-59 years50-54 years45-49 years40-44 years35-39 years30-34 years25-29 years20-24 years15-19 years10-14 years05-09 years00-04 years
1 5691 0041 2671 4801 7822 0252 2562 0512 1892 8604 0483 9294 0343 334
2 0551 1781 4221 6862 0062 1442 5322 3822 4562 8883 9053 8063 8843 299
1 8101 1031 3531 6181 9231 8602 0582 6933 7343 7183 9083 3693 5863 578
2 7541 3671 6771 8592 2502 2272 3302 7683 6883 6533 8763 4273 6203 535
Central Karoo DM (DC5)
AgeGrp
2006 2016
8% 6% 4% 2% 0% 2% 4% 6% 8%
South Africa % of total population [Male | Female] - lines
8% 6% 4% 2% 0% 2% 4% 6% 8%
South Africa % of total population [Male | Female] - lines
8% 6% 4% 2% 0% 2% 4% 6% 8%
District % of total population [Male | Female] - bars
8% 6% 4% 2% 0% 2% 4% 6% 8%
District % of total population [Male | Female] - bars
65+60-64 years55-59 years50-54 years45-49 years40-44 years35-39 years30-34 years25-29 years20-24 years15-19 years10-14 years05-09 years00-04 years
2.3%1.4%
1.8%2.1%
2.6%2.9%
3.2%3.0%3.2%
4.1%5.8%5.7%
5.8%4.8%
3.0%1.7%2.0%2.4%2.9%3.1%
3.6%3.4%3.5%
4.2%5.6%5.5%5.6%
4.7%
2.4%1.5%
1.8%2.1%
2.6%2.5%
2.7%3.6%
5.0%4.9%5.2%
4.5%4.8%4.7%
3.7%1.8%2.2%2.5%3.0%3.0%3.1%
3.7%4.9%4.8%5.1%
4.5%4.8%4.7%
Gendermalefemale
Graph 1: District population pyramid 2006 and 2016Graph 2: District % population by age-gender group in 2006 and 2016 compared to South AfricaCentral Karoo DM (DC5)
Show history
Section B: District Health Profiles
677
Section B: Profile Western Cape Province
677
District population pyramid and comparison with the national pyramid
Source: Mid-Year Population Estimates 2016, Stats SA.
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Social determinants of health
Source: Stats SA (Local Government Handbook), 2014 Blue Drop Report.
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AgeGroup.. 2006-2010 2011-2015<5 years
5-1415-2425-64
65+Total 11%
8%6%5%4%
64%
19%4%
29%22%
20%10%
52%85%
44%10%
13%9%
18%3%
21%63%63%
17%
8%7%4%5%5%
63%
18%3%
28%20%
10%5%
59%87%
50%11%
7%20%
15%3%
18%64%
77%12%
WC, Central Karoo: DC5
Rank_.. 2006-2010 2011-2015
<5 y
ears
12345678910
5-14
12345678910
15-2
4
12345678910
25-6
4
12345678910
65+
12345678910
Birth asphyxia (6.1%)
Protein-energy malnutrition (4.7%)
Preterm birth complications (24.8%)
Accidental threats to breathing (4.7%)Interpersonal violence (2.7%)
Road injuries (8.3%)
Diarrhoeal diseases (16.5%)Lower respiratory infections (12.9%)
HIV/AIDS (5.7%)Tuberculosis (5.1%)
Accidental threats to breathing (15.3%)Road injuries (57.2%)
HIV/AIDS (13.1%)Tuberculosis (14.4%)
Epilepsy (2.5%)Accidental threats to breathing (2.1%)
Interpersonal violence (28.1%)Road injuries (39.7%)
Lower respiratory infections (1.8%)
HIV/AIDS (7.8%)Tuberculosis (18.0%)
Trachea/bronchi/lung (3.7%)
Interpersonal violence (5.3%)COPD (6.9%)
Road injuries (12.2%)
Hypertensive heart disease (2.5%)
Ischaemic heart disease (5.0%)Cerebrovascular disease (4.9%)
Lower respiratory infections (2.8%)
HIV/AIDS (12.7%)Tuberculosis (16.6%)
Prostate (4.5%)Trachea/bronchi/lung (4.8%)
COPD (9.9%)
Nephritis/nephrosis (2.9%)
Hypertensive heart disease (4.9%)
Diabetes mellitus (2.9%)
Ischaemic heart disease (19.5%)Cerebrovascular disease (15.4%)
Lower respiratory infections (5.9%)
Tuberculosis (3.7%)
Other congenital abnormalities (2.8%)
Congenital heart anomalies (5.7%)Birth asphyxia (5.5%)
Protein-energy malnutrition (3.4%)
Other respiratory (7.9%)
Preterm birth complications (23.0%)
Road injuries (9.4%)Diarrhoeal diseases (11.1%)
Lower respiratory infections (20.1%)
HIV/AIDS (4.1%)
Drowning (10.5%)
Road injuries (78.9%)HIV/AIDS (10.6%)
Self-inflicted injuries (3.2%)Fires, hot substances (3.7%)
Accidental threats to breathing (5.9%)
Interpersonal violence (34.6%)Road injuries (24.8%)
Lower respiratory infections (2.9%)
HIV/AIDS (11.3%)Tuberculosis (13.7%)
Trachea/bronchi/lung (4.5%)Interpersonal violence (4.4%)
COPD (7.6%)Road injuries (10.5%)
Diabetes mellitus (2.1%)
Ischaemic heart disease (6.9%)Cerebrovascular disease (5.1%)
Lower respiratory infections (2.2%)
HIV/AIDS (13.6%)Tuberculosis (15.2%)
Prostate (3.7%)
Trachea/bronchi/lung (6.8%)
COPD (11.2%)
Nephritis/nephrosis (3.8%)
Hypertensive heart disease (8.2%)
Diabetes mellitus (3.7%)
Ischaemic heart disease (13.1%)Cerebrovascular disease (16.4%)
Lower respiratory infections (4.2%)
Tuberculosis (3.0%)
Rank..Maternal conditions
2006-2010 2011-2015
Fem
ale
15-4
9
123456
Maternal sepsis (34.8%) n=7Indirect maternal (65.2%) n=13
Maternal sepsis (17.1%) n=8
Abortion (12.0%) n=6Maternal haemorrhage (12.1%) n=6
Other maternal (34.6%) n=17Indirect maternal (24.2%) n=12
BroadcauseInjuryNCDHIV and TBComm_mat_peri_nut
Percentages are shownaccording to all the
deaths within theage/period category of
each box, although onlythe leading 10 causes are
displayed.
Percentage of deaths by broad causes and single leading causesWC, Central Karoo: DC5
Show history
Section B: District Health Profiles
679
Section B: Profile Western Cape Province
679
Burden of disease – leading causes of death in district
![Page 61: 16 Western Cape Province Health... · 2019-01-22 · 108 044 128 200 144 783 159 742 164 945 185 610 169 095 158 963 154 668 168 238 171 904 152 988 114 942 134 742 147 705 167 175](https://reader034.vdocuments.net/reader034/viewer/2022043001/5f79ce812b0210087c44325f/html5/thumbnails/61.jpg)
680
Section B: District Health Profiles
680
Section B: Profile Western Cape Province
Women and maternal health
Source: DHIS.
Value highlighted in green – performance is ranked among the 10 best in the countryValue highlighted in red – performance is ranked among the 10 worst in the country
Value highlighted in orange – performance of the local municipality is possibly below the performance of the district.
![Page 62: 16 Western Cape Province Health... · 2019-01-22 · 108 044 128 200 144 783 159 742 164 945 185 610 169 095 158 963 154 668 168 238 171 904 152 988 114 942 134 742 147 705 167 175](https://reader034.vdocuments.net/reader034/viewer/2022043001/5f79ce812b0210087c44325f/html5/thumbnails/62.jpg)
Section B: District Health Profiles
681
Section B: Profile Western Cape Province
681
Child and school health
Source: DHIS.
Value highlighted in green – performance is ranked among the 10 best in the countryValue highlighted in red – performance is ranked among the 10 worst in the country
Value highlighted in orange – performance of the local municipality is possibly below the performance of the district.
![Page 63: 16 Western Cape Province Health... · 2019-01-22 · 108 044 128 200 144 783 159 742 164 945 185 610 169 095 158 963 154 668 168 238 171 904 152 988 114 942 134 742 147 705 167 175](https://reader034.vdocuments.net/reader034/viewer/2022043001/5f79ce812b0210087c44325f/html5/thumbnails/63.jpg)
682
Section B: District Health Profiles
682
Section B: Profile Western Cape Province
HIV
Source: DHIS.
Value highlighted in green – performance is ranked among the 10 best in the countryValue highlighted in red – performance is ranked among the 10 worst in the country
Value highlighted in orange – performance of the local municipality is possibly below the performance of the district.
![Page 64: 16 Western Cape Province Health... · 2019-01-22 · 108 044 128 200 144 783 159 742 164 945 185 610 169 095 158 963 154 668 168 238 171 904 152 988 114 942 134 742 147 705 167 175](https://reader034.vdocuments.net/reader034/viewer/2022043001/5f79ce812b0210087c44325f/html5/thumbnails/64.jpg)
Section B: District Health Profiles
683
Section B: Profile Western Cape Province
683
Tuberculosis
Source: DHIS, ETR.Net, EDRWeb.
Value highlighted in green – performance is ranked among the 10 best in the countryValue highlighted in red – performance is ranked among the 10 worst in the country.
![Page 65: 16 Western Cape Province Health... · 2019-01-22 · 108 044 128 200 144 783 159 742 164 945 185 610 169 095 158 963 154 668 168 238 171 904 152 988 114 942 134 742 147 705 167 175](https://reader034.vdocuments.net/reader034/viewer/2022043001/5f79ce812b0210087c44325f/html5/thumbnails/65.jpg)
684
Section B: District Health Profiles
684
Section B: Profile Western Cape Province
Non-communicable diseases
Source: DHIS.
Value highlighted in green – performance is ranked among the 10 best in the countryValue highlighted in red – performance is ranked among the 10 worst in the country
Value highlighted in orange – performance of the local municipality is possibly below the performance of the district.
Numbers of deaths in facilities
Source: DHIS.
Percentage ideal clinics
Source: Ideal Clinic database.
![Page 66: 16 Western Cape Province Health... · 2019-01-22 · 108 044 128 200 144 783 159 742 164 945 185 610 169 095 158 963 154 668 168 238 171 904 152 988 114 942 134 742 147 705 167 175](https://reader034.vdocuments.net/reader034/viewer/2022043001/5f79ce812b0210087c44325f/html5/thumbnails/66.jpg)
Section B: District Health Profiles
685
Section B: Profile Western Cape Province
685
Vital ideal clinic elements in Primary Health Care facilities score (%)
Cen
tral
Kar
oo
Bea
ufor
t Wes
t LM
Lain
gsbu
rg L
M
Prin
ce A
lber
t LM
Resuscitation room is equipped with functional basic equipment for resuscitation 44 33 100 50
Restore the emergency trolley daily or after every time it was used 67 50 100 100
Cold chain procedure for vaccines is maintained 78 67 100 100
90% of the tracer medicines are available 78 67 100 100
The temperature of the medicine room/dispensary is maintained within the safety range 89 83 100 100
Source: Ideal Clinic database.
Number of facilities by level, 2017/18
Source: DHIS.
Human resources – filled posts
Source: Persal, Ward-based outreach team database.
![Page 67: 16 Western Cape Province Health... · 2019-01-22 · 108 044 128 200 144 783 159 742 164 945 185 610 169 095 158 963 154 668 168 238 171 904 152 988 114 942 134 742 147 705 167 175](https://reader034.vdocuments.net/reader034/viewer/2022043001/5f79ce812b0210087c44325f/html5/thumbnails/67.jpg)
686
Section B: District Health Profiles
686
Section B: Profile Western Cape ProvinceD
istr
ict h
ealth
exp
endi
ture
and
bud
get,
2017
/18
2017
/18
Bud
get
2017
/18
Prov
inci
al E
xpen
ditu
re
Tota
l 201
7/18
B
udge
t To
tal 2
017/
18
Prov
inci
al
Expe
nditu
re
% O
vers
pent
(u
nder
spen
t)Pr
ovin
cial
Tran
sfer
to L
GLG
Prov
inci
alTr
ansf
er to
LG
LG
2.1
Dis
trict
Man
agem
ent
10 7
67 1
69
9
582
441
10 7
67 1
699
582
441
(11.
0%)
2.2
Com
mun
ity H
ealth
Clin
ics
53 8
64 9
40
52
148
151
53 8
64 9
4052
148
151
(3.2
%)
2.3
Com
mun
ity H
ealth
Cen
tres
2 96
5 43
3
2
262
233
2 96
5 43
32
262
233
(23.
7%)
2.4
Com
mun
ity-b
ased
Ser
vice
s21
905
000
20 8
11 6
40
21
905
000
20 8
11 6
40(5
.0%
)2.
5 O
ther
Com
mun
ity S
ervi
ces
12
0
120
(100
.0%
)2.
6 H
IV/A
IDS
34 3
73 3
34
33
658
034
34 3
73 3
3433
658
034
(2.1%
)2.
7 N
utrit
ion
2 94
6 32
8
2
051
583
2 94
6 32
82
051
583
(30.
4%)
2.9
Dis
trict
Hos
pita
ls10
7 77
4 54
7
10
8 73
2 63
1
10
7 77
4 54
710
8 73
2 63
10.
9%2.
Oth
er*
731
197
542
942
731
197
542
942
(25.
7%)
Loca
l gov
ernm
ent e
xpen
ditu
re
-45
905
3 34
7 66
1
-29
954
3 24
0 08
43
301
756
3 21
0 13
0(2
.8%
)G
rand
Tot
al23
5 32
7 95
8-4
5 90
53
347
661
229
789
655
-29
954
3 24
0 08
423
8 62
9 71
423
2 99
9 78
5(2
.4%
)
Sour
ce:
BAS,
*L
G –
Loc
al G
over
nmen
t.