16 western cape province health... · 2019-01-22 · 108 044 128 200 144 783 159 742 164 945 185...

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620 Section B: District Health Profiles 620 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 Municipality a 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 km 2 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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Page 1: 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

620

Section B: District Health Profiles

620

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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Section B: Profile Western Cape Province

621

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)

Show history

622

Section B: District Health Profiles

622

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

623

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

Show history

624

Section B: District Health Profiles

624

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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Section B: Profile Western Cape Province

625

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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626

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

627

Section B: Profile Western Cape Province

627

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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628

Section B: District Health Profiles

628

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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Section B: Profile Western Cape Province

629

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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630

Section B: District Health Profiles

630

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

631

Section B: Profile Western Cape Province

631

Dis

tric

t hea

lth e

xpen

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re a

nd b

udge

t, 20

17/1

8

2017

/18

Bud

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2017

/18

Prov

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7/18

B

udge

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% O

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2.1

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Man

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198

686

709

195

966

423

198

686

709

195

966

423

(1.4

%)

2.2

Com

mun

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ealth

Clin

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315

130

080

315

187

236

315

130

080

315

187

236

0.0%

2.3

Com

mun

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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

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s15

3 96

0 00

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5 92

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5 92

5 03

71.

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234

637

233

844

234

637

233

844

(0.3

%)

2.6

HIV

/AID

S95

9 21

5 16

5

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5 63

2 41

7

95

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5 16

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5 63

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21 5

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14.1%

2.9

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963

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2 01

8 11

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56 5

28 5

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(41.

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Loca

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632

Section B: District Health Profiles

632

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.

Page 14: 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

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

633

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

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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.

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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.

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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.

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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.

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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.

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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

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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.

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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.

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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.

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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.

Page 33: 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

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

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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.

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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.

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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.

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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.

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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

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-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

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BAS,

*L

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Loc

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over

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t.

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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

666

Section B: District Health Profiles

666

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

667

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

668

Section B: District Health Profiles

668

Section B: Profile Western Cape Province

Burden of disease – leading causes of death in district

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Section B: District Health Profiles

669

Section B: Profile Western Cape Province

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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672

Section B: District Health Profiles

672

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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674

Section B: District Health Profiles

674

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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676

Section B: District Health Profiles

676

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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678

Section B: District Health Profiles

678

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%

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

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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.

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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.

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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.

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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.

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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.

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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.

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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

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