Gert Sibande District Municipality (DC30) Health... · Higher education 7.9% Households 333 815...

612

Section B: National and District Profiles

612

Section B: Profile Mpumalanga Province

21 Mpumalanga Province

Gert Sibande District Municipality (DC30)

Gert Sibande District is situated in Mpumalanga Province and has seven health sub-districts: Albert Luthuli, Dipaleseng, Govan Mbeki, Lekwa, Mkhondo, Msukaligwa and Pixley Ka Seme. The district has a population of 1 086 851, with a population density of 34.1 people per km2, and falls into socio-economic Quintile 3. Gert Sibande is one of the 11 National Health Insurance (NHI) pilot districts and has estimated medical scheme coverage of 13.5%.

Social determinants of healtha

Unemployment ratea 29.7%

Youth unemployment rate (15-34 years)a 38.4%

No schooling 10.8%

Matric 32.4%

Higher education 7.9%

Households 333 815

Female-headed households 39.1%

Formal dwellings 78.0%

Flush toilet connected to sewerage 67.1%

Weekly refuse removal 54.3%

Piped water inside dwellings 34.3%

Electricity for lighting 88.5%

Blue Drop water score 36.5%

Source: StatsSA. 2014 Blue Drop Report.

Population distribution sub-district boundaries and health facility locations

a Statistics South Africa. Census 2011 Municipal fact sheet. Report No. 03-01-58. Pretoria: Statistics SA; 2012.

Population per selected category

Population category 2017 2018 2019 2020

under 1 year 21 287 21 543 21 946 22 250

under 5 years 112 781 112 282 111 977 111 773

05-09 years 118 166 117 688 116 881 116 196

10-14 years 113 609 115 656 117 664 119 143

15-19 years 109 841 109 924 110 225 111 120

20-24 years 113 887 113 716 113 374 112 748

25-29 years 123 741 123 302 122 764 122 177

30-34 years 107 175 113 104 119 017 124 816

35-39 years 83 557 87 815 91 771 95 052

40-44 years 64 981 67 258 69 863 72 926

45-49 years 54 043 55 186 56 490 58 011

50-54 years 46 204 47 073 47 902 48 723

55-59 years 38 199 39 033 39 894 40 758

60-64 years 30 038 30 961 31 822 32 635

65-69 years 21 790 22 592 23 408 24 225

70-74 years 14 898 15 420 15 974 16 559

75-79 years 9 854 10 146 10 442 10 751

80 years and older 9 990 10 542 11 117 11 709

Total 1 172 744 1 191 707 1 210 593 1 229 321

Estimated pregnant women* 22 777 23 051 23 482 23 808

Source: Mid-Year Population Estimates 2016 StatsSA. * Under 1 year population X 1.07.


613


613

Number of facilities by level, 2016/17

Ward based outreach

teams Clinic CHCDistrict Hospital

Regional Hospital

Central/Tertiary

HospitalsOther

Hospitals

Albert Luthuli SD 14 18 4 2 0 0 0

Dipaleseng SD 1 4 2 0 0 0 0

Govan Mbeki SD 0 11 3 2 0 0 2

Lekwa SD 16 8 2 1 0 0 1

Mkhondo SD 6 7 4 1 0 0 1

Msukaligwa SD 5 12 2 0 1 0 2

Pixley Ka Seme SD 15 6 2 2 0 0 0

Gert Sibande 57 66 19 8 1 0 6

Source: DHIS.

Human resources – filled posts, 2016

Community Health

Workers

Nursing assistants

Enrolled nurse

Professional nurse

Medical practitioners

PharmacistsDental

practitionersOccupational

therapyPhysiotherapy

Speech Therapy and Audiology

Gert Sibande 907 408 523 1 366 207 93 42 27 25 17

Source: Persal, DHIS.

Management and efficiency indicators for the service delivery platform, 2016/17

PHC Management

Output Process & input

PHC utilisation rate (No)

Percentage Ideal clinics

(%)

Percentage of assessed PHC facilities with 90% of tracer

medicines available (%)

Provincial and LG

District Health Services

expenditure per capita

(uninsured) (Rand)

Provincial and LG PHC expenditure per capita

(uninsured) (Rand)

Provincial and LG PHC expenditure

per PHC headcount

(Rand)

2016/17 2016/17 2016/17 2016/17 2016/17 2016/17

Albert Luthuli SD Indicator 2.8 - - - - -

Numerator 532 292 - - - - -

Denominator 2 295 960 - - - - -

Dipaleseng SD Indicator 2.3 - - - - -

Numerator 101 489 - - - - -

Denominator 537 225 - - - - -

Govan Mbeki SD Indicator 1.2 - - - - -

Numerator 372 161 - - - - -

Denominator 3 738 297 - - - - -

Lekwa SD Indicator 1.4 - - - - -

Numerator 173 160 - - - - -

Denominator 1 461 372 - - - - -

Mkhondo SD Indicator 1.9 - - - - -

Numerator 332 953 - - - - -

Denominator 2 129 184 - - - - -

Msukaligwa SD Indicator 1.5 - - - - -

Numerator 239 127 - - - - -

Denominator 1 877 772 - - - - -

Pixley Ka Seme SD Indicator 1.8 - - - - -

Numerator 158 875 - - - - -

Denominator 1 034 295 - - - - -

Gert Sibande Indicator 1.8 48.1 90.8 2 090 940 462

Numerator 1 910 057 37 69 1 964 078 589 883 117 508 883 117 508

Denominator 13 074 105 77 76 939 661 939 661 1 910 057

Mpumalanga Indicator 2.2 22.9 78.4 1 769 892 351

South Africa Indicator 2.3 29.8 78.4 1 726 1 054 389

Source: DHIS.

614


614

Section B: Profile Mpumalanga ProvinceH

ospi

tal

Dis

tric

t Hos

pita

lR

egio

nal H

ospi

tal

Tert

iary

/Cen

tral

Hos

pita

l

Aver

age

leng

th o

f st

ay -

tota

l (D

ays)

Expe

nditu

re

per p

atie

nt

day

equi

vale

nt

(Ran

d)

Inpa

tient

bed

ut

ilisa

tion

rate

- to

tal

(%)

Inpa

tient

cr

ude

deat

h ra

te (%

)

OPD

new

cl

ient

not

re

ferr

ed ra

te

(%)

Aver

age

leng

th o

f st

ay -

tota

l (D

ays)

Expe

nditu

re

per p

atie

nt

day

equi

vale

nt

(Ran

d)

Inpa

tient

bed

ut

ilisa

tion

rate

- to

tal

(%)

Inpa

tient

cr

ude

deat

h ra

te (%

)

OPD

new

cl

ient

not

re

ferr

ed ra

te

(%)

Aver

age

leng

th o

f st

ay -

tota

l (D

ays)

Expe

nditu

re

per p

atie

nt

day

equi

vale

nt

(Ran

d)

Inpa

tient

bed

ut

ilisa

tion

rate

- to

tal

(%)

Inpa

tient

cr

ude

deat

h ra

te (%

)

OPD

new

cl

ient

not

re

ferr

ed ra

te

(%)

Albe

rt Lu

thul

i SD

Indi

cato

r3.

72

652

71.2

4.2

70.1

- -

- -

- -

- -

- -

Num

erat

or67

570

269

498

871

67 5

7076

123

304

- -

- -

- -

- -

- -

Den

omin

ator

18 2

6410

1 62

694

910

18 2

6433

248

- -

- -

- -

- -

- -

Gov

an M

beki

SD

Indi

cato

r4.

22

182

70.8

5.7

56.0

- -

- -

- -

- -

- -

Num

erat

or67

542

282

847

330

67 5

4292

518

299

- -

- -

- -

- -

- -

Den

omin

ator

16 1

4112

9 64

795

458

16 1

4132

697

- -

- -

- -

- -

- -

Lekw

a SD

Indi

cato

r4.

31

818

62.2

5.2

53.6

- -

- -

- -

- -

- -

Num

erat

or44

242

142

631

756

44 2

4253

78

335

- -

- -

- -

- -

- -

Den

omin

ator

10 2

4578

475

71 1

8310

245

15 5

55 -

- -

- -

- -

- -

-

Mkh

ondo

SD

Indi

cato

r4.

93

445

77.8

5.6

69.8

- -

- -

- -

- -

- -

Num

erat

or27

442

182

480

325

27 4

4231

411

299

- -

- -

- -

- -

- -

Den

omin

ator

5 64

252

975

35 2

875

642

16 1

77 -

- -

- -

- -

- -

-

Msu

kalig

wa

SDIn

dica

tor

- -

- -

-3.

13

782

68.3

3.6

55.6

- -

- -

-

Num

erat

or -

- -

- -

54 3

2025

8 92

4 30

454

320

635

3 17

7 -

- -

- -

Den

omin

ator

- -

- -

-17

690

68 4

5679

579

17 6

905

715

- -

- -

-

Pixl

ey K

a Se

me

SDIn

dica

tor

5.5

2 23

666

.64.

927

.3 -

- -

- -

- -

- -

-

Num

erat

or28

424

125

972

335

28 4

2425

44

905

- -

- -

- -

- -

- -

Den

omin

ator

5 17

056

329

42 7

105

170

17 9

42 -

- -

- -

- -

- -

-

Ger

t Sib

ande

In

dica

tor

4.2

2 39

569

.35.

057

.23.

13

782

68.3

3.6

55.6

- -

- -

-

Num

erat

or23

5 21

91

003

430

617

235

219

2 79

166

142

54 3

2025

8 92

4 30

454

320

635

3 17

7 -

- -

- -

Den

omin

ator

55 4

6241

9 05

233

9 54

855

462

115

619

17 6

9068

456

79 5

7917

690

5 71

5 -

- -

- -

Mpu

mal

anga

Indi

cato

r4.

82

336

75.3

5.2

64.1

4.4

3 09

781

.24.

860

.47.1

3 30

085

.85.

832

.2

Sout

h Af

rica

Indi

cato

r4.

42

568

67.4

5.1

59.3

5.3

2 89

478

.35.

037

.26.

94

227

84.3

5.4

20.3

Sour

ce:

DH

IS a

nd B

AS.

2008 2010 2012 2014 2016 2018Year

1_M

anag

emen

t

1_Im

pact

Inpatient crudedeath rate

2_O

utco

me

Average lengthof stay (districthospitals)

Expenditure perpatient dayequivalent(districthospitals)

3_O

utpu

t

Inpatient bedutilisation rate(districthospitals)

OPD new clientnot referred rate(districthospitals)

4_P

roce

ss_i

nput

PercentageIdeal clinics

Provincial andLG DistrictHealth Servicesexpenditure percapita(uninsured)

Provincial andLG PHCexpenditure percapita(uninsured)

Provincial andLG PHCexpenditure perPHC headcount

2

4

6

8

2

4

6

8

1K

2K

3K

4K

50

100

0

50

100

0

50

100

1K

2K

3K

500

1000

1500

200

400

MP, DC30, Gert Sibande District Municipality, SEQ 3

Measure NamesIndValueProv_avZA_av

Meas ure NamesIndV alue

P rov_av

ZA_av


615


615

Annual trends Management and efficiency indicators for the service delivery platform, 2016/17

D

ata

Elem

ent

(Num

ber)

2014

/15

2015

/16

2016

/17

PHC

/ CH

C / M

OU

*D

istr

ict

Hos

pita

lR

egio

nal

Hos

pita

l

Cen

tral

/te

rtia

ry

Hos

pita

lD

istr

ict

Tota

lPH

C / C

HC

/ MO

UD

istr

ict

Hos

pita

lR

egio

nal

Hos

pita

l

Cen

tral

/te

rtia

ry

Hos

pita

lD

istr

ict

Tota

lPH

C / C

HC

/ MO

UD

istr

ict

Hos

pita

lR

egio

nal

Hos

pita

l

Cen

tral

/te

rtia

ry

hosp

ital

Dis

tric

t To

tal

Mat

erna

l dea

ths

-7

3-

101

133

-17

-8

9-

17

Live

birt

hs2

260

13 3

912

667

-18

318

2 01

112

999

2 51

8-

17 5

281

112

11 9

572

824

-15

893

Still

birth

s30

325

56-

411

3527

448

-35

711

267

56-

334

Child (under 5 years)

Infant (under 1

year)

Neo-natal

Dea

th in

faci

lity

0-7d

ays

515

53

-16

3-

181

--

181

-17

712

-18

9

Dea

th in

faci

lity

8-28

day

s -

147

-21

-17

3-

20-

205

-25

Dea

th in

faci

lity

29 d

ays

- 11

mon

ths

-12

624

-15

0-

8318

-10

1-

4710

-57

Dea

th in

faci

lity

12 –

59

mon

ths

-39

11-

50-

196

-25

-16

8-

24

Dia

rrho

ea d

eath

und

er 5

yea

rs

-46

8-

54-

166

-22

-7

3-

10

Pneu

mon

ia d

eath

und

er 5

yea

rs-

429

-51

-29

8-

37-

154

-19

Seve

re a

cute

mal

nutri

tion

deat

h un

der 5

yea

rs

-60

22-

82-

525

-57

-12

7-

19

TB D

eath

s 2

205

749

-2

954

2 17

053

9-

2 70

9-

--

--

Inpa

tient

dea

th to

tal

-3

043

545

-3

588

-3

025

548

-3

573

-2

791

635

-3

426

Patie

nt d

ay e

quiv

alen

t34

245

4 98

872

700

-52

8 03

03

781

467

405

71 4

38-

542

624

92 3

541

9 05

268

456

-49

6 74

3

Sour

ce:

DH

IS. *

MO

U –

Mat

erna

l Obs

tetr

ic U

nit.

Deaths and Patient day equivalent 2014/15 – 2016/17

AgeGroup.. Female Male<5 years

5-1415-2425-64

65+Total 28%

18%23%

31%36%

78%

26%5%

39%43%

24%10%

41%75%

33%14%

15%7%

5%2%

5%13%

25%5%

25%18%19%

13%29%

78%

29%9%

39%17%

23%10%

32%69%

26%13%

17%6%

15%3%

15%57%

31%6%

MP, G Sibande: DC30, 2010 - 2015

Rank.. Female Male

<5 y

ears

12345678910

5-14

12345678910

15-2

4

12345678910

25-6

4

12345678910

65+

12345678910

Other perinatal conditions (2.7%)

Sepsis/other newborn infectious (1.4%)

Poisonings (including herbal) (1.8%)

Birth asphyxia (7.8%)Protein-energy malnutrition (5.8%)

Preterm birth complications (12.4%)

Diarrhoeal diseases (25.1%)Lower respiratory infections (21.0%)

Tuberculosis (1.7%)

HIV/AIDS (8.4%)

Poisonings (including herbal) (2.6%)Epilepsy (2.7%)Fires, hot substances (3.4%)

Meningitis/encephalitis (6.2%)

Accidental threats to breathing (2.4%)

Road injuries (10.8%)Diarrhoeal diseases (11.5%)

Lower respiratory infections (15.4%)

Tuberculosis (10.0%)

HIV/AIDS (15.5%)

Endocrine nutritional,blood, immune (2.2%)

Meningitis/encephalitis (4.7%)Accidental threats to breathing (2.6%)

Interpersonal violence (1.6%)

Road injuries (4.9%)

Diabetes mellitus (1.3%)


Tuberculosis (18.8%)HIV/AIDS (25.0%)

Cervix (2.3%)

Meningitis/encephalitis (2.5%)Hypertensive heart disease (3.2%)Diabetes mellitus (3.8%)

Diarrhoeal diseases (6.5%)

Ischaemic heart disease (2.4%)

Cerebrovascular disease (5.2%)

Lower respiratory infections (11.8%)Tuberculosis (15.1%)

HIV/AIDS (23.6%)

Endocrine nutritional,blood, immune (1.9%)

Nephritis/nephrosis (3.9%)

Hypertensive heart disease (13.0%)Diabetes mellitus (10.7%)

Diarrhoeal diseases (5.5%)Ischaemic heart disease (7.3%)





Sepsis/other newborn infectious (1.5%)


Birth asphyxia (8.7%)

Protein-energy malnutrition (5.4%)



Tuberculosis (1.7%)

HIV/AIDS (8.1%)

Drowning (8.0%)

Epilepsy (3.2%)

Asthma (2.2%)Meningitis/encephalitis (2.4%)





HIV/AIDS (14.0%)

Drowning (3.6%)Fires, hot substances (3.2%)Meningitis/encephalitis (2.9%)

Mechanical forces (5.6%)

Accidental threats to breathing (14.0%)Interpersonal violence (15.1%)



HIV/AIDS (11.4%)






Ischaemic heart disease (3.1%)Cerebrovascular disease (3.6%)


HIV/AIDS (21.2%)

Prostate (4.0%)COPD (5.7%)





Cerebrovascular disease (13.2%)Lower respiratory infections (12.0%)

Tuberculosis (6.2%)

Rank.. Maternal conditions All other causes

Fem

ale

15-4

9

12345678910

Maternal sepsis (5.1%) n=12

Abortion (11.3%) n=26Maternal haemorrhage (11.0%) n=25

Hypertension in pregnancy (20.0%) n=46Other maternal (14.0%) n=32

Indirect maternal (38.6%) n=88

Diabetes mellitus (1.5%) n=196

Endocrine nutritional,blood, immune (2.3%) n=299Road injuries (2.6%) n=333

Cervix (1.5%) n=185

Cerebrovascular disease (2.2%) n=285

Meningitis/encephalitis (3.5%) n=440Diarrhoeal diseases (7.4%) n=940

Lower respiratory infections (13.2%) n=1 683Tuberculosis (18.7%) n=2 386

HIV/AIDS (28.7%) n=3 652

Percentage ofdeaths by broad

causes andsingle leading

causes

BroadcauseInjury

NCD

HIV and TB

Comm_mat_peri_nut

Prov, DistrictMP, G Sibande: DC30

Show history

Percentages are shownaccording to all the deaths

within the age/gendercategory of each box,

although only the leading10 causes are displayed.

616


616


Burden of disease profile

For the percentage of deaths by broad cause, deaths are classified into four groups namely: (i) injuries; (ii) non-communicable diseases; (iii) HIV and TB; and (iv) communicable diseases together with maternal perinatal and nutritional conditions. Data are given by gender and age group for the period 2010–2015. The second part of the graph shows the 10 leading single causes of death within each age group (both genders) for 2010–2015 combined.

Percentage of deaths by broad cause and leading causes 2010–2015

2009 2010 2011 2012 2013 2014 2015 2016Year

2_M

ater

nal a

nd w

omen

's h

ealth

1_Im

pact Maternal

mortality infacility ratio

2_O

utco

me

Antenatal 1stvisit before 20weeks rate

Couple yearprotection rate(WHO)

Delivery infacility under 18years rate

Motherpostnatal visitwithin 6 daysrate

3_O

utpu

t

Antenatal clientinitiated on ARTrate

Cervical cancerscreeningcoverage

0

200

400

600

800

20

40

60

80

100

200

5

10

15

0

100

200

50

100

150

200

50

100

150



2009 2010 2011 2012 2013 2014 2015 2016Year

2_M

ater

nal a

nd w

omen

's h

ealth

1_Im

pact Maternal


2_O

utco

me





3_O

utpu

t



0

200

400

600

800

20

40

60

80

100

200

5

10

15

0

100

200

50

100

150

200

50

100

150



2009 2010 2011 2012 2013 2014 2015 2016Year

2_M

ater

nal a

nd w

omen

's h

ealth

1_Im

pact Maternal


2_O

utco

me





3_O

utpu

t



0

200

400

600

800

20

40

60

80

100

200

5

10

15

0

100

200

50

100

150

200

50

100

150




617


617

Maternal and Women’s Health

Impact Outcome Output

Maternal mortality in facility ratio (per100K)

Antenatal client initiated

on ART rate (%)

Delivery in facility under 18 years rate

(%)

Antenatal 1st visit before 20 weeks rate (%)

Cervical cancer

screening coverage (%)

Couple year protection rate

(WHO) (%)

Mother postnatal visit within 6 days

rate (%)

2016/17 2016/17 2016/17 2016/17 2016/17 2016/17 2016/17

Albert Luthuli SD Indicator 55.0 82.8 8.9 59.2 29.2 76.5 26.9

Numerator 2 303 337 1 180 1 155 40 543 1 019

Denominator 3 639 366 3 794 1 994 47 477 636 018 3 794

Dipaleseng SD Indicator - 77.2 0.7 71.5 87.6 57.2 112.4

Numerator - 95 1 457 885 6 914 154

Denominator 131 123 137 639 12 129 145 137 137

Govan Mbeki SD Indicator 52.0 86.8 7.7 56.3 33.7 79.2 29.7

Numerator 2 1 113 348 2 142 2 272 69 544 1 344

Denominator 3 848 1 282 4 532 3 805 80 845 1 053 891 4 532

Lekwa SD Indicator 49.8 90.6 7.7 62.9 35.0 60.2 33.5

Numerator 1 271 160 858 983 20 449 694

Denominator 2 007 299 2 071 1 363 33 694 407 847 2 071

Mkhondo SD Indicator 49.3 82.3 8.6 66.0 31.6 50.2 73.9

Numerator 1 535 181 1 837 1 119 24 703 1 555

Denominator 2 027 650 2 104 2 783 42 437 590 346 2 104

Msukaligwa SD Indicator 318.4 84.3 7.8 62.7 38.5 73.6 48.5

Numerator 9 471 224 1 513 1 273 32 949 1 390

Denominator 2 827 559 2 865 2 414 39 654 537 372 2 865

Pixley Ka Seme SD Indicator 141.4 64.7 10.0 57.1 42.0 90.6 34.6

Numerator 2 180 148 691 798 21 109 514

Denominator 1 414 278 1 487 1 210 22 784 279 714 1 487

Gert Sibande Indicator 107.0 83.4 8.2 61.1 36.5 71.1 39.3

Numerator 17 2 968 1 399 8 678 8 485 216 210 6 670

Denominator 15 893 3 557 16 990 14 208 279 021 3 650 325 16 990

Mpumalanga Indicator 129.6 94.9 7.7 71.7 66.5 72.3 60.2

South Africa Indicator 116.9 95.1 6.8 65.2 61.5 70.2 70.3

Source: DHIS.

Annual trends

618


618


Child and School Health

Impa

ctO

utco

me

Out

put

Chi

ld u

nder

5

year

s di

arrh

oea

case

fata

lity

rate

(%)

Chi

ld u

nder

5

year

s pn

eum

onia

ca

se fa

talit

y ra

te (%

)

Chi

ld u

nder

5

year

s se

vere

acu

te

mal

nutr

ition

ca

se fa

talit

y ra

te (%

)

Inpa

tient

de

ath

unde

r 1

year

rate

(%)

Inpa

tient

de

ath

unde

r 5

year

rate

(%)

Inpa

tient

ea

rly n

eona

tal

deat

h ra

te

(per

1K)

Inpa

tient

ne

onat

al

deat

h ra

te

(per

1K)

Infa

nt P

CR

test

pos

itive

ar

ound

10

wee

ks ra

te

(%)

Imm

unis

atio

n co

vera

ge

unde

r 1 y

ear

(%)

Infa

nt

excl

usiv

ely

brea

stfe

d at

D

TaP-

IPV-

Hib

-HB

V 3rd

do

se ra

te (%

)

Mea

sles

2nd

dos

e co

vera

ge (%

)

Scho

ol G

rade

1

scre

enin

g co

vera

ge (%

)

Scho

ol G

rade

8

scre

enin

g co

vera

ge (%

)

Vita

min

A

dose

12-

59

mon

ths

cove

rage

(%)

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

Albe

rt Lu

thul

i SD

Indi

cato

r1.

4 -

8.9

14.4

8.4

11.0

12.1

13.5

48.5

22.3

52.0

23.2

17.8

32.8

Num

erat

or2

-5

5257

4044

171

691

435

1 92

21

354

853

10 2

16

Den

omin

ator

141

148

5636

168

03

639

3 63

912

641

829

1 94

744

355

5 84

54

782

373

644

Dip

ales

eng

SDIn

dica

tor

- -

- -

- -

-6.

548

.729

.353

.40.

00.

025

.7

Num

erat

or -

- -

- -

- -

237

712

140

7 -

- 1

526

Den

omin

ator

- -

- -

-13

113

131

9 29

141

39

150

953

897

71 1

18

Gov

an M

beki

SD

Indi

cato

r1.

61.

94.

49.

46.

115

.117

.73.

254

.528

.356

.519

.88.

727

.2

Num

erat

or4

82

8488

5868

172

603

753

2 77

61

274

437

10 8

00

Den

omin

ator

255

414

4589

61

442

3 84

83

848

535

57 3

092

658

58 9

926

421

4 99

747

7 30

0

Lekw

a SD

Indi

cato

r -

3.2

17.4

12.9

6.3

17.9

19.9

1.8

61.3

39.9

66.7

37.9

4.2

31.5

Num

erat

or -

24

4851

3640

21

191

592

1 30

598

889

4 93

5

Den

omin

ator

104

6323

371

808

2 00

72

007

109

23 3

101

484

23 4

782

609

2 11

918

8 20

8

Mkh

ondo

SD

Indi

cato

r -

2.7

-9.

45.

914

.814

.83.

979

.422

.569

.151

.20.

037

.0

Num

erat

or -

4 -

4145

3030

82

508

555

2 34

62

157

010

732

Den

omin

ator

104

147

2843

776

52

027

2 02

720

637

908

2 46

540

722

4 21

23

567

347

874

Msu

kalig

wa

SDIn

dica

tor

1.6

1.7

19.4

5.3

3.4

4.2

6.0

4.5

60.9

16.2

68.9

4.1

1.8

35.6

Num

erat

or3

47

2735

1217

71

543

403

1 82

814

856

7 80

9

Den

omin

ator

192

229

3650

61

034

2 82

72

827

157

30 4

052

490

31 8

153

624

3 08

426

2 99

2

Pixl

ey K

a Se

me

SDIn

dica

tor

1.0

1.2

6.3

6.6

3.5

9.2

10.6

10.3

56.4

23.9

85.0

52.6

0.0

44.1

Num

erat

or1

11

1919

1315

789

622

01

388

1 23

10

5 92

5

Den

omin

ator

101

8516

286

539

1 41

41

414

6819

065

920

19 5

842

341

2 07

616

1 14

2

Ger

t Sib

ande

In

dica

tor

1.1

1.7

9.3

9.5

5.6

11.9

13.5

4.9

59.2

24.9

63.0

27.5

6.7

33.1

Num

erat

or10

1919

271

295

189

214

6010

809

3 07

911

972

7 15

21

435

51 9

43

Den

omin

ator

897

1 08

620

42

857

5 26

815

893

15 8

931

232

219

117

12 3

7722

8 09

631

2 06

025

8 26

41

882

278

Mpu

mal

anga

Indi

cato

r1.

53.

48.

49.

66.

19.

510

.91.

779

.735

.386

.421

.16.

856

.1

Sout

h Af

rica

Indi

cato

r2.

02.

08.

06.

34.

49.

912

.41.

382

.341

.696

.233

.019

.858

.0

Sour

ce:

DH

IS.

2009 2010 2011 2012 2013 2014 2015 2016Year

4_H

IV

4_P

roce

ss_i

nput

HIV testingcoverage(including ANC)

Male condomdistributioncoverage

Medical malecircumcisionrate

20

40

60

100

200

0

20

40

6080



2009 2010 2011 2012 2013 2014 2015 2016Year

3_C

hild

and

sch

ool h

ealth

1_Im

pact

Child under 5years diarrhoeacase fatality rate

Child under 5yearspneumoniacase fatality rate

Child under 5years severeacutemalnutritioncase fatality rate

Inpatient earlyneonatal deathrate

3_O

utpu

t

Immunisationcoverage under1 year

Infantexclusivelybreastfed atDTaP-IPV-Hib-HBV 3rd doserate

Measles 2nddose coverage

School Grade 1screeningcoverage

0

50

100

0

10

20

30

0

20

40

60

0

10

20

50

100

150

20

40

60

80

50

100

150

0

50

100




619


619

Annual trends Child and School Health

Annual trends HIV

620


620


HIV

3rd

90-

90-9

02nd

90-

90-9

01st

90-9

0-90

Out

com

eO

utpu

tPr

oces

s &

inpu

t

Adu

lt w

ith v

iral

load

com

plet

ion

rate

at 1

2 m

onth

s (%

)

Chi

ld w

ith v

iral

load

com

plet

ion

rate

at 1

2 m

onth

s (%

)

Adu

lt w

ith v

iral

load

sup

pres

sed

rate

12

mon

ths

(%)

Chi

ld w

ith v

iral

load

sup

pres

sed

rate

12

mon

ths

(%)

Adu

lt pe

rcen

tage

on

AR

T af

ter 1

2 m

onth

s (%

)

Chi

ld p

erce

ntag

e on

AR

T af

ter 1

2 m

onth

s (%

)C

lient

s re

mai

ning

on

AR

T ra

te (%

)

HIV

test

pos

itive

cl

ient

15

year

s an

d ol

der r

ate

(incl

udin

g A

NC

) (%

)

HIV

test

ing

cove

rage

(in

clud

ing

AN

C)

(%)

Mal

e co

ndom

di

strib

utio

n co

vera

ge (N

o)

Med

ical

mal

e ci

rcum

cisi

on ra

te

(per

1K)

2015

2015

2015

2015

2015

2015

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

Albe

rt Lu

thul

i SD

Indi

cato

r70

.171

.488

.873

.377

.978

.1 -

-39

.571

.126

.0

Num

erat

or -

105

-77

-15

3 -

-40

037

4 27

2 50

41

841

Den

omin

ator

3 24

714

72

276

105

4 35

719

6 -

-1

216

896

720

957

849

276

Dip

ales

eng

SDIn

dica

tor

66.0

55.6

85.0

80.0

72.9

80.0

- -

26.0

35

.713

.3

Num

erat

or -

10 -

8 -

20 -

-6

809

635

622

259

Den

omin

ator

677

1844

710

992

25 -

-31

4 41

821

3 51

323

4 15

0

Gov

an M

beki

SD

Indi

cato

r57

.251

.389

.757

.471

.578

.5 -

-25

.754

.813

.6

Num

erat

or -

61 -

35 -

128

- -

49 7

797

078

654

1 90

6

Den

omin

ator

3 85

511

92

205

615

573

163

- -

2 32

2 48

31

551

354

1 68

6 53

1

Lekw

a SD

Indi

cato

r59

.652

.688

.163

.370

.970

.7 -

-17

.239

.932

.4

Num

erat

or -

30 -

19 -

58 -

-12

247

1 87

8 39

01

691

Den

omin

ator

1 44

957

864

302

126

82 -

-85

2 03

656

4 42

362

5 59

6

Mkh

ondo

SD

Indi

cato

r67

.862

.193

.572

.474

.482

.9 -

-22

.138

.77.

5

Num

erat

or -

87 -

63 -

145

- -

21 5

712

242

552

510

Den

omin

ator

2 86

414

01

943

873

953

175

- -

1 16

9 26

869

4 84

581

0 93

9

Msu

kalig

wa

SDIn

dica

tor

49.6

48.9

89.1

76.1

76.2

80.0

- -

33.6

53.9

70.0

Num

erat

or -

46 -

35 -

100

- -

31 1

843

164

846

4 57

6

Den

omin

ator

2 70

994

1 34

546

3 65

412

5 -

-1

113

330

704

037

784

737

Pixl

ey K

a Se

me

SDIn

dica

tor

68.6

54.1

91.1

63.6

82.0

84.0

- -

24.0

74.9

20.2

Num

erat

or -

33 -

21 -

63 -

-10

942

2 13

3 85

666

7

Den

omin

ator

1 29

961

891

331

658

75 -

-54

7 00

534

2 02

739

6 63

3

Ger

t Sib

ande

In

dica

tor

61.9

58.5

89.9

69.4

74.8

79.3

53.1

12.6

27.5

53.6

25.5

Num

erat

or -

372

- 25

8-

667

104

641

23 3

9417

2 56

921

406

424

11 4

50

Den

omin

ator

16 1

0063

69

971

372

22 3

1384

119

6 95

018

5 44

17

535

436

4 79

1 15

65

387

862

Mpu

mal

anga

Indi

cato

r67

.461

.788

.963

.374

.277

.756

.710

.433

.952

.722

.7

Sout

h Af

rica

Indi

cato

r -

- -

- -

-55

.08.

235

.947

.519

.0

Sour

ce:

DH

IS.


621


621

TBIm

pact

Out

com

eO

utpu

tPr

oces

s &

inpu

t

TB d

eath

rate

(E

TR.n

et) (

%)

TB D

R cl

ient

de

ath

rate

(E

DR

Web

) (%

)

TB c

lient

loss

to

follo

w u

p ra

te

(ETR

.Net

) (%

)

TB c

lient

tr

eatm

ent

succ

ess

rate

(E

TR.n

et) (

%)

TB D

R cl

ient

loss

to

follo

w u

p ra

te

(ED

RW

eb) (

%)

TB D

R tr

eatm

ent

succ

ess

rate

(E

DR

Web

) (%

)

TB R

ifam

pici

n re

sist

ance

co

nfirm

ed c

lient

ra

te (%

)

TB R

ifam

pici

n re

sist

ant c

lient

s tr

eatm

ent

initi

atio

n ra

te (%

)

TB/H

IV c

o-in

fect

ed c

lient

on

AR

T ra

te (E

TR.

Net

) (%

)

TB c

lient

initi

ated

on

trea

tmen

t ra

te (%

)

TB s

ympt

om 5

ye

ars

and

olde

r sc

reen

ed in

fa

cilit

y ra

te (%

)

2015

2014

2015

2015

2014

2014

2016

2016

2016

2016

2016

/17

Albe

rt Lu

thul

i SD

Indi

cato

r13

.9 -

8.4

72.1

- -

- -

81.8

-10

.6

Num

erat

or12

3 -

7463

9 -

- -

-49

8 -

45 1

24

Den

omin

ator

886

-88

688

6 -

- -

-60

9 -

427

382

Dip

ales

eng

SDIn

dica

tor

9.2

-7.

778

.3 -

- -

-97

.8 -

30.7

Num

erat

or19

-16

162

- -

- -

132

-27

922

Den

omin

ator

207

-20

720

7 -

- -

-13

5 -

90 8

67

Gov

an M

beki

SD

Indi

cato

r6.

8 -

7.6

80.0

- -

- -

98.3

-10

.9

Num

erat

or10

5 -

117

1 23

6 -

- -

-1

143

-32

907

Den

omin

ator

1 54

5 -

1 54

51

545

- -

- -

1 16

3 -

302

226

Lekw

a SD

Indi

cato

r13

.8 -

3.7

78.7

- -

- -

93.3

-35

.8

Num

erat

or63

-17

358

- -

- -

264

-51

862

Den

omin

ator

455

-45

545

5 -

- -

-28

3 -

144

791

Mkh

ondo

SD

Indi

cato

r5.

1 -

1.7

87.8

- -

- -

90.9

-20

.1

Num

erat

or34

-11

583

- -

- -

442

-52

933

Den

omin

ator

664

-66

466

4 -

- -

-48

6 -

263

210

Msu

kalig

wa

SDIn

dica

tor

6.8

-7.

281

.9 -

- -

-97

.2 -

16.3

Num

erat

or49

-52

591

- -

- -

379

-31

708

Den

omin

ator

722

-72

272

2 -

- -

-39

0 -

194

817

Pixl

ey K

a Se

me

SDIn

dica

tor

7.8

-1.

486

.4 -

- -

-93

.1 -

23.3

Num

erat

or28

-5

310

- -

- -

163

-30

214

Den

omin

ator

359

-35

935

9 -

- -

-17

5 -

129

546

Ger

t Sib

ande

In

dica

tor

8.7

30.6

6.0

80.2

12.2

51.0

8.2

71.4

93.2

80.4

17.6

Num

erat

or42

188

292

3 87

935

147

280

200

3 02

12

735

272

670

Den

omin

ator

4 83

828

84

838

4 83

828

828

83

403

280

3 24

13

403

1 55

2 83

9

Mpu

mal

anga

Indi

cato

r7.

627

.16.

281

.413

.741

.97.

870

.394

.487

.339

.8

Sout

h Af

rica

Indi

cato

r6.

623

.06.

481

.017

.950

.56.

268

.088

.372

.851

.6

Sour

ce:

DH

IS.

2009 2010 2011 2012 2013 2014 2015 2016Year

5_TB

1_Im

pact

TB death rate(ETR.net)

TB DR clientdeath rate(EDRWeb)

2_O

utco

me

TB client lost tofollow up rate(ETR.Net)

TB clienttreatmentsuccess rate(ETR.net)

TB DR clientloss to follow uprate (EDRWeb)

TB DRtreatmentsuccess rate(EDRWeb)

TB Rifampicinresistanceconfirmed clientrate

TB/HIVco-infectedclient on ARTrate (ETR.Net)

4_P

roce

ss_i

nput

TB symptom 5years and olderscreened infacility rate

5

10

15

0

20

40

60

0

5

10

15

40

60

80

0

20

40

0

20

40

60

0

10

20

0

50

100

0

50

100



622


622


Annual trends TB

2010 2011 2012 2013 2014 2015 2016 2017Year

6_NCDs

2_Outcome

Diabetesincidence

Hypertensionincidence

0

5

20

40




623


623

Non-communicable diseases

Outcome

Diabetes incidence

(per1K)

Hypertension incidence

(per1K)

2016/17 2016/17

Albert Luthuli SD Indicator 6.4 24.7

Numerator 1 231 1 140

Denominator 2 295 960 553 398

Dipaleseng SD Indicator 7.2 30.9

Numerator 321 399

Denominator 537 225 155 151

Govan Mbeki SD Indicator 2.5 24.5

Numerator 765 2 104

Denominator 3 738 297 1 031 262

Lekwa SD Indicator 2.2 56.1

Numerator 272 1 999

Denominator 1 461 372 427 869

Mkhondo SD Indicator 2.6 33.7

Numerator 466 1 361

Denominator 2 129 184 485 124

Msukaligwa SD Indicator 14.8 38.9


Denominator 1 877 772 483 468

Pixley Ka Seme SD Indicator 5.7 44.9

Numerator 488 1 038

Denominator 1 034 295 277 179

Gert Sibande Indicator 5.4 33.8


Denominator 13 074 105 3 413 451

Mpumalanga Indicator 3.1 26.2

South Africa Indicator 2.5 18.9

Source: DHIS.

Annual trends

Sub-district value in red – improvement strategies are urgently needed

Value highlighted in yellow – performance is ranked among the 10 best in the country

Value highlighted in red – performance is ranked among the 10 worst in the country

624


624


Nkangala District Municipality (DC31)

Nkangala District is situated in Mpumalanga Province and has six health sub-districts: Dr JS Moroka, Emakhazeni, Emalahleni, Steve Tshwete, Thembisile Hani and Victor Khanye. The district has a population of 1 433 037, with a population density of 85.5 people per km2 and falls into socio-economic Quintile 4. Estimated medical scheme coverage is 15.0%.




No schooling 9.0%

Matric 35.0%


Households 421 144













under 1 year 24 913 25 724 27 149 28 679

under 5 years 133 389 134 544 136 643 139 353

05-09 years 137 396 137 753 137 418 137 163

10-14 years 128 695 131 811 135 421 138 570

15-19 years 132 103 131 256 130 216 129 848

20-24 years 146 982 146 659 146 109 145 123

25-29 years 163 625 163 781 163 950 163 945

30-34 years 147 602 154 967 162 507 170 199

35-39 years 123 335 128 518 132 948 136 429

40-44 years 95 065 99 785 104 862 110 212

45-49 years 74 315 77 055 80 148 83 662

50-54 years 60 404 62 109 63 851 65 732

55-59 years 48 269 49 569 51 043 52 604

60-64 years 38 636 39 526 40 302 41 115

65-69 years 27 036 28 314 29 618 30 828

70-74 years 17 295 17 865 18 524 19 326

75-79 years 10 037 10 569 11 019 11 372

80 years and older 9 584 9 701 9 832 9 977

Total 1 493 767 1 523 787 1 554 418 1 585 460

Estimated pregnant women*

26 657 27 525 29 049 30 687



625


625


Ward based outreach


Regional Hospital

Central/Tertiary

HospitalsOther

Hospitals

Dr JS Moroka SD 29 21 10 1 0 0 0

Emakhazeni SD 3 11 0 2 0 0 0

Emalahleni SD 9 14 6 1 0 1 7

Steve Tshwete SD 6 14 0 1 0 0 6

Thembisile Hani SD 21 15 7 1 0 0 0

Victor Khanye SD 3 3 0 1 0 0 0

Nkangala 71 78 23 7 0 1 13

Source: DHIS.


Community Health

WorkersNursing

assistantsEnrolled

nurseProfessional

nurseMedical

practitioners PharmacistsDental


therapy Physiotherapy


Nkangala 1 304 339 295 1 246 259 66 34 22 24 17



PHC Management




(%)



Provincial and LG



(uninsured) (Rand)


(uninsured) (Rand)


per PHC headcount

(Rand)

2016/17 2016/17 2016/17 2016/17 2016/17 2016/17

Dr JS Moroka SD Indicator 2.3 - - - - -

Numerator 625 369 - - - - -

Denominator 3 260 022 - - - - -

Emakhazeni SD Indicator 2.7 - - - - -

Numerator 143 040 - - - - -

Denominator 625 059 - - - - -

Emalahleni SD Indicator 1.6 - - - - -

Numerator 718 765 - - - - -

Denominator 5 259 093 - - - - -

Steve Tshwete SD Indicator 1.3 - - - - -

Numerator 341 325 - - - - -

Denominator 3 061 707 - - - - -

Thembisile Hani SD Indicator 1.8 - - - - -

Numerator 616 155 - - - - -

Denominator 4 072 566 - - - - -

Victor Khanye SD Indicator 1.4 - - - - -

Numerator 113 027 - - - - -

Denominator 998 559 - - - - -

Nkangala Indicator 1.8 23.6 69.0 1470 767 365

Numerator 2 557 681 21 60 1 790 626 794 934 562 977 934 562 977

Denominator 17 277 006 89 87 1 218 081 1 218 081 2 557 681



Source: DHIS.

626


626


ospi

tal

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cr

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Dr J

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4 79

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2 13

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3 64

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94

227

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5.4

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Sour

ce:

DH

IS a

nd B

AS.

2008 2010 2012 2014 2016 2018Year

1_M

anag

emen

t

1_Im

pact


2_O

utco

me



3_O

utpu

t



4_P

roce

ss_i

nput





2

4

6

8

2

4

6

8

1K

2K

3K

4K

50

100

0

50

100

0

50

100

1K

2K

3K

500

1000

1500

200

400

MP, DC31, Nkangala District Municipality, SEQ 4 (well off)



P rov_av

ZA_av


627


627

Deaths and Patient day equivalent 2014/15 – 2016/17Annual trends Management and efficiency indicators for the service delivery platform, 2016/17

D

ata

Elem

ent

(Num

ber)

2014

/15

2015

/16

2016

/17

PHC

/ CH

C / M

OU

*D

istr

ict

Hos

pita

lR

egio

nal

Hos

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l

Cen

tral

/te

rtia

ry

Hos

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ict

Tota

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C / C

HC

/ MO

UD

istr

ict

Hos

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nal

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Cen

tral

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rtia

ry

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ths

120

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411

11-

1830

112

-14

27

Live

birt

hs6

555

9 48

2-

4 66

220

699

4 93

39

530

-4

587

19 0

504

640

9 74

8-

4 29

018

678

Still

birth

s63

263

-20

553

155

260

-19

250

740

245

-17

546

0


Infant (under 1

year)

Neo-natal

Dea

th in

faci

lity

0-7d

ays

84-

7716

1-

67-

9716

4-

63-

9916

284

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faci

lity

8-28

day

s 15

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39-

6-

2733

-7

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th in

faci

lity

29 d

ays

- 11

mon

ths

109

-98

207

-65

-32

97-

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2249

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th in

faci

lity

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mon

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52-

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2652

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317

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mal

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tion

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rs

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764

198

-6

1 96

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--

--

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tient

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-93

23

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013

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016

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7 81

342

3 82

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147

-15

7 54

544

4 69

2

Sour

ce:

DH

IS. *

MO

U –

Mat

erna

l Obs

tetr

ic U

nit.


5-1415-2425-64

65+Total 24%

16%22%25%

35%74%

23%4%

35%36%

20%8%

48%78%

37%20%

21%11%

5%2%

5%19%

23%7%

22%16%19%

13%31%

73%

22%7%

30%12%

20%7%

40%74%

33%15%

20%11%

16%4%

19%59%

29%9%

MP, Nkangala: DC31, 2010 - 2015

Rank.. Female Male

<5 y

ears

12345678910

5-14

12345678910

15-2

4

12345678910

25-6

4

12345678910

65+

12345678910


Sepsis/other newborn infectious (2.9%)Poisonings (including herbal) (2.5%)



Septicaemia (2.4%)


HIV/AIDS (6.6%)

Drowning (6.0%)

Epilepsy (2.6%)

Fires, hot substances (3.5%)Meningitis/encephalitis (3.3%)Accidental threats to breathing (3.3%)




Tuberculosis (9.4%)

HIV/AIDS (12.8%)


Adverse effects medical/surgical (2.3%)Endocrine nutritional,blood, immune (2.3%)






HIV/AIDS (21.9%)

Endocrine nutritional,blood, immune (2.3%)Nephritis/nephrosis (2.4%)

Hypertensive heart disease (3.7%)

Diabetes mellitus (4.5%)Diarrhoeal diseases (4.1%)


Cerebrovascular disease (5.4%)Lower respiratory infections (13.6%)Tuberculosis (14.1%)

HIV/AIDS (20.7%)

Septicaemia (2.1%)COPD (2.2%)




Diarrhoeal diseases (3.4%)Ischaemic heart disease (7.6%)

Cerebrovascular disease (16.6%)Lower respiratory infections (9.9%)

Tuberculosis (2.6%)




Protein-energy malnutrition (3.6%)




HIV/AIDS (5.8%)


Drowning (6.7%)

Adverse effects medical/surgical (3.6%)

Epilepsy (3.2%)Accidental threats to breathing (2.6%)




Tuberculosis (8.0%)

HIV/AIDS (13.8%)


Fires, hot substances (5.0%)


Mechanical forces (10.6%)Accidental threats to breathing (19.5%)


Road injuries (7.8%)Lower respiratory infections (7.2%)Tuberculosis (6.7%)HIV/AIDS (6.0%)



Nephritis/nephrosis (2.5%)Diabetes mellitus (2.7%)Diarrhoeal diseases (2.8%)




Prostate (2.9%)

COPD (5.0%)Nephritis/nephrosis (4.0%)







Tuberculosis (5.2%)


Fem

ale

15-4

9

12345678910

Maternal sepsis (3.2%) n=7Abortion (8.8%) n=18Maternal haemorrhage (9.3%) n=19



Poisonings (including herbal) (2.3%) n=272

Ischaemic heart disease (2.6%) n=310

Diabetes mellitus (2.0%) n=239

Endocrine nutritional,blood, immune (2.4%) n=285Cerebrovascular disease (2.6%) n=309

Meningitis/encephalitis (2.3%) n=276

Diarrhoeal diseases (4.4%) n=523Lower respiratory infections (15.5%) n=1 828

Tuberculosis (17.2%) n=2 024HIV/AIDS (25.6%) n=3 017



causes

BroadcauseInjury

NCD

HIV and TB

Comm_mat_peri_nut

Prov, DistrictMP, Nkangala: DC31

Show history




628


628





2009 2010 2011 2012 2013 2014 2015 2016Year

2_M

ater

nal a

nd w

omen

's h

ealth

1_Im

pact Maternal


2_O

utco

me





3_O

utpu

t



0

200

400

600

800

20

40

60

80

100

200

5

10

15

0

100

200

50

100

150

200

50

100

150




629


629





on ART rate (%)


(%)


Cervical cancer



(WHO) (%)


rate (%)

2016/17 2016/17 2016/17 2016/17 2016/17 2016/17 2016/17

Dr JS Moroka SD Indicator 124.6 88.9 5.8 70.3 87.4 70.1 100.5

Numerator 4 479 192 3 310 5 843 52 408 3 323

Denominator 3 211 539 3 307 4 707 80 251 897 387 3 307

Emakhazeni SD Indicator 177.0 93.6 11.0 82.5 81.3 110.5 99.4

Numerator 1 162 59 883 995 16 385 532

Denominator 565 173 535 1 070 14 682 177 876 535

Emalahleni SD Indicator 220.9 99.7 6.1 66.3 43.7 62.8 63.2

Numerator 14 1 510 394 5 021 4 294 80 782 4 064

Denominator 6 338 1 515 6 432 7 577 118 047 1 543 890 6 432

Steve Tshwete SD Indicator 103.5 95.4 5.1 68.8 60.2 56.8 54.6

Numerator 3 629 150 2 732 3 656 42 765 1 612

Denominator 2 899 659 2 952 3 973 72 860 903 264 2 952

Thembisile Hani SD Indicator 89.1 96.6 5.4 68.4 43.0 50.5 79.0

Numerator 4 736 245 3 551 3 457 50 449 3 595

Denominator 4 490 762 4 550 5 190 96 575 1 199 934 4 550

Victor Khanye SD Indicator 85.1 96.3 7.4 60.7 42.9 46.4 64.5

Numerator 1 235 88 851 817 10 924 765

Denominator 1 175 244 1 186 1 403 22 844 282 249 1 186

Nkangala Indicator 144.6 96.4 5.9 68.3 56.4 60.8 73.3

Numerator 27 3 751 1 128 16 348 19 062 253 711 13 891

Denominator 18 678 3 892 18 962 23 920 405 258 5 004 600 18 962



Source: DHIS.

Annual trends

630


630



Impa

ctO

utco

me

Out

put

Chi

ld u

nder

5

year

s di

arrh

oea

case

fata

lity

rate

(%)

Chi

ld u

nder

5

year

s pn

eum

onia

ca

se fa

talit

y ra

te (%

)

Chi

ld u

nder

5

year

s se

vere

acu

te

mal

nutr

ition

ca

se fa

talit

y ra

te (%

)

Inpa

tient

de

ath

unde

r 1

year

rate

(%)

Inpa

tient

de

ath

unde

r 5

year

rate

(%)

Inpa

tient

ea

rly n

eona

tal

deat

h ra

te

(per

1K)

Inpa

tient

ne

onat

al

deat

h ra

te

(per

1K)

Infa

nt P

CR

test

pos

itive

ar

ound

10

wee

ks ra

te

(%)

Imm

unis

atio

n co

vera

ge

unde

r 1 y

ear

(%)

Infa

nt

excl

usiv

ely

brea

stfe

d at

D

TaP-

IPV-

Hib

-HB

V 3rd

do

se ra

te (%

)

Mea

sles

2nd

dos

e co

vera

ge (%

)

Scho

ol G

rade

1

scre

enin

g co

vera

ge (%

)

Scho

ol G

rade

8

scre

enin

g co

vera

ge (%

)

Vita

min

A

dose

12-

59

mon

ths

cove

rage

(%)

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

Dr J

S M

orok

a SD

Indi

cato

r3.

69.

85.

012

.88.

612

.113

.41.

376

.622

.884

.820

.913

.159

.4

Num

erat

or2

51

5054

3943

43

913

880

4 46

81

341

739

25 5

31

Den

omin

ator

5651

2039

262

93

211

3 21

131

061

323

3 85

963

219

6 41

45

629

515

688

Emak

haze

ni S

DIn

dica

tor

-3.

328

.611

.35.

810

.612

.40.

711

0.6

24.8

116.

610

5.1

0.0

60.7

Num

erat

or -

22

911

67

197

323

71

030

1 05

70

4 25

3

Den

omin

ator

2961

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189

565

565

135

10 5

6095

610

596

1 00

61

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84 1

26

Emal

ahle

ni S

DIn

dica

tor

0.7

0.4

3.6

9.1

8.2

15.8

18.0

2.9

88.7

42.9

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25.6

6.9

67.6

Num

erat

or2

13

136

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100

114

286

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2 87

37

313

1 78

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omin

ator

284

262

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499

1 77

46

338

6 33

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490

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6 70

188

344

6 96

35

353

675

726

Stev

e Ts

hwet

e SD

Indi

cato

r -

1.1

4.1

1.2

1.1

1.0

1.4

1.4

74.2

34.2

84.3

60.5

0.0

39.3

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erat

or -

32

812

34

93

072

1 13

93

448

2 35

70

12 5

18

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omin

ator

135

281

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2 89

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le H

ani

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tor

1.2

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7.5

4.5

2.8

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32.9

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9.7

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42.7

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omin

ator

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637

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Vict

or K

hany

e SD

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cato

r -

3.9

17.6

6.5

5.1

10.2

10.2

-67

.447

.184

.951

.152

.640

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Num

erat

or -

33

1619

1212

-1

025

534

1 25

969

379

94

658

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omin

ator

4376

1724

537

41

175

1 17

521

918

249

1 13

317

787

1 35

51

520

137

820

Nka

ngal

a In

dica

tor

0.8

2.7

6.5

7.3

5.6

8.7

9.8

2.1

80.3

34.9

87.0

28.8

8.8

53.1

Num

erat

or6

2615

232

258

162

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5920

339

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8 03

52

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712

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omin

ator

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967

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3 19

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629

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2 84

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66.

19.

510

.91.

779

.735

.386

.421

.16.

856

.1

Sout

h Af

rica

Indi

cato

r2.

02.

08.

06.

34.

49.

912

.41.

382

.341

.696

.233

.019

.858

.0

Sour

ce:

DH

IS.

2009 2010 2011 2012 2013 2014 2015 2016Year

3_C

hild

and

sch

ool h

ealth

1_Im

pact





3_O

utpu

t





0

50

100

0

10

20

30

0

20

40

60

0

10

20

50

100

150

20

40

60

80

50

100

150

0

50

100



2009 2010 2011 2012 2013 2014 2015 2016Year

4_H

IV

4_P

roce

ss_i

nput




20

40

60

100

200

0

20

40

6080




631


631


Annual trends HIV

632


632


HIV

3rd

90-

90-9

02nd

90-

90-9

01st

90-9

0-90

Out

com

eO

utpu

tPr

oces

s &

inpu

t

Adu

lt w

ith v

iral

load

com

plet

ion

rate

at 1

2 m

onth

s (%

)

Chi

ld w

ith v

iral

load

com

plet

ion

rate

at 1

2 m

onth

s (%

)

Adu

lt w

ith v

iral

load

sup

pres

sed

rate

12

mon

ths

(%)

Chi

ld w

ith v

iral

load

sup

pres

sed

rate

12

mon

ths

(%)

Adu

lt pe

rcen

tage

on

AR

T af

ter 1

2 m

onth

s (%

)

Chi

ld p

erce

ntag

e on

AR

T af

ter 1

2 m

onth

s (%

)C

lient

s re

mai

ning

on

AR

T ra

te (%

)

HIV

test

pos

itive

cl

ient

15

year

s an

d ol

der r

ate

(incl

udin

g A

NC

) (%

)

HIV

test

ing

cove

rage

(in

clud

ing

AN

C)

(%)

Mal

e co

ndom

di

strib

utio

n co

vera

ge (N

o)

Med

ical

mal

e ci

rcum

cisi

on ra

te

(per

1K)

2015

2015

2015

2015

2015

2015

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

Dr J

S M

orok

a SD

Indi

cato

r65

.163

.883

.256

.969

.170

.5 -

-40

.256

.010

.5

Num

erat

or -

51 -

29 -

86 -

-56

566

4 79

6 71

61

042

Den

omin

ator

1 93

680

1 26

151

2 90

112

2 -

-1

690

059

1 02

7 65

31

189

299

Emak

haze

ni S

DIn

dica

tor

79.5

50.0

83.8

66.7

72.8

86.2

- -

43.4

79.6

3.7

Num

erat

or -

12 -

8 -

25 -

-13

307

1 56

5 31

182

Den

omin

ator

777

2461

812

1 10

729

- -

368

148

236

055

262

950

Emal

ahle

ni S

DIn

dica

tor

60.6

55.4

88.5

61.3

67.7

79.9

- -

25.5

38.4

10.5

Num

erat

or -

62 -

38 -

115

- -

70 9

656

941

321

2 05

9

Den

omin

ator

4 02

511

22

441

626

228

144

- -

3 34

1 07

32

169

750

2 35

0 55

4

Stev

e Ts

hwet

e SD

Indi

cato

r77

.766

.287

.948

.870

.078

.2 -

-22

.036

.95.

2

Num

erat

or -

43 -

21 -

68 -

-35

083

3 81

4 15

258

9

Den

omin

ator

2 26

565

1 76

143

3 39

187

- -

1 91

3 34

31

239

621

1 34

6 33

7

Them

bisi

le H

ani S

DIn

dica

tor

64.5

60.6

89.2

57.1

70.9

74.0

- -

25.8

39.2

18.1

Num

erat

or -

63 -

36 -

111

- -

49 1

024

319

446

2 27

9

Den

omin

ator

2 30

410

41

487

633

417

150

- -

2 28

2 60

41

322

565

1 51

3 83

3

Vict

or K

hany

e SD

Indi

cato

r75

.275

.092

.166

.773

.272

.4 -

-32

.128

.23.

9

Num

erat

or -

30 -

20 -

42 -

-15

868

900

300

137

Den

omin

ator

927

4069

730

1 30

058

- -

593

991

383

676

425

712

Nka

ngal

a In

dica

tor

67.6

61.4

87.7

58.2

69.7

75.8

53.6

8.6

28.4

42.0

10.5

Num

erat

or -

261

-15

2 -

447

86 0

4122

997

240

891

22 3

37 2

466

188

Den

omin

ator

12 2

3442

58

265

261

18 3

4459

016

0 43

726

6 27

110

189

218

6 37

9 32

07

088

685

Mpu

mal

anga

Indi

cato

r67

.461

.788

.963

.374

.277

.756

.710

.433

.952

.722

.7

Sout

h Af

rica

Indi

cato

r-

- -

- -

- 55

.08.

235

.947

.519

.0

Sour

ce:

DH

IS.


633


633

TBIm

pact

Out

com

eO

utpu

tPr

oces

s &

inpu

t

TB d

eath

rate

(E

TR.n

et) (

%)

TB D

R cl

ient

de

ath

rate

(E

DR

Web

) (%

)

TB c

lient

loss

to

follo

w u

p ra

te

(ETR

.Net

) (%

)

TB c

lient

tr

eatm

ent

succ

ess

rate

(E

TR.n

et) (

%)

TB D

R cl

ient

loss

to

follo

w u

p ra

te

(ED

RW

eb) (

%)

TB D

R tr

eatm

ent

succ

ess

rate

(E

DR

Web

) (%

)

TB R

ifam

pici

n re

sist

ance

co

nfirm

ed c

lient

ra

te (%

)

TB R

ifam

pici

n re

sist

ant c

lient

s tr

eatm

ent

initi

atio

n ra

te (%

)

TB/H

IV c

o-in

fect

ed c

lient

on

AR

T ra

te (E

TR.

Net

) (%

)

TB c

lient

initi

ated

on

trea

tmen

t ra

te (%

)

TB s

ympt

om 5

ye

ars

and

olde

r sc

reen

ed in

fa

cilit

y ra

te (%

)

2015

2014

2015

2015

2014

2014

2016

2016

2016

2016

2016

/17

Dr J

S M

orok

a SD

Indi

cato

r6.

2 -

3.1

90.2

- -

- -

93.5

-21

.0

Num

erat

or54

-27

781

- -

- -

260

-10

5 75

1

Den

omin

ator

866

-86

686

6 -

- -

-27

8 -

503

671

Emak

haze

ni S

DIn

dica

tor

3.9

-0.

096

.1 -

- -

-10

0.0

-34

.3

Num

erat

or7

-0

171

- -

- -

114

-41

993

Den

omin

ator

178

-17

817

8 -

- -

-11

4 -

122

420

Emal

ahle

ni S

DIn

dica

tor

8.4

-9.

476

.4 -

- -

-94

.5 -

32.7

Num

erat

or10

9 -

122

993

- -

- -

684

-18

3 73

3

Den

omin

ator

1 30

0 -

1 30

01

300

- -

- -

724

-56

1 64

0

Stev

e Ts

hwet

e SD

Indi

cato

r5.

4 -

6.4

87.7

- -

- -

98.7

-20

.1

Num

erat

or43

-51

696

- -

- -

459

-56

913

Den

omin

ator

794

-79

479

4 -

- -

-46

5 -

282

982

Them

bisi

le H

ani S

DIn

dica

tor

6.4

-4.

986

.8 -

- -

-89

.9 -

18.7

Num

erat

or66

-50

889

- -

- -

463

-91

755

Den

omin

ator

1 02

4 -

1 02

41

024

- -

- -

515

-49

0 76

0

Vict

or K

hany

e SD

Indi

cato

r4.

9 -

6.2

85.8

- -

- -

98.0

-40

.8

Num

erat

or16

-20

279

- -

- -

248

-37

021

Den

omin

ator

325

-32

532

5 -

- -

-25

3 -

90 8

33

Nka

ngal

a In

dica

tor

6.6

23.1

6.0

84.9

9.7

-6.

392

.994

.887

.525

.2

Num

erat

or29

550

270

3 80

921

-19

718

32

228

2 74

051

7 16

6

Den

omin

ator

4 48

721

64

487

4 48

721

621

63

133

197

2 34

93

133

2 05

2 30

6

Mpu

mal

anga

Indi

cato

r7.

627

.16.

281

.413

.741

.97.

870

.394

.487

.339

.8

Sout

h Af

rica

Indi

cato

r6.

623

.06.

481

.017

.950

.56.

268

.088

.372

.851

.6

Sour

ce:

DH

IS.

2009 2010 2011 2012 2013 2014 2015 2016Year

5_TB

1_Im

pact



2_O

utco

me







4_P

roce

ss_i

nput


5

10

15

0

20

40

60

0

5

10

15

40

60

80

0

20

40

0

20

40

60

0

10

20

0

50

100

0

50

100



634


634


Annual trends TB

2010 2011 2012 2013 2014 2015 2016 2017Year

6_NCDs

2_Outcome

Diabetesincidence


0

5

20

40




635


635


Outcome

Diabetes incidence

(per1K)


(per1K)

2016/17 2016/17

Dr JS Moroka SD Indicator 2.3 19.0

Numerator 612 1 488

Denominator 3 260 022 942 021

Emakhazeni SD Indicator 3.2 33.4

Numerator 168 496


Emalahleni SD Indicator 1.2 17.6

Numerator 530 2 124

Denominator 5 259 093 1 445 667

Steve Tshwete SD Indicator 1.1 13.4

Numerator 269 1 001

Denominator 3 061 707 895 080

Thembisile Hani SD Indicator 1.7 20.8

Numerator 565 1 846

Denominator 4 072 566 1 065 960

Victor Khanye SD Indicator 2.6 21.1

Numerator 218 492


Nkangala Indicator 1.6 18.6


Denominator 17 277 006 4 806 321



Source: DHIS.

Annual trends




636


636


Ehlanzeni District Municipality (DC32)

Ehlanzeni District is situated in Mpumalanga Province and has five health sub-districts: Bushbuckridge, Mbombela, Nkomazi, Thaba Chweu and Umjindi. It shares borders with Swaziland and Mozambique. The district has a population of 1 770 122, with a population density of 63.5 people per km2. It falls into socio-economic Quintile 4, among the second-wealthiest districts and has an estimated medical scheme coverage of 11.6%.




No schooling 13.8%

Matric 34.2%


Households 483 903













under 1 year 39 515 39 388 38 643 37 275

under 5 years 197 654 196 113 193 315 189 527

05-09 years 193 288 192 916 192 793 193 062

10-14 years 184 434 186 027 187 386 188 090

15-19 years 175 519 172 891 171 885 172 860

20-24 years 170 370 167 728 164 237 160 279

25-29 years 165 753 165 075 163 620 161 281

30-34 years 134 148 140 624 147 363 153 831

35-39 years 112 025 113 900 115 185 116 069

40-44 years 92 204 94 287 96 388 98 472

45-49 years 76 079 77 687 79 298 80 919

50-54 years 62 037 63 691 65 129 66 467

55-59 years 45 982 47 712 49 798 51 885

60-64 years 38 508 38 400 38 125 38 133

65-69 years 28 102 29 211 30 310 31 168

70-74 years 18 823 19 057 19 419 19 965

75-79 years 13 456 13 359 13 199 12 978

80 years and older 13 372 13 567 13 785 14 023

Total 1 721 758 1 732 249 1 741 232 1 749 011

Estimated pregnant women* 42 281 42 145 41 348 39 884



637


637


Ward based outreach


Regional Hospital

Central/Tertiary

HospitalsOther

Hospitals

Bushbuckridge SD 4 38 3 2 1 0 0

Mbombela SD 12 30 6 0 1 1 4

Nkomazi SD 24 27 6 2 0 0 0

Thaba Chweu SD 12 11 0 3 0 0 0

Umjindi SD 4 11 1 1 0 0 1

Ehlanzeni 56 117 16 8 2 1 5

Source: DHIS.


Community Health

WorkersNursing

assistantsEnrolled

nurseProfessional

nurseMedical

practitioners PharmacistsDental


therapy Physiotherapy


Ehlanzeni 1 137 855 906 2 539 502 141 44 54 42 30



PHC Management




(%)



Provincial and LG



(uninsured) (Rand)


(uninsured) (Rand)


per PHC headcount

(Rand)

2016/17 2016/17 2016/17 2016/17 2016/17 2016/17

Bushbuckridge SD Indicator 2.8 - - - - -

Numerator 1 611 745 - - - - -

Denominator 6 823 395 - - - - -

Mbombela SD Indicator 2.7 - - - - -

Numerator 1 646 354 - - - - -

Denominator 7 421 352 - - - - -

Nkomazi SD Indicator 2.9 - - - - -

Numerator 1 201 107 - - - - -

Denominator 4 949 520 - - - - -

Thaba Chweu SD Indicator 2.6 - - - - -

Numerator 273 948 - - - - -

Denominator 1 246 377 - - - - -

Umjindi SD Indicator 3.5 - - - - -

Numerator 248 142 - - - - -

Denominator 850 773 - - - - -

Ehlanzeni Indicator 2.8 6.6 77.5 1 809 960 302

Numerator 4 981 296 8 93 2 830 090 667 1 502 595 550 1 502 595 550

Denominator 21 291 417 122 120 1 564 535 1 564 535 4 981 296



Source: DHIS.

638


638


ospi

tal

Dis

tric

t Hos

pita

lR

egio

nal H

ospi

tal

Tert

iary

/Cen

tral

Hos

pita

l

Aver

age

leng

th o

f st

ay -

tota

l (D

ays)

Expe

nditu

re

per p

atie

nt

day

equi

vale

nt

(Ran

d)

Inpa

tient

bed

ut

ilisa

tion

rate

- to

tal

(%)

Inpa

tient

cr

ude

deat

h ra

te (%

)

OPD

new

cl

ient

not

re

ferr

ed ra

te

(%)

Aver

age

leng

th o

f st

ay -

tota

l (D

ays)

Expe

nditu

re

per p

atie

nt

day

equi

vale

nt

(Ran

d)

Inpa

tient

bed

ut

ilisa

tion

rate

- to

tal

(%)

Inpa

tient

cr

ude

deat

h ra

te (%

)

OPD

new

cl

ient

not

re

ferr

ed ra

te

(%)

Aver

age

leng

th o

f st

ay -

tota

l (D

ays)

Expe

nditu

re

per p

atie

nt

day

equi

vale

nt

(Ran

d)

Inpa

tient

bed

ut

ilisa

tion

rate

- to

tal

(%)

Inpa

tient

cr

ude

deat

h ra

te (%

)

OPD

new

cl

ient

not

re

ferr

ed ra

te

(%)

Bush

buck

ridge

SD

Indi

cato

r5.

81

780

76.8

5.0

75.5

4.6

2 66

686

.25.

183

.5 -

- -

- -

Num

erat

or1

421

605

394

294

395

142

160

1 23

670

315

84 6

2929

1 07

6 65

584

629

924

27 7

16 -

- -

- -

Den

omin

ator

24 7

2122

1 49

018

5 07

524

721

93 1

3118

201

109

184

98 1

9618

201

33 1

84 -

- -

- -

Mbo

mbe

la S

DIn

dica

tor

- -

- -

-5.

43

099

85.1

5.5

45.3

7.7

3 38

582

.46.

014

.5

Num

erat

or -

- -

- -

118

681

501

300

685

118

681

1 21

222

136

118

024

600

767

357

118

024

907

12 4

29

Den

omin

ator

- -

- -

-22

059

161

769

139

445

22 0

5948

859

15 2

3617

7 46

514

3 27

815

236

86 0

09

Nko

maz

i SD

Indi

cato

r5.

82

223

111.

14.

862

.2 -

- -

- -

- -

- -

-

Num

erat

or13

6 64

041

2 09

3 45

213

6 64

01

135

35 5

45 -

- -

- -

- -

- -

-

Den

omin

ator

23 7

2018

5 41

212

3 01

923

720

57 1

62 -

- -

- -

- -

- -

-

Thab

a C

hweu

SD

Indi

cato

r4.

12

488

60.4

4.8

59.9

- -

- -

- -

- -

- -

Num

erat

or49

170

244

044

381

49 1

7057

743

438

- -

- -

- -

- -

- -

Den

omin

ator

12 0

9798

088

81 4

0412

097

72 5

50 -

- -

- -

- -

- -

-

Um

jindi

SD

Indi

cato

r3.

83

205

57.6

3.0

62.5

- -

- -

- -

- -

- -

Num

erat

or31

725

164

127

470

31 7

2525

015

687

- -

- -

- -

- -

- -

Den

omin

ator

8 39

451

215

55 1

218

394

25 0

93 -

- -

- -

- -

- -

-

Ehla

nzen

i In

dica

tor

5.2

2 18

480

.94.

666

.55.

02

924

85.6

5.3

60.8

7.7

3 38

582

.46.

014

.5

Num

erat

or35

9 69

41

214

559

698

359

694

3 19

816

4 98

520

3 31

079

2 37

7 33

920

3 31

02

136

49 8

5211

8 02

460

0 76

7 35

711

8 02

490

712

429

Den

omin

ator

68 9

3255

6 20

544

4 61

968

932

247

936

40 2

6027

0 95

323

7 64

140

260

82 0

4315

236

177

465

143

278

15 2

3686

009

Mpu

mal

anga

Indi

cato

r4.

82

336

75.3

5.2

64.1

4.4

3 09

781

.24.

860

.47.1

3 30

085

.85.

832

.2

Sout

h Af

rica

Indi

cato

r4.

42

568

67.4

5.1

59.3

5.3

2 89

478

.35.

037

.26.

94

227

84.3

5.4

20.3

Sour

ce:

DH

IS a

nd B

AS.

2008 2010 2012 2014 2016 2018Year

1_M

anag

emen

t

1_Im

pact


2_O

utco

me



3_O

utpu

t



4_P

roce

ss_i

nput





2

4

6

8

2

4

6

8

1K

2K

3K

4K

50

100

0

50

100

0

50

100

1K

2K

3K

500

1000

1500

200

400

MP, DC32, Ehlanzeni District Municipality, SEQ 3



P rov_av

ZA_av


639


639

Annual trends Management and efficiency indicators for the service delivery platform, 2016/17

Deaths and Patient day equivalent 2014/15 – 2016/17

D

ata

Elem

ent

(Num

ber)

2014

/15

2015

/16

2016

/17

PHC

/ CH

C / M

OU

*D

istr

ict

Hos

pita

lR

egio

nal

Hos

pita

l

Cen

tral

/te

rtia

ry

Hos

pita

lD

istr

ict

Tota

lPH

C / C

HC

/ MO

UD

istr

ict

Hos

pita

lR

egio

nal

Hos

pita

l

Cen

tral

/te

rtia

ry

Hos

pita

lD

istr

ict

Tota

lPH

C / C

HC

/ MO

UD

istr

ict

Hos

pita

lR

egio

nal

Hos

pita

l

Cen

tral

/te

rtia

ry

hosp

ital

Dis

tric

t To

tal

Mat

erna

l dea

ths

113

119

34-

2113

1044

121

1214

48

Live

birt

hs3

067

23 1

818

052

4 65

738

957

2 56

621

407

7 69

24

399

36 0

643

035

21 1

547

778

4 45

636

423

Still

birth

s44

410

173

109

736

6040

717

311

875

838

419

160

107

724


Infant (under 1

year)

Neo-natal

Dea

th in

faci

lity

0-7d

ays

-18

463

4429

1-

173

9860

331

-17

084

6932

3

Dea

th in

faci

lity

8-28

day

s -

1726

750

-34

237

64-

2519

1256

Dea

th in

faci

lity

29 d

ays

- 11

mon

ths

-86

4865

199

-82

5144

177

-95

2825

148

Dea

th in

faci

lity

12 –

59

mon

ths

-88

4534

167

-10

234

4418

0-

6119

1999

Dia

rrho

ea d

eath

und

er 5

yea

rs

-65

1812

95-

3016

551

-21

63

30

Pneu

mon

ia d

eath

und

er 5

yea

rs-

6720

794

-49

2013

82-

4718

1378

Seve

re a

cute

mal

nutri

tion

deat

h un

der 5

yea

rs

-79

257

111

-46

201

67-

3315

149

TB D

eath

s 2

695

175

170

103

050

2 70

545

516

020

3 34

0-

--

--

Inpa

tient

dea

th to

tal

-3

753

2 28

197

57

009

-3

493

2 29

193

26

716

-3

198

2 13

690

76

241

Patie

nt d

ay e

quiv

alen

t-

525

986

252

582

178

134

956

702

-52

1 26

926

7 10

317

8 90

696

7 27

842

655

6 20

527

0 95

317

7 46

51

005

049

Sour

ce:

DH

IS. *

MO

U –

Mat

erna

l Obs

tetr

ic U

nit.


5-1415-2425-64

65+Total 25%

15%23%28%

37%71%

28%6%

41%43%27%

10%

43%76%

31%17%

19%12%

4%2%4%

12%17%

7%

23%16%19%

16%35%

72%

31%12%

42%21%

24%10%

33%68%

26%15%

17%10%

12%4%

13%48%

24%8%

MP, Ehlanzeni: DC32, 2010 - 2015

Rank.. Female Male

<5 y

ears

12345678910

5-14

12345678910

15-2

4

12345678910

25-6

4

12345678910

65+

12345678910

Other perinatal conditions (2.5%)Sepsis/other newborn infectious (2.5%)



Septicaemia (2.1%)


Tuberculosis (3.3%)

HIV/AIDS (6.9%)

Drowning (4.0%)

Epilepsy (2.0%)Septicaemia (2.0%)

Meningitis/encephalitis (5.7%)Road injuries (7.3%)




HIV/AIDS (12.0%)

Endocrine nutritional,blood, immune (1.9%)Septicaemia (1.7%)



Road injuries (5.4%)Diarrhoeal diseases (7.5%)




Cervix (3.6%)

Septicaemia (1.9%)

Meningitis/encephalitis (3.2%)Diabetes mellitus (3.2%)





HIV/AIDS (22.1%)

Cervix (2.7%)Septicaemia (2.3%)







Tuberculosis (4.4%)




Protein-energy malnutrition (6.7%)Preterm birth complications (11.4%)


Tuberculosis (3.3%)

HIV/AIDS (6.6%)

Other unintentional injuries (2.4%)

Drowning (7.1%)

Other respiratory (2.0%)






Tuberculosis (13.7%)

HIV/AIDS (11.4%)

Drowning (3.2%)


Mechanical forces (8.4%)







Meningitis/encephalitis (2.5%)Mechanical forces (2.5%)







Prostate (4.3%)Nephritis/nephrosis (3.4%)






Tuberculosis (9.3%)

HIV/AIDS (3.2%)


Fem

ale

15-4

9

12345678910

Maternal sepsis (8.1%) n=21

Abortion (13.3%) n=34Maternal haemorrhage (12.5%) n=32



Septicaemia (1.9%) n=352Endocrine nutritional,blood, immune (1.9%) n=360Road injuries (2.1%) n=397Cervix (2.8%) n=531Cerebrovascular disease (3.0%) n=563Meningitis/encephalitis (3.8%) n=725

Diarrhoeal diseases (7.6%) n=1 436Lower respiratory infections (10.2%) n=1 937

Tuberculosis (22.3%) n=4 222HIV/AIDS (26.0%) n=4 921



causes

BroadcauseInjury

NCD

HIV and TB

Comm_mat_peri_nut

Prov, DistrictMP, Ehlanzeni: DC32

Show history




640


640





2009 2010 2011 2012 2013 2014 2015 2016Year

2_M

ater

nal a

nd w

omen

's h

ealth

1_Im

pact Maternal


2_O

utco

me





3_O

utpu

t



0

200

400

600

800

20

40

60

80

100

200

5

10

15

0

100

200

50

100

150

200

50

100

150




641


641





on ART rate (%)


(%)


Cervical cancer



(WHO) (%)


rate (%)

2016/17 2016/17 2016/17 2016/17 2016/17 2016/17 2016/17

Bushbuckridge SD Indicator 135.9 93.5 8.5 87.0 102.4 79.6 68.6

Numerator 18 1 968 1 139 10 508 11 908 119 341 9 186

Denominator 13 248 2 105 13 393 12 077 139 598 1 798 062 13 393

Mbombela SD Indicator 175.9 99.4 7.0 77.3 86.9 76.2 64.2

Numerator 19 2 968 770 9 931 11 267 131 192 7 023

Denominator 10 803 2 985 10 940 12 849 155 605 2 065 989 10 940

Nkomazi SD Indicator 114.5 103.3 10.5 66.5 97.8 64.3 59.3

Numerator 10 2 411 929 6 444 7 383 71 028 5 270

Denominator 8 735 2 335 8 888 9 696 90 596 1 325 520 8 888

Thaba Chweu SD Indicator 41.7 100.8 5.7 80.5 87.3 203.6 42.6

Numerator 1 378 137 1 614 2 067 55 939 1 029

Denominator 2 396 375 2 415 2 006 28 401 329 721 2 415

Umjindi SD Indicator - 101.8 8.6 78.1 114.4 110.9 63.4

Numerator - 398 107 1 377 1 631 20 039 793

Denominator 1 242 391 1 251 1 762 17 105 216 741 1 251

Ehlanzeni Indicator 131.8 99.2 8.4 77.8 95.3 83.2 63.2

Numerator 48 8 123 3 082 29 874 34 256 397 539 23 301

Denominator 36 424 8 191 36 887 38 390 431 304 5 736 033 36 887



Source: DHIS.

Annual trends

642


642



Impa

ctO

utco

me

Out

put

Chi

ld u

nder

5

year

s di

arrh

oea

case

fata

lity

rate

(%)

Chi

ld u

nder

5

year

s pn

eum

onia

ca

se fa

talit

y ra

te (%

)

Chi

ld u

nder

5

year

s se

vere

acu

te

mal

nutr

ition

ca

se fa

talit

y ra

te (%

)

Inpa

tient

de

ath

unde

r 1

year

rate

(%)

Inpa

tient

de

ath

unde

r 5

year

rate

(%)

Inpa

tient

ea

rly n

eona

tal

deat

h ra

te

(per

1K)

Inpa

tient

ne

onat

al

deat

h ra

te

(per

1K)

Infa

nt P

CR

test

pos

itive

ar

ound

10

wee

ks ra

te

(%)

Imm

unis

atio

n co

vera

ge

unde

r 1 y

ear

(%)

Infa

nt

excl

usiv

ely

brea

stfe

d at

D

TaP-

IPV-

Hib

-HB

V 3rd

do

se ra

te (%

)

Mea

sles

2nd

dos

e co

vera

ge (%

)

Scho

ol G

rade

1

scre

enin

g co

vera

ge (%

)

Scho

ol G

rade

8

scre

enin

g co

vera

ge (%

)

Vita

min

A

dose

12-

59

mon

ths

cove

rage

(%)

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

Bush

buck

ridge

SD

Indi

cato

r1.

96.

13.

913

.48.

05.

16.

01.

297

.265

.696

.64.

60.

579

.3

Num

erat

or7

327

125

166

6879

2011

867

8 20

212

916

720

7092

183

Den

omin

ator

372

526

179

932

2 06

713

248

13 2

481

661

146

532

12 4

9716

0 39

515

796

15 1

941

394

574

Mbo

mbe

la S

DIn

dica

tor

1.6

4.6

8.6

10.2

6.3

12.0

14.9

0.8

88.7

26.4

98.5

10.0

4.8

68.3

Num

erat

or8

2514

207

239

130

161

2111

601

3 20

412

997

1 42

160

572

645

Den

omin

ator

511

543

162

2 02

13

786

10 8

0310

803

2 48

015

6 93

312

138

158

388

14 1

7212

558

1 27

5 49

2

Nko

maz

i SD

Indi

cato

r2.

97.

016

.212

.97.

911

.312

.81.

080

.125

.098

.316

.78.

549

.8

Num

erat

or10

1724

153

170

9911

225

7 32

62

286

9 36

91

928

895

39 7

16

Den

omin

ator

346

244

148

1 18

72

144

8 73

58

735

2 46

010

9 79

79

161

114

393

11 5

5710

469

957

054

Thab

a C

hweu

SD

Indi

cato

r3.

52.

74.

512

.85.

610

.910

.90.

979

.914

.787

.221

.80.

063

.0

Num

erat

or5

42

3440

2626

21

528

368

1 67

641

50

9 68

4

Den

omin

ator

144

150

4426

671

12

396

2 39

623

322

938

2 50

623

061

1 90

71

829

184

440

Um

jindi

SD

Indi

cato

r -

-10

.53.

21.

8 -

0.8

1.0

97.3

48.2

102.

679

.572

.411

2.5

Num

erat

or -

-2

811

-1

31

276

607

1 40

11

113

773

12 6

87

Den

omin

ator

9015

119

251

608

1 24

21

242

299

15 7

411

260

16 3

921

400

1 06

813

5 33

6

Ehla

nzen

i In

dica

tor

2.1

4.8

8.9

11.3

6.7

8.9

10.4

1.0

89.2

39.0

97.4

12.5

5.7

69.0

Num

erat

or30

7849

527

626

323

379

7133

598

14 6

6738

359

5 59

72

343

226

915

Den

omin

ator

1 46

31

614

552

4 65

79

316

36 4

2436

424

7 13

345

1 94

137

562

472

629

537

984

493

416

3 94

6 89

6

Mpu

mal

anga

Indi

cato

r1.

53.

48.

49.

66.

19.

510

.91.

779

.735

.386

.421

.16.

856

.1

Sout

h Af

rica

Indi

cato

r2.

02.

08.

06.

34.

49.

912

.41.

382

.341

.696

.233

.019

.858

.0

Sour

ce:

DH

IS.

2009 2010 2011 2012 2013 2014 2015 2016Year

3_C

hild

and

sch

ool h

ealth

1_Im

pact





3_O

utpu

t





0

50

100

0

10

20

30

0

20

40

60

0

10

20

50

100

150

20

40

60

80

50

100

150

0

50

100



2009 2010 2011 2012 2013 2014 2015 2016Year

4_H

IV

4_P

roce

ss_i

nput




20

40

60

100

200

0

20

40

6080




643


643


Annual trends HIV

644


644


HIV

3rd

90-

90-9

02nd

90-

90-9

01st

90-9

0-90

Out

com

eO

utpu

tPr

oces

s &

inpu

t

Adu

lt w

ith v

iral

load

com

plet

ion

rate

at 1

2 m

onth

s (%

)

Chi

ld w

ith v

iral

load

com

plet

ion

rate

at 1

2 m

onth

s (%

)

Adu

lt w

ith v

iral

load

sup

pres

sed

rate

12

mon

ths

(%)

Chi

ld w

ith v

iral

load

sup

pres

sed

rate

12

mon

ths

(%)

Adu

lt pe

rcen

tage

on

AR

T af

ter 1

2 m

onth

s (%

)

Chi

ld p

erce

ntag

e on

AR

T af

ter 1

2 m

onth

s (%

)C

lient

s re

mai

ning

on

AR

T ra

te (%

)

HIV

test

pos

itive

cl

ient

15

year

s an

d ol

der r

ate

(incl

udin

g A

NC

) (%

)

HIV

test

ing

cove

rage

(in

clud

ing

AN

C)

(%)

Mal

e co

ndom

di

strib

utio

n co

vera

ge (N

o)

Med

ical

mal

e ci

rcum

cisi

on ra

te

(per

1K)

2015

2015

2015

2015

2015

2015

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

Bush

buck

ridge

SD

Indi

cato

r78

.971

.789

.865

.675

.377

.6 -

-52

.161

.635

.0

Num

erat

or -

241

-15

8 -

456

- -

142

869

9 13

6 40

96

477

Den

omin

ator

5 28

033

64

165

241

9 52

858

8 -

-3

290

079

1 77

9 64

22

221

959

Mbo

mbe

la S

DIn

dica

tor

68.4

60.5

89.1

59.8

75.4

77.8

- -

37.9

53.3

38.1

Num

erat

or -

179

-10

7 -

409

- -

130

926

10 9

82 6

2990

46

Den

omin

ator

7 70

929

65

271

179

13 6

8852

6 -

-4

149

846

2 47

3 59

62

848

587

Nko

maz

i SD

Indi

cato

r64

.552

.588

.455

.778

.478

.0 -

-41

.051

.226

.1

Num

erat

or -

106

-59

-43

0 -

-87

798

6 16

9 92

33

820

Den

omin

ator

4 39

520

22

836

106

11 0

0855

1 -

-2

571

609

1 44

6 46

81

756

149

Thab

a C

hweu

SD

Indi

cato

r68

.873

.385

.559

.170

.473

.1 -

-39

.014

6.4

16.6

Num

erat

or -

22 -

13 -

49 -

-23

614

5 87

3 97

073

8

Den

omin

ator

1 07

030

736

222

163

67 -

-72

5 96

148

1 58

453

3 03

1

Um

jindi

SD

Indi

cato

r84

.575

.989

.063

.476

.177

.8 -

-45

.265

.917

.8

Num

erat

or -

41 -

26 -

56 -

-18

456

1 79

6 73

454

3

Den

omin

ator

1 68

554

1 42

441

2 29

272

- -

489

906

327

162

365

721

Ehla

nzen

i In

dica

tor

71.7

64.2

89.0

61.6

76.0

77.6

60.7

10.5

43.1

62.6

32.0

Num

erat

or -

589

-36

3 -

1 40

018

6 60

648

022

403

663

33 9

59 6

6520

624

Den

omin

ator

20 1

3991

814

432

589

38 6

791

804

307

654

457

274

11 2

27 4

016

508

452

7 72

5 44

7

Mpu

mal

anga

Indi

cato

r67

.461

.788

.963

.374

.277

.756

.710

.433

.952

.722

.7

Sout

h Af

rica

Indi

cato

r -

- -

- -

-55

.08.

235

.947

.519

.0

Sour

ce:

DH

IS.

2009 2010 2011 2012 2013 2014 2015 2016Year

5_TB

1_Im

pact



2_O

utco

me







4_P

roce

ss_i

nput


5

10

15

0

20

40

60

0

5

10

15

40

60

80

0

20

40

0

20

40

60

0

10

20

0

50

100

0

50

100




P rov_av

ZA_av


645


645

TBIm

pact

Out

com

eO

utpu

tPr

oces

s &

inpu

t

TB d

eath

rate

(E

TR.n

et) (

%)

TB D

R cl

ient

de

ath

rate

(E

DR

Web

) (%

)

TB c

lient

loss

to

follo

w u

p ra

te

(ETR

.Net

) (%

)

TB c

lient

tr

eatm

ent

succ

ess

rate

(E

TR.n

et) (

%)

TB D

R cl

ient

loss

to

follo

w u

p ra

te

(ED

RW

eb) (

%)

TB D

R tr

eatm

ent

succ

ess

rate

(E

DR

Web

) (%

)

TB R

ifam

pici

n re

sist

ance

co

nfirm

ed c

lient

ra

te (%

)

TB R

ifam

pici

n re

sist

ant c

lient

s tr

eatm

ent

initi

atio

n ra

te (%

)

TB/H

IV c

o-in

fect

ed c

lient

on

AR

T ra

te (E

TR.

Net

) (%

)

TB c

lient

initi

ated

on

trea

tmen

t ra

te (%

)

TB s

ympt

om 5

ye

ars

and

olde

r sc

reen

ed in

fa

cilit

y ra

te (%

)

2015

2014

2015

2015

2014

2014

2016

2016

2016

2016

2016

/17

Bush

buck

ridge

SD

Indi

cato

r7.

5 -

1.3

87.1

- -

- -

99.6

-59

.2

Num

erat

or21

6 -

382

503

- -

- -

2 25

3 -

751

058

Den

omin

ator

2 87

3 -

2 87

32

873

- -

- -

2 26

1 -

1 26

7 74

1

Mbo

mbe

la S

DIn

dica

tor

5.4

-9.

575

.7 -

- -

-92

.6 -

54.0

Num

erat

or19

3 -

340

2 69

5 -

- -

-1

629

-71

6 91

4

Den

omin

ator

3 56

1 -

3 56

13

561

- -

- -

1 75

9 -

1 32

8 14

8

Nko

maz

i SD

Indi

cato

r9.

3 -

6.9

81.5

- -

- -

88.9

-50

.2

Num

erat

or18

8 -

139

1 65

0 -

- -

-87

7 -

486

822

Den

omin

ator

2 02

5 -

2 02

52

025

- -

- -

986

-97

0 59

5

Thab

a C

hweu

SD

Indi

cato

r15

.6 -

7.9

65.3

- -

- -

89.4

-61

.0

Num

erat

or61

-31

256

- -

- -

254

-13

5 94

0

Den

omin

ator

392

-39

239

2 -

- -

-28

4 -

223

014

Um

jindi

SD

Indi

cato

r8.

7 -

7.8

81.8

- -

- -

96.7

-68

.3

Num

erat

or46

-41

431

- -

- -

204

-14

2 06

1

Den

omin

ator

527

-52

752

7 -

- -

-21

1 -

208

025

Ehla

nzen

i In

dica

tor

7.5

26.8

6.3

80.3

15.9

52.6

8.4

59.7

94.8

91.6

55.9

Num

erat

or70

416

258

97

535

9631

845

227

05

217

4 90

92

232

795

Den

omin

ator

9 37

860

59

378

9 37

860

560

55

358

452

5 50

15

358

3 99

7 52

3

Mpu

mal

anga

Indi

cato

r7.

627

.16.

281

.413

.741

.97.

870

.394

.487

.339

.8

Sout

h Af

rica

Indi

cato

r6.

623

.06.

481

.017

.950

.56.

268

.088

.372

.851

.6

Sour

ce:

DH

IS.

Annual trends

2010 2011 2012 2013 2014 2015 2016 2017Year

6_NCDs

2_Outcome

Diabetesincidence


0

5

20

40



646


646



Outcome

Diabetes incidence

(per1K)


(per1K)

2016/17 2016/17

Bushbuckridge SD Indicator 5.3 21.0


Denominator 6 823 395 1 451 037

Mbombela SD Indicator 2.5 42.0


Denominator 7 421 352 1 758 414

Nkomazi SD Indicator 1.0 19.2

Numerator 429 1 524

Denominator 4 949 520 953 958

Thaba Chweu SD Indicator 2.0 28.1

Numerator 203 841

Denominator 1 246 377 359 562

Umjindi SD Indicator 1.0 12.4

Numerator 72 226


Ehlanzeni Indicator 3.0 28.6


Denominator 21 291 417 4 741 389



Source: DHIS.

Annual trends




Gert Sibande District Municipality (DC30) Health... · Higher education 7.9% Households 333 815...

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