17 kwazulu-natal province - health systems trust health... · 17 kwazulu-natal province ugu...
TRANSCRIPT
Section B: National and District Profiles
401
Section B: Profile KwaZulu-Natal Province
401
17 KwaZulu-Natal Province
Ugu District Municipality (DC21)
Ugu District is situated in KwaZulu-Natal Province and has a population of 750 214, with a population density of 148.6 people per km2. The district comprises six sub-districts, namely Vulamehlo, Umdoni, uMzumbe, Hibiscus Coast, Ezinqoleni and uMuziwabantu, and falls in socio-economic Quintile 2. Estimated medical scheme coverage is 7.3%.
Number of facilities by level, 2015/16
Clin
ic
CH
C
Dis
tric
t Hos
pita
l
Reg
iona
l H
ospi
tal
Cen
tral
/Ter
tiary
H
ospi
tals
Oth
er H
ospi
tals
54 2 3 1 0 2
Headcount and deaths, 2013/14 – 2015/16
Data element 2013/14 2014/15 2015/16PHC headcount under 5 years 397 883 396 618 417 218PHC headcount 5 years and older 2 451 122 2 532 251 2 542 248Patient day equivalent 497 652 482 994 467 783Deaths – total 3 286 3 246 3 178Still births 336 313 304Early neonatal deaths 155 138 113Late neonatal deaths 69 39 29Child under 5 years with diarrhoea death 41 22 17Child under 5 years with pneumonia death 35 30 32Child under 5 years with severe acute malnutrition death 46 34 32
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 2009–2014. The second part of the graph shows the 10 leading single causes of death within each age group (both genders) for 2009–2014 combined.
Broad age.. Female Male
<5 years
5-14
15-24
25-64
65+
Total 20%
12%
18%
23%
36%
73%
30%
6%
47%
53%
29%
12%
46%
80%
31%
13%
20%
9%
4%
3%
4%
12%
16%
6%
20%
12%
16%
12%
30%
71%
33%
10%
44%
24%
30%
12%
34%
74%
26%
12%
19%
9%
13%
4%
14%
52%
22%
8%
KZN, Ugu: DC21, 2009-14
Rank.. 2009-14
<5 y
ears
12345678910
5-14
12345678910
15-2
4
12345678910
25-6
4
12345678910
65+
12345678910
Sepsis/other newborn infectious (4.1%)
Poisonings (including herbal) (2.2%)
Birth asphyxia (6.6%)Protein-energy malnutrition (5.8%)
Preterm birth complications (10.0%)
Septicaemia (2.4%)
Diarrhoeal diseases (24.9%)Lower respiratory infections (14.2%)
HIV/AIDS (7.9%)
Tuberculosis (4.6%)
Drowning (5.9%)
Epilepsy (2.8%)
Asthma (4.1%)Meningitis/encephalitis (4.2%)
Accidental threats to breathing (3.0%)
Road injuries (4.3%)
Diarrhoeal diseases (15.5%)
Lower respiratory infections (10.1%)HIV/AIDS (12.9%)
Tuberculosis (16.9%)
Epilepsy (2.2%)Meningitis/encephalitis (3.0%)
Mechanical forces (3.7%)
Interpersonal violence (8.0%)Accidental threats to breathing (9.5%)
Road injuries (3.2%)
Diarrhoeal diseases (4.8%)Lower respiratory infections (7.0%)
HIV/AIDS (18.3%)Tuberculosis (21.6%)
Asthma (2.0%)Accidental threats to breathing (2.1%)
Diabetes mellitus (3.0%)Hypertensive heart disease (2.5%)Ischaemic heart disease (2.3%)
Diarrhoeal diseases (5.4%)Cerebrovascular disease (5.0%)
Lower respiratory infections (8.3%)HIV/AIDS (20.8%)
Tuberculosis (24.6%)
Asthma (3.1%)
COPD (3.5%)Nephritis/nephrosis (3.6%)
Diabetes mellitus (7.5%)
Hypertensive heart disease (10.0%)Ischaemic heart disease (7.7%)
Diarrhoeal diseases (3.2%)
Cerebrovascular disease (22.3%)
Lower respiratory infections (7.0%)Tuberculosis (6.0%)
Percentage of deaths by broad cause and leading causes, 2009-2014Prov, DistrictKZN, Ugu: DC21
Show History
BroadcauseInjury
NCD
HIV and TB
Comm_mat_peri_nut
402
Section B: National and District Profiles
402
Section B: Profile KwaZulu-Natal Province
Percentage of deaths by broad cause and leading causes, 2009–2014: Ugu (DC21)
Section B: National and District Profiles
403
Section B: Profile KwaZulu-Natal Province
403
Indicator performance: Ugu (DC21)
District value
District ranking
Provincial average
National average
National target
Category Indicator 2013/14 2014/15 2015/16 2015/16 2015/16 2015/16 2015/16Management PHC
Percentage ideal clinics [Percentage] 8.9 19 23.5 9.2
Percentage of fixed PHC facilities with patients that have access to a medical practitioner [Percentage]
35.7 6 30.7 18.1
Management Inpatients
Average length of stay (district hospitals) [Days] 5.9 5.7 5.7 36 5.7 4.5
Expenditure per patient day equivalent (district hospitals) [Rand (real 2015/16 prices)]
1 915.1 1 960.1 2 218.0 18 2 240.9 2 342.2
Inpatient bed utilisation rate (district hospitals) [Percentage] 72.0 69.4 66.3 24 60.2 65.3 78.6
Inpatient crude death rate [Percentage] 6.0 5.9 5.9 36 5.2 5.0
OPD new client not referred rate (district hospitals) [Percentage] 15.4 27.0 41.1 16 47.7 58.3
Delivery Delivery by caesarean section rate (district hospitals) [Percentage] 36.3 37.5 39.2 28.8 24.1
Delivery in facility under 18 years rate [Percentage] 10.6 10.0 9.4 41 8.7 7.1
Inpatient early neonatal death rate [per 1 000 live births] 10.1 9.6 8.7 18 10.8 10.5 10.0
Maternal mortality in facility ratio [per 100 000 live births] 161.0 111.7 92.4 19 121.1 119.1 120.0
Mother postnatal visit within 6 days rate [Percentage] 60.1 60.3 63.6 33 69.8 68.5 85.0
Stillbirth in facility rate [per 1 000 births] 24.0 21.4 22.9 33 22.3 21.1
PMTCT Antenatal 1st visit before 20 weeks rate [Percentage] 58.4 61.6 65.8 19 64.8 61.2 60.0
Antenatal client initiated on ART rate [Percentage] 91.3 98.0 98.3 8 97.6 93.0 88.0
Percentage of PCR tests positive at birth [Percentage] 1.0 15 0.7 1.1
Child Health Child under 5 years diarrhoea case fatality rate [Percentage] 4.3 2.5 2.3 31 2.2 2.2 3.2
Child under 5 years pneumonia case fatality rate [Percentage] 3.1 2.2 2.6 29 2.7 2.3 3.0
Child under 5 years severe acute malnutrition case fatality rate [Percentage]
12.5 9.1 9.4 33 7.7 8.9 10.0
Inpatient death under 5 year rate [Percentage] 5.9 4.7 4.1 16 5.2 4.7
School Grade 1 screening coverage (annualised) [Percentage] 7.2 20.4 19.4 32 22.1 28.9 25.0
Vitamin A dose 12-59 months coverage (annualised) [Percentage] 41.9 49.1 58.0 23 63.8 57.0
Immunisation Immunisation coverage under 1 year [Percentage] 73.8 78.3 82.9 29 85.0 89.2 90.0
Measles 2nd dose coverage (annualised) [Percentage] 69.6 72.9 84.9 20 82.6 84.8 83.0
Reproductive health
Cervical cancer screening coverage (annualised) [Percentage of women 30+ /10]
87.8 80.1 73.4 10 72.7 56.6 60.0
Couple year protection rate (annualised) [Percentage] 41.9 47.0 52.3 27 52.1 48.2 60.0
HIV HIV testing coverage (including ANC) [Percentage] 48.5 46.4 43.0 7 36.0 34.5
Male condom distribution coverage [Condoms per male 15+] 34.3 38.1 54.3 15 54.6 44.4
Non-communicable diseases
Diabetes incidence (annualised) [per 1 000 population] 1.8 1.7 2.1 2.2 1.7
Hypertension incidence (annualised) [per 1 000 population 40+] 30.1 22.4 19.9 18.6 16.8
Human Resources
Percentage of fixed PHC facilities with performance management agreement for all staff [Percentage]
26.8 13 28.5 16.3
Percentage of fixed PHC facilities with staffing in line with WISN [Percentage]
0.0 23 2.7 1.5
District value
District ranking
Provincial average
National average
National target
Category Indicator 20122013 & 2013/14
2014 & 2014/15 2015 2015* 2015* 2015* 2015*
TB case finding Incidence (diagnosed cases) of TB (ETR.net) [Cases per 100 000 population]
1 042.2 996.3 810.0 44 685.2 519.8
TB Rifampicin resistance confirmed client rate [Percentage]
8.3 8.0 7.3 41 7.8 6.1
TB treatment outcomes
TB cure rate (new sm+) [Percentage] 73.7 80.1 76.6 29 78.7 77.4
TB treatment success rate (ETR.net) [Percentage] 74.7 77.8 71.6 43 73.8 77.2 83.0
TB death rate (ETR.net) [Percentage] 8.0 7.3 5.7 15 5.4 6.7
New smear positive pulmonary TB loss to follow up rate [Percentage]
4.7 4.2 3.8 12 4.0 5.6
TB MDR treatment success rate (EDRWeb) [Percentage]
59.2 11 57.3 47.2 55.0
HIV Percentage of TB cases with known HIV status (ETR.net) [Percentage]
84.8 92.1 92.0 45 94.2 94.8
TB/HIV co-infected client on ART rate (ETR.Net) [Percentage]
60.8 82.0 92.7 15 82.2 84.5
NCDs Hypertension prevalence rate (crude) [Percentage] 35.6 31.7 32 26.2 28.2
404
Section B: National and District Profiles
404
Section B: Profile KwaZulu-Natal Province
District value
District ranking
Provincial average
National average
National target
Category Indicator 20122013 & 2013/14
2014 & 2014/15 2015 2015* 2015* 2015* 2015*
Burden of disease
Percentage of YLLs due to non-communicable diseases [Percentage]
31.3 31.3 34.1 19 34.7 38.2
Percentage of YLLs due to HIV and TB [Percentage] 37.5 35.7 33.7 43 32.3 27.0
Percentage of YLLs due to communicable, maternal, perinatal, nutrition causes [Percentage]
20.3 18.9 17.7 18 19.9 21.2
Percentage of deaths garbage codes [Percentage] 13.5 13.9 14.9 40 15.3 14.6
Percentage of YLLs due to injuries [Percentage] 10.9 14.1 14.5 35 13.1 13.6
Percentage of deaths ill-defined [Percentage] 11.6 9.8 9.3 20 10.0 13.8
* – value for most recent year which ranges from 2013 to 2015
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
Annual indicators for district: Ugu: DC21Va
lue
1000
1200
1400
1600
1800
2000
2006 2008 2010 2012 2014
01_DHS exp per capita
600
800
1000
1200
2006 2008 2010 2012 2014
01_PHC exp per capita
200
250
300
350
2006 2008 2010 2012 2014
01_PHC exp per headcount
4.5
5.0
5.5
6.0
2006 2008 2010 2012 2014
03_Avg length of stay (DH)
5.0
5.5
6.0
6.5
7.0
2010 2012 2014 2016
03_Crude death rate
1200
1400
1600
1800
2000
2200
2006 2008 2010 2012 2014
03_Expenditure per PDE (DH)
20
30
40
50
60
2008 2010 2012 2014 2016
03_OPD new not ref rate (DH)
60
65
70
75
2006 2008 2010 2012 2014
03_Usable bed util (DH)
15
20
25
30
35
40
2006 2008 2010 2012 2014
04_Caesarean sect (DH)
7
8
9
10
11
2006 2008 2010 2012 2014
04_Deliv in fac <18
4
6
8
10
2006 2008 2010 2012 2014
04_IP early neo death rate
100
150
200
250
2008 2010 2012 2014
04_Maternal Mort ratio
20
40
60
2008 2010 2012 2014 2016
04_Postnatal mother <6d
20
21
22
23
24
25
2006 2008 2010 2012 2014
04_Stillbirth rate
30
40
50
60
2006 2008 2010 2012 2014
05_ANC 1st visit <20 w rate
100
150
200
2008 2010 2012 2014 2016
05_ANC initiate ART rate
2
4
6
8
2008 2010 2012 2014
06_Child <5 diar fat rate
2
3
4
5
6
2008 2010 2012 2014 2016
06_Child <5 pneumo death
10
15
20
25
30
2008 2010 2012 2014 2016
06_Child <5 sev mal fata
4.5
5.0
5.5
2010 2012 2014 2016 2018
06_Inpat death <5 rate
District value Provincial average ZA (national) average
Section B: National and District Profiles
405
Section B: Profile KwaZulu-Natal Province
405
Annual indicators for district: Ugu (DC21)
Annual indicators for district: Ugu: DC21
Valu
e
10
15
20
25
2010 2012 2014 2016 2018
06_School G1 screen cov yy
30
40
50
60
2006 2008 2010 2012 2014
06_VitA 12−59 mm cov yy
65
70
75
80
85
90
2006 2008 2010 2012 2014
07_Imm cov <1 yy
70
75
80
85
90
95
2008 2010 2012 2014
07_Measles 2nd cov yy
40
60
80
100
2006 2008 2010 2012 2014
08_Cerv cancer screen cov yy
30
40
50
2006 2008 2010 2012 2014
08_Couple year protect rate
4
5
6
7
2008 2010 2012 2014 2016
09_New pulmonary TB LTF rate
4
6
8
10
2010 2012 2014 2016
09_RIF resistance rate
0
20
40
60
80
2006 2008 2010 2012 2014
09_TB cure rate new sm+
6
7
8
2008 2010 2012 2014 2016
09_TB deaths all TB
0
500
1000
1500
2006 2008 2010 2012 2014
09_TB inc all TB
50
60
70
80
2006 2008 2010 2012 2014
09_TB success all TB
30
35
40
45
2010 2012 2014 2016 2018
10_HIV test cov inc ANC
10
20
30
40
50
60
2006 2008 2010 2012 2014
10_Male cond dist cov yy
40
50
60
70
80
90
2008 2010 2012 2014 2016
10_TB known HIV status
20
40
60
80
2010 2012 2014 2016
10_TB/HIV on ART
1.6
1.8
2.0
2.2
2010 2012 2014 2016 2018
11_Diabetes incidence yy
15
20
25
30
2010 2012 2014 2016
11_Hypertension inci yy
26
28
30
32
34
36
2008 2010 2012 2014 2016
11_Hypertension prevalence
13
14
15
2008 2010 2012 2014
13_Garbage codes
District value Provincial average ZA (national) average
406
Section B: National and District Profiles
406
Section B: Profile KwaZulu-Natal Province
Annual indicators for district: Ugu (DC21)
Section B: National and District Profiles
407
Section B: Profile KwaZulu-Natal Province
407
uMgungundlovu District Municipality (DC22)
uMgungundlovu District, one of the 11 National Health Insurance (NHI) pilot districts, is situated in the midlands of KwaZulu-Natal Province and comprises seven sub-districts, namely Impendle, Mkhambathini, Mooi Mpofana, Msunduzi, Richmond, uMngeni, and uMshwathi. The district has a population of 1 087 086, with a population density of 114.3 people per km2, and falls in socio-economic Quintile 3. Estimated medical scheme coverage is 15.7%.
Number of facilities by level, 2015/16
Clin
ic
CH
C
Dis
tric
t Hos
pita
l
Reg
iona
l H
ospi
tal
Cen
tral
/Ter
tiary
H
ospi
tals
Oth
er H
ospi
tals
50 3 2 1 1 10
Headcount and deaths, 2013/14 – 2015/16
Data element 2013/14 2014/15 2015/16PHC headcount under 5 years 435 725 482 082 487 314PHC headcount 5 years and older 2 941 215 3 169 491 3 000 317Patient day equivalent 1 189 164 1 147 256 1 137 614Deaths – total 4 182 4 484 4 476Still births 533 510 450Early neonatal deaths 208 163 177Late neonatal deaths 67 65 64Child under 5 years with diarrhoea death 38 24 16Child under 5 years with pneumonia death 21 22 33Child under 5 years with severe acute malnutrition death 28 20 17
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 2009–2014. The second part of the graph shows the 10 leading single causes of death within each age group (both genders) for 2009–2014 combined.
B road age.. F emale Male
<5 years
5-14
15-24
25-64
65+
T otal 18%
11%
17%
22%
33%
66%
24%
3%
37%
47%
27%
13%
53%
83%
41%
17%
22%
15%
5%
3%
5%
14%
19%
6%
17%
10%
15%
9%
26%
68%
28%
6%
38%
20%
26%
11%
41%
80%
33%
14%
21%
14%
14%
4%
14%
57%
28%
7%
KZN, uMgungundlovu: DC22, 2009-14
R ank.. 2009-14
<5 y
ears
12345678910
5-14
12345678910
15-2
4
12345678910
25-6
4
12345678910
65+
12345678910
Other perinatal conditions (3.7%)S epsis/other newborn infectious (4.9%)B irth asphyxia (5.1%)
P rotein-energy malnutrition (2.9%)
P reterm birth complications (11.8%)
S epticaemia (2.9%)
Diarrhoeal diseases (19.1%)Lower respiratory infections (14.5%)
HIV /AIDS (8.1%)
T uberculos is (3.6%)
Drowning (7.2%)
E pilepsy (2.6%)
F ires , hot substances (4.0%)Meningitis /encephalitis (3.9%)
Accidental threats to breathing (5.9%)
R oad injuries (3.4%)
Diarrhoeal diseases (11.4%)
Lower respiratory infections (9.6%)
HIV /AIDS (17.1%)
T uberculos is (10.6%)
F ires , hot substances (1.9%)Meningitis /encephalitis (2.5%)
Mechanical forces (6.6%)
Interpersonal violence (11.8%)Accidental threats to breathing (8.3%)
R oad injuries (1.8%)
Diarrhoeal diseases (4.6%)Lower respiratory infections (4.7%)
HIV /AIDS (16.7%)T uberculos is (16.8%)
Interpersonal violence (2.7%)Nephritis /nephros is (2.5%)
Diabetes mellitus (3.5%)
Hypertens ive heart disease (2.4%)
Ischaemic heart disease (3.6%)
Diarrhoeal diseases (5.4%)C erebrovascular disease (4.9%)
Lower respiratory infections (6.8%)HIV /AIDS (18.2%)
T uberculos is (19.3%)
T rachea/bronchi/lung (1.8%)C OP D (2.5%)
Nephritis /nephros is (4.9%)
Diabetes mellitus (8.6%)Hypertens ive heart disease (9.0%)
Ischaemic heart disease (11.5%)
Diarrhoeal diseases (3.1%)
C erebrovascular disease (16.9%)
Lower respiratory infections (5.5%)
T uberculos is (3.2%)
P erc entage of deaths by broad c aus e and leading c aus es , 2009-2014P rov, Dis tric tK ZN, uMgungundlovu: . .
S how History
B roadc aus eInjury
NC D
HIV and T B
C omm_mat_peri_nut
408
Section B: National and District Profiles
408
Section B: Profile KwaZulu-Natal Province
Percentage of deaths by broad cause and leading causes, 2009–2014: uMgungundlovu (DC22)
Section B: National and District Profiles
409
Section B: Profile KwaZulu-Natal Province
409
Indicator performance: uMgungundlovu (DC22)
District value
District ranking
Provincial average
National average
National target
Category Indicator 2013/14 2014/15 2015/16 2015/16 2015/16 2015/16 2015/16Management PHC
Percentage ideal clinics [Percentage] 23.1 10 23.5 9.2
Percentage of fixed PHC facilities with patients that have access to a medical practitioner [Percentage]
34.6 8 30.7 18.1
Management Inpatients
Average length of stay (district hospitals) [Days] 5.2 5.6 5.4 29 5.7 4.5
Expenditure per patient day equivalent (district hospitals) [Rand (real 2015/16 prices)]
2 047.3 1 949.1 2 034.0 32 2 240.9 2 342.2
Inpatient bed utilisation rate (district hospitals) [Percentage] 74.6 79.6 80.5 4 60.2 65.3 78.6
Inpatient crude death rate [Percentage] 5.1 5.5 5.6 28 5.2 5.0
OPD new client not referred rate (district hospitals) [Percentage] 29.7 44.1 35.7 13 47.7 58.3
Delivery Delivery by caesarean section rate (district hospitals) [Percentage] 31.1 31.7 33.1 28.8 24.1
Delivery in facility under 18 years rate [Percentage] 9.1 8.6 8.2 30 8.7 7.1
Inpatient early neonatal death rate [per 1 000 live births] 13.2 9.1 10.3 29 10.8 10.5 10.0
Maternal mortality in facility ratio [per 100 000 live births] 208.3 185.9 191.7 49 121.1 119.1 120.0
Mother postnatal visit within 6 days rate [Percentage] 63.5 66.8 65.1 30 69.8 68.5 85.0
Stillbirth in facility rate [per 1 000 births] 32.4 27.9 25.5 40 22.3 21.1
PMTCT Antenatal 1st visit before 20 weeks rate [Percentage] 58.8 59.9 68.7 11 64.8 61.2 60.0
Antenatal client initiated on ART rate [Percentage] 102.9 98.7 97.2 14 97.6 93.0 88.0
Percentage of PCR tests positive at birth [Percentage] 0.7 8 0.7 1.1
Child Health Child under 5 years diarrhoea case fatality rate [Percentage] 3.4 2.5 1.8 22 2.2 2.2 3.2
Child under 5 years pneumonia case fatality rate [Percentage] 1.6 2.1 2.5 28 2.7 2.3 3.0
Child under 5 years severe acute malnutrition case fatality rate [Percentage]
6.8 7.0 6.1 14 7.7 8.9 10.0
Inpatient death under 5 year rate [Percentage] 9.4 6.7 6.1 35 5.2 4.7
School Grade 1 screening coverage (annualised) [Percentage] 6.2 18.6 20.5 31 22.1 28.9 25.0
Vitamin A dose 12-59 months coverage (annualised) [Percentage] 36.9 58.5 56.0 26 63.8 57.0
Immunisation Immunisation coverage under 1 year [Percentage] 96.3 91.2 72.9 48 85.0 89.2 90.0
Measles 2nd dose coverage (annualised) [Percentage] 65.1 75.2 69.4 50 82.6 84.8 83.0
Reproductive health
Cervical cancer screening coverage (annualised) [Percentage of women 30+ /10]
78.9 73.3 71.4 14 72.7 56.6 60.0
Couple year protection rate (annualised) [Percentage] 110.7 152.9 62.9 7 52.1 48.2 60.0
HIV HIV testing coverage (including ANC) [Percentage] 28.2 37.1 41.3 12 36.0 34.5
Male condom distribution coverage [Condoms per male 15+] 153.4 216.8 73.4 6 54.6 44.4
Non-communicable diseases
Diabetes incidence (annualised) [per 1 000 population] 1.9 2.2 4.0 2.2 1.7
Hypertension incidence (annualised) [per 1 000 population 40+] 19.4 26.3 30.5 18.6 16.8
Human Resources
Percentage of fixed PHC facilities with performance management agreement for all staff [Percentage]
30.8 9 28.5 16.3
Percentage of fixed PHC facilities with staffing in line with WISN [Percentage]
0.0 23 2.7 1.5
District value
District ranking
Provincial average
National average
National target
Category Indicator 20122013 & 2013/14
2014 & 2014/15 2015 2015* 2015* 2015* 2015*
TB case finding Incidence (diagnosed cases) of TB (ETR.net) [Cases per 100 000 population]
853.4 775.6 678.1 34 685.2 519.8
TB Rifampicin resistance confirmed client rate [Percentage]
6.1 6.4 6.4 37 7.8 6.1
TB treatment outcomes
TB cure rate (new sm+) [Percentage] 83.4 83.4 86.5 7 78.7 77.4
TB treatment success rate (ETR.net) [Percentage] 81.0 82.9 83.0 8 73.8 77.2 83.0
TB death rate (ETR.net) [Percentage] 7.3 6.4 5.8 17 5.4 6.7
New smear positive pulmonary TB loss to follow up rate [Percentage]
5.2 4.7 4.5 17 4.0 5.6
TB MDR treatment success rate (EDRWeb) [Percentage]
59.2 10 57.3 47.2 55.0
HIV Percentage of TB cases with known HIV status (ETR.net) [Percentage]
96.1 98.5 98.7 1 94.2 94.8
TB/HIV co-infected client on ART rate (ETR.Net) [Percentage]
77.9 93.4 98.8 3 82.2 84.5
NCDs Hypertension prevalence rate (crude) [Percentage] 34.3 30.4 28 26.2 28.2
410
Section B: National and District Profiles
410
Section B: Profile KwaZulu-Natal Province
District value
District ranking
Provincial average
National average
National target
Category Indicator 20122013 & 2013/14
2014 & 2014/15 2015 2015* 2015* 2015* 2015*
Burden of disease
Percentage of YLLs due to non-communicable diseases [Percentage]
38.5 40.6 41.5 38 34.7 38.2
Percentage of YLLs due to HIV and TB [Percentage] 31.6 29.2 28.6 32 32.3 27.0
Percentage of YLLs due to communicable, maternal, perinatal, nutrition causes [Percentage]
17.1 17.3 16.4 13 19.9 21.2
Percentage of deaths garbage codes [Percentage] 14.2 14.3 12.8 20 15.3 14.6
Percentage of YLLs due to injuries [Percentage] 12.8 12.9 13.5 31 13.1 13.6
Percentage of deaths ill-defined [Percentage] 13.1 11.9 10.6 26 10.0 13.8
* – value for most recent year which ranges from 2013 to 2015
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
Annual indicators for district: uMgungundlovu: DC22Va
lue
1000
1200
1400
1600
2006 2008 2010 2012 2014
01_DHS exp per capita
500
600
700
800
900
1000
1100
2006 2008 2010 2012 2014
01_PHC exp per capita
200
250
300
350
2006 2008 2010 2012 2014
01_PHC exp per headcount
4.5
5.0
5.5
2006 2008 2010 2012 2014
03_Avg length of stay (DH)
5.0
5.2
5.4
5.6
5.8
2010 2012 2014 2016
03_Crude death rate
1500
2000
2006 2008 2010 2012 2014
03_Expenditure per PDE (DH)
30
40
50
60
2008 2010 2012 2014 2016
03_OPD new not ref rate (DH)
60
65
70
75
80
2006 2008 2010 2012 2014
03_Usable bed util (DH)
15
20
25
30
2006 2008 2010 2012 2014
04_Caesarean sect (DH)
7.0
7.5
8.0
8.5
9.0
9.5
2006 2008 2010 2012 2014
04_Deliv in fac <18
0
5
10
2006 2008 2010 2012 2014
04_IP early neo death rate
100
150
200
250
2008 2010 2012 2014
04_Maternal Mort ratio
20
40
60
80
2008 2010 2012 2014 2016
04_Postnatal mother <6d
22
24
26
28
30
32
2006 2008 2010 2012 2014
04_Stillbirth rate
30
40
50
60
70
2006 2008 2010 2012 2014
05_ANC 1st visit <20 w rate
100
150
200
2008 2010 2012 2014 2016
05_ANC initiate ART rate
0
50
100
150
2008 2010 2012 2014
06_Child <5 diar fat rate
2
3
4
5
6
2008 2010 2012 2014 2016
06_Child <5 pneumo death
10
15
2008 2010 2012 2014 2016
06_Child <5 sev mal fata
5
6
7
8
9
2010 2012 2014 2016 2018
06_Inpat death <5 rate
District value Provincial average ZA (national) average
Section B: National and District Profiles
411
Section B: Profile KwaZulu-Natal Province
411
Annual indicators for district: uMgungundlovu (DC22)
Annual indicators for district: uMgungundlovu: DC22
Valu
e
10
15
20
25
2010 2012 2014 2016 2018
06_School G1 screen cov yy
20
30
40
50
60
2006 2008 2010 2012 2014
06_VitA 12−59 mm cov yy
70
80
90
100
2006 2008 2010 2012 2014
07_Imm cov <1 yy
65
70
75
80
85
90
2008 2010 2012 2014
07_Measles 2nd cov yy
30
40
50
60
70
80
90
2006 2008 2010 2012 2014
08_Cerv cancer screen cov yy
50
100
150
2006 2008 2010 2012 2014
08_Couple year protect rate
4
5
6
7
2008 2010 2012 2014 2016
09_New pulmonary TB LTF rate
6
8
10
12
14
16
18
2010 2012 2014 2016
09_RIF resistance rate
50
60
70
80
2006 2008 2010 2012 2014
09_TB cure rate new sm+
6
7
8
2008 2010 2012 2014 2016
09_TB deaths all TB
600
800
1000
1200
2006 2008 2010 2012 2014
09_TB inc all TB
65
70
75
80
2006 2008 2010 2012 2014
09_TB success all TB
30
35
40
2010 2012 2014 2016 2018
10_HIV test cov inc ANC
0
50
100
150
200
2006 2008 2010 2012 2014
10_Male cond dist cov yy
40
60
80
100
2008 2010 2012 2014 2016
10_TB known HIV status
20
40
60
80
100
2010 2012 2014 2016
10_TB/HIV on ART
1.5
2.0
2.5
3.0
3.5
4.0
2010 2012 2014 2016 2018
11_Diabetes incidence yy
15
20
25
30
2010 2012 2014 2016
11_Hypertension inci yy
26
28
30
32
34
2008 2010 2012 2014 2016
11_Hypertension prevalence
13.0
13.5
14.0
14.5
15.0
15.5
2008 2010 2012 2014
13_Garbage codes
District value Provincial average ZA (national) average
412
Section B: National and District Profiles
412
Section B: Profile KwaZulu-Natal Province
Annual indicators for district: uMgungundlovu (DC22)
Section B: National and District Profiles
413
Section B: Profile KwaZulu-Natal Province
413
uThukela District Municipality (DC23)
uThukela District is located on the western boundary of Kwazulu-Natal Province. It consists of five sub-districts: Indaka, Emnambithi/Ladysmith, uMtshezi, Okhahlamba and Imbabazane. The district has a population of 695 671, with a population density of 61.4 people per km2 and falls in socio-economic Quintile 1, among the poorest districts. Estimated medical scheme coverage is 7.0%.
Number of facilities by level, 2015/16
Clin
ic
CH
C
Dis
tric
t Hos
pita
l
Reg
iona
l H
ospi
tal
Cen
tral
/Ter
tiary
H
ospi
tals
Oth
er H
ospi
tals
37 1 2 1 0 0
Headcount and deaths, 2013/14 – 2015/16
Data element 2013/14 2014/15 2015/16PHC headcount under 5 years 320 711 309 466 331 771PHC headcount 5 years and older 1 700 282 1 794 366 1 837 583Patient day equivalent 369 502 343 224 333 282Deaths – total 2 769 2 583 2 482Still births 296 345 344Early neonatal deaths 119 104 99Late neonatal deaths 30 47 36Child under 5 years with diarrhoea death 42 27 14Child under 5 years with pneumonia death 16 25 19Child under 5 years with severe acute malnutrition death 33 37 22
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 2009–2014. The second part of the graph shows the 10 leading single causes of death within each age group (both genders) for 2009–2014 combined.
B road age.. F emale Male
<5 years
5-14
15-24
25-64
65+
T otal 26%
15%
24%
27%
40%
77%
26%
4%
41%
45%
24%
9%
44%
79%
31%
16%
17%
8%
4%
2%
4%
12%
19%
6%
23%
15%
18%
12%
33%
79%
31%
9%
41%
21%
20%
8%
33%
72%
27%
14%
18%
7%
14%
4%
14%
54%
30%
6%
KZN, uThukela: DC23, 2009-14
R ank.. 2009-14
<5 y
ears
12345678910
5-14
12345678910
15-2
4
12345678910
25-6
4
12345678910
65+
12345678910
Other perinatal conditions (2.0%)S epsis/other newborn infectious (2.4%)
B irth asphyxia (5.7%)
P rotein-energy malnutrition (5.3%)
P reterm birth complications (13.2%)
Meningitis /encephalitis (1.4%)
Diarrhoeal diseases (29.2%)Lower respiratory infections (17.3%)
HIV /AIDS (5.5%)
T uberculos is (3.4%)
P oisonings (including herbal) (2.3%)
Drowning (3.3%)F ires , hot substances (2.3%)
Meningitis /encephalitis (5.7%)Accidental threats to breathing (5.9%)
R oad injuries (4.1%)
Diarrhoeal diseases (13.8%)
Lower respiratory infections (12.2%)HIV /AIDS (9.3%)
T uberculos is (13.1%)
Meningitis /encephalitis (4.3%)
Mechanical forces (6.4%)Interpersonal violence (7.4%)
Accidental threats to breathing (9.1%)
R oad injuries (2.4%)
Diarrhoeal diseases (6.1%)
C erebrovascular disease (2.2%)
Lower respiratory infections (6.4%)
HIV /AIDS (16.4%)T uberculos is (17.6%)
Meningitis /encephalitis (2.6%)Nephritis /nephros is (2.1%)
Diabetes mellitus (2.6%)
Hypertens ive heart disease (2.1%)
Ischaemic heart disease (3.7%)
Diarrhoeal diseases (7.0%)C erebrovascular disease (5.3%)
Lower respiratory infections (9.1%)HIV /AIDS (19.8%)
T uberculos is (21.4%)
C ardiomyopathy (1.7%)Asthma (1.7%)
Nephritis /nephros is (3.7%)
Diabetes mellitus (7.5%)
Hypertens ive heart disease (11.2%)Ischaemic heart disease (12.9%)
Diarrhoeal diseases (5.4%)
C erebrovascular disease (20.0%)
Lower respiratory infections (7.6%)
T uberculos is (4.4%)
P erc entage of deaths by broad c aus e and leading c aus es , 2009-2014P rov, Dis tric tK ZN, Uthukela: DC 23
S how History
B roadc aus eInjury
NC D
HIV and T B
C omm_mat_peri_nut
414
Section B: National and District Profiles
414
Section B: Profile KwaZulu-Natal Province
Percentage of deaths by broad cause and leading causes, 2009–2014: uThukela (DC23)
Section B: National and District Profiles
415
Section B: Profile KwaZulu-Natal Province
415
Indicator performance: uThukela (DC23)
District value
District ranking
Provincial average
National average
National target
Category Indicator 2013/14 2014/15 2015/16 2015/16 2015/16 2015/16 2015/16Management PHC
Percentage ideal clinics [Percentage] 27.0 8 23.5 9.2
Percentage of fixed PHC facilities with patients that have access to a medical practitioner [Percentage]
37.8 5 30.7 18.1
Management Inpatients
Average length of stay (district hospitals) [Days] 5.3 5.4 5.5 32 5.7 4.5
Expenditure per patient day equivalent (district hospitals) [Rand (real 2015/16 prices)]
2 199.8 2 146.2 2 383.1 3 2 240.9 2 342.2
Inpatient bed utilisation rate (district hospitals) [Percentage] 63.4 63.7 61.7 35 60.2 65.3 78.6
Inpatient crude death rate [Percentage] 6.4 6.1 6.0 38 5.2 5.0
OPD new client not referred rate (district hospitals) [Percentage] 42.9 52.8 47.3 19 47.7 58.3
Delivery Delivery by caesarean section rate (district hospitals) [Percentage] 23.0 21.5 26.1 28.8 24.1
Delivery in facility under 18 years rate [Percentage] 9.3 8.8 8.7 33 8.7 7.1
Inpatient early neonatal death rate [per 1 000 live births] 9.0 8.2 8.3 14 10.8 10.5 10.0
Maternal mortality in facility ratio [per 100 000 live births] 123.0 175.8 160.0 44 121.1 119.1 120.0
Mother postnatal visit within 6 days rate [Percentage] 67.1 75.8 77.0 7 69.8 68.5 85.0
Stillbirth in facility rate [per 1 000 births] 23.7 26.8 28.2 49 22.3 21.1
PMTCT Antenatal 1st visit before 20 weeks rate [Percentage] 54.4 57.0 61.3 35 64.8 61.2 60.0
Antenatal client initiated on ART rate [Percentage] 98.9 95.9 98.6 7 97.6 93.0 88.0
Percentage of PCR tests positive at birth [Percentage] 0.6 6 0.7 1.1
Child Health Child under 5 years diarrhoea case fatality rate [Percentage] 3.3 2.8 1.8 23 2.2 2.2 3.2
Child under 5 years pneumonia case fatality rate [Percentage] 2.6 3.4 2.9 35 2.7 2.3 3.0
Child under 5 years severe acute malnutrition case fatality rate [Percentage]
19.9 14.9 8.9 31 7.7 8.9 10.0
Inpatient death under 5 year rate [Percentage] 5.0 5.8 4.4 18 5.2 4.7
School Grade 1 screening coverage (annualised) [Percentage] 11.8 15.5 24.8 26 22.1 28.9 25.0
Vitamin A dose 12-59 months coverage (annualised) [Percentage] 33.9 52.4 83.6 3 63.8 57.0
Immunisation Immunisation coverage under 1 year [Percentage] 76.5 86.0 84.7 27 85.0 89.2 90.0
Measles 2nd dose coverage (annualised) [Percentage] 70.2 84.7 82.5 28 82.6 84.8 83.0
Reproductive health
Cervical cancer screening coverage (annualised) [Percentage of women 30+ /10]
63.8 61.8 82.7 4 72.7 56.6 60.0
Couple year protection rate (annualised) [Percentage] 53.1 57.7 53.6 22 52.1 48.2 60.0
HIV HIV testing coverage (including ANC) [Percentage] 35.7 33.0 26.3 45 36.0 34.5
Male condom distribution coverage [Condoms per male 15+] 60.5 70.5 61.6 10 54.6 44.4
Non-communicable diseases
Diabetes incidence (annualised) [per 1 000 population] 0.8 0.7 1.9 2.2 1.7
Hypertension incidence (annualised) [per 1 000 population 40+] 15.6 15.4 21.4 18.6 16.8
Human Resources
Percentage of fixed PHC facilities with performance management agreement for all staff [Percentage]
37.8 5 28.5 16.3
Percentage of fixed PHC facilities with staffing in line with WISN [Percentage]
0.0 23 2.7 1.5
District value
District ranking
Provincial average
National average
National target
Category Indicator 20122013 & 2013/14
2014 & 2014/15 2015 2015* 2015* 2015* 2015*
TB case finding Incidence (diagnosed cases) of TB (ETR.net) [Cases per 100 000 population]
711.0 601.8 533.0 22 685.2 519.8
TB Rifampicin resistance confirmed client rate [Percentage]
8.6 7.8 8.0 44 7.8 6.1
TB treatment outcomes
TB cure rate (new sm+) [Percentage] 76.9 84.9 78.2 24 78.7 77.4
TB treatment success rate (ETR.net) [Percentage] 74.1 84.5 75.1 33 73.8 77.2 83.0
TB death rate (ETR.net) [Percentage] 8.8 9.9 7.3 27 5.4 6.7
New smear positive pulmonary TB loss to follow up rate [Percentage]
3.4 1.1 1.3 3 4.0 5.6
TB MDR treatment success rate (EDRWeb) [Percentage]
63.0 5 57.3 47.2 55.0
HIV Percentage of TB cases with known HIV status (ETR.net) [Percentage]
93.0 94.7 93.8 37 94.2 94.8
TB/HIV co-infected client on ART rate (ETR.Net) [Percentage]
87.7 90.1 86.4 25 82.2 84.5
NCDs Hypertension prevalence rate (crude) [Percentage] 29.5 23.2 8 26.2 28.2
416
Section B: National and District Profiles
416
Section B: Profile KwaZulu-Natal Province
District value
District ranking
Provincial average
National average
National target
Category Indicator 20122013 & 2013/14
2014 & 2014/15 2015 2015* 2015* 2015* 2015*
Burden of disease
Percentage of YLLs due to non-communicable diseases [Percentage]
28.4 29.7 32.6 14 34.7 38.2
Percentage of YLLs due to HIV and TB [Percentage] 34.1 34.0 35.4 45 32.3 27.0
Percentage of YLLs due to communicable, maternal, perinatal, nutrition causes [Percentage]
27.6 23.3 21.4 30 19.9 21.2
Percentage of deaths garbage codes [Percentage] 15.8 15.7 15.1 42 15.3 14.6
Percentage of YLLs due to injuries [Percentage] 9.9 13.0 10.6 6 13.1 13.6
Percentage of deaths ill-defined [Percentage] 10.7 6.4 4.2 2 10.0 13.8
* – value for most recent year which ranges from 2013 to 2015
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
Annual indicators for district: uThukela: DC23Va
lue
1000
1200
1400
1600
2006 2008 2010 2012 2014
01_DHS exp per capita
600
800
1000
2006 2008 2010 2012 2014
01_PHC exp per capita
200
250
300
350
2006 2008 2010 2012 2014
01_PHC exp per headcount
4.5
5.0
5.5
2006 2008 2010 2012 2014
03_Avg length of stay (DH)
5.0
5.5
6.0
6.5
2010 2012 2014 2016
03_Crude death rate
1500
2000
2500
2006 2008 2010 2012 2014
03_Expenditure per PDE (DH)
20
30
40
50
60
2008 2010 2012 2014 2016
03_OPD new not ref rate (DH)
55
60
65
2006 2008 2010 2012 2014
03_Usable bed util (DH)
15
20
25
2006 2008 2010 2012 2014
04_Caesarean sect (DH)
7.0
7.5
8.0
8.5
9.0
9.5
2006 2008 2010 2012 2014
04_Deliv in fac <18
6
8
10
12
14
2006 2008 2010 2012 2014
04_IP early neo death rate
100
150
200
2008 2010 2012 2014
04_Maternal Mort ratio
20
40
60
80
2008 2010 2012 2014 2016
04_Postnatal mother <6d
22
24
26
28
2006 2008 2010 2012 2014
04_Stillbirth rate
30
40
50
60
2006 2008 2010 2012 2014
05_ANC 1st visit <20 w rate
80
100
120
140
160
2008 2010 2012 2014 2016
05_ANC initiate ART rate
2
4
6
8
2008 2010 2012 2014
06_Child <5 diar fat rate
3
4
5
6
2008 2010 2012 2014 2016
06_Child <5 pneumo death
10
15
20
2008 2010 2012 2014 2016
06_Child <5 sev mal fata
4.5
5.0
5.5
2010 2012 2014 2016 2018
06_Inpat death <5 rate
District value Provincial average ZA (national) average
Section B: National and District Profiles
417
Section B: Profile KwaZulu-Natal Province
417
Annual indicators for district: uThukela (DC23)
Annual indicators for district: uThukela: DC23
Valu
e
10
15
20
25
2010 2012 2014 2016 2018
06_School G1 screen cov yy
20
40
60
80
2006 2008 2010 2012 2014
06_VitA 12−59 mm cov yy
70
75
80
85
90
95
100
2006 2008 2010 2012 2014
07_Imm cov <1 yy
65
70
75
80
85
90
2008 2010 2012 2014
07_Measles 2nd cov yy
30
40
50
60
70
80
2006 2008 2010 2012 2014
08_Cerv cancer screen cov yy
30
40
50
60
2006 2008 2010 2012 2014
08_Couple year protect rate
2
4
6
2008 2010 2012 2014 2016
09_New pulmonary TB LTF rate
6
8
10
12
2010 2012 2014 2016
09_RIF resistance rate
65
70
75
80
85
2008 2010 2012 2014 2016
09_TB cure rate new sm+
6
7
8
9
10
2008 2010 2012 2014 2016
09_TB deaths all TB
0
200
400
600
800
1000
1200
2006 2008 2010 2012 2014
09_TB inc all TB
70
75
80
85
2008 2010 2012 2014 2016
09_TB success all TB
30
35
2010 2012 2014 2016 2018
10_HIV test cov inc ANC
20
40
60
80
2006 2008 2010 2012 2014
10_Male cond dist cov yy
60
70
80
90
2008 2010 2012 2014 2016
10_TB known HIV status
20
40
60
80
2010 2012 2014 2016
10_TB/HIV on ART
1.0
1.5
2.0
2010 2012 2014 2016 2018
11_Diabetes incidence yy
15
20
25
30
2010 2012 2014 2016
11_Hypertension inci yy
24
26
28
30
32
2008 2010 2012 2014 2016
11_Hypertension prevalence
14
15
16
17
18
2008 2010 2012 2014
13_Garbage codes
District value Provincial average ZA (national) average
418
Section B: National and District Profiles
418
Section B: Profile KwaZulu-Natal Province
Annual indicators for district: uThukela (DC23)
Section B: National and District Profiles
419
Section B: Profile KwaZulu-Natal Province
419
uMzinyathi District Municipality (DC24)
uMzinyathi District is situated in the north-central region of KwaZulu-Natal Province and includes four sub-districts, namely Endumeni, Nquthu, Msinga and uMvoti. The district has a total population of 522 803, with a population density of 60.9 people per km2 and falls into socio-economic Quintile 1, among the poorest districts, and has an estimated medical scheme coverage of 7.0%. uMzinyathi is one of the 11 National Health Insurance (NHI) pilot districts.
Number of facilities by level, 2015/16
Clin
ic
CH
C
Dis
tric
t Hos
pita
l
Reg
iona
l H
ospi
tal
Cen
tral
/Ter
tiary
H
ospi
tals
Oth
er H
ospi
tals
51 1 4 0 0 1
Headcount and deaths, 2013/14 – 2015/16
Data element 2013/14 2014/15 2015/16PHC headcount under 5 years 303 980 293 324 319 663PHC headcount 5 years and older 1 557 375 1 552 544 1 632 000Patient day equivalent 332 357 322 410 326 214Deaths – total 2 624 2 326 2 234Still births 209 202 178Early neonatal deaths 123 106 130Late neonatal deaths 24 26 20Child under 5 years with diarrhoea death 41 30 14Child under 5 years with pneumonia death 38 15 21Child under 5 years with severe acute malnutrition death 31 35 24
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 2009–2014. The second part of the graph shows the 10 leading single causes of death within each age group (both genders) for 2009–2014 combined.
B road age.. F emale Male
<5 years
5-14
15-24
25-64
65+
T otal 25%
17%
20%
22%
40%
76%
29%
6%
47%
55%
23%
10%
41%
74%
28%
10%
17%
8%
5%
3%
4%
14%
19%
6%
25%
19%
18%
12%
35%
76%
33%
12%
44%
22%
23%
9%
29%
66%
24%
9%
12%
8%
13%
4%
13%
57%
30%
7%
KZN, u Mzinyathi: DC24, 2009-14
R ank.. 2009-14
<5 y
ears
12345678910
5-14
12345678910
15-2
4
12345678910
25-6
4
12345678910
65+
12345678910
Other perinatal conditions (2.3%)S epsis/other newborn infectious (1.6%)P oisonings (including herbal) (1.6%)
B irth asphyxia (9.4%)P rotein-energy malnutrition (8.5%)
P reterm birth complications (15.7%)Diarrhoeal diseases (21.4%)
Lower respiratory infections (14.0%)
HIV /AIDS (6.8%)T uberculos is (3.0%)
E xposure to natural forces (2.1%)Other neurological conditions (2.5%)
Drowning (8.1%)
E pilepsy (3.2%)Meningitis /encephalitis (4.6%)
R oad injuries (8.9%)
Diarrhoeal diseases (13.5%)Lower respiratory infections (15.0%)
HIV /AIDS (12.2%)T uberculos is (11.7%)
S elf-inflicted injuries (3.5%)Meningitis /encephalitis (3.0%)
Mechanical forces (8.5%)
Interpersonal violence (6.6%)
Accidental threats to breathing (4.5%)
R oad injuries (7.4%)
Diarrhoeal diseases (5.4%)Lower respiratory infections (5.6%)
HIV /AIDS (18.4%)T uberculos is (21.6%)
Meningitis /encephalitis (2.0%)
Mechanical forces (2.6%)
R oad injuries (1.9%)
Diabetes mellitus (2.6%)Ischaemic heart disease (2.5%)
Diarrhoeal diseases (6.0%)C erebrovascular disease (4.8%)
Lower respiratory infections (9.0%)HIV /AIDS (20.6%)
T uberculos is (25.1%)
S epticaemia (2.2%)C OP D (2.0%)
Nephritis /nephros is (2.7%)
Diabetes mellitus (7.6%)Hypertens ive heart disease (8.7%)
Ischaemic heart disease (9.5%)
Diarrhoeal diseases (5.4%)
C erebrovascular disease (22.0%)
Lower respiratory infections (9.2%)
T uberculos is (6.7%)
P erc entage of deaths by broad c aus e and leading c aus es , 2009-2014P rov, Dis tric tK ZN, Umzinyathi: DC 24
S how History
B roadc aus eInjury
NC D
HIV and T B
C omm_mat_peri_nut
420
Section B: National and District Profiles
420
Section B: Profile KwaZulu-Natal Province
Percentage of deaths by broad cause and leading causes, 2009–2014: uMzinyathi (DC24)
Section B: National and District Profiles
421
Section B: Profile KwaZulu-Natal Province
421
Indicator performance: uMzinyathi (DC24)
District value
District ranking
Provincial average
National average
National target
Category Indicator 2013/14 2014/15 2015/16 2015/16 2015/16 2015/16 2015/16Management PHC
Percentage ideal clinics [Percentage] 34.6 4 23.5 9.2
Percentage of fixed PHC facilities with patients that have access to a medical practitioner [Percentage]
34.6 8 30.7 18.1
Management Inpatients
Average length of stay (district hospitals) [Days] 6.1 6.1 6.1 45 5.7 4.5
Expenditure per patient day equivalent (district hospitals) [Rand (real 2015/16 prices)]
2 303.8 2 347.8 2 326.4 1 2 240.9 2 342.2
Inpatient bed utilisation rate (district hospitals) [Percentage] 63.6 53.6 54.4 45 60.2 65.3 78.6
Inpatient crude death rate [Percentage] 6.6 6.2 5.8 31 5.2 5.0
OPD new client not referred rate (district hospitals) [Percentage] 70.4 61.7 55.9 22 47.7 58.3
Delivery Delivery by caesarean section rate (district hospitals) [Percentage] 20.6 23.2 24.4 28.8 24.1
Delivery in facility under 18 years rate [Percentage] 10.0 9.8 8.8 34 8.7 7.1
Inpatient early neonatal death rate [per 1 000 live births] 11.4 9.4 12.0 40 10.8 10.5 10.0
Maternal mortality in facility ratio [per 100 000 live births] 71.6 79.6 101.3 27 121.1 119.1 120.0
Mother postnatal visit within 6 days rate [Percentage] 66.9 72.1 76.4 8 69.8 68.5 85.0
Stillbirth in facility rate [per 1 000 births] 18.4 17.6 16.1 8 22.3 21.1
PMTCT Antenatal 1st visit before 20 weeks rate [Percentage] 59.6 60.9 68.4 12 64.8 61.2 60.0
Antenatal client initiated on ART rate [Percentage] 93.5 98.3 95.5 21 97.6 93.0 88.0
Percentage of PCR tests positive at birth [Percentage] 0.6 4 0.7 1.1
Child Health Child under 5 years diarrhoea case fatality rate [Percentage] 5.6 3.8 2.0 27 2.2 2.2 3.2
Child under 5 years pneumonia case fatality rate [Percentage] 6.1 2.4 3.1 37 2.7 2.3 3.0
Child under 5 years severe acute malnutrition case fatality rate [Percentage]
12.7 12.4 8.7 29 7.7 8.9 10.0
Inpatient death under 5 year rate [Percentage] 6.0 5.9 5.6 31 5.2 4.7
School Grade 1 screening coverage (annualised) [Percentage] 7.2 14.2 18.5 34 22.1 28.9 25.0
Vitamin A dose 12-59 months coverage (annualised) [Percentage] 51.4 60.3 71.2 7 63.8 57.0
Immunisation Immunisation coverage under 1 year [Percentage] 77.2 81.5 92.2 13 85.0 89.2 90.0
Measles 2nd dose coverage (annualised) [Percentage] 80.1 85.0 95.2 8 82.6 84.8 83.0
Reproductive health
Cervical cancer screening coverage (annualised) [Percentage of women 30+ /10]
102.2 71.6 109.2 1 72.7 56.6 60.0
Couple year protection rate (annualised) [Percentage] 59.9 76.7 85.2 1 52.1 48.2 60.0
HIV HIV testing coverage (including ANC) [Percentage] 60.6 62.5 52.0 4 36.0 34.5
Male condom distribution coverage [Condoms per male 15+] 85.3 113.4 136.3 1 54.6 44.4
Non-communicable diseases
Diabetes incidence (annualised) [per 1 000 population] 1.1 0.9 1.5 2.2 1.7
Hypertension incidence (annualised) [per 1 000 population 40+] 20.0 20.0 20.6 18.6 16.8
Human Resources
Percentage of fixed PHC facilities with performance management agreement for all staff [Percentage]
34.6 6 28.5 16.3
Percentage of fixed PHC facilities with staffing in line with WISN [Percentage]
0.0 23 2.7 1.5
District value
District ranking
Provincial average
National average
National target
Category Indicator 20122013 & 2013/14
2014 & 2014/15 2015 2015* 2015* 2015* 2015*
TB case finding Incidence (diagnosed cases) of TB (ETR.net) [Cases per 100 000 population]
682.6 615.9 518.0 20 685.2 519.8
TB Rifampicin resistance confirmed client rate [Percentage]
10.2 8.4 8.3 46 7.8 6.1
TB treatment outcomes
TB cure rate (new sm+) [Percentage] 79.6 88.1 87.2 4 78.7 77.4
TB treatment success rate (ETR.net) [Percentage] 77.0 82.9 78.3 23 73.8 77.2 83.0
TB death rate (ETR.net) [Percentage] 11.1 11.5 9.1 36 5.4 6.7
New smear positive pulmonary TB loss to follow up rate [Percentage]
1.9 1.4 3.2 6 4.0 5.6
TB MDR treatment success rate (EDRWeb) [Percentage]
64.7 2 57.3 47.2 55.0
HIV Percentage of TB cases with known HIV status (ETR.net) [Percentage]
96.6 95.0 96.6 8 94.2 94.8
TB/HIV co-infected client on ART rate (ETR.Net) [Percentage]
89.1 92.1 91.4 19 82.2 84.5
NCDs Hypertension prevalence rate (crude) [Percentage] 27.3 27.5 23 26.2 28.2
422
Section B: National and District Profiles
422
Section B: Profile KwaZulu-Natal Province
District value
District ranking
Provincial average
National average
National target
Category Indicator 20122013 & 2013/14
2014 & 2014/15 2015 2015* 2015* 2015* 2015*
Burden of disease
Percentage of YLLs due to non-communicable diseases [Percentage]
25.5 27.4 30.1 8 34.7 38.2
Percentage of YLLs due to HIV and TB [Percentage] 37.1 32.2 33.3 42 32.3 27.0
Percentage of YLLs due to communicable, maternal, perinatal, nutrition causes [Percentage]
26.8 27.4 24.6 38 19.9 21.2
Percentage of deaths garbage codes [Percentage] 12.2 13.1 14.2 32 15.3 14.6
Percentage of YLLs due to injuries [Percentage] 10.6 12.9 12.0 14 13.1 13.6
* – value for most recent year which ranges from 2013 to 2015
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
Annual indicators for district: uMzinyathi: DC24Va
lue
1000
1500
2000
2500
2006 2008 2010 2012 2014
01_DHS exp per capita
600
800
1000
2006 2008 2010 2012 2014
01_PHC exp per capita
200
250
300
350
2006 2008 2010 2012 2014
01_PHC exp per headcount
4.5
5.0
5.5
6.0
2006 2008 2010 2012 2014
03_Avg length of stay (DH)
5.0
5.5
6.0
6.5
7.0
2010 2012 2014 2016
03_Crude death rate
1500
2000
2006 2008 2010 2012 2014
03_Expenditure per PDE (DH)
50
55
60
65
70
75
2008 2010 2012 2014 2016
03_OPD new not ref rate (DH)
55
60
65
2006 2008 2010 2012 2014
03_Usable bed util (DH)
15
20
25
2006 2008 2010 2012 2014
04_Caesarean sect (DH)
7.0
7.5
8.0
8.5
9.0
9.5
10.0
2006 2008 2010 2012 2014
04_Deliv in fac <18
2
4
6
8
10
12
2006 2008 2010 2012 2014
04_IP early neo death rate
50
100
150
200
2008 2010 2012 2014
04_Maternal Mort ratio
20
40
60
2008 2010 2012 2014 2016
04_Postnatal mother <6d
15
20
25
2006 2008 2010 2012 2014
04_Stillbirth rate
30
40
50
60
70
2006 2008 2010 2012 2014
05_ANC 1st visit <20 w rate
100
150
200
2008 2010 2012 2014 2016
05_ANC initiate ART rate
2
4
6
8
2008 2010 2012 2014
06_Child <5 diar fat rate
3
4
5
6
7
2008 2010 2012 2014 2016
06_Child <5 pneumo death
10
15
20
25
30
35
2008 2010 2012 2014 2016
06_Child <5 sev mal fata
5.0
5.5
6.0
2010 2012 2014 2016 2018
06_Inpat death <5 rate
District value Provincial average ZA (national) average
Section B: National and District Profiles
423
Section B: Profile KwaZulu-Natal Province
423
Annual indicators for district: uMzinyathi (DC24)
Annual indicators for district: uMzinyathi: DC24
Valu
e
10
15
20
25
2010 2012 2014 2016 2018
06_School G1 screen cov yy
20
30
40
50
60
70
2006 2008 2010 2012 2014
06_VitA 12−59 mm cov yy
80
85
90
95
100
2006 2008 2010 2012 2014
07_Imm cov <1 yy
70
75
80
85
90
95
2008 2010 2012 2014
07_Measles 2nd cov yy
40
60
80
100
120
2006 2008 2010 2012 2014
08_Cerv cancer screen cov yy
40
60
80
2006 2008 2010 2012 2014
08_Couple year protect rate
2
4
6
2008 2010 2012 2014 2016
09_New pulmonary TB LTF rate
6
7
8
9
10
2010 2012 2014 2016
09_RIF resistance rate
50
60
70
80
2006 2008 2010 2012 2014
09_TB cure rate new sm+
6
7
8
9
10
11
2008 2010 2012 2014 2016
09_TB deaths all TB
600
800
1000
1200
2006 2008 2010 2012 2014
09_TB inc all TB
65
70
75
80
2006 2008 2010 2012 2014
09_TB success all TB
30
40
50
60
2010 2012 2014 2016 2018
10_HIV test cov inc ANC
0
50
100
2006 2008 2010 2012 2014
10_Male cond dist cov yy
20
40
60
80
100
2008 2010 2012 2014 2016
10_TB known HIV status
20
40
60
80
2010 2012 2014 2016
10_TB/HIV on ART
1.0
1.5
2.0
2010 2012 2014 2016 2018
11_Diabetes incidence yy
15
20
25
30
35
2010 2012 2014 2016
11_Hypertension inci yy
30
35
2008 2010 2012 2014 2016
11_Hypertension prevalence
10
11
12
13
14
15
2008 2010 2012 2014
13_Garbage codes
District value Provincial average ZA (national) average
424
Section B: National and District Profiles
424
Section B: Profile KwaZulu-Natal Province
Annual indicators for district: uMzinyathi (DC24)
Section B: National and District Profiles
425
Section B: Profile KwaZulu-Natal Province
425
Amajuba District Municipality (DC25)
Amajuba District is located in the north-western corner of KwaZulu-Natal Province and comprises three sub-districts, namely Dannhauser, Emadlangeni and Newcastle. The district has a population of 522 638, with a population density of 75.6 people per km2 and falls into socio-economic Quintile 3. Estimated medical scheme coverage is 9.4%.
Number of facilities by level, 2015/16
Clin
ic
CH
C
Dis
tric
t Hos
pita
l
Reg
iona
l H
ospi
tal
Cen
tral
/Ter
tiary
H
ospi
tals
Oth
er H
ospi
tals
25 1 1 2 0 0
Headcounts and deaths, 2013/14 – 2015/16
Data element 2013/14 2014/15 2015/16PHC headcount under 5 years 187 364 194 978 202 275PHC headcount 5 years and older 1 217 741 1 321 245 1 197 090Patient day equivalent 377 249 389 178 357 377Deaths – total 2 166 2 145 2 175Still births 261 315 229Early neonatal deaths 84 109 90Late neonatal deaths 16 32 28Child under 5 years with diarrhoea death 5 16 6Child under 5 years with pneumonia death 3 5 8Child under 5 years with severe acute malnutrition death 16 20 12
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 2009–2014. The second part of the graph shows the 10 leading single causes of death within each age group (both genders) for 2009–2014 combined.
Broad age.. Female Male
<5 years
5-14
15-24
25-64
65+
Total 29%
15%
29%
34%
35%
75%
23%
4%
34%
39%
23%
6%
44%
80%
33%
16%
23%
13%
4%
2%
4%
11%
19%
6%
28%
19%
26%
16%
35%
75%
25%
7%
33%
16%
20%
6%
35%
71%
29%
14%
20%
11%
12%
3%
12%
54%
26%
7%
KZN, Amajuba: DC25, 2009-14
Rank.. 2009-14
<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 (2.9%)
Birth asphyxia (6.1%)Protein-energy malnutrition (3.3%)
Other respiratory (2.9%)
Preterm birth complications (16.6%)
Diarrhoeal diseases (20.6%)Lower respiratory infections (20.4%)
HIV/AIDS (3.1%)Tuberculosis (3.3%)
Drowning (6.5%)
Fires, hot substances (4.0%)Other respiratory (3.9%)
Meningitis/encephalitis (4.5%)
Accidental threats to breathing (3.3%)
Road injuries (8.3%)
Diarrhoeal diseases (11.6%)
Lower respiratory infections (18.1%)
HIV/AIDS (9.0%)
Tuberculosis (13.2%)
Drowning (2.5%)
Meningitis/encephalitis (3.6%)Mechanical forces (2.8%)
Interpersonal violence (7.8%)Accidental threats to breathing (8.2%)
Road injuries (7.3%)Diarrhoeal diseases (4.0%)
Lower respiratory infections (14.8%)HIV/AIDS (10.0%)
Tuberculosis (18.9%)
Meningitis/encephalitis (2.6%)Road injuries (2.7%)Diabetes mellitus (2.7%)
Hypertensive heart disease (2.5%)Ischaemic heart disease (2.4%)
Diarrhoeal diseases (6.1%)Cerebrovascular disease (4.5%)
Lower respiratory infections (16.9%)HIV/AIDS (13.2%)
Tuberculosis (20.7%)
Cardiomyopathy (1.9%)COPD (1.9%)
Nephritis/nephrosis (4.4%)
Diabetes mellitus (7.7%)
Hypertensive heart disease (12.9%)
Ischaemic heart disease (6.5%)
Diarrhoeal diseases (3.9%)
Cerebrovascular disease (18.6%)
Lower respiratory infections (10.2%)
Tuberculosis (4.3%)
Percentage of deaths by broad cause and leading causes, 2009-2014Prov, DistrictKZN, Amajuba: DC25
Show History
BroadcauseInjury
NCD
HIV and TB
Comm_mat_peri_nut
426
Section B: National and District Profiles
426
Section B: Profile KwaZulu-Natal Province
Percentage of deaths by broad cause and leading causes, 2009–2014: Amajuba (DC25)
Section B: National and District Profiles
427
Section B: Profile KwaZulu-Natal Province
427
Indicator performance: Amajuba (DC25)
District value
District ranking
Provincial average
National average
National target
Category Indicator 2013/14 2014/15 2015/16 2015/16 2015/16 2015/16 2015/16Management PHC
Percentage ideal clinics [Percentage] 34.6 4 23.5 9.2
Percentage of fixed PHC facilities with patients that have access to a medical practitioner [Percentage]
34.6 8 30.7 18.1
Management Inpatients
Average length of stay (district hospitals) [Days] 3.7 4.8 4.4 4 5.7 4.5
Expenditure per patient day equivalent (district hospitals) [Rand (real 2015/16 prices)]
2 011.1 2 070.3 2 692.3 35 2 240.9 2 342.2
Inpatient bed utilisation rate (district hospitals) [Percentage] 44.3 62.6 60.8 37 60.2 65.3 78.6
Inpatient crude death rate [Percentage] 6.3 6.0 5.8 32 5.2 5.0
OPD new client not referred rate (district hospitals) [Percentage] 40.0 43.8 48.4 20 47.7 58.3
Delivery Delivery by caesarean section rate (district hospitals) [Percentage] 22.9 28.9 29.4 28.8 24.1
Delivery in facility under 18 years rate [Percentage] 9.8 8.9 8.3 31 8.7 7.1
Inpatient early neonatal death rate [per 1 000 live births] 9.2 7.8 10.4 32 10.8 10.5 10.0
Maternal mortality in facility ratio [per 100 000 live births] 109.8 143.2 161.7 46 121.1 119.1 120.0
Mother postnatal visit within 6 days rate [Percentage] 79.1 50.1 71.9 17 69.8 68.5 85.0
Stillbirth in facility rate [per 1 000 births] 27.9 14.6 25.8 42 22.3 21.1
PMTCT Antenatal 1st visit before 20 weeks rate [Percentage] 59.5 52.8 58.5 42 64.8 61.2 60.0
Antenatal client initiated on ART rate [Percentage] 92.4 94.2 92.6 26 97.6 93.0 88.0
Percentage of PCR tests positive at birth [Percentage] 0.4 2 0.7 1.1
Child Health Child under 5 years diarrhoea case fatality rate [Percentage] 0.9 3.0 1.3 15 2.2 2.2 3.2
Child under 5 years pneumonia case fatality rate [Percentage] 0.8 0.9 1.5 15 2.7 2.3 3.0
Child under 5 years severe acute malnutrition case fatality rate [Percentage]
10.3 11.0 6.5 16 7.7 8.9 10.0
Inpatient death under 5 year rate [Percentage] 4.8 6.3 4.2 17 5.2 4.7
School Grade 1 screening coverage (annualised) [Percentage] 14.6 25.2 16.3 38 22.1 28.9 25.0
Vitamin A dose 12-59 months coverage (annualised) [Percentage] 34.7 50.2 52.7 36 63.8 57.0
Immunisation Immunisation coverage under 1 year [Percentage] 70.3 79.2 80.9 34 85.0 89.2 90.0
Measles 2nd dose coverage (annualised) [Percentage] 59.2 98.8 87.3 17 82.6 84.8 83.0
Reproductive health
Cervical cancer screening coverage (annualised) [Percentage of women 30+ /10]
53.0 62.8 57.5 25 72.7 56.6 60.0
Couple year protection rate (annualised) [Percentage] 34.9 51.9 50.8 28 52.1 48.2 60.0
HIV HIV testing coverage (including ANC) [Percentage] 46.2 48.4 39.0 17 36.0 34.5
Male condom distribution coverage [Condoms per male 15+] 22.0 52.9 55.9 13 54.6 44.4
Non-communicable diseases
Diabetes incidence (annualised) [per 1 000 population] 1.1 0.8 0.8 2.2 1.7
Hypertension incidence (annualised) [per 1 000 population 40+] 13.7 14.8 13.6 18.6 16.8
Human Resources
Percentage of fixed PHC facilities with performance management agreement for all staff [Percentage]
38.5 3 28.5 16.3
Percentage of fixed PHC facilities with staffing in line with WISN [Percentage]
3.8 9 2.7 1.5
District value
District ranking
Provincial average
National average
National target
Category Indicator 20122013 & 2013/14
2014 & 2014/15 2015 2015* 2015* 2015* 2015*
TB case finding Incidence (diagnosed cases) of TB (ETR.net) [Cases per 100 000 population]
510.4 527.4 484.3 17 685.2 519.8
TB Rifampicin resistance confirmed client rate [Percentage]
9.4 8.5 8.3 47 7.8 6.1
TB treatment outcomes
TB cure rate (new sm+) [Percentage] 71.0 76.1 73.3 36 78.7 77.4
TB treatment success rate (ETR.net) [Percentage] 76.2 79.1 79.3 20 73.8 77.2 83.0
TB death rate (ETR.net) [Percentage] 11.4 11.2 11.7 47 5.4 6.7
New smear positive pulmonary TB loss to follow up rate [Percentage]
4.3 5.1 4.8 23 4.0 5.6
TB MDR treatment success rate (EDRWeb) [Percentage]
60.3 7 57.3 47.2 55.0
HIV Percentage of TB cases with known HIV status (ETR.net) [Percentage]
96.9 97.9 96.6 9 94.2 94.8
TB/HIV co-infected client on ART rate (ETR.Net) [Percentage]
62.8 76.5 67.3 49 82.2 84.5
NCDs Hypertension prevalence rate (crude) [Percentage] 27.2 25.9 18 26.2 28.2
428
Section B: National and District Profiles
428
Section B: Profile KwaZulu-Natal Province
District value
District ranking
Provincial average
National average
National target
Category Indicator 20122013 & 2013/14
2014 & 2014/15 2015 2015* 2015* 2015* 2015*
Burden of disease
Percentage of YLLs due to non-communicable diseases [Percentage]
30.3 31.9 33.6 18 34.7 38.2
Percentage of YLLs due to HIV and TB [Percentage] 28.1 33.5 19.8 4 32.3 27.0
Percentage of YLLs due to communicable, maternal, perinatal, nutrition causes [Percentage]
31.0 24.2 28.3 45 19.9 21.2
Percentage of deaths garbage codes [Percentage] 17.3 13.9 13.8 30 15.3 14.6
Percentage of YLLs due to injuries [Percentage] 10.6 10.4 18.3 47 13.1 13.6
Percentage of deaths ill-defined [Percentage] 7.5 5.5 6.8 5 10.0 13.8
* – value for most recent year which ranges from 2013 to 2015
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 countr
Annual indicators for district: Amajuba: DC25Va
lue
800
1000
1200
1400
1600
2006 2008 2010 2012 2014
01_DHS exp per capita
500
600
700
800
900
1000
1100
2006 2008 2010 2012 2014
01_PHC exp per capita
200
250
300
350
2006 2008 2010 2012 2014
01_PHC exp per headcount
3.0
3.5
4.0
4.5
5.0
5.5
2006 2008 2010 2012 2014
03_Avg length of stay (DH)
5.0
5.5
6.0
2010 2012 2014 2016
03_Crude death rate
1500
2000
2500
2006 2008 2010 2012 2014
03_Expenditure per PDE (DH)
40
45
50
55
60
65
2008 2010 2012 2014 2016
03_OPD new not ref rate (DH)
40
45
50
55
60
65
2006 2008 2010 2012 2014
03_Usable bed util (DH)
0
5
10
15
20
25
30
2006 2008 2010 2012 2014
04_Caesarean sect (DH)
7.0
7.5
8.0
8.5
9.0
9.5
10.0
2006 2008 2010 2012 2014
04_Deliv in fac <18
0
2
4
6
8
10
2006 2008 2010 2012 2014
04_IP early neo death rate
100
150
200
2008 2010 2012 2014
04_Maternal Mort ratio
20
40
60
80
2008 2010 2012 2014 2016
04_Postnatal mother <6d
20
30
40
50
2006 2008 2010 2012 2014
04_Stillbirth rate
30
40
50
60
2006 2008 2010 2012 2014
05_ANC 1st visit <20 w rate
80
100
120
140
160
2008 2010 2012 2014 2016
05_ANC initiate ART rate
2
4
6
8
10
2008 2010 2012 2014
06_Child <5 diar fat rate
1
2
3
4
5
6
2008 2010 2012 2014 2016
06_Child <5 pneumo death
10
15
20
2008 2010 2012 2014 2016
06_Child <5 sev mal fata
4.5
5.0
5.5
6.0
2010 2012 2014 2016 2018
06_Inpat death <5 rate
District value Provincial average ZA (national) average
Section B: National and District Profiles
429
Section B: Profile KwaZulu-Natal Province
429
Annual indicators for district: Amajuba (DC25)
Annual indicators for district: Amajuba: DC25
Valu
e
10
15
20
25
2010 2012 2014 2016 2018
06_School G1 screen cov yy
20
30
40
50
60
2006 2008 2010 2012 2014
06_VitA 12−59 mm cov yy
65
70
75
80
85
90
2006 2008 2010 2012 2014
07_Imm cov <1 yy
60
70
80
90
100
2008 2010 2012 2014
07_Measles 2nd cov yy
30
40
50
60
70
80
2006 2008 2010 2012 2014
08_Cerv cancer screen cov yy
30
40
50
60
2006 2008 2010 2012 2014
08_Couple year protect rate
3
4
5
6
7
2008 2010 2012 2014 2016
09_New pulmonary TB LTF rate
0
2
4
6
8
2010 2012 2014 2016
09_RIF resistance rate
50
60
70
80
2006 2008 2010 2012 2014
09_TB cure rate new sm+
6
8
10
2008 2010 2012 2014 2016
09_TB deaths all TB
600
800
1000
1200
2006 2008 2010 2012 2014
09_TB inc all TB
65
70
75
80
2006 2008 2010 2012 2014
09_TB success all TB
30
35
40
45
2010 2012 2014 2016 2018
10_HIV test cov inc ANC
20
40
60
2006 2008 2010 2012 2014
10_Male cond dist cov yy
40
50
60
70
80
90
100
2008 2010 2012 2014 2016
10_TB known HIV status
20
40
60
80
2010 2012 2014 2016
10_TB/HIV on ART
1.0
1.5
2.0
2010 2012 2014 2016 2018
11_Diabetes incidence yy
15
20
25
30
2010 2012 2014 2016
11_Hypertension inci yy
26
28
30
32
34
36
2008 2010 2012 2014 2016
11_Hypertension prevalence
14
16
18
20
2008 2010 2012 2014
13_Garbage codes
District value Provincial average ZA (national) average
430
Section B: National and District Profiles
430
Section B: Profile KwaZulu-Natal Province
Annual indicators for district: Amajuba (DC25)
Section B: National and District Profiles
431
Section B: Profile KwaZulu-Natal Province
431
Zululand District Municipality (DC26)
Zululand District is situated in the north-eastern part of KwaZulu-Natal Province. It is primarily a rural district and comprises five sub-districts, namely Nongoma, Ulundi, eDumbe, uPhongolo and Abaqulusi. The district has a population of 844 531, with a population density of 57.1 people per km2, and falls into socio-economic Quintile 1, among the poorest districts. Estimated medical scheme coverage is 6.5%.
Number of facilities by level, 2015/16
Clin
ic
CH
C
Dis
tric
t Hos
pita
l
Reg
iona
l H
ospi
tal
Cen
tral
/Ter
tiary
H
ospi
tals
Oth
er H
ospi
tals
72 1 5 0 0 5
Headcount and deaths, 2013/14 – 2015/16
Data element 2013/14 2014/15 2015/16PHC headcount under 5 years 380 404 399 484 399 164PHC headcount 5 years and older 2 139 221 2 266 105 2 239 755Patient day equivalent 496 638 485 428 462 629Deaths – total 3 387 3 213 3 008Still births 367 267 296Early neonatal deaths 123 169 111Late neonatal deaths 16 34 24Child under 5 years with diarrhoea death 52 52 34Child under 5 years with pneumonia death 30 32 31Child under 5 years with severe acute malnutrition death 42 47 22
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 2009–2014. The second part of the graph shows the 10 leading single causes of death within each age group (both genders) for 2009–2014 combined.
Broad age.. Female Male
<5 years
5-14
15-24
25-64
65+
Total 26%
18%
21%
25%
34%
72%
33%
9%
49%
53%
31%
13%
36%
71%
26%
12%
18%
7%
5%
2%
4%
11%
17%
8%
25%
17%
19%
13%
32%
73%
37%
17%
48%
26%
26%
11%
27%
63%
22%
12%
18%
8%
12%
3%
11%
49%
24%
9%
KZN, Zululand: DC26, 2009-14
Rank.. 2009-14
<5 y
ears
12345678910
5-14
12345678910
15-2
4
12345678910
25-6
4
12345678910
65+
12345678910
Other perinatal conditions (2.3%)Poisonings (including herbal) (3.8%)
Birth asphyxia (7.4%)
Protein-energy malnutrition (5.7%)
Preterm birth complications (11.0%)
Septicaemia (1.5%)
Diarrhoeal diseases (25.5%)Lower respiratory infections (15.7%)
HIV/AIDS (6.8%)
Tuberculosis (5.3%)
Other neurological conditions (1.7%)
Drowning (7.6%)
Epilepsy (3.6%)
Meningitis/encephalitis (6.9%)
Accidental threats to breathing (2.5%)
Road injuries (6.3%)
Diarrhoeal diseases (12.5%)
Lower respiratory infections (10.0%)HIV/AIDS (10.9%)
Tuberculosis (18.3%)
Epilepsy (1.9%)
Meningitis/encephalitis (4.6%)Mechanical forces (3.3%)
Interpersonal violence (6.3%)
Accidental threats to breathing (7.2%)
Road injuries (6.5%)
Diarrhoeal diseases (5.0%)
Lower respiratory infections (7.1%)
HIV/AIDS (16.3%)Tuberculosis (26.2%)
Meningitis/encephalitis (3.2%)
Road injuries (2.1%)Diabetes mellitus (2.5%)
Hypertensive heart disease (1.9%)Ischaemic heart disease (1.7%)
Diarrhoeal diseases (6.5%)Cerebrovascular disease (3.7%)
Lower respiratory infections (8.0%)HIV/AIDS (18.4%)
Tuberculosis (30.2%)
Endocrine nutritional,blood, immune (1.9%)Nephritis/nephrosis (3.0%)
Diabetes mellitus (7.9%)
Hypertensive heart disease (11.7%)
Ischaemic heart disease (6.4%)Diarrhoeal diseases (5.2%)
Cerebrovascular disease (17.7%)
Lower respiratory infections (10.1%)
HIV/AIDS (1.7%)
Tuberculosis (10.1%)
Percentage of deaths by broad cause and leading causes, 2009-2014Prov, DistrictKZN, Zululand: DC26
Show History
BroadcauseInjury
NCD
HIV and TB
Comm_mat_peri_nut
432
Section B: National and District Profiles
432
Section B: Profile KwaZulu-Natal Province
Percentage of deaths by broad cause and leading causes, 2009–2014: Zululand (DC26)
Section B: National and District Profiles
433
Section B: Profile KwaZulu-Natal Province
433
Indicator performance: Zululand (DC26)
District value
District ranking
Provincial average
National average
National target
Category Indicator 2013/14 2014/15 2015/16 2015/16 2015/16 2015/16 2015/16Management PHC
Percentage ideal clinics [Percentage] 33.8 6 23.5 9.2
Percentage of fixed PHC facilities with patients that have access to a medical practitioner [Percentage]
33.8 12 30.7 18.1
Management Inpatients
Average length of stay (district hospitals) [Days] 6.2 5.9 5.8 37 5.7 4.5
Expenditure per patient day equivalent (district hospitals) [Rand (real 2015/16 prices)]
2 084.0 2 157.1 2 233.8 14 2 240.9 2 342.2
Inpatient bed utilisation rate (district hospitals) [Percentage] 67.5 67.0 62.7 33 60.2 65.3 78.6
Inpatient crude death rate [Percentage] 6.1 5.7 5.5 27 5.2 5.0
OPD new client not referred rate (district hospitals) [Percentage] 61.7 35.6 37.2 14 47.7 58.3
Delivery Delivery by caesarean section rate (district hospitals) [Percentage] 25.4 24.8 25.0 28.8 24.1
Delivery in facility under 18 years rate [Percentage] 10.2 10.1 9.8 42 8.7 7.1
Inpatient early neonatal death rate [per 1 000 live births] 7.6 10.2 7.3 8 10.8 10.5 10.0
Maternal mortality in facility ratio [per 100 000 live births] 123.3 60.3 85.2 16 121.1 119.1 120.0
Mother postnatal visit within 6 days rate [Percentage] 51.2 58.3 59.1 38 69.8 68.5 85.0
Stillbirth in facility rate [per 1 000 births] 21.9 15.8 19.0 17 22.3 21.1
PMTCT Antenatal 1st visit before 20 weeks rate [Percentage] 58.1 60.7 67.0 16 64.8 61.2 60.0
Antenatal client initiated on ART rate [Percentage] 85.6 98.1 99.3 4 97.6 93.0 88.0
Percentage of PCR tests positive at birth [Percentage] 0.7 7 0.7 1.1
Child Health Child under 5 years diarrhoea case fatality rate [Percentage] 5.1 4.7 3.0 39 2.2 2.2 3.2
Child under 5 years pneumonia case fatality rate [Percentage] 6.5 4.5 3.8 42 2.7 2.3 3.0
Child under 5 years severe acute malnutrition case fatality rate [Percentage]
26.9 20.3 7.8 22 7.7 8.9 10.0
Inpatient death under 5 year rate [Percentage] 7.9 7.3 4.4 19 5.2 4.7
School Grade 1 screening coverage (annualised) [Percentage] 23.0 22.7 38.7 16 22.1 28.9 25.0
Vitamin A dose 12-59 months coverage (annualised) [Percentage] 48.3 54.3 54.7 30 63.8 57.0
Immunisation Immunisation coverage under 1 year [Percentage] 80.6 87.9 78.1 40 85.0 89.2 90.0
Measles 2nd dose coverage (annualised) [Percentage] 70.3 88.9 72.6 45 82.6 84.8 83.0
Reproductive health
Cervical cancer screening coverage (annualised) [Percentage of women 30+ /10]
78.0 60.9 80.6 5 72.7 56.6 60.0
Couple year protection rate (annualised) [Percentage] 37.0 43.2 58.0 15 52.1 48.2 60.0
HIV HIV testing coverage (including ANC) [Percentage] 40.4 37.9 31.9 31 36.0 34.5
Male condom distribution coverage [Condoms per male 15+] 33.6 41.3 72.6 7 54.6 44.4
Non-communicable diseases
Diabetes incidence (annualised) [per 1 000 population] 1.4 0.9 1.9 2.2 1.7
Hypertension incidence (annualised) [per 1 000 population 40+] 12.8 13.9 14.5 18.6 16.8
Human Resources
Percentage of fixed PHC facilities with performance management agreement for all staff [Percentage]
33.8 8 28.5 16.3
Percentage of fixed PHC facilities with staffing in line with WISN [Percentage]
4.2 8 2.7 1.5
District value
District ranking
Provincial average
National average
National target
Category Indicator 20122013 & 2013/14
2014 & 2014/15 2015 2015* 2015* 2015* 2015*
TB case finding Incidence (diagnosed cases) of TB (ETR.net) [Cases per 100 000 population]
936.8 783.5 682.7 35 685.2 519.8
TB Rifampicin resistance confirmed client rate [Percentage]
15.6 12.0 9.5 51 7.8 6.1
TB treatment outcomes
TB cure rate (new sm+) [Percentage] 81.1 83.3 86.2 8 78.7 77.4
TB treatment success rate (ETR.net) [Percentage] 77.5 80.5 81.4 11 73.8 77.2 83.0
TB death rate (ETR.net) [Percentage] 10.2 9.0 6.7 23 5.4 6.7
New smear positive pulmonary TB loss to follow up rate [Percentage]
3.8 3.4 4.1 13 4.0 5.6
TB MDR treatment success rate (EDRWeb) [Percentage]
56.8 14 57.3 47.2 55.0
HIV Percentage of TB cases with known HIV status (ETR.net) [Percentage]
97.2 97.3 97.4 6 94.2 94.8
TB/HIV co-infected client on ART rate (ETR.Net) [Percentage]
89.2 86.0 78.3 40 82.2 84.5
NCDs Hypertension prevalence rate (crude) [Percentage] 30.0 24.7 16 26.2 28.2
434
Section B: National and District Profiles
434
Section B: Profile KwaZulu-Natal Province
District value
District ranking
Provincial average
National average
National target
Category Indicator 20122013 & 2013/14
2014 & 2014/15 2015 2015* 2015* 2015* 2015*
Burden of disease
Percentage of YLLs due to non-communicable diseases [Percentage]
24.5 24.1 27.4 2 34.7 38.2
Percentage of YLLs due to HIV and TB [Percentage] 37.1 41.4 36.1 47 32.3 27.0
Percentage of YLLs due to communicable, maternal, perinatal, nutrition causes [Percentage]
27.5 23.8 24.3 36 19.9 21.2
Percentage of deaths garbage codes [Percentage] 12.5 13.0 13.6 28 15.3 14.6
Percentage of YLLs due to injuries [Percentage] 10.9 10.7 12.2 19 13.1 13.6
Percentage of deaths ill-defined [Percentage] 15.5 12.7 11.8 31 10.0 13.8
* – value for most recent year which ranges from 2013 to 2015
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
Annual indicators for district: Zululand: DC26Va
lue
1000
1200
1400
1600
1800
2000
2006 2008 2010 2012 2014
01_DHS exp per capita
500
600
700
800
900
1000
1100
2006 2008 2010 2012 2014
01_PHC exp per capita
200
250
300
350
2006 2008 2010 2012 2014
01_PHC exp per headcount
4.5
5.0
5.5
6.0
6.5
2006 2008 2010 2012 2014
03_Avg length of stay (DH)
5.0
5.5
6.0
6.5
7.0
2010 2012 2014 2016
03_Crude death rate
1200
1400
1600
1800
2000
2200
2006 2008 2010 2012 2014
03_Expenditure per PDE (DH)
35
40
45
50
55
60
65
2008 2010 2012 2014 2016
03_OPD new not ref rate (DH)
55
60
65
2006 2008 2010 2012 2014
03_Usable bed util (DH)
15
20
25
2006 2008 2010 2012 2014
04_Caesarean sect (DH)
7
8
9
10
2006 2008 2010 2012 2014
04_Deliv in fac <18
2
4
6
8
10
12
14
2006 2008 2010 2012 2014
04_IP early neo death rate
100
200
300
400
500
2008 2010 2012 2014
04_Maternal Mort ratio
20
40
60
2008 2010 2012 2014 2016
04_Postnatal mother <6d
16
18
20
22
24
26
2006 2008 2010 2012 2014
04_Stillbirth rate
30
40
50
60
2006 2008 2010 2012 2014
05_ANC 1st visit <20 w rate
80
100
120
140
160
2008 2010 2012 2014 2016
05_ANC initiate ART rate
5
10
15
2008 2010 2012 2014
06_Child <5 diar fat rate
4
6
8
2008 2010 2012 2014 2016
06_Child <5 pneumo death
10
15
20
25
2008 2010 2012 2014 2016
06_Child <5 sev mal fata
5
6
7
8
2010 2012 2014 2016 2018
06_Inpat death <5 rate
District value Provincial average ZA (national) average
Section B: National and District Profiles
435
Section B: Profile KwaZulu-Natal Province
435
Annual indicators for district: Zululand (DC26)
Annual indicators for district: Zululand: DC26
Valu
e
10
15
20
25
30
35
40
2010 2012 2014 2016 2018
06_School G1 screen cov yy
30
40
50
60
2006 2008 2010 2012 2014
06_VitA 12−59 mm cov yy
78
80
82
84
86
88
90
2006 2008 2010 2012 2014
07_Imm cov <1 yy
70
75
80
85
90
2008 2010 2012 2014
07_Measles 2nd cov yy
30
40
50
60
70
80
2006 2008 2010 2012 2014
08_Cerv cancer screen cov yy
30
40
50
2006 2008 2010 2012 2014
08_Couple year protect rate
4
5
6
7
2008 2010 2012 2014 2016
09_New pulmonary TB LTF rate
10
15
20
25
2010 2012 2014 2016
09_RIF resistance rate
50
60
70
80
2006 2008 2010 2012 2014
09_TB cure rate new sm+
6
7
8
9
10
2008 2010 2012 2014 2016
09_TB deaths all TB
600
800
1000
1200
2006 2008 2010 2012 2014
09_TB inc all TB
65
70
75
80
2006 2008 2010 2012 2014
09_TB success all TB
30
35
40
2010 2012 2014 2016 2018
10_HIV test cov inc ANC
20
40
60
2006 2008 2010 2012 2014
10_Male cond dist cov yy
40
50
60
70
80
90
100
2008 2010 2012 2014 2016
10_TB known HIV status
20
40
60
80
2010 2012 2014 2016
10_TB/HIV on ART
1.0
1.5
2.0
2010 2012 2014 2016 2018
11_Diabetes incidence yy
15
20
25
30
2010 2012 2014 2016
11_Hypertension inci yy
26
28
30
32
2008 2010 2012 2014 2016
11_Hypertension prevalence
11
12
13
14
15
2008 2010 2012 2014
13_Garbage codes
District value Provincial average ZA (national) average
436
Section B: National and District Profiles
436
Section B: Profile KwaZulu-Natal Province
Annual indicators for district: Zululand (DC26)
Section B: National and District Profiles
437
Section B: Profile KwaZulu-Natal Province
437
uMkhanyakude District Municipality (DC27)
uMkhanyakude District is located in the far north of KwaZulu-Natal Province and borders with Swaziland and Mozambique. The district comprises five sub-districts, namely Hlabisa, Jozini, Mtubatuba, The Big 5 False Bay and uMhlabuyalingana. The district has a population of 649 645, with a population density of 46.9 people per km2 and falls in socio-economic Quintile 1, among the poorest districts. Estimated medical scheme coverage is 3.9%.
Number of facilities by level, 2015/16
Clin
ic
CH
C
Dis
tric
t Hos
pita
l
Reg
iona
l H
ospi
tal
Cen
tral
/Ter
tiary
H
ospi
tals
Oth
er H
ospi
tals
57 0 5 0 0 0
Headcount and deaths, 2013/14 – 2015/16
Data element 2013/14 2014/15 2015/16PHC headcount under 5 years 415 911 419 021 422 897PHC headcount 5 years and older 2 290 996 2 196 876 2 253 400Patient day equivalent 386 777 374 543 345 035Deaths – total 2 295 2 219 2 071Still births 248 260 246Early neonatal deaths 59 84 103Late neonatal deaths 12 19 21Child under 5 years with diarrhoea death 45 44 12Child under 5 years with pneumonia death 26 27 13Child under 5 years with severe acute malnutrition death 32 29 24
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 2009–2014. The second part of the graph shows the 10 leading single causes of death within each age group (both genders) for 2009–2014 combined.
B road age.. F emale Male
<5 years
5-14
15-24
25-64
65+
T otal 17%
14%
12%
17%
32%
64%
39%
9%
60%
60%
33%
19%
39%
74%
24%
13%
19%
8%
5%
3%
4%
10%
16%
9%
17%
12%
10%
10%
24%
64%
42%
17%
57%
27%
31%
17%
29%
67%
21%
15%
22%
9%
12%
4%
12%
49%
23%
10%
KZN, u Mkhanyakude: DC27, 2009-14
R ank.. 2009-14
<5 y
ears
12345678910
5-14
12345678910
15-2
4
12345678910
25-6
4
12345678910
65+
12345678910
Other perinatal conditions (3.2%)S epsis/other newborn infectious (1.9%)
P oisonings (including herbal) (3.4%)
B irth asphyxia (7.1%)
P rotein-energy malnutrition (8.2%)P reterm birth complications (8.0%)
Diarrhoeal diseases (23.0%)
Lower respiratory infections (9.4%)HIV /AIDS (13.0%)
T uberculos is (4.9%)
Drowning (8.8%)
F ires , hot substances (1.9%)
Meningitis /encephalitis (4.8%)
Accidental threats to breathing (2.4%)R oad injuries (4.0%)
Nephritis /nephros is (2.0%)
Diarrhoeal diseases (11.5%)
Lower respiratory infections (7.5%)
HIV /AIDS (17.9%)T uberculos is (15.0%)
Drowning (2.0%)Meningitis /encephalitis (2.6%)
Mechanical forces (4.8%)
Interpersonal violence (5.4%)Accidental threats to breathing (7.1%)
R oad injuries (5.1%)
Diarrhoeal diseases (3.8%)Lower respiratory infections (3.5%)
HIV /AIDS (26.2%)T uberculos is (20.6%)
Mechanical forces (2.0%)
Accidental threats to breathing (1.6%)R oad injuries (1.6%)
Diabetes mellitus (2.1%)
Hypertens ive heart disease (1.8%)
Diarrhoeal diseases (4.2%)
C erebrovascular disease (3.5%)Lower respiratory infections (3.8%)
HIV /AIDS (35.7%)T uberculos is (22.9%)
P rostate (2.1%)Nephritis /nephros is (3.3%)
Diabetes mellitus (5.4%)
Hypertens ive heart disease (13.9%)
Ischaemic heart disease (5.4%)
Diarrhoeal diseases (4.4%)
C erebrovascular disease (20.5%)
Lower respiratory infections (6.1%)
HIV /AIDS (3.7%)
T uberculos is (8.1%)
P erc entage of deaths by broad c aus e and leading c aus es , 2009-2014P rov, Dis tric tK ZN, Umkhanyakude: D..
S how History
B roadc aus eInjury
NC D
HIV and T B
C omm_mat_peri_nut
438
Section B: National and District Profiles
438
Section B: Profile KwaZulu-Natal Province
Percentage of deaths by broad cause and leading causes, 2009–2014: uMkhanyakude (DC27)
Section B: National and District Profiles
439
Section B: Profile KwaZulu-Natal Province
439
Indicator performance: uMkhanyakude (DC27)
District value
District ranking
Provincial average
National average
National target
Category Indicator 2013/14 2014/15 2015/16 2015/16 2015/16 2015/16 2015/16Management PHC
Percentage ideal clinics [Percentage] 35.1 3 23.5 9.2
Percentage of fixed PHC facilities with patients that have access to a medical practitioner [Percentage]
35.1 7 30.7 18.1
Management Inpatients
Average length of stay (district hospitals) [Days] 5.5 6.0 5.8 38 5.7 4.5
Expenditure per patient day equivalent (district hospitals) [Rand (real 2015/16 prices)]
2 153.9 2 305.1 2 606.5 26 2 240.9 2 342.2
Inpatient bed utilisation rate (district hospitals) [Percentage] 60.7 60.2 56.0 43 60.2 65.3 78.6
Inpatient crude death rate [Percentage] 4.7 4.9 4.8 16 5.2 5.0
OPD new client not referred rate (district hospitals) [Percentage] 50.3 46.9 45.7 18 47.7 58.3
Delivery Delivery by caesarean section rate (district hospitals) [Percentage] 21.6 20.4 21.4 28.8 24.1
Delivery in facility under 18 years rate [Percentage] 11.3 11.1 10.9 50 8.7 7.1
Inpatient early neonatal death rate [per 1 000 live births] 4.0 5.5 7.3 9 10.8 10.5 10.0
Maternal mortality in facility ratio [per 100 000 live births] 53.6 59.4 85.2 17 121.1 119.1 120.0
Mother postnatal visit within 6 days rate [Percentage] 87.4 73.1 79.8 3 69.8 68.5 85.0
Stillbirth in facility rate [per 1 000 births] 16.3 16.8 17.2 11 22.3 21.1
PMTCT Antenatal 1st visit before 20 weeks rate [Percentage] 61.2 59.3 66.4 17 64.8 61.2 60.0
Antenatal client initiated on ART rate [Percentage] 73.1 90.0 98.8 6 97.6 93.0 88.0
Percentage of PCR tests positive at birth [Percentage] 0.6 5 0.7 1.1
Child Health Child under 5 years diarrhoea case fatality rate [Percentage] 4.5 4.8 1.6 18 2.2 2.2 3.2
Child under 5 years pneumonia case fatality rate [Percentage] 2.9 3.0 1.9 20 2.7 2.3 3.0
Child under 5 years severe acute malnutrition case fatality rate [Percentage]
12.2 10.8 7.9 23 7.7 8.9 10.0
Inpatient death under 5 year rate [Percentage] 5.3 5.4 4.9 24 5.2 4.7
School Grade 1 screening coverage (annualised) [Percentage] 7.7 10.7 21.9 29 22.1 28.9 25.0
Vitamin A dose 12-59 months coverage (annualised) [Percentage] 39.4 47.5 62.4 15 63.8 57.0
Immunisation Immunisation coverage under 1 year [Percentage] 74.3 83.0 87.5 21 85.0 89.2 90.0
Measles 2nd dose coverage (annualised) [Percentage] 69.8 87.2 82.3 29 82.6 84.8 83.0
Reproductive health
Cervical cancer screening coverage (annualised) [Percentage of women 30+ /10]
51.4 43.8 72.2 13 72.7 56.6 60.0
Couple year protection rate (annualised) [Percentage] 32.6 41.0 46.3 33 52.1 48.2 60.0
HIV HIV testing coverage (including ANC) [Percentage] 37.1 35.8 25.9 48 36.0 34.5
Male condom distribution coverage [Condoms per male 15+] 22.0 35.8 49.1 25 54.6 44.4
Non-communicable diseases
Diabetes incidence (annualised) [per 1 000 population] 0.8 0.8 1.0 2.2 1.7
Hypertension incidence (annualised) [per 1 000 population 40+] 22.1 22.0 18.7 18.6 16.8
Human Resources
Percentage of fixed PHC facilities with performance management agreement for all staff [Percentage]
26.3 14 28.5 16.3
Percentage of fixed PHC facilities with staffing in line with WISN [Percentage]
1.8 19 2.7 1.5
District value
District ranking
Provincial average
National average
National target
Category Indicator 20122013 & 2013/14
2014 & 2014/15 2015 2015* 2015* 2015* 2015*
TB case finding Incidence (diagnosed cases) of TB (ETR.net) [Cases per 100 000 population]
907.0 732.4 577.4 26 685.2 519.8
TB Rifampicin resistance confirmed client rate [Percentage]
16.2 13.2 12.4 52 7.8 6.1
TB treatment outcomes
TB cure rate (new sm+) [Percentage] 75.7 80.9 79.4 20 78.7 77.4
TB treatment success rate (ETR.net) [Percentage] 74.4 84.0 79.8 17 73.8 77.2 83.0
TB death rate (ETR.net) [Percentage] 8.3 6.9 2.8 2 5.4 6.7
New smear positive pulmonary TB loss to follow up rate [Percentage]
3.6 1.3 0.1 1 4.0 5.6
TB MDR treatment success rate (EDRWeb) [Percentage]
61.9 6 57.3 47.2 55.0
HIV Percentage of TB cases with known HIV status (ETR.net) [Percentage]
87.8 93.0 92.4 44 94.2 94.8
TB/HIV co-infected client on ART rate (ETR.Net) [Percentage]
52.4 80.5 99.4 2 82.2 84.5
NCDs Hypertension prevalence rate (crude) [Percentage] 24.3 24.2 12 26.2 28.2
440
Section B: National and District Profiles
440
Section B: Profile KwaZulu-Natal Province
District value
District ranking
Provincial average
National average
National target
Category Indicator 20122013 & 2013/14
2014 & 2014/15 2015 2015* 2015* 2015* 2015*
Burden of disease
Percentage of YLLs due to non-communicable diseases [Percentage]
26.1 27.3 28.8 5 34.7 38.2
Percentage of YLLs due to HIV and TB [Percentage] 45.1 43.5 40.2 52 32.3 27.0
Percentage of YLLs due to communicable, maternal, perinatal, nutrition causes [Percentage]
18.9 17.7 17.6 17 19.9 21.2
Percentage of deaths garbage codes [Percentage] 11.4 11.9 13.2 25 15.3 14.6
Percentage of YLLs due to injuries [Percentage] 9.9 11.5 13.5 29 13.1 13.6
Percentage of deaths ill-defined [Percentage] 14.7 13.5 13.2 36 10.0 13.8
* – value for most recent year which ranges from 2013 to 2015
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
Annual indicators for district: uMkhanyakude: DC27Va
lue
1000
1500
2000
2500
2006 2008 2010 2012 2014
01_DHS exp per capita
600
800
1000
1200
2006 2008 2010 2012 2014
01_PHC exp per capita
200
250
300
350
2006 2008 2010 2012 2014
01_PHC exp per headcount
5
6
7
2006 2008 2010 2012 2014
03_Avg length of stay (DH)
5.0
5.5
6.0
2010 2012 2014 2016
03_Crude death rate
1500
2000
2500
2006 2008 2010 2012 2014
03_Expenditure per PDE (DH)
35
40
45
50
55
60
65
2008 2010 2012 2014 2016
03_OPD new not ref rate (DH)
60
65
70
2006 2008 2010 2012 2014
03_Usable bed util (DH)
15
20
25
2006 2008 2010 2012 2014
04_Caesarean sect (DH)
7
8
9
10
11
12
2006 2008 2010 2012 2014
04_Deliv in fac <18
4
6
8
10
2006 2008 2010 2012 2014
04_IP early neo death rate
50
100
150
200
2008 2010 2012 2014
04_Maternal Mort ratio
20
40
60
80
2008 2010 2012 2014 2016
04_Postnatal mother <6d
16
18
20
22
24
26
2006 2008 2010 2012 2014
04_Stillbirth rate
30
40
50
60
2006 2008 2010 2012 2014
05_ANC 1st visit <20 w rate
80
100
120
140
160
2008 2010 2012 2014 2016
05_ANC initiate ART rate
0
5
10
15
2008 2010 2012 2014
06_Child <5 diar fat rate
2
3
4
5
6
7
2008 2010 2012 2014 2016
06_Child <5 pneumo death
10
15
20
25
30
35
2008 2010 2012 2014 2016
06_Child <5 sev mal fata
4.8
5.0
5.2
5.4
5.6
5.8
2010 2012 2014 2016 2018
06_Inpat death <5 rate
District value Provincial average ZA (national) average
Section B: National and District Profiles
441
Section B: Profile KwaZulu-Natal Province
441
Annual indicators for district: uMkhanyakude (DC27)
Annual indicators for district: uMkhanyakude: DC27
Valu
e
10
15
20
25
2010 2012 2014 2016 2018
06_School G1 screen cov yy
20
30
40
50
60
2006 2008 2010 2012 2014
06_VitA 12−59 mm cov yy
75
80
85
90
2006 2008 2010 2012 2014
07_Imm cov <1 yy
60
70
80
90
2008 2010 2012 2014
07_Measles 2nd cov yy
30
40
50
60
70
80
2006 2008 2010 2012 2014
08_Cerv cancer screen cov yy
20
30
40
50
2006 2008 2010 2012 2014
08_Couple year protect rate
0
2
4
6
2008 2010 2012 2014 2016
09_New pulmonary TB LTF rate
0
5
10
15
20
2010 2012 2014 2016
09_RIF resistance rate
40
50
60
70
80
2006 2008 2010 2012 2014
09_TB cure rate new sm+
3
4
5
6
7
8
2008 2010 2012 2014 2016
09_TB deaths all TB
600
800
1000
1200
2006 2008 2010 2012 2014
09_TB inc all TB
65
70
75
80
85
2006 2008 2010 2012 2014
09_TB success all TB
30
35
2010 2012 2014 2016 2018
10_HIV test cov inc ANC
10
20
30
40
50
60
2006 2008 2010 2012 2014
10_Male cond dist cov yy
40
50
60
70
80
90
2008 2010 2012 2014 2016
10_TB known HIV status
20
40
60
80
100
2010 2012 2014 2016
10_TB/HIV on ART
1.0
1.5
2.0
2010 2012 2014 2016 2018
11_Diabetes incidence yy
15
20
25
30
2010 2012 2014 2016
11_Hypertension inci yy
24
26
28
30
32
2008 2010 2012 2014 2016
11_Hypertension prevalence
10
12
14
2008 2010 2012 2014
13_Garbage codes
District value Provincial average ZA (national) average
442
Section B: National and District Profiles
442
Section B: Profile KwaZulu-Natal Province
Annual indicators for district: uMkhanyakude (DC27)
Section B: National and District Profiles
443
Section B: Profile KwaZulu-Natal Province
443
uThungulu District Municipality (DC28)
uThungulu District lies in the north-eastern area of KwaZulu-Natal Province and includes six sub-districts, namely uMlalazi, Mthonjaneni, Nkandla, Mbonambi, Ntambanana and uMhlathuze. The district has a population of approximately 947 926, with a population density of 115.4 people per km2 and falls in socio-economic Quintile 2, among the poorer districts. Estimated medical scheme coverage is 7.0%.
Number of facilities by level, 2015/16
Clin
ic
CH
C
Dis
tric
t Hos
pita
l
Reg
iona
l H
ospi
tal
Cen
tral
/Ter
tiary
H
ospi
tals
Oth
er H
ospi
tals
63 1 6 1 1 0
Headcount and deaths, 2013/14 – 2015/16
Data element 2013/14 2014/15 2015/16PHC headcount under 5 years 503 307 514 933 518 623PHC headcount 5 years and older 2 762 539 2 864 288 2 762 385Patient day equivalent 648 887 665 510 637 126Deaths – total 4 714 4 452 4 194Still births 562 506 500Early neonatal deaths 260 253 263Late neonatal deaths 123 83 89Child under 5 years with diarrhoea death 34 48 21Child under 5 years with pneumonia death 34 53 43Child under 5 years with severe acute malnutrition death 33 64 33
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 2009–2014. The second part of the graph shows the 10 leading single causes of death within each age group (both genders) for 2009–2014 combined.
B road age.. F emale Male
<5 years
5-14
15-24
25-64
65+
T otal 22%
13%
17%
23%
31%
71%
32%
6%
48%
49%
29%
12%
41%
78%
30%
15%
26%
11%
5%
3%
4%
13%
14%
5%
20%
13%
14%
11%
29%
72%
34%
12%
46%
21%
29%
10%
31%
71%
25%
12%
18%
11%
15%
4%
15%
55%
25%
7%
KZN, uThungulu: DC28, 2009-14
R ank.. 2009-14
<5 y
ears
12345678910
5-14
12345678910
15-2
4
12345678910
25-6
4
12345678910
65+
12345678910
Other perinatal conditions (3.1%)
S epsis/other newborn infectious (7.6%)
B irth asphyxia (8.2%)
P rotein-energy malnutrition (5.1%)
P reterm birth complications (17.8%)
S epticaemia (2.6%)
Diarrhoeal diseases (14.6%)Lower respiratory infections (10.6%)
HIV /AIDS (8.1%)
T uberculos is (3.3%)
Drowning (4.2%)E pilepsy (3.2%)
Asthma (2.6%)
Meningitis /encephalitis (7.1%)
Accidental threats to breathing (2.4%)
R oad injuries (7.4%)
Diarrhoeal diseases (10.0%)Lower respiratory infections (8.5%)
HIV /AIDS (14.8%)T uberculos is (14.8%)
Drowning (1.5%)Meningitis /encephalitis (3.3%)
Mechanical forces (7.6%)Interpersonal violence (8.0%)
Accidental threats to breathing (4.0%)
R oad injuries (8.5%)
Diarrhoeal diseases (3.9%)
Lower respiratory infections (5.5%)
HIV /AIDS (20.5%)T uberculos is (15.6%)
Mechanical forces (2.4%)
R oad injuries (3.4%)
Nephritis /nephros is (2.4%)Diabetes mellitus (3.1%)
Hypertens ive heart disease (2.4%)
Diarrhoeal diseases (4.5%)C erebrovascular disease (4.1%)
Lower respiratory infections (6.4%)
HIV /AIDS (24.6%)T uberculos is (22.5%)
Asthma (1.6%)
Nephritis /nephros is (4.0%)
Diabetes mellitus (8.2%)Hypertens ive heart disease (16.6%)
Ischaemic heart disease (6.1%)
Diarrhoeal diseases (4.0%)
C erebrovascular disease (17.7%)
Lower respiratory infections (6.8%)
HIV /AIDS (1.7%)
T uberculos is (6.5%)
P erc entage of deaths by broad c aus e and leading c aus es , 2009-2014P rov, Dis tric tK ZN, uThungulu: DC 28
S how History
B roadc aus eInjury
NC D
HIV and T B
C omm_mat_peri_nut
444
Section B: National and District Profiles
444
Section B: Profile KwaZulu-Natal Province
Percentage of deaths by broad cause and leading causes, 2009–2014: uThungulu (DC28)
Section B: National and District Profiles
445
Section B: Profile KwaZulu-Natal Province
445
Indicator performance: uThungulu (DC28)
District value
District ranking
Provincial average
National average
National target
Category Indicator 2013/14 2014/15 2015/16 2015/16 2015/16 2015/16 2015/16Management PHC
Percentage ideal clinics [Percentage] 21.7 12 23.5 9.2
Percentage of fixed PHC facilities with patients that have access to a medical practitioner [Percentage]
28.3 14 30.7 18.1
Management Inpatients
Average length of stay (district hospitals) [Days] 6.1 6.2 6.6 52 5.7 4.5
Expenditure per patient day equivalent (district hospitals) [Rand (real 2015/16 prices)]
2 214.0 2 082.2 2 244.8 10 2 240.9 2 342.2
Inpatient bed utilisation rate (district hospitals) [Percentage] 47.2 50.0 46.9 51 60.2 65.3 78.6
Inpatient crude death rate [Percentage] 6.3 6.4 6.5 45 5.2 5.0
OPD new client not referred rate (district hospitals) [Percentage] 62.6 64.2 62.9 31 47.7 58.3
Delivery Delivery by caesarean section rate (district hospitals) [Percentage] 28.8 28.7 28.6 28.8 24.1
Delivery in facility under 18 years rate [Percentage] 8.0 7.9 8.5 32 8.7 7.1
Inpatient early neonatal death rate [per 1 000 live births] 14.9 12.4 14.0 46 10.8 10.5 10.0
Maternal mortality in facility ratio [per 100 000 live births] 186.6 216.5 153.8 41 121.1 119.1 120.0
Mother postnatal visit within 6 days rate [Percentage] 60.1 70.0 67.7 26 69.8 68.5 85.0
Stillbirth in facility rate [per 1 000 births] 26.8 24.3 25.8 43 22.3 21.1
PMTCT Antenatal 1st visit before 20 weeks rate [Percentage] 57.1 58.3 63.1 28 64.8 61.2 60.0
Antenatal client initiated on ART rate [Percentage] 94.0 96.5 99.3 5 97.6 93.0 88.0
Percentage of PCR tests positive at birth [Percentage] 1.1 23 0.7 1.1
Child Health Child under 5 years diarrhoea case fatality rate [Percentage] 3.3 3.8 1.9 24 2.2 2.2 3.2
Child under 5 years pneumonia case fatality rate [Percentage] 5.1 5.3 5.6 52 2.7 2.3 3.0
Child under 5 years severe acute malnutrition case fatality rate [Percentage]
11.7 16.9 8.4 26 7.7 8.9 10.0
Inpatient death under 5 year rate [Percentage] 7.3 7.2 6.8 39 5.2 4.7
School Grade 1 screening coverage (annualised) [Percentage] 19.9 29.8 23.5 28 22.1 28.9 25.0
Vitamin A dose 12-59 months coverage (annualised) [Percentage] 41.7 51.3 54.5 31 63.8 57.0
Immunisation Immunisation coverage under 1 year [Percentage] 81.2 88.5 81.5 32 85.0 89.2 90.0
Measles 2nd dose coverage (annualised) [Percentage] 76.1 86.6 88.9 15 82.6 84.8 83.0
Reproductive health
Cervical cancer screening coverage (annualised) [Percentage of women 30+ /10]
68.0 64.3 68.5 18 72.7 56.6 60.0
Couple year protection rate (annualised) [Percentage] 36.0 45.8 37.9 45 52.1 48.2 60.0
HIV HIV testing coverage (including ANC) [Percentage] 43.3 41.5 29.1 38 36.0 34.5
Male condom distribution coverage [Condoms per male 15+] 28.8 38.4 38.6 35 54.6 44.4
Non-communicable diseases
Diabetes incidence (annualised) [per 1 000 population] 1.4 1.1 2.8 2.2 1.7
Hypertension incidence (annualised) [per 1 000 population 40+] 22.9 18.3 16.9 18.6 16.8
Human Resources
Percentage of fixed PHC facilities with performance management agreement for all staff [Percentage]
28.3 10 28.5 16.3
Percentage of fixed PHC facilities with staffing in line with WISN [Percentage]
3.3 12 2.7 1.5
District value
District ranking
Provincial average
National average
National target
Category Indicator 20122013 & 2013/14
2014 & 2014/15 2015 2015* 2015* 2015* 2015*
TB case finding Incidence (diagnosed cases) of TB (ETR.net) [Cases per 100 000 population]
1 100.1 959.8 859.4 48 685.2 519.8
TB Rifampicin resistance confirmed client rate [Percentage]
10.0 9.6 8.6 48 7.8 6.1
TB treatment outcomes
TB cure rate (new sm+) [Percentage] 93.8 95.7 96.1 1 78.7 77.4
TB treatment success rate (ETR.net) [Percentage] 88.0 90.1 76.7 28 73.8 77.2 83.0
TB death rate (ETR.net) [Percentage] 4.3 3.1 4.9 9 5.4 6.7
New smear positive pulmonary TB loss to follow up rate [Percentage]
0.5 0.2 0.4 2 4.0 5.6
TB MDR treatment success rate (EDRWeb) [Percentage]
52.9 18 57.3 47.2 55.0
HIV Percentage of TB cases with known HIV status (ETR.net) [Percentage]
85.2 93.0 95.7 20 94.2 94.8
TB/HIV co-infected client on ART rate (ETR.Net) [Percentage]
65.2 92.4 91.5 18 82.2 84.5
NCDs Hypertension prevalence rate (crude) [Percentage] 33.8 24.0 11 26.2 28.2
446
Section B: National and District Profiles
446
Section B: Profile KwaZulu-Natal Province
District value
District ranking
Provincial average
National average
National target
Category Indicator 20122013 & 2013/14
2014 & 2014/15 2015 2015* 2015* 2015* 2015*
Burden of disease
Percentage of YLLs due to non-communicable diseases [Percentage]
27.7 29.4 33.4 16 34.7 38.2
Percentage of YLLs due to HIV and TB [Percentage] 39.2 35.3 32.1 38 32.3 27.0
Percentage of YLLs due to communicable, maternal, perinatal, nutrition causes [Percentage]
21.7 23.0 20.5 28 19.9 21.2
Percentage of deaths garbage codes [Percentage] 13.8 14.6 14.2 33 15.3 14.6
Percentage of YLLs due to injuries [Percentage] 11.4 12.4 14.0 33 13.1 13.6
Percentage of deaths ill-defined [Percentage] 11.2 8.6 8.2 15 10.0 13.8
* – value for most recent year which ranges from 2013 to 2015
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
Annual indicators for district: uThungulu: DC28Va
lue
1000
1200
1400
1600
1800
2006 2008 2010 2012 2014
01_DHS exp per capita
500
600
700
800
900
1000
1100
2006 2008 2010 2012 2014
01_PHC exp per capita
200
250
300
350
2006 2008 2010 2012 2014
01_PHC exp per headcount
4.5
5.0
5.5
6.0
6.5
2006 2008 2010 2012 2014
03_Avg length of stay (DH)
5.0
5.5
6.0
6.5
7.0
2010 2012 2014 2016
03_Crude death rate
1200
1400
1600
1800
2000
2200
2006 2008 2010 2012 2014
03_Expenditure per PDE (DH)
35
40
45
50
55
60
65
2008 2010 2012 2014 2016
03_OPD new not ref rate (DH)
50
55
60
65
2006 2008 2010 2012 2014
03_Usable bed util (DH)
15
20
25
2006 2008 2010 2012 2014
04_Caesarean sect (DH)
7.0
7.5
8.0
8.5
9.0
9.5
2006 2008 2010 2012 2014
04_Deliv in fac <18
6
8
10
12
14
2006 2008 2010 2012 2014
04_IP early neo death rate
100
200
300
400
2008 2010 2012 2014
04_Maternal Mort ratio
20
40
60
2008 2010 2012 2014 2016
04_Postnatal mother <6d
22
24
26
28
2006 2008 2010 2012 2014
04_Stillbirth rate
30
40
50
60
2006 2008 2010 2012 2014
05_ANC 1st visit <20 w rate
80
100
120
140
160
2008 2010 2012 2014 2016
05_ANC initiate ART rate
5
10
15
20
25
30
2008 2010 2012 2014
06_Child <5 diar fat rate
10
20
30
2008 2010 2012 2014 2016
06_Child <5 pneumo death
8
10
12
14
16
18
2008 2010 2012 2014 2016
06_Child <5 sev mal fata
5.0
5.5
6.0
6.5
7.0
2010 2012 2014 2016 2018
06_Inpat death <5 rate
District value Provincial average ZA (national) average
Section B: National and District Profiles
447
Section B: Profile KwaZulu-Natal Province
447
Annual indicators for district: uThungulu (DC28)
Annual indicators for district: uThungulu: DC28
Valu
e
10
15
20
25
30
2010 2012 2014 2016 2018
06_School G1 screen cov yy
30
40
50
60
2006 2008 2010 2012 2014
06_VitA 12−59 mm cov yy
65
70
75
80
85
90
2006 2008 2010 2012 2014
07_Imm cov <1 yy
70
80
90
100
2008 2010 2012 2014
07_Measles 2nd cov yy
20
30
40
50
60
70
80
2006 2008 2010 2012 2014
08_Cerv cancer screen cov yy
20
30
40
50
2006 2008 2010 2012 2014
08_Couple year protect rate
0
2
4
6
2008 2010 2012 2014 2016
09_New pulmonary TB LTF rate
6
8
10
12
14
2010 2012 2014 2016
09_RIF resistance rate
60
70
80
90
2006 2008 2010 2012 2014
09_TB cure rate new sm+
3
4
5
6
7
8
2008 2010 2012 2014 2016
09_TB deaths all TB
0
500
1000
2006 2008 2010 2012 2014
09_TB inc all TB
65
70
75
80
85
90
2006 2008 2010 2012 2014
09_TB success all TB
30
35
40
2010 2012 2014 2016 2018
10_HIV test cov inc ANC
10
20
30
40
50
60
2006 2008 2010 2012 2014
10_Male cond dist cov yy
40
60
80
2008 2010 2012 2014 2016
10_TB known HIV status
20
40
60
80
2010 2012 2014 2016
10_TB/HIV on ART
1.5
2.0
2.5
2010 2012 2014 2016 2018
11_Diabetes incidence yy
15
20
25
30
35
2010 2012 2014 2016
11_Hypertension inci yy
24
26
28
30
32
34
2008 2010 2012 2014 2016
11_Hypertension prevalence
13.0
13.5
14.0
14.5
15.0
15.5
2008 2010 2012 2014
13_Garbage codes
District value Provincial average ZA (national) average
448
Section B: National and District Profiles
448
Section B: Profile KwaZulu-Natal Province
Annual indicators for district: uThungulu (DC28)
Section B: National and District Profiles
449
Section B: Profile KwaZulu-Natal Province
449
iLembe District Municipality (DC29 )
iLembe District is situated on the east coast of KwaZulu-Natal Province; it is the smallest of the province’s districts and includes four sub-districts, namely Mandeni, KwaDukuza, Maphumulo and Ndwedwe. It has a population of 651 445, with a population density of 199.30 people per km2 and falls in socio-economic Quintile 2, among the poorer districts. Estimated medical scheme coverage is 7.3%.
Number of facilities by level, 2015/16
Clin
ic
CH
C
Dis
tric
t Hos
pita
l
Reg
iona
l H
ospi
tal
Cen
tral
/Ter
tiary
H
ospi
tals
Oth
er H
ospi
tals
34 2 3 1 0 1
Headcount and deaths, 2013/14 – 2015/16
Data element 2013/14 2014/15 2015/16PHC headcount under 5 years 333 047 353 902 364 010PHC headcount 5 years and older 2 016 413 2 033 823 2 059 710Patient day equivalent 334 773 334 046 315 473Deaths – total 2 255 2 053 2 102Still births 257 268 230Early neonatal deaths 128 132 120Late neonatal deaths 15 25 20Child under 5 years with diarrhoea death 21 11 12Child under 5 years with pneumonia death 8 8 11Child under 5 years with severe acute malnutrition death 12 28 25
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 2009–2014. The second part of the graph shows the 10 leading single causes of death within each age group (both genders) for 2009–2014 combined.
Broad age.. Female Male
<5 years
5-14
15-24
25-64
65+
Total 21%
13%
17%
20%
44%
75%
31%
6%
48%
55%
25%
11%
43%
78%
31%
13%
17%
9%
5%
3%
5%
12%
14%
6%
19%
11%
14%
12%
40%
75%
34%
12%
46%
24%
24%
10%
32%
73%
26%
11%
12%
9%
14%
4%
14%
53%
24%
7%
KZN, iLembe: DC29, 2009-14
Rank.. 2009-14
<5 y
ears
12345678910
5-14
12345678910
15-2
4
12345678910
25-6
4
12345678910
65+
12345678910
Sepsis/other newborn infectious (6.1%)
Poisonings (including herbal) (2.5%)
Birth asphyxia (9.2%)
Protein-energy malnutrition (5.7%)
Preterm birth complications (11.4%)
Septicaemia (3.5%)
Diarrhoeal diseases (23.1%)Lower respiratory infections (11.9%)
HIV/AIDS (6.7%)
Tuberculosis (3.6%)
Drowning (5.2%)
Epilepsy (1.9%)
Asthma (2.3%)
Meningitis/encephalitis (6.5%)Road injuries (5.7%)
Diarrhoeal diseases (21.6%)
Cerebrovascular disease (2.0%)
Lower respiratory infections (11.3%)HIV/AIDS (11.1%)
Tuberculosis (14.3%)
Epilepsy (1.6%)Meningitis/encephalitis (3.2%)
Mechanical forces (6.6%)Interpersonal violence (4.3%)
Accidental threats to breathing (7.3%)Road injuries (9.5%)
Diarrhoeal diseases (6.9%)
Lower respiratory infections (3.6%)
HIV/AIDS (19.0%)Tuberculosis (22.6%)
Mechanical forces (2.3%)
Road injuries (2.5%)
Nephritis/nephrosis (2.3%)
Diabetes mellitus (2.4%)
Ischaemic heart disease (2.8%)
Diarrhoeal diseases (7.1%)Cerebrovascular disease (5.4%)
Lower respiratory infections (4.0%)
HIV/AIDS (19.7%)Tuberculosis (26.8%)
Asthma (2.4%)COPD (1.8%)
Nephritis/nephrosis (4.1%)
Diabetes mellitus (7.5%)Hypertensive heart disease (9.3%)
Ischaemic heart disease (10.5%)
Diarrhoeal diseases (5.1%)
Cerebrovascular disease (23.2%)
Lower respiratory infections (5.3%)Tuberculosis (6.9%)
Percentage of deaths by broad cause and leading causes, 2009-2014Prov, DistrictKZN, iLembe: DC29
Show History
BroadcauseInjury
NCD
HIV and TB
Comm_mat_peri_nut
450
Section B: National and District Profiles
450
Section B: Profile KwaZulu-Natal Province
Percentage of deaths by broad cause and leading causes, 2009–2014: iLembe (DC29)
Section B: National and District Profiles
451
Section B: Profile KwaZulu-Natal Province
451
Indicator performance: iLembe (DC29
District value
District ranking
Provincial average
National average
National target
Category Indicator 2013/14 2014/15 2015/16 2015/16 2015/16 2015/16 2015/16Management PHC
Percentage ideal clinics [Percentage] 22.2 11 23.5 9.2
Percentage of fixed PHC facilities with patients that have access to a medical practitioner [Percentage]
33.3 13 30.7 18.1
Management Inpatients
Average length of stay (district hospitals) [Days] 6.3 6.0 6.4 51 5.7 4.5
Expenditure per patient day equivalent (district hospitals) [Rand (real 2015/16 prices)]
2 620.3 2 774.2 3 078.9 46 2 240.9 2 342.2
Inpatient bed utilisation rate (district hospitals) [Percentage] 56.7 56.5 56.9 41 60.2 65.3 78.6
Inpatient crude death rate [Percentage] 4.8 4.1 4.4 11 5.2 5.0
OPD new client not referred rate (district hospitals) [Percentage] 84.9 66.5 66.7 37 47.7 58.3
Delivery Delivery by caesarean section rate (district hospitals) [Percentage] 28.1 31.4 30.9 28.8 24.1
Delivery in facility under 18 years rate [Percentage] 10.7 10.1 9.8 45 8.7 7.1
Inpatient early neonatal death rate [per 1 000 live births] 11.8 11.7 11.7 37 10.8 10.5 10.0
Maternal mortality in facility ratio [per 100 000 live births] 194.1 151.2 116.7 32 121.1 119.1 120.0
Mother postnatal visit within 6 days rate [Percentage] 158.4 70.2 74.2 12 69.8 68.5 85.0
Stillbirth in facility rate [per 1 000 births] 23.2 23.3 21.9 28 22.3 21.1
PMTCT Antenatal 1st visit before 20 weeks rate [Percentage] 52.1 57.6 65.9 18 64.8 61.2 60.0
Antenatal client initiated on ART rate [Percentage] 96.2 100.3 100.0 2 97.6 93.0 88.0
Percentage of PCR tests positive at birth [Percentage] 0.9 11 0.7 1.1
Child Health Child under 5 years diarrhoea case fatality rate [Percentage] 2.5 1.9 2.4 32 2.2 2.2 3.2
Child under 5 years pneumonia case fatality rate [Percentage] 1.1 1.2 1.8 17 2.7 2.3 3.0
Child under 5 years severe acute malnutrition case fatality rate [Percentage]
3.2 6.7 7.7 20 7.7 8.9 10.0
Inpatient death under 5 year rate [Percentage] 6.4 7.4 5.0 27 5.2 4.7
School Grade 1 screening coverage (annualised) [Percentage] 3.6 18.0 30.0 22 22.1 28.9 25.0
Vitamin A dose 12-59 months coverage (annualised) [Percentage] 52.5 58.0 74.3 5 63.8 57.0
Immunisation Immunisation coverage under 1 year [Percentage] 75.2 81.0 77.6 42 85.0 89.2 90.0
Measles 2nd dose coverage (annualised) [Percentage] 73.4 79.5 75.1 44 82.6 84.8 83.0
Reproductive health
Cervical cancer screening coverage (annualised) [Percentage of women 30+ /10]
53.2 65.4 79.0 6 72.7 56.6 60.0
Couple year protection rate (annualised) [Percentage] 32.7 36.2 40.9 40 52.1 48.2 60.0
HIV HIV testing coverage (including ANC) [Percentage] 33.9 32.1 29.6 37 36.0 34.5
Male condom distribution coverage [Condoms per male 15+] 16.3 24.2 40.5 33 54.6 44.4
Non-communicable diseases
Diabetes incidence (annualised) [per 1 000 population] 1.0 1.5 1.1 2.2 1.7
Hypertension incidence (annualised) [per 1 000 population 40+] 17.9 17.5 15.4 18.6 16.8
Human Resources
Percentage of fixed PHC facilities with performance management agreement for all staff [Percentage]
27.8 11 28.5 16.3
Percentage of fixed PHC facilities with staffing in line with WISN [Percentage]
2.8 13 2.7 1.5
District value
District ranking
Provincial average
National average
National target
Category Indicator 20122013 & 2013/14
2014 & 2014/15 2015 2015* 2015* 2015* 2015*
TB case finding Incidence (diagnosed cases) of TB (ETR.net) [Cases per 100 000 population]
932.6 875.0 800.7 42 685.2 519.8
TB Rifampicin resistance confirmed client rate [Percentage]
9.9 8.1 9.3 50 7.8 6.1
TB treatment outcomes
TB cure rate (new sm+) [Percentage] 86.4 88.6 87.3 3 78.7 77.4
TB treatment success rate (ETR.net) [Percentage] 77.9 79.5 69.8 46 73.8 77.2 83.0
TB death rate (ETR.net) [Percentage] 6.1 5.3 4.6 7 5.4 6.7
New smear positive pulmonary TB loss to follow up rate [Percentage]
2.9 2.0 3.0 5 4.0 5.6
TB MDR treatment success rate (EDRWeb) [Percentage]
53.3 16 57.3 47.2 55.0
HIV Percentage of TB cases with known HIV status (ETR.net) [Percentage]
89.4 93.0 94.4 33 94.2 94.8
TB/HIV co-infected client on ART rate (ETR.Net) [Percentage]
53.4 90.7 81.3 32 82.2 84.5
NCDs Hypertension prevalence rate (crude) [Percentage] 20.1 32.3 34 26.2 28.2
452
Section B: National and District Profiles
452
Section B: Profile KwaZulu-Natal Province
District value
District ranking
Provincial average
National average
National target
Category Indicator 20122013 & 2013/14
2014 & 2014/15 2015 2015* 2015* 2015* 2015*
Burden of disease
Percentage of YLLs due to non-communicable diseases [Percentage]
29.0 28.0 35.3 23 34.7 38.2
Percentage of YLLs due to HIV and TB [Percentage] 36.8 38.6 31.9 37 32.3 27.0
Percentage of YLLs due to communicable, maternal, perinatal, nutrition causes [Percentage]
23.4 19.6 20.1 26 19.9 21.2
Percentage of deaths garbage codes [Percentage] 17.4 18.8 19.7 50 15.3 14.6
Percentage of YLLs due to injuries [Percentage] 10.8 13.9 12.7 24 13.1 13.6
Percentage of deaths ill-defined [Percentage] 11.0 8.8 7.2 7 10.0 13.8
* – value for most recent year which ranges from 2013 to 2015
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
Annual indicators for district: iLembe: DC29Va
lue
1000
1200
1400
1600
2006 2008 2010 2012 2014
01_DHS exp per capita
500
600
700
800
900
1000
1100
2006 2008 2010 2012 2014
01_PHC exp per capita
200
250
300
350
2006 2008 2010 2012 2014
01_PHC exp per headcount
5
6
7
2006 2008 2010 2012 2014
03_Avg length of stay (DH)
4.5
5.0
5.5
2010 2012 2014 2016
03_Crude death rate
1500
2000
2500
3000
2006 2008 2010 2012 2014
03_Expenditure per PDE (DH)
50
60
70
80
2008 2010 2012 2014 2016
03_OPD new not ref rate (DH)
58
60
62
64
66
68
2006 2008 2010 2012 2014
03_Usable bed util (DH)
15
20
25
30
2006 2008 2010 2012 2014
04_Caesarean sect (DH)
7
8
9
10
11
2006 2008 2010 2012 2014
04_Deliv in fac <18
6
8
10
12
14
2006 2008 2010 2012 2014
04_IP early neo death rate
100
150
200
250
300
2008 2010 2012 2014
04_Maternal Mort ratio
0
50
100
150
2008 2010 2012 2014 2016
04_Postnatal mother <6d
22
24
26
28
30
2006 2008 2010 2012 2014
04_Stillbirth rate
30
40
50
60
2006 2008 2010 2012 2014
05_ANC 1st visit <20 w rate
80
100
120
140
160
2008 2010 2012 2014 2016
05_ANC initiate ART rate
2
4
6
8
10
2008 2010 2012 2014
06_Child <5 diar fat rate
1
2
3
4
5
6
2008 2010 2012 2014 2016
06_Child <5 pneumo death
5
10
15
20
2008 2010 2012 2014 2016
06_Child <5 sev mal fata
5.0
5.5
6.0
6.5
7.0
7.5
2010 2012 2014 2016 2018
06_Inpat death <5 rate
District value Provincial average ZA (national) average
Section B: National and District Profiles
453
Section B: Profile KwaZulu-Natal Province
453
Annual indicators for district: iLembe (DC29)
Annual indicators for district: iLembe: DC29
Valu
e
5
10
15
20
25
30
2010 2012 2014 2016 2018
06_School G1 screen cov yy
30
40
50
60
70
2006 2008 2010 2012 2014
06_VitA 12−59 mm cov yy
80
90
100
2006 2008 2010 2012 2014
07_Imm cov <1 yy
70
75
80
85
90
2008 2010 2012 2014
07_Measles 2nd cov yy
30
40
50
60
70
80
2006 2008 2010 2012 2014
08_Cerv cancer screen cov yy
30
40
50
2006 2008 2010 2012 2014
08_Couple year protect rate
2
3
4
5
6
7
2008 2010 2012 2014 2016
09_New pulmonary TB LTF rate
10
15
20
25
2010 2012 2014 2016
09_RIF resistance rate
40
60
80
2006 2008 2010 2012 2014
09_TB cure rate new sm+
5
6
7
8
2008 2010 2012 2014 2016
09_TB deaths all TB
400
600
800
1000
1200
2006 2008 2010 2012 2014
09_TB inc all TB
65
70
75
80
2006 2008 2010 2012 2014
09_TB success all TB
30
35
2010 2012 2014 2016 2018
10_HIV test cov inc ANC
10
20
30
40
50
60
2006 2008 2010 2012 2014
10_Male cond dist cov yy
40
50
60
70
80
90
2008 2010 2012 2014 2016
10_TB known HIV status
20
40
60
80
2010 2012 2014 2016
10_TB/HIV on ART
1.0
1.5
2.0
2010 2012 2014 2016 2018
11_Diabetes incidence yy
15
20
25
30
2010 2012 2014 2016
11_Hypertension inci yy
20
25
30
2008 2010 2012 2014 2016
11_Hypertension prevalence
14
16
18
2008 2010 2012 2014
13_Garbage codes
District value Provincial average ZA (national) average
454
Section B: National and District Profiles
454
Section B: Profile KwaZulu-Natal Province
Annual indicators for district: iLembe (DC29)
Section B: National and District Profiles
455
Section B: Profile KwaZulu-Natal Province
455
Harry Gwala District Municipality (DC43)
Harry Gwala District (previously known as Sisonke) is situated in the south of KwaZulu-Natal Province and comprises five sub-districts, namely Ingwe, KwaSani, uMzimkhulu, Greater Kokstad and Ubuhlebezwe. The district has a population of 485 308, with a population density of 46.0 people per km2 and falls in socio-economic Quintile 1, among the poorest districts in South Africa. Estimated medical scheme coverage is 6.3%
Number of facilities by level, 2015/16
Clin
ic
CH
C
Dis
tric
t Hos
pita
l
Reg
iona
l H
ospi
tal
Cen
tral
/Ter
tiary
H
ospi
tals
Oth
er H
ospi
tals
39 1 4 0 3
Headcount and deaths, 2013/14 – 2015/16
Data element 2013/14 2014/15 2015/16PHC headcount under 5 years 250 035 252 714 280 736PHC headcount 5 years and older 1 342 220 1 404 242 1 457 778Patient day equivalent 344 617 344 500 339 072Deaths – total 1 956 1 827 1 716Still births 153 139 140Early neonatal deaths 120 143 87Late neonatal deaths 10 20 22Child under 5 years with diarrhoea death 30 24 13Child under 5 years with pneumonia death 28 12 11Child under 5 years with severe acute malnutrition death 23 23 17
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 2009–2014. The second part of the graph shows the 10 leading single causes of death within each age group (both genders) for 2009–2014 combined.
Broad age.. Female Male
<5 years
5-14
15-24
25-64
65+
Total 22%
14%
18%
21%
46%
77%
30%
7%
46%
54%
23%
10%
44%
77%
33%
15%
18%
9%
4%
2%
4%
10%
13%
4%
21%
14%
16%
13%
36%
75%
35%
14%
46%
24%
27%
10%
33%
69%
28%
14%
16%
9%
11%
3%
11%
49%
21%
6%
KZN, Harry Gwala: DC43, 2009-14
Rank.. 2009-14
<5 y
ears
12345678910
5-14
12345678910
15-2
4
12345678910
25-6
4
12345678910
65+
12345678910
Other perinatal conditions (2.1%)
Sepsis/other newborn infectious (3.6%)
Poisonings (including herbal) (2.1%)
Birth asphyxia (8.3%)
Protein-energy malnutrition (5.2%)
Preterm birth complications (12.6%)
Diarrhoeal diseases (23.5%)Lower respiratory infections (17.6%)
HIV/AIDS (7.0%)
Tuberculosis (3.3%)
Exposure to natural forces (1.7%)
Drowning (5.8%)
Epilepsy (2.0%)Asthma (3.1%)
Meningitis/encephalitis (5.7%)
Road injuries (6.7%)
Diarrhoeal diseases (19.5%)
Lower respiratory infections (11.5%)HIV/AIDS (12.4%)
Tuberculosis (13.5%)
Self-inflicted injuries (6.3%)
Meningitis/encephalitis (3.1%)
Mechanical forces (3.2%)
Interpersonal violence (6.5%)
Accidental threats to breathing (3.1%)
Road injuries (5.1%)Diarrhoeal diseases (4.8%)
Lower respiratory infections (6.5%)
HIV/AIDS (18.6%)Tuberculosis (23.1%)
Asthma (2.7%)
Meningitis/encephalitis (2.4%)Road injuries (2.1%)
Diabetes mellitus (3.5%)
Hypertensive heart disease (2.5%)
Diarrhoeal diseases (5.7%)Cerebrovascular disease (4.9%)
Lower respiratory infections (6.8%)HIV/AIDS (19.5%)
Tuberculosis (26.2%)
Oesophagus (1.7%)
Asthma (6.2%)
Nephritis/nephrosis (3.3%)
Diabetes mellitus (9.8%)Hypertensive heart disease (12.0%)
Ischaemic heart disease (2.9%)
Diarrhoeal diseases (4.1%)
Cerebrovascular disease (20.4%)
Lower respiratory infections (8.0%)Tuberculosis (8.4%)
Percentage of deaths by broad cause and leading causes, 2009-2014Prov, DistrictKZN, Harry Gwala: DC43
Show History
BroadcauseInjury
NCD
HIV and TB
Comm_mat_peri_nut
456
Section B: National and District Profiles
456
Section B: Profile KwaZulu-Natal Province
Percentage of deaths by broad cause and leading causes, 2009–2014: Harry Gwala (DC43)
Section B: National and District Profiles
457
Section B: Profile KwaZulu-Natal Province
457
Indicator performance: Harry Gwala (DC43)
District value
District ranking
Provincial average
National average
National target
Category Indicator 2013/14 2014/15 2015/16 2015/16 2015/16 2015/16 2015/16Management PHC
Percentage ideal clinics [Percentage] 25.0 9 23.5 9.2
Percentage of fixed PHC facilities with patients that have access to a medical practitioner [Percentage]
27.5 15 30.7 18.1
Management Inpatients
Average length of stay (district hospitals) [Days] 5.5 5.1 5.0 16 5.7 4.5
Expenditure per patient day equivalent (district hospitals) [Rand (real 2015/16 prices)]
2 136.9 2 258.1 2 199.9 20 2 240.9 2 342.2
Inpatient bed utilisation rate (district hospitals) [Percentage] 66.8 64.9 63.6 31 60.2 65.3 78.6
Inpatient crude death rate [Percentage] 6.1 5.4 5.0 18 5.2 5.0
OPD new client not referred rate (district hospitals) [Percentage] 69.1 78.0 74.9 46 47.7 58.3
Delivery Delivery by caesarean section rate (district hospitals) [Percentage] 25.8 26.7 29.0 28.8 24.1
Delivery in facility under 18 years rate [Percentage] 10.0 9.7 9.9 46 8.7 7.1
Inpatient early neonatal death rate [per 1 000 live births] 14.4 16.4 10.9 35 10.8 10.5 10.0
Maternal mortality in facility ratio [per 100 000 live births] 84.0 137.9 99.9 26 121.1 119.1 120.0
Mother postnatal visit within 6 days rate [Percentage] 65.1 72.0 72.8 16 69.8 68.5 85.0
Stillbirth in facility rate [per 1 000 births] 18.0 15.6 17.2 12 22.3 21.1
PMTCT Antenatal 1st visit before 20 weeks rate [Percentage] 53.5 57.1 64.6 21 64.8 61.2 60.0
Antenatal client initiated on ART rate [Percentage] 96.3 97.6 93.4 25 97.6 93.0 88.0
Percentage of PCR tests positive at birth [Percentage] 0.8 10 0.7 1.1
Child Health Child under 5 years diarrhoea case fatality rate [Percentage] 3.4 3.1 2.5 33 2.2 2.2 3.2
Child under 5 years pneumonia case fatality rate [Percentage] 4.3 1.8 2.4 26 2.7 2.3 3.0
Child under 5 years severe acute malnutrition case fatality rate [Percentage]
7.3 8.7 8.2 25 7.7 8.9 10.0
Inpatient death under 5 year rate [Percentage] 7.0 6.9 5.0 26 5.2 4.7
School Grade 1 screening coverage (annualised) [Percentage] 9.6 32.3 48.7 7 22.1 28.9 25.0
Vitamin A dose 12-59 months coverage (annualised) [Percentage] 51.3 49.4 64.2 13 63.8 57.0
Immunisation Immunisation coverage under 1 year [Percentage] 80.9 77.0 68.5 50 85.0 89.2 90.0
Measles 2nd dose coverage (annualised) [Percentage] 80.2 79.1 75.2 43 82.6 84.8 83.0
Reproductive health
Cervical cancer screening coverage (annualised) [Percentage of women 30+ /10]
79.7 77.2 73.4 11 72.7 56.6 60.0
Couple year protection rate (annualised) [Percentage] 51.7 54.1 60.4 11 52.1 48.2 60.0
HIV HIV testing coverage (including ANC) [Percentage] 52.8 46.3 40.2 14 36.0 34.5
Male condom distribution coverage [Condoms per male 15+] 57.1 59.9 78.5 2 54.6 44.4
Non-communicable diseases
Diabetes incidence (annualised) [per 1 000 population] 2.6 1.3 2.0 2.2 1.7
Hypertension incidence (annualised) [per 1 000 population 40+] 37.7 25.8 27.1 18.6 16.8
Human Resources
Percentage of fixed PHC facilities with performance management agreement for all staff [Percentage]
27.5 12 28.5 16.3
Percentage of fixed PHC facilities with staffing in line with WISN [Percentage]
10.0 1 2.7 1.5
District value
District ranking
Provincial average
National average
National target
Category Indicator 20122013 & 2013/14
2014 & 2014/15 2015 2015* 2015* 2015* 2015*
TB case finding Incidence (diagnosed cases) of TB (ETR.net) [Cases per 100 000 population]
937.7 814.8 677.7 33 685.2 519.8
TB Rifampicin resistance confirmed client rate [Percentage]
8.5 7.2 7.3 42 7.8 6.1
TB treatment outcomes
TB cure rate (new sm+) [Percentage] 83.1 78.6 80.6 17 78.7 77.4
TB treatment success rate (ETR.net) [Percentage] 71.9 74.3 77.2 25 73.8 77.2 83.0
TB death rate (ETR.net) [Percentage] 7.0 8.8 7.7 29 5.4 6.7
New smear positive pulmonary TB loss to follow up rate [Percentage]
4.9 4.8 5.1 26 4.0 5.6
TB MDR treatment success rate (EDRWeb) [Percentage]
59.5 9 57.3 47.2 55.0
HIV Percentage of TB cases with known HIV status (ETR.net) [Percentage]
92.6 95.2 95.4 23 94.2 94.8
TB/HIV co-infected client on ART rate (ETR.Net) [Percentage]
65.2 83.9 80.4 35 82.2 84.5
NCDs Hypertension prevalence rate (crude) [Percentage] 18.2 30.3 27 26.2 28.2
458
Section B: National and District Profiles
458
Section B: Profile KwaZulu-Natal Province
District value
District ranking
Provincial average
National average
National target
Category Indicator 20122013 & 2013/14
2014 & 2014/15 2015 2015* 2015* 2015* 2015*
Burden of disease
Percentage of YLLs due to non-communicable diseases [Percentage]
30.0 31.8 31.7 11 34.7 38.2
Percentage of YLLs due to HIV and TB [Percentage] 37.8 35.9 36.4 49 32.3 27.0
Percentage of YLLs due to communicable, maternal, perinatal, nutrition causes [Percentage]
22.4 21.7 19.8 24 19.9 21.2
Percentage of deaths garbage codes [Percentage] 12.7 11.7 11.0 12 15.3 14.6
Percentage of YLLs due to injuries [Percentage] 9.9 10.6 12.1 16 13.1 13.6
Percentage of deaths ill-defined [Percentage] 17.7 15.1 17.5 45 10.0 13.8
* – value for most recent year which ranges from 2013 to 2015
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
Annual indicators for district: Harry Gwala: DC43Va
lue
1000
1500
2000
2006 2008 2010 2012 2014
01_DHS exp per capita
600
800
1000
2006 2008 2010 2012 2014
01_PHC exp per capita
200
250
300
350
2006 2008 2010 2012 2014
01_PHC exp per headcount
4.5
5.0
5.5
2006 2008 2010 2012 2014
03_Avg length of stay (DH)
5.0
5.5
6.0
6.5
7.0
2010 2012 2014 2016
03_Crude death rate
1200
1400
1600
1800
2000
2200
2006 2008 2010 2012 2014
03_Expenditure per PDE (DH)
50
55
60
65
70
75
2008 2010 2012 2014 2016
03_OPD new not ref rate (DH)
58
60
62
64
66
68
2006 2008 2010 2012 2014
03_Usable bed util (DH)
15
20
25
2006 2008 2010 2012 2014
04_Caesarean sect (DH)
7
8
9
10
11
2006 2008 2010 2012 2014
04_Deliv in fac <18
6
8
10
12
14
16
2006 2008 2010 2012 2014
04_IP early neo death rate
100
150
200
2008 2010 2012 2014
04_Maternal Mort ratio
20
40
60
2008 2010 2012 2014 2016
04_Postnatal mother <6d
16
18
20
22
24
26
2006 2008 2010 2012 2014
04_Stillbirth rate
20
30
40
50
60
2006 2008 2010 2012 2014
05_ANC 1st visit <20 w rate
80
100
120
140
160
2008 2010 2012 2014 2016
05_ANC initiate ART rate
2
4
6
8
10
12
2008 2010 2012 2014
06_Child <5 diar fat rate
2
4
6
8
2008 2010 2012 2014 2016
06_Child <5 pneumo death
10
15
20
25
2008 2010 2012 2014 2016
06_Child <5 sev mal fata
5.0
5.5
6.0
6.5
7.0
2010 2012 2014 2016 2018
06_Inpat death <5 rate
District value Provincial average ZA (national) average
Section B: National and District Profiles
459
Section B: Profile KwaZulu-Natal Province
459
Annual indicators for district: Harry Gwala (DC43)
Annual indicators for district: Harry Gwala: DC43
Valu
e
10
20
30
40
50
2010 2012 2014 2016 2018
06_School G1 screen cov yy
30
40
50
60
2006 2008 2010 2012 2014
06_VitA 12−59 mm cov yy
70
75
80
85
90
2006 2008 2010 2012 2014
07_Imm cov <1 yy
60
70
80
90
2008 2010 2012 2014
07_Measles 2nd cov yy
20
40
60
80
2006 2008 2010 2012 2014
08_Cerv cancer screen cov yy
30
40
50
60
2006 2008 2010 2012 2014
08_Couple year protect rate
4
5
6
7
2008 2010 2012 2014 2016
09_New pulmonary TB LTF rate
6
8
10
12
14
2010 2012 2014 2016
09_RIF resistance rate
40
50
60
70
80
2006 2008 2010 2012 2014
09_TB cure rate new sm+
6
7
8
9
2008 2010 2012 2014 2016
09_TB deaths all TB
600
800
1000
1200
2006 2008 2010 2012 2014
09_TB inc all TB
50
60
70
80
2006 2008 2010 2012 2014
09_TB success all TB
25
30
35
40
45
50
2010 2012 2014 2016 2018
10_HIV test cov inc ANC
20
40
60
80
2006 2008 2010 2012 2014
10_Male cond dist cov yy
40
50
60
70
80
90
2008 2010 2012 2014 2016
10_TB known HIV status
20
40
60
80
2010 2012 2014 2016
10_TB/HIV on ART
1.4
1.6
1.8
2.0
2.2
2.4
2.6
2010 2012 2014 2016 2018
11_Diabetes incidence yy
15
20
25
30
35
2010 2012 2014 2016
11_Hypertension inci yy
20
25
30
2008 2010 2012 2014 2016
11_Hypertension prevalence
10
11
12
13
14
15
2008 2010 2012 2014
13_Garbage codes
District value Provincial average ZA (national) average
460
Section B: National and District Profiles
460
Section B: Profile KwaZulu-Natal Province
Annual indicators for district: Harry Gwala (DC43)
Section B: National and District Profiles
461
Section B: Profile KwaZulu-Natal Province
461
eThekwini Metropolitan Municipality (ETH)
eThekwini Metro is situated in KwaZulu-Natal Province and has a population of 3 520 558, with a population density of 1 536.5 people per km2. The metro falls into socio-economic Quintile 5, placing it among the wealthiest districts in South Africa. Estimated medical scheme coverage is 19.2%.
Number of facilities by level, 2015/16
Clin
ic
CH
C
Dis
tric
t Hos
pita
l
Reg
iona
l H
ospi
tal
Cen
tral
/Ter
tiary
H
ospi
tals
Oth
er H
ospi
tals
113 8 4 5 2 13
Headcount and deaths, 2013/14 – 2015/16
Data element 2013/14 2014/15 2015/16PHC headcount under 5 years 1 584 544 1 448 998 1 450 647PHC headcount 5 years and older 11 233 519 10 099 651 9 889 431Patient day equivalent 3 053 601 3 023 244 2 890 931Deaths – total 11 882 12 107 12 272Still births 1 316 1 339 1 281Early neonatal deaths 544 682 696Late neonatal deaths 118 182 187Child under 5 years with diarrhoea death 32 50 62Child under 5 years with pneumonia death 57 71 86Child under 5 years with severe acute malnutrition death 39 67 53
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 2009–2014. The second part of the graph shows the 10 leading single causes of death within each age group (both genders) for 2009–2014 combined.
Broad age.. Female Male
<5 years
5-14
15-24
25-64
65+
Total 18%
10%
17%
23%
35%
71%
25%
3%
39%
47%
23%
10%
52%
85%
40%
15%
25%
13%
5%
2%
5%
14%
18%
6%
16%
9%
13%
9%
29%
70%
25%
5%
35%
17%
22%
9%
42%
82%
35%
12%
22%
14%
16%
3%
17%
62%
28%
7%
KZN, eThekwini: ETH, 2009-14
Rank.. 2009-14
<5 y
ears
12345678910
5-14
12345678910
15-2
4
12345678910
25-6
4
12345678910
65+
12345678910
Congenital heart anomalies (2.2%)
Sepsis/other newborn infectious (4.5%)
Birth asphyxia (7.9%)
Protein-energy malnutrition (3.2%)
Preterm birth complications (15.5%)
Septicaemia (2.9%)
Diarrhoeal diseases (19.3%)
Lower respiratory infections (13.2%)
HIV/AIDS (5.8%)
Tuberculosis (3.6%)
Other unintentional injuries (3.2%)
Drowning (5.2%)
Fires, hot substances (2.6%)
Meningitis/encephalitis (4.9%)Accidental threats to breathing (3.9%)
Road injuries (5.2%)
Diarrhoeal diseases (11.4%)Lower respiratory infections (11.4%)
HIV/AIDS (10.5%)
Tuberculosis (11.7%)
Drowning (1.7%)Meningitis/encephalitis (3.1%)
Mechanical forces (13.2%)
Interpersonal violence (7.1%)Accidental threats to breathing (9.5%)
Road injuries (4.0%)Diarrhoeal diseases (3.9%)
Lower respiratory infections (5.5%)
HIV/AIDS (12.8%)
Tuberculosis (18.8%)
Mechanical forces (4.5%)
Accidental threats to breathing (2.3%)
Nephritis/nephrosis (3.4%)Diabetes mellitus (3.0%)
Ischaemic heart disease (5.8%)
Diarrhoeal diseases (4.2%)
Cerebrovascular disease (4.5%)
Lower respiratory infections (6.4%)HIV/AIDS (14.8%)
Tuberculosis (22.0%)
Trachea/bronchi/lung (2.5%)COPD (2.9%)
Nephritis/nephrosis (5.7%)
Diabetes mellitus (6.8%)Hypertensive heart disease (6.0%)
Ischaemic heart disease (17.3%)
Diarrhoeal diseases (2.1%)
Cerebrovascular disease (15.6%)
Lower respiratory infections (5.5%)Tuberculosis (3.1%)
Percentage of deaths by broad cause and leading causes, 2009-2014Prov, DistrictKZN, eThekwini: ETH
Show History
BroadcauseInjury
NCD
HIV and TB
Comm_mat_peri_nut
462
Section B: National and District Profiles
462
Section B: Profile KwaZulu-Natal Province
Percentage of deaths by broad cause and leading causes, 2009–2014: eThekwini (ETH)
Section B: National and District Profiles
463
Section B: Profile KwaZulu-Natal Province
463
Indicator performance: eThekwini (ETH)
District value
District ranking
Provincial average
National average
National target
Category Indicator 2013/14 2014/15 2015/16 2015/16 2015/16 2015/16 2015/16Management PHC
Percentage ideal clinics [Percentage] 10.6 18 23.5 9.2
Percentage of fixed PHC facilities with patients that have access to a medical practitioner [Percentage]
18.6 27 30.7 18.1
Management Inpatients
Average length of stay (district hospitals) [Days] 6.1 6.1 5.3 26 5.7 4.5
Expenditure per patient day equivalent (district hospitals) [Rand (real 2015/16 prices)]
1 865.0 1 710.6 1 626.9 45 2 240.9 2 342.2
Inpatient bed utilisation rate (district hospitals) [Percentage] 83.2 74.5 68.5 22 60.2 65.3 78.6
Inpatient crude death rate [Percentage] 4.4 4.2 4.4 9 5.2 5.0
OPD new client not referred rate (district hospitals) [Percentage] 50.1 68.4 30.3 9 47.7 58.3
Delivery Delivery by caesarean section rate (district hospitals) [Percentage] 40.6 36.4 35.8 28.8 24.1
Delivery in facility under 18 years rate [Percentage] 8.0 7.6 7.5 26 8.7 7.1
Inpatient early neonatal death rate [per 1 000 live births] 9.8 11.4 12.4 41 10.8 10.5 10.0
Maternal mortality in facility ratio [per 100 000 live births] 174.4 100.1 106.9 29 121.1 119.1 120.0
Mother postnatal visit within 6 days rate [Percentage] 69.9 66.4 69.5 20 69.8 68.5 85.0
Stillbirth in facility rate [per 1 000 births] 21.9 21.9 22.3 32 22.3 21.1
PMTCT Antenatal 1st visit before 20 weeks rate [Percentage] 53.5 54.1 63.8 23 64.8 61.2 60.0
Antenatal client initiated on ART rate [Percentage] 72.9 92.1 97.4 13 97.6 93.0 88.0
Percentage of PCR tests positive at birth [Percentage] 0.7 9 0.7 1.1
Child Health Child under 5 years diarrhoea case fatality rate [Percentage] 1.6 1.8 2.3 30 2.2 2.2 3.2
Child under 5 years pneumonia case fatality rate [Percentage] 3.2 2.6 2.5 27 2.7 2.3 3.0
Child under 5 years severe acute malnutrition case fatality rate [Percentage]
5.8 7.2 6.4 15 7.7 8.9 10.0
Inpatient death under 5 year rate [Percentage] 4.3 5.1 5.4 28 5.2 4.7
School Grade 1 screening coverage (annualised) [Percentage] 2.1 21.2 9.2 47 22.1 28.9 25.0
Vitamin A dose 12-59 months coverage (annualised) [Percentage] 60.9 58.3 67.9 9 63.8 57.0
Immunisation Immunisation coverage under 1 year [Percentage] 104.7 106.5 97.6 9 85.0 89.2 90.0
Measles 2nd dose coverage (annualised) [Percentage] 92.3 94.3 87.1 18 82.6 84.8 83.0
Reproductive health
Cervical cancer screening coverage (annualised) [Percentage of women 30+ /10]
81.0 76.7 67.0 19 72.7 56.6 60.0
Couple year protection rate (annualised) [Percentage] 30.4 42.2 47.7 30 52.1 48.2 60.0
HIV HIV testing coverage (including ANC) [Percentage] 30.8 35.0 37.2 21 36.0 34.5
Male condom distribution coverage [Condoms per male 15+] 14.6 27.7 39.3 34 54.6 44.4
Non-communicable diseases
Diabetes incidence (annualised) [per 1 000 population] 2.6 2.3 2.5 2.2 1.7
Hypertension incidence (annualised) [per 1 000 population 40+] 23.5 17.9 15.9 18.6 16.8
Human Resources
Percentage of fixed PHC facilities with performance management agreement for all staff [Percentage]
18.6 25 28.5 16.3
Percentage of fixed PHC facilities with staffing in line with WISN [Percentage]
3.5 10 2.7 1.5
District value
District ranking
Provincial average
National average
National target
Category Indicator 20122013 & 2013/14
2014 & 2014/15 2015 2015* 2015* 2015* 2015*
TB case finding Incidence (diagnosed cases) of TB (ETR.net) [Cases per 100 000 population]
1 093.9 871.3 698.4 38 685.2 519.8
TB Rifampicin resistance confirmed client rate [Percentage]
7.7 7.6 6.8 39 7.8 6.1
TB treatment outcomes
TB cure rate (new sm+) [Percentage] 75.9 79.5 71.6 44 78.7 77.4
TB treatment success rate (ETR.net) [Percentage] 78.3 80.9 67.9 48 73.8 77.2 83.0
TB death rate (ETR.net) [Percentage] 5.7 5.0 4.1 5 5.4 6.7
New smear positive pulmonary TB loss to follow up rate [Percentage]
7.6 6.2 5.6 33 4.0 5.6
TB MDR treatment success rate (EDRWeb) [Percentage]
55.9 15 57.3 47.2 55.0
HIV Percentage of TB cases with known HIV status (ETR.net) [Percentage]
84.9 90.0 91.7 47 94.2 94.8
TB/HIV co-infected client on ART rate (ETR.Net) [Percentage]
57.7 69.0 69.6 48 82.2 84.5
NCDs Hypertension prevalence rate (crude) [Percentage] 34.5 24.4 14 26.2 28.2
464
Section B: National and District Profiles
464
Section B: Profile KwaZulu-Natal Province
District value
District ranking
Provincial average
National average
National target
Category Indicator 20122013 & 2013/14
2014 & 2014/15 2015 2015* 2015* 2015* 2015*
Burden of disease
Percentage of YLLs due to non-communicable diseases [Percentage]
38.6 39.7 38.5 33 34.7 38.2
Percentage of YLLs due to HIV and TB [Percentage] 29.9 27.3 30.3 34 32.3 27.0
Percentage of YLLs due to communicable, maternal, perinatal, nutrition causes [Percentage]
16.9 17.1 18.0 20 19.9 21.2
Percentage of deaths garbage codes [Percentage] 19.0 19.2 19.1 49 15.3 14.6
Percentage of YLLs due to injuries [Percentage] 14.7 16.0 13.2 27 13.1 13.6
Percentage of deaths ill-defined [Percentage] 12.4 13.3 11.7 30 10.0 13.8
* – value for most recent year which ranges from 2013 to 2015
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
Annual indicators for district: eThekwini: ETHVa
lue
1000
1200
1400
1600
2006 2008 2010 2012 2014
01_DHS exp per capita
500
600
700
800
900
1000
1100
2006 2008 2010 2012 2014
01_PHC exp per capita
200
250
300
350
2006 2008 2010 2012 2014
01_PHC exp per headcount
4.5
5.0
5.5
6.0
2006 2008 2010 2012 2014
03_Avg length of stay (DH)
4.5
5.0
5.5
2010 2012 2014 2016
03_Crude death rate
1000
1500
2000
2006 2008 2010 2012 2014
03_Expenditure per PDE (DH)
30
40
50
60
70
80
2008 2010 2012 2014 2016
03_OPD new not ref rate (DH)
60
65
70
75
80
2006 2008 2010 2012 2014
03_Usable bed util (DH)
15
20
25
30
35
40
2006 2008 2010 2012 2014
04_Caesarean sect (DH)
7.0
7.5
8.0
8.5
9.0
9.5
2006 2008 2010 2012 2014
04_Deliv in fac <18
6
8
10
12
2006 2008 2010 2012 2014
04_IP early neo death rate
100
150
200
250
2008 2010 2012 2014
04_Maternal Mort ratio
20
40
60
2008 2010 2012 2014 2016
04_Postnatal mother <6d
21
22
23
24
25
26
2006 2008 2010 2012 2014
04_Stillbirth rate
30
40
50
60
2006 2008 2010 2012 2014
05_ANC 1st visit <20 w rate
80
100
120
140
160
2008 2010 2012 2014 2016
05_ANC initiate ART rate
2
4
6
8
2008 2010 2012 2014
06_Child <5 diar fat rate
1
2
3
4
5
6
2008 2010 2012 2014 2016
06_Child <5 pneumo death
5
10
15
20
2008 2010 2012 2014 2016
06_Child <5 sev mal fata
4.5
5.0
5.5
2010 2012 2014 2016 2018
06_Inpat death <5 rate
District value Provincial average ZA (national) average
Section B: National and District Profiles
465
Section B: Profile KwaZulu-Natal Province
465
Annual indicators for district: eThekwini (ETH)
Annual indicators for district: eThekwini: ETH
Valu
e
5
10
15
20
25
30
2010 2012 2014 2016 2018
06_School G1 screen cov yy
30
40
50
60
2006 2008 2010 2012 2014
06_VitA 12−59 mm cov yy
70
80
90
100
110
2006 2008 2010 2012 2014
07_Imm cov <1 yy
70
75
80
85
90
95
2008 2010 2012 2014
07_Measles 2nd cov yy
30
40
50
60
70
80
2006 2008 2010 2012 2014
08_Cerv cancer screen cov yy
30
40
50
2006 2008 2010 2012 2014
08_Couple year protect rate
4
6
8
10
2008 2010 2012 2014 2016
09_New pulmonary TB LTF rate
6.0
6.5
7.0
7.5
8.0
8.5
9.0
2010 2012 2014 2016
09_RIF resistance rate
40
50
60
70
80
2006 2008 2010 2012 2014
09_TB cure rate new sm+
4
5
6
7
8
2008 2010 2012 2014 2016
09_TB deaths all TB
600
800
1000
1200
2006 2008 2010 2012 2014
09_TB inc all TB
55
60
65
70
75
80
2006 2008 2010 2012 2014
09_TB success all TB
30
35
2010 2012 2014 2016 2018
10_HIV test cov inc ANC
10
20
30
40
50
60
2006 2008 2010 2012 2014
10_Male cond dist cov yy
40
60
80
2008 2010 2012 2014 2016
10_TB known HIV status
20
40
60
80
2010 2012 2014 2016
10_TB/HIV on ART
1.4
1.6
1.8
2.0
2.2
2.4
2.6
2010 2012 2014 2016 2018
11_Diabetes incidence yy
15
20
25
30
2010 2012 2014 2016
11_Hypertension inci yy
24
26
28
30
32
34
2008 2010 2012 2014 2016
11_Hypertension prevalence
14
15
16
17
18
19
2008 2010 2012 2014
13_Garbage codes
District value Provincial average ZA (national) average
466
Section B: National and District Profiles
466
Section B: Profile KwaZulu-Natal Province
Annual indicators for district: eThekwini (ETH)