13 mpumalanga province - health systems trust health...50-54 years 45-49 years 40-44 years 35-39...

488

Section B: District Health Profiles

488

Section B: Profile Mpumalanga Province

13 Mpumalanga Province

Gert Sibande District Municipality (DC30)

Overview of the district

The Gert Sibande District Municipalitya is a Category C municipality located in the Mpumalanga Province. It is bordered by the Ehlanzeni and Nkangala District Municipalities to the north, KwaZulu-Natal and the Free State to the south, Swaziland to the east, and Gauteng to the west. The district is the largest of the three districts in the province, making up almost half of its geographical area. It is comprised of seven local municipalities: Govan Mbeki, Chief Albert Luthuli, Msukaligwa, Dipaleseng, Mkhondo, Lekwa and Pixley Ka Seme. Highways that pass through Gert Sibande District Municipality include the N11, which goes through to the N2 in KwaZulu-Natal, the N17 from Gauteng passing through to Swaziland, and the N3 from Gauteng to KwaZulu-Natal.

Area: 31 841km²

Population (2016)b: 1 158 573

Population density (2016): 36.4 persons per km2

Estimated medical scheme coverage: 13.5%

Cities/Towns: Amersfoort, Amsterdam, Balfour, Bethal, Breyten, Carolina, Charl Cilliers, Chrissiesmeer, Davel, Ekulindeni, Embalenhle, Empuluzi, Ermelo, Evander, Greylingstad, Grootvlei, Kinross, Leandra, Lothair, Morgenzon, Perdekop, Secunda, Standerton, Trichardt, Volksrust, Wakkerstroom, eManzana, eMkhondo (Piet Retief).

Main Economic Sectors: Manufacturing (57.4%), agriculture (41.4%), trade (25.8%), transport (24.5%), finance (21.2%), mining (14.1%), community services (12.3%), construction (2.1%).

Population distribution, local municipality boundaries and health facility locations

Source: Mid-Year Population Estimates 2016, Stats SA.

a The Local Government Handbook South Africa 2017. A complete guide to municipalities in South Africa. Seventh edition. Accessible at: www.municipalities.co.za.

b Mid-Year Population Estimates 2016, Stats SA.

AgeGrpYear

2006 2016

500 000 0 500 000

Population

500 000 0 500 000

Population

65+60-64 years55-59 years50-54 years45-49 years40-44 years35-39 years30-34 years25-29 years20-24 years15-19 years10-14 years05-09 years00-04 years

14 473

13 38517 95921 90025 77729 10232 62738 42646 469

56 98654 72853 96055 619

23 01411 34714 77318 69023 03526 98631 11835 21740 92548 84557 46456 45954 80954 454

9 66222 36613 93717 96821 96825 88031 29240 612

52 61564 10057 37954 61656 50859 56257 113

32 58915 38219 60323 55127 38932 13639 73550 13359 14556 94455 52555 73658 54956 240

G Sibande DM (DC30)

AgeGrp

2006 2016

8% 6% 4% 2% 0% 2% 4% 6% 8%

South Africa % of total population [Male | Female] - lines

8% 6% 4% 2% 0% 2% 4% 6% 8%


8% 6% 4% 2% 0% 2% 4% 6% 8%

District % of total population [Male | Female] - bars

8% 6% 4% 2% 0% 2% 4% 6% 8%



1.5%

1.9%2.3%

2.7%3.0%

3.4%4.0%

4.8%5.9%5.7%5.6%5.7%

2.4%

1.5%1.9%2.4%2.8%3.2%3.6%

4.2%5.0%

5.9%5.8%5.7%5.6%

1.9%

1.6%1.9%

2.2%2.7%

3.5%4.5%

5.5%5.0%4.7%4.9%

5.1%4.9%

2.8%

1.7%2.0%2.4%2.8%

3.4%4.3%

5.1%4.9%4.8%4.8%5.1%4.9%

Gendermalefemale

Graph 1: District population pyramid 2006 and 2016Graph 2: District % population by age-gender group in 2006 and 2016 compared to South AfricaG Sibande DM (DC30)

Show history


489


489

District population pyramid and comparison with the national pyramid


490


490


Social determinants of health

Source: Stats SA (Local Government Handbook), 2014 Blue Drop Report.

AgeGroup.. 2006-2010 2011-2015

492


492


Women and maternal health

Source: DHIS.

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

Value highlighted in orange – performance of the local municipality is possibly below the performance of the district.


493


493

Child and school health

Source: DHIS.



494


494


HIV

Source: DHIS.




495


495

Tuberculosis

Source: DHIS, ETR.Net, EDRWeb.

Value highlighted in green – performance is ranked among the 10 best in the countryValue highlighted in red – performance is ranked among the 10 worst in the country.

496


496


Non-communicable diseases

Source: DHIS.



Numbers of deaths in facilities

Source: DHIS.

Percentage ideal clinics

Source: Ideal Clinic database.


497


497

Vital ideal clinic elements in Primary Health Care facilities score (%)

Ger

t Sib

ande

Chi

ef A

lber

t Lu

thul

i LM

Dip

ales

eng

LM

Dr P

ixle

y K

a

Sem

e LM

Gov

an M

beki

LM

Lekw

a LM

Mkh

ondo

LM

Msu

kalig

wa

LM

Restore the emergency trolley daily or after every time it was used 70 45 60 100 67 86 100 64

Resuscitation room is equipped with functional basic equipment for resuscitation 82 64 100 100 83 100 100 64

Cold chain procedure for vaccines is maintained 86 68 100 100 83 100 100 82

90% of the tracer medicines are available 93 86 100 100 92 100 100 91

The temperature of the medicine room/dispensary is maintained within the safety range 96 95 100 100 100 86 100 91


Number of facilities by level, 2017/18

Source: DHIS.

Human resources – filled posts

Source: Persal, Ward-based outreach team database.

498


498

Section B: Profile Mpumalanga ProvinceD

istr

ict h

ealth

exp

endi

ture

and

bud

get,

2017

/18

2017

/18

Bud

get

2017

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Prov

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al E

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re

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l 201

7/18

B

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017/

18

Prov

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Expe

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% O

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Tran

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to L

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Prov

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LG

2.1

Dis

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Man

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88 9

32 9

65

91

905

188

88 9

32 9

6591

905

188

3.3%

2.2

Com

mun

ity H

ealth

Clin

ics

324

653

235

325

781

506

324

653

235

325

781

506

0.3%

2.3

Com

mun

ity H

ealth

Cen

tres

242

388

335

246

113

836

242

388

335

246

113

836

1.5%

2.4

Com

mun

ity-b

ased

Ser

vice

s38

784

126

38 4

97 4

31

38

784

126

38 4

97 4

31(0

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6 H

IV/A

IDS

386

768

728

384

382

429

386

768

728

384

382

429

(0.6

%)

2.7

Nut

ritio

n5

439

491

6 22

6 93

2

5

439

491

6 22

6 93

214

.5%

2.9

Dis

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Hos

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1 04

5 56

7 49

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1

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114

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Gra

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otal

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5 26

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34 2

03 8

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138

474

813

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19 6

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2 15

7 82

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499


499

Nkangala District Municipality (DC31)


The Nkangala District Municipalitya is a Category C municipality in the Mpumalanga Province. It is the smallest district of the three in the province, making up 22% of its geographical area. It is comprised of six local municipalities: Victor Khanye, Emalahleni, Steve Tshwete, Emakhazeni, Thembisile Hani, and Dr JS Moroka. The district’s headquarters are in Middelburg. Nkangala is at the economic hub of Mpumalanga, and is rich in minerals and natural resources. A strength of the district is the Maputo Corridor, which brings increased potential for economic growth and tourism development. The proximity to Gauteng opens up opportunities to a larger market, which is of benefit to the district’s agricultural and manufacturing sectors.

Area: 16 758km²

Population (2016)b: 1 471 801



Cities/Towns: Delmas, Dullstroom, Emgwenya (Waterval Boven), Hendrina, Kriel, KwaMhlanga, Mdala Nature Reserve, Middelburg, Ogies, Phola, Pullens Hope, Rietkuil, eMakhazeni, eMalahleni, eNtokozweni (Machadodorp).

Main Economic Sectors: Mining, manufacturing, energy, agriculture.





AgeGrpYear

2006 2016

500 000 0 500 000

Population

500 000 0 500 000

Population


16 46512 27617 62523 95628 36733 00838 24645 23654 59260 41667 90265 81263 03561 084

27 95013 97217 80123 19527 50533 73640 22547 46655 17560 81367 54366 14562 96459 293

24 33118 45023 54729 12135 89346 533

62 04274 791

86 57776 02566 82564 37668 96667 376

37 82919 38123 88630 00536 57945 28656 97067 39976 11871 51365 98862 58867 44365 963

Nkangala DM (DC31)

AgeGrp

2006 2016

8% 6% 4% 2% 0% 2% 4% 6% 8%


8% 6% 4% 2% 0% 2% 4% 6% 8%


8% 6% 4% 2% 0% 2% 4% 6% 8%


8% 6% 4% 2% 0% 2% 4% 6% 8%



2.0%2.4%

2.8%3.2%

3.8%4.6%

5.1%5.7%5.5%5.3%5.1%

2.3%

1.5%1.9%2.3%2.8%

3.4%4.0%

4.6%5.1%

5.7%5.5%

5.3%5.0%

1.7%

1.6%2.0%

2.4%3.2%

4.2%5.1%

5.9%5.2%

4.5%4.4%4.7%4.6%

2.6%

1.6%2.0%2.5%

3.1%3.9%

4.6%5.2%

4.9%4.5%

4.3%4.6%4.5%

Gendermalefemale

Graph 1: District population pyramid 2006 and 2016Graph 2: District % population by age-gender group in 2006 and 2016 compared to South AfricaNkangala DM (DC31)

Show history

500


500





501


501



AgeGroup.. 2006-2010 2011-2015


503


503


Source: DHIS.



504


504



Source: DHIS.




505


505

HIV

Source: DHIS.



506


506


Tuberculosis




507


507


Source: DHIS.




Source: DHIS.



508


508



Nka

ngal

a

Dr J

S M

orok

a LM Em

akha

zeni

LM Em

alah

leni

LM St

eve

Tshw

ete

LM Them

bisi

le

Han

i LM

Vict

or K

hany

e LM

Restore the emergency trolley daily or after every time it was used 30 29 71 27 31 19 33

Resuscitation room is equipped with functional basic equipment for resuscitation 43 48 71 40 38 33 33

The temperature of the medicine room/dispensary is maintained within the safety range 84 81 86 87 100 76 100

Cold chain procedure for vaccines is maintained 84 77 100 93 85 81 100

There is at least one functional wall mounted room thermometer in the medicine room/dispensary 86 84 100 87 100 71 100



Source: DHIS.




509


509

Dis

tric

t hea

lth e

xpen

ditu

re a

nd b

udge

t, 20

17/1

8

2017

/18

Bud

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2017

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Prov

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B

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017/

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Prov

inci

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Expe

nditu

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% O

vers

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(u

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spen

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Tran

sfer

to L

GLG

Prov

inci

alTr

ansf

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LG

LG

2.1

Dis

trict

Man

agem

ent

124

582

220

125

992

440

124

582

220

125

992

440

1.1%

2.2

Com

mun

ity H

ealth

Clin

ics

278

966

453

291

545

349

278

966

453

291

545

349

4.5%

2.3

Com

mun

ity H

ealth

Cen

tres

272

340

822

279

711

5 13

272

340

8 22

279

711

513

2.7%

2.4

Com

mun

ity-b

ased

Ser

vice

s39

893

630

39 4

90 8

44

39

893

630

39 4

90 8

44(1

.0%

)2.

6 H

IV/A

IDS

468

113

209

467

838

135

468

113

209

467

838

135

(0.1%

)2.

7 N

utrit

ion

4 27

8 90

9

4

988

973

4 27

8 90

94

988

973

16.6

%2.

9 D

istri

ct H

ospi

tals

782

806

883

770

363

726

782

806

883

770

363

726

(1.6

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(15.

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Gra

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2 12

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510


510


Ehlanzeni District Municipality (DC32)


The Ehlanzeni District Municipalitya is a Category C municipality situated in the north-east of the Mpumalanga Province. It makes up just over a third of the province’s geographical area. The district is comprised of four local municipalities: Bushbuckridge, City of Mbombela, Nkomazi and Thaba Chweu. Mbombela (previously Nelspruit) is the capital of Mpumalanga, situated in the City of Mbombela Local Municipality, which is also the home of the Mpumalanga Provincial Government and, as a result, is the most concentrated economic hub within the province. It features three border gates to both Swaziland and Mozambique (Matsamo, Komatipoort and Mananga border gates) and, therefore, movement of people from neighbouring countries to the district, and from Gauteng to either Swaziland or Mozambique, creates a catalyst for the economic life of the area.

Area: 27 896km²

Population (2016)b: 1 712 890



Cities/Towns: Barberton, Emoyeni, Entokozweni, Graskop, Hazyview, Kaapschehoop, Kabokweni, Kanyamazane, Komatipoort, Luphisi, Lydenburg, Malelane, Marloth Park, Mashishing, Matsulu, Mbombela, Mpakeni, Msogwaba, Ngodwana, Pilgrim›s Rest, Sabie, Sabie Park, Skukuza, Tekwane, White River.

Main Economic Sectors: Community services (44.5%), trade (44%), financial and real estate (43.1%), construction (41%), transport (37.5%), agriculture (35.5%), manufacturing (19.6%), mining (6%), utilities (2.8%), electricity (2%).





AgeGrpYear

2006 2016

500 000 0 500 000

Population

500 000 0 500 000

Population


104 936103 033

104 135104 713

22 81013 10017 45222 46226 50834 75241 82649 843

59 47273 351

97 08899 367

40 15116 37921 76228 72031 74342 31952 28060 79168 93579 339

97 42097 476

24 65515 33319 21326 19332 50640 664

51 43862 270

81 44584 97489 38192 30697 54599 993

48 16222 93825 88634 41842 37150 00258 62667 42483 42087 20589 33291 33895 99097 862

Ehlanzeni DM (DC32)

AgeGrp

2006 2016

8% 6% 4% 2% 0% 2% 4% 6% 8%


8% 6% 4% 2% 0% 2% 4% 6% 8%


8% 6% 4% 2% 0% 2% 4% 6% 8%


8% 6% 4% 2% 0% 2% 4% 6% 8%



1.6%2.2%

2.6%3.1%

3.7%4.5%

6.5%6.4%6.0%6.2%

2.5%

1.8%2.0%

2.6%3.2%3.8%4.3%

4.9%6.5%6.5%

6.0%6.0%

1.5%1.9%

2.4%3.0%

3.6%4.8%5.0%5.2%5.4%

5.7%5.8%

2.8%

1.5%2.0%2.5%2.9%

3.4%3.9%

4.9%5.1%5.2%5.3%5.6%5.7%

Gendermalefemale

Graph 1: District population pyramid 2006 and 2016Graph 2: District % population by age-gender group in 2006 and 2016 compared to South AfricaEhlanzeni DM (DC32)

Show history


511


511



512


512




AgeGroup.. 2006-2010 2011-2015

514


514



Source: DHIS.




515


515


Source: DHIS.



516


516


HIV

Source: DHIS.




517


517

Tuberculosis



518


518



Source: DHIS.




Source: DHIS.




519


519


Ehla

nzen

i

Bus

hbuc

krid

ge

LM City

of

Mbo

mbe

la L

M

Nko

maz

i LM

Thab

a C

hweu

LM

Restore the emergency trolley daily or after every time it was used 8 3 7 10 30

Resuscitation room is equipped with functional basic equipment for resuscitation 10 13 10 6 10

The temperature of the medicine room/dispensary is maintained within the safety range 68 61 73 61 100

The temperature of the medicine room/dispensary is recorded daily 78 71 88 71 90

Cold chain procedure for vaccines is maintained 81 84 90 65 80

There is at least one functional wall mounted room thermometer in the medicine room/dispensary 82 76 88 77 90



Source: DHIS.



520


520

Section B: Profile Mpumalanga ProvinceD

istr

ict h

ealth

exp

endi

ture

and

bud

get,

2017

/18

2017

/18

Bud

get

2017

/18

Prov

inci

al E

xpen

ditu

re

Tota

l 201

7/18

B

udge

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tal 2

017/

18

Prov

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al

Expe

nditu

re

% O

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(u

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spen

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to L

GLG

Prov

inci

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LG

LG

2.1

Dis

trict

Man

agem

ent

132

061

815

113

997

155

132

061

815

113

997

155

(13.

7%)

2.2

Com

mun

ity H

ealth

Clin

ics

694

411

312

685

350

446

694

411

312

685

350

446

(1.3

%)

2.3

Com

mun

ity H

ealth

Cen

tres

347

049

843

369

689

701

347

049

843

369

689

701

6.5%

2.4

Com

mun

ity-b

ased

Ser

vice

s59

103

244

58 7

56 8

40

59

103

244

58 7

56 8

40(0

.6%

)2.

6 H

IV/A

IDS

546

586

063

568

603

812

546

586

063

568

603

812

4.0%

2.7

Nut

ritio

n4

490

600

5 62

2 29

3

4

490

600

5 62

2 29

325

.2%

2.9

Dis

trict

Hos

pita

ls1

269

631

040

1 26

1 57

7 81

6

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846

132

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Sour

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13 mpumalanga province - health systems trust health...50-54 years 45-49 years 40-44 years 35-39...

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