18 Limpopo Province - Health Systems Trust Health...Section B: National and District Profiles 467...

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Section B: National and District Profiles 467 Section B: Profile Limpopo Province 467 18 Limpopo Province Mopani District Municipality (DC33) Mopani is located in the north-eastern quadrant of Limpopo Province and comprises five sub-districts: Ba-Phalaborwa, Greater Giyani, Greater Letaba, Greater Tzaneen and Maruleng. It has a population of 1 128 332, with a population density of 56.4 people per km 2 and falls in socio-economic Quintile 2. Estimated medical scheme coverage is 9.4%. Number of facilities by level, 2015/16 Clinic CHC District Hospital Regional Hospital Central/Tertiary Hospitals Other Hospitals 98 8 6 1 0 2 Headcount and deaths, 2013/14 – 2015/16 Data element 2013/14 2014/15 2015/16 PHC headcount under 5 years 690 982 700 779 675 779 PHC headcount 5 years and older 3 179 329 3 279 708 3 140 699 Patient day equivalent 568 953 539 423 556 325 Deaths – total 3 880 3 862 3 838 Still births 536 549 429 Early neonatal deaths 294 275 252 Late neonatal deaths 53 33 30 Child under 5 years with diarrhoea death 59 86 45 Child under 5 years with pneumonia death 74 66 34 Child under 5 years with severe acute malnutrition death 48 70 44 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.

Transcript of 18 Limpopo Province - Health Systems Trust Health...Section B: National and District Profiles 467...

Page 1: 18 Limpopo Province - Health Systems Trust Health...Section B: National and District Profiles 467 Section B: Profile Limpopo Province 18 Limpopo Province Mopani District Municipality

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18 Limpopo Province

Mopani District Municipality (DC33)

Mopani is located in the north-eastern quadrant of Limpopo Province and comprises five sub-districts: Ba-Phalaborwa, Greater Giyani, Greater Letaba, Greater Tzaneen and Maruleng. It has a population of 1 128 332, with a population density of 56.4 people per km2 and falls in socio-economic Quintile 2. 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

98 8 6 1 0 2

Headcount and deaths, 2013/14 – 2015/16

Data element 2013/14 2014/15 2015/16PHC headcount under 5 years 690 982 700 779 675 779PHC headcount 5 years and older 3 179 329 3 279 708 3 140 699Patient day equivalent 568 953 539 423 556 325Deaths – total 3 880 3 862 3 838Still births 536 549 429Early neonatal deaths 294 275 252Late neonatal deaths 53 33 30Child under 5 years with diarrhoea death 59 86 45Child under 5 years with pneumonia death 74 66 34Child under 5 years with severe acute malnutrition death 48 70 44

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.

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Broad age.. Female Male

<5 years

5-14

15-24

25-64

65+

Total 36%

27%

33%

37%

43%

79%

20%

5%

33%

31%

25%

8%

40%

66%

31%

19%

18%

8%

4%

2%

4%

14%

15%

5%

35%

25%

30%

22%

37%

79%

21%

8%

31%

13%

21%

8%

34%

64%

29%

18%

16%

8%

10%

3%

10%

47%

26%

5%

LP, Mopani: DC33, 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 (1.7%)Poisonings (including herbal) (2.2%)

Birth asphyxia (5.4%)Protein-energy malnutrition (7.0%)

Preterm birth complications (9.9%)

Meningitis/encephalitis (4.9%)

Diarrhoeal diseases (26.3%)Lower respiratory infections (20.3%)

HIV/AIDS (4.9%)Tuberculosis (2.8%)

Drowning (6.9%)

Protein-energy malnutrition (2.1%)

Meningitis/encephalitis (7.3%)

Accidental threats to breathing (2.6%)

Road injuries (6.2%)Nephritis/nephrosis (2.7%)

Diarrhoeal diseases (14.6%)

Lower respiratory infections (13.2%)HIV/AIDS (11.0%)

Tuberculosis (13.4%)

Meningitis/encephalitis (5.8%)

Mechanical forces (2.2%)Interpersonal violence (5.7%)

Accidental threats to breathing (6.2%)

Road injuries (9.8%)

Diabetes mellitus (1.9%)

Diarrhoeal diseases (8.8%)

Lower respiratory infections (10.1%)

HIV/AIDS (9.5%)

Tuberculosis (13.3%)

Meningitis/encephalitis (5.2%)

Road injuries (2.5%)Nephritis/nephrosis (3.0%)

Diabetes mellitus (3.8%)

Hypertensive heart disease (1.9%)

Diarrhoeal diseases (10.9%)

Cerebrovascular disease (3.3%)

Lower respiratory infections (12.0%)HIV/AIDS (14.4%)

Tuberculosis (17.6%)

Cardiomyopathy (3.9%)

Meningitis/encephalitis (4.8%)Nephritis/nephrosis (4.7%)

Diabetes mellitus (8.5%)Hypertensive heart disease (7.6%)

Ischaemic heart disease (3.6%)

Diarrhoeal diseases (7.3%)

Cerebrovascular disease (16.1%)Lower respiratory infections (11.7%)

Tuberculosis (4.4%)

Percentage of deaths by broad cause and leading causes, 2009-2014Prov, DistrictLP, Mopani: DC33

Show History

BroadcauseInjury

NCD

HIV and TB

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Percentage of deaths by broad cause and leading causes, 2009–2014: Mopani (DC33)

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Indicator performance: Mopani (DC33)

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] 0.0 35 5.7 9.2

Percentage of fixed PHC facilities with patients that have access to a medical practitioner [Percentage]

13.6 31 15.1 18.1

Management Inpatients

Average length of stay (district hospitals) [Days] 4.5 4.4 4.5 1 4.3 4.5

Expenditure per patient day equivalent (district hospitals) [Rand (real 2015/16 prices)]

2 249.0 2 279.0 2 425.9 9 2 790.6 2 342.2

Inpatient bed utilisation rate (district hospitals) [Percentage] 74.2 78.8 74.1 12 70.4 65.3 78.6

Inpatient crude death rate [Percentage] 6.1 5.5 5.9 35 5.4 5.0

OPD new client not referred rate (district hospitals) [Percentage] 79.2 79.1 76.2 48 73.8 58.3

Delivery Delivery by caesarean section rate (district hospitals) [Percentage] 19.0 19.9 21.5 22.3 24.1

Delivery in facility under 18 years rate [Percentage] 8.1 7.9 7.2 24 7.1 7.1

Inpatient early neonatal death rate [per 1 000 live births] 11.2 10.3 10.1 28 12.6 10.5 10.0

Maternal mortality in facility ratio [per 100 000 live births] 95.7 131.3 120.7 33 140.2 119.1 120.0

Mother postnatal visit within 6 days rate [Percentage] 80.7 81.0 73.0 15 66.8 68.5 85.0

Stillbirth in facility rate [per 1 000 births] 20.1 20.2 17.0 10 20.3 21.1

PMTCT Antenatal 1st visit before 20 weeks rate [Percentage] 50.1 55.0 63.3 27 60.7 61.2 60.0

Antenatal client initiated on ART rate [Percentage] 80.0 92.7 94.1 24 92.8 93.0 88.0

Percentage of PCR tests positive at birth [Percentage] 1.8 46 1.7 1.1

Child Health Child under 5 years diarrhoea case fatality rate [Percentage] 5.4 7.9 4.0 46 3.0 2.2 3.2

Child under 5 years pneumonia case fatality rate [Percentage] 6.2 5.9 2.9 36 3.1 2.3 3.0

Child under 5 years severe acute malnutrition case fatality rate [Percentage]

13.5 21.1 12.9 44 11.6 8.9 10.0

Inpatient death under 5 year rate [Percentage] 12.1 9.8 7.5 44 7.3 4.7

School Grade 1 screening coverage (annualised) [Percentage] 15.6 17.5 38.9 15 29.5 28.9 25.0

Vitamin A dose 12-59 months coverage (annualised) [Percentage] 36.6 50.8 57.5 24 50.0 57.0

Immunisation Immunisation coverage under 1 year [Percentage] 75.5 90.5 88.7 19 79.2 89.2 90.0

Measles 2nd dose coverage (annualised) [Percentage] 78.0 92.3 98.1 6 87.9 84.8 83.0

Reproductive health

Cervical cancer screening coverage (annualised) [Percentage of women 30+ /10]

61.7 58.5 52.1 30 50.1 56.6 60.0

Couple year protection rate (annualised) [Percentage] 36.5 50.6 54.6 19 50.4 48.2 60.0

HIV HIV testing coverage (including ANC) [Percentage] 37.4 42.2 39.9 15 39.1 34.5

Male condom distribution coverage [Condoms per male 15+] 21.6 36.1 54.2 17 51.2 44.4

Non-communicable diseases

Diabetes incidence (annualised) [per 1 000 population] 3.9 3.0 3.4 2.5 1.7

Hypertension incidence (annualised) [per 1 000 population 40+] 23.8 18.0 19.7 18.3 16.8

Human Resources

Percentage of fixed PHC facilities with performance management agreement for all staff [Percentage]

16.5 28 15.3 16.3

Percentage of fixed PHC facilities with staffing in line with WISN [Percentage]

0.0 23 0.0 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]

364.4 336.2 287.1 3 300.7 519.8

TB Rifampicin resistance confirmed client rate [Percentage]

4.7 6.2 6.5 38 5.2 6.1

TB treatment outcomes

TB cure rate (new sm+) [Percentage] 79.2 76.7 81.2 15 76.8 77.4

TB treatment success rate (ETR.net) [Percentage] 71.7 74.1 80.5 14 71.8 77.2 83.0

TB death rate (ETR.net) [Percentage] 14.3 12.1 10.5 45 11.2 6.7

New smear positive pulmonary TB loss to follow up rate [Percentage]

4.0 4.5 3.4 8 4.9 5.6

TB MDR treatment success rate (EDRWeb) [Percentage]

72.3 1 53.0 47.2 55.0

HIV Percentage of TB cases with known HIV status (ETR.net) [Percentage]

94.0 94.1 96.5 13 95.4 94.8

TB/HIV co-infected client on ART rate (ETR.Net) [Percentage]

64.4 95.1 92.3 16 79.9 84.5

NCDs Hypertension prevalence rate (crude) [Percentage] 38.1 23.4 9 21.4 28.2

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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]

26.3 31.4 32.3 13 34.0 38.2

Percentage of YLLs due to HIV and TB [Percentage] 24.6 22.8 24.1 14 25.1 27.0

Percentage of YLLs due to communicable, maternal, perinatal, nutrition causes [Percentage]

41.2 37.5 34.8 52 30.4 21.2

Percentage of deaths garbage codes [Percentage] 9.1 13.3 14.5 37 11.5 14.6

Percentage of YLLs due to injuries [Percentage] 7.9 8.3 8.8 3 10.5 13.6

Percentage of deaths ill-defined [Percentage] 20.9 16.9 15.0 39 16.5 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

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Annual indicators for district: Mopani: DC33Va

lue

1000

1200

1400

1600

1800

2000

2006 2008 2010 2012 2014

01_DHS exp per capita

400

500

600

700

800

900

1000

2006 2008 2010 2012 2014

01_PHC exp per capita

150

200

250

300

350

2006 2008 2010 2012 2014

01_PHC exp per headcount

3.8

4.0

4.2

4.4

4.6

2006 2008 2010 2012 2014

03_Avg length of stay (DH)

5.0

5.2

5.4

5.6

5.8

6.0

2010 2012 2014 2016

03_Crude death rate

1500

2000

2500

2006 2008 2010 2012 2014

03_Expenditure per PDE (DH)

60

65

70

75

80

85

2008 2010 2012 2014 2016

03_OPD new not ref rate (DH)

65

70

75

2006 2008 2010 2012 2014

03_Usable bed util (DH)

16

18

20

22

24

2006 2008 2010 2012 2014

04_Caesarean sect (DH)

7.0

7.5

8.0

8.5

9.0

2006 2008 2010 2012 2014

04_Deliv in fac <18

9

10

11

12

2006 2008 2010 2012 2014

04_IP early neo death rate

0

50

100

150

2008 2010 2012 2014

04_Maternal Mort ratio

0

20

40

60

80

2008 2010 2012 2014 2016

04_Postnatal mother <6d

18

20

22

24

2006 2008 2010 2012 2014

04_Stillbirth rate

30

40

50

60

2006 2008 2010 2012 2014

05_ANC 1st visit <20 w rate

60

70

80

90

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

10

12

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

6

8

10

12

2010 2012 2014 2016 2018

06_Inpat death <5 rate

District value Provincial average ZA (national) average

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Annual indicators for district: Mopani (DC33)

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Annual indicators for district: Mopani: DC33

Valu

e

15

20

25

30

35

2010 2012 2014 2016 2018

06_School G1 screen cov yy

30

40

50

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

70

80

90

100

2008 2010 2012 2014

07_Measles 2nd cov yy

40

50

60

2006 2008 2010 2012 2014

08_Cerv cancer screen cov yy

30

35

40

45

50

55

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

5.0

5.5

6.0

6.5

7.0

7.5

2010 2012 2014 2016

09_RIF resistance rate

60

65

70

75

80

2006 2008 2010 2012 2014

09_TB cure rate new sm+

8

10

12

14

2008 2010 2012 2014 2016

09_TB deaths all TB

300

400

500

600

700

800

2006 2008 2010 2012 2014

09_TB inc all TB

60

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

10

20

30

40

50

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

40

60

80

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

10

15

20

2010 2012 2014 2016

11_Hypertension inci yy

25

30

35

2008 2010 2012 2014 2016

11_Hypertension prevalence

8

10

12

14

2008 2010 2012 2014

13_Garbage codes

District value Provincial average ZA (national) average

472

Section B: National and District Profiles

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Annual indicators for district: Mopani (DC33)

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Vhembe District Municipality (DC34)

Vhembe District is located in the northern part of Limpopo Province. It comprises four sub-districts, namely Musina, Mutale, Thulamela and Makhado. The district has a population of 1 367 186, with a population density of 53.4 people per km2 and falls in socio-economic Quintile 2, among the poorer districts, and has an estimated medical scheme coverage of 7.2%. Vhembe 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

116 8 6 1 0 3

Headcount and deaths, 2013/14 – 2015/16

Data element 2013/14 2014/15 2015/16PHC headcount under 5 years 910 379 846 413 865 114PHC headcount 5 years and older 3 825 561 3 811 700 3 917 673Patient day equivalent 673 779 639 642 678 574Deaths – total 4 765 4 723 4 659Still births 565 529 516Early neonatal deaths 260 237 284Late neonatal deaths 34 29 36Child under 5 years with diarrhoea death 47 50 37Child under 5 years with pneumonia death 73 65 51Child under 5 years with severe acute malnutrition death 68 86 79

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.

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Broad age.. Female Male

<5 years

5-14

15-24

25-64

65+

Total 30%

21%

28%

30%

30%

76%

18%

3%

33%

31%

27%

10%

48%

74%

35%

19%

23%

9%

4%

2%

4%

19%

20%

5%

28%

20%

23%

14%

38%

77%

22%

9%

33%

13%

19%

8%

39%

69%

32%

19%

19%

9%

11%

3%

13%

54%

24%

7%

LP, Vhembe: DC34, 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 (1.4%)

Birth asphyxia (6.7%)

Protein-energy malnutrition (12.6%)Preterm birth complications (9.8%)

Septicaemia (1.7%)Accidental threats to breathing (2.0%)

Diarrhoeal diseases (25.7%)Lower respiratory infections (15.3%)

HIV/AIDS (6.6%)Tuberculosis (2.2%)

Drowning (5.1%)

Fires, hot substances (2.8%)Septicaemia (2.8%)

Meningitis/encephalitis (4.3%)Accidental threats to breathing (2.8%)

Road injuries (9.1%)

Diarrhoeal diseases (13.5%)

Lower respiratory infections (8.5%)

HIV/AIDS (11.8%)Tuberculosis (11.7%)

Drowning (2.0%)Epilepsy (2.5%)Meningitis/encephalitis (3.0%)Interpersonal violence (3.7%)

Accidental threats to breathing (13.2%)Road injuries (14.6%)

Diarrhoeal diseases (6.5%)Lower respiratory infections (6.7%)

HIV/AIDS (9.5%)Tuberculosis (12.8%)

Meningitis/encephalitis (2.3%)Accidental threats to breathing (2.3%)

Road injuries (3.7%)Nephritis/nephrosis (3.4%)

Diabetes mellitus (5.1%)

Diarrhoeal diseases (9.9%)

Cerebrovascular disease (3.9%)

Lower respiratory infections (9.7%)

HIV/AIDS (13.5%)Tuberculosis (19.3%)

Cardiomyopathy (2.5%)Septicaemia (2.7%)

Nephritis/nephrosis (5.2%)

Diabetes mellitus (10.8%)

Hypertensive heart disease (7.7%)

Ischaemic heart disease (3.0%)

Diarrhoeal diseases (6.6%)

Cerebrovascular disease (16.1%)

Lower respiratory infections (9.7%)

Tuberculosis (4.2%)

Percentage of deaths by broad cause and leading causes, 2009-2014Prov, DistrictLP, Vhembe: DC34

Show History

BroadcauseInjury

NCD

HIV and TB

Comm_mat_peri_nut

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Percentage of deaths by broad cause and leading causes, 2009–2014: Vhembe (DC34)

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Indicator performance: Vhembe (DC34)

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 20 5.7 9.2

Percentage of fixed PHC facilities with patients that have access to a medical practitioner [Percentage]

25.0 18 15.1 18.1

Management Inpatients

Average length of stay (district hospitals) [Days] 4.8 4.3 4.4 5 4.3 4.5

Expenditure per patient day equivalent (district hospitals) [Rand (real 2015/16 prices)]

2 385.8 2 588.0 2 723.8 36 2 790.6 2 342.2

Inpatient bed utilisation rate (district hospitals) [Percentage] 73.7 69.0 77.1 8 70.4 65.3 78.6

Inpatient crude death rate [Percentage] 5.5 5.5 5.1 19 5.4 5.0

OPD new client not referred rate (district hospitals) [Percentage] 70.6 63.7 66.1 36 73.8 58.3

Delivery Delivery by caesarean section rate (district hospitals) [Percentage] 18.8 18.7 21.2 22.3 24.1

Delivery in facility under 18 years rate [Percentage] 8.4 7.9 7.8 27 7.1 7.1

Inpatient early neonatal death rate [per 1 000 live births] 8.0 7.4 9.4 23 12.6 10.5 10.0

Maternal mortality in facility ratio [per 100 000 live births] 111.2 93.4 66.2 9 140.2 119.1 120.0

Mother postnatal visit within 6 days rate [Percentage] 78.7 77.0 69.9 19 66.8 68.5 85.0

Stillbirth in facility rate [per 1 000 births] 17.3 16.2 16.8 9 20.3 21.1

PMTCT Antenatal 1st visit before 20 weeks rate [Percentage] 47.4 53.7 63.5 26 60.7 61.2 60.0

Antenatal client initiated on ART rate [Percentage] 82.0 96.7 90.8 36 92.8 93.0 88.0

Percentage of PCR tests positive at birth [Percentage] 1.6 39 1.7 1.1

Child Health Child under 5 years diarrhoea case fatality rate [Percentage] 3.6 3.1 2.2 29 3.0 2.2 3.2

Child under 5 years pneumonia case fatality rate [Percentage] 3.2 3.2 2.3 25 3.1 2.3 3.0

Child under 5 years severe acute malnutrition case fatality rate [Percentage]

12.5 15.4 13.0 45 11.6 8.9 10.0

Inpatient death under 5 year rate [Percentage] 6.4 5.3 6.0 32 7.3 4.7

School Grade 1 screening coverage (annualised) [Percentage] 44.2 25.9 38.4 17 29.5 28.9 25.0

Vitamin A dose 12-59 months coverage (annualised) [Percentage] 37.6 45.0 52.2 39 50.0 57.0

Immunisation Immunisation coverage under 1 year [Percentage] 85.7 94.5 88.3 20 79.2 89.2 90.0

Measles 2nd dose coverage (annualised) [Percentage] 84.2 87.9 99.9 5 87.9 84.8 83.0

Reproductive health

Cervical cancer screening coverage (annualised) [Percentage of women 30+ /10]

47.2 38.8 48.6 36 50.1 56.6 60.0

Couple year protection rate (annualised) [Percentage] 38.4 51.5 48.7 29 50.4 48.2 60.0

HIV HIV testing coverage (including ANC) [Percentage] 40.3 44.5 43.0 8 39.1 34.5

Male condom distribution coverage [Condoms per male 15+] 33.9 38.7 51.8 22 51.2 44.4

Non-communicable diseases

Diabetes incidence (annualised) [per 1 000 population] 2.5 2.2 2.1 2.5 1.7

Hypertension incidence (annualised) [per 1 000 population 40+] 11.0 10.7 13.6 18.3 16.8

Human Resources

Percentage of fixed PHC facilities with performance management agreement for all staff [Percentage]

24.2 18 15.3 16.3

Percentage of fixed PHC facilities with staffing in line with WISN [Percentage]

0.0 23 0.0 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]

326.5 254.1 214.0 1 300.7 519.8

TB Rifampicin resistance confirmed client rate [Percentage]

6.2 4.9 4.7 14 5.2 6.1

TB treatment outcomes

TB cure rate (new sm+) [Percentage] 77.5 47.9 73.3 37 76.8 77.4

TB treatment success rate (ETR.net) [Percentage] 69.7 46.7 71.7 42 71.8 77.2 83.0

TB death rate (ETR.net) [Percentage] 9.1 6.8 7.0 26 11.2 6.7

New smear positive pulmonary TB loss to follow up rate [Percentage]

4.6 4.7 4.6 19 4.9 5.6

TB MDR treatment success rate (EDRWeb) [Percentage]

47.7 26 53.0 47.2 55.0

HIV Percentage of TB cases with known HIV status (ETR.net) [Percentage]

89.4 92.5 95.0 27 95.4 94.8

TB/HIV co-infected client on ART rate (ETR.Net) [Percentage]

49.8 74.3 83.8 28 79.9 84.5

NCDs Hypertension prevalence rate (crude) [Percentage] 24.1 19.5 1 21.4 28.2

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476

Section B: Profile Limpopo 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]

32.1 33.8 35.2 21 34.0 38.2

Percentage of YLLs due to HIV and TB [Percentage] 25.1 24.9 26.1 24 25.1 27.0

Percentage of YLLs due to communicable, maternal, perinatal, nutrition causes [Percentage]

34.2 31.1 27.5 44 30.4 21.2

Percentage of deaths garbage codes [Percentage] 9.3 9.3 9.7 3 11.5 14.6

Percentage of YLLs due to injuries [Percentage] 8.7 10.2 11.2 10 10.5 13.6

Percentage of deaths ill-defined [Percentage] 33.9 33.8 35.7 51 16.5 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

Page 11: 18 Limpopo Province - Health Systems Trust Health...Section B: National and District Profiles 467 Section B: Profile Limpopo Province 18 Limpopo Province Mopani District Municipality

Annual indicators for district: Vhembe: DC34Va

lue

1000

1200

1400

1600

1800

2000

2006 2008 2010 2012 2014

01_DHS exp per capita

400

500

600

700

800

900

1000

2006 2008 2010 2012 2014

01_PHC exp per capita

100

150

200

250

300

350

2006 2008 2010 2012 2014

01_PHC exp per headcount

4.2

4.4

4.6

4.8

2006 2008 2010 2012 2014

03_Avg length of stay (DH)

5.0

5.2

5.4

5.6

5.8

6.0

2010 2012 2014 2016

03_Crude death rate

1500

2000

2500

2006 2008 2010 2012 2014

03_Expenditure per PDE (DH)

60

65

70

75

80

2008 2010 2012 2014 2016

03_OPD new not ref rate (DH)

65

70

75

80

2006 2008 2010 2012 2014

03_Usable bed util (DH)

16

18

20

22

24

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

8

9

10

11

12

2006 2008 2010 2012 2014

04_IP early neo death rate

0

50

100

150

2008 2010 2012 2014

04_Maternal Mort ratio

0

20

40

60

80

2008 2010 2012 2014 2016

04_Postnatal mother <6d

16

18

20

22

24

2006 2008 2010 2012 2014

04_Stillbirth rate

30

40

50

60

2006 2008 2010 2012 2014

05_ANC 1st visit <20 w rate

50

60

70

80

90

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

10

2008 2010 2012 2014 2016

06_Child <5 pneumo death

10

15

20

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

477

Section B: Profile Limpopo Province

477

Annual indicators for district: Vhembe (DC34)

Page 12: 18 Limpopo Province - Health Systems Trust Health...Section B: National and District Profiles 467 Section B: Profile Limpopo Province 18 Limpopo Province Mopani District Municipality

Annual indicators for district: Vhembe: DC34

Valu

e

20

25

30

35

40

45

2010 2012 2014 2016 2018

06_School G1 screen cov yy

30

40

50

2006 2008 2010 2012 2014

06_VitA 12−59 mm cov yy

70

75

80

85

90

95

2006 2008 2010 2012 2014

07_Imm cov <1 yy

70

75

80

85

90

95

100

2008 2010 2012 2014

07_Measles 2nd cov yy

40

50

60

2006 2008 2010 2012 2014

08_Cerv cancer screen cov yy

30

35

40

45

50

2006 2008 2010 2012 2014

08_Couple year protect rate

4.5

5.0

5.5

6.0

6.5

7.0

7.5

2008 2010 2012 2014 2016

09_New pulmonary TB LTF rate

6

8

10

12

2010 2012 2014 2016

09_RIF resistance rate

50

60

70

80

2006 2008 2010 2012 2014

09_TB cure rate new sm+

8

10

12

2008 2010 2012 2014 2016

09_TB deaths all TB

200

400

600

800

2006 2008 2010 2012 2014

09_TB inc all TB

50

60

70

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

2006 2008 2010 2012 2014

10_Male cond dist cov yy

40

60

80

2008 2010 2012 2014 2016

10_TB known HIV status

30

40

50

60

70

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

10

15

20

25

2010 2012 2014 2016

11_Hypertension inci yy

20

25

30

2008 2010 2012 2014 2016

11_Hypertension prevalence

8

10

12

14

2008 2010 2012 2014

13_Garbage codes

District value Provincial average ZA (national) average

478

Section B: National and District Profiles

478

Section B: Profile Limpopo Province

Annual indicators for district: Vhembe (DC34)

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Section B: National and District Profiles

479

Section B: Profile Limpopo Province

479

Capricorn District Municipality (DC35)

Capricorn District is located in Limpopo Province in northern South Africa and consists of five sub-districts, namely Aganang, Blouberg, Lepelle-Nkumpi, Molemole and Polokwane. The district forms a gateway to Botswana, Zimbabwe and Mozambique. Capricorn has a population of 1 285 378, with a population density of 59.2 people per km2 and falls in socio-economic Quintile 2, among the poorer districts. Estimated medical scheme coverage is 6.6%.

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

98 4 7 0 2 1

Headcount and deaths, 2013/14 – 2015/16

Data element 2013/14 2014/15 2015/16PHC headcount under 5 years 764 314 678 560 651 720PHC headcount 5 years and older 3 550 587 3 503 792 3 337 540Patient day equivalent 843 936 819 679 838 763Deaths – total 5 471 5 288 5 372Still births 707 785 742Early neonatal deaths 497 474 577Late neonatal deaths 89 61 77Child under 5 years with diarrhoea death 42 47 26Child under 5 years with pneumonia death 54 35 26Child under 5 years with severe acute malnutrition death 58 37 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.

Page 14: 18 Limpopo Province - Health Systems Trust Health...Section B: National and District Profiles 467 Section B: Profile Limpopo Province 18 Limpopo Province Mopani District Municipality

Broad age.. Female Male

<5 years

5-14

15-24

25-64

65+

Total 31%

20%

28%

38%

40%

78%

18%

3%

32%

27%

14%

6%

47%

74%

36%

20%

30%

11%

4%

2%

4%

15%

17%

5%

26%

19%

22%

15%

33%

76%

20%

7%

30%

9%

15%

5%

42%

71%

35%

20%

28%

12%

12%

3%

14%

55%

23%

7%

LP, Capricorn: DC35, 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 (2.5%)

Sepsis/other newborn infectious (2.9%)

Birth asphyxia (5.6%)

Protein-energy malnutrition (3.5%)

Preterm birth complications (8.3%)

Meningitis/encephalitis (2.9%)

Diarrhoeal diseases (26.0%)Lower respiratory infections (22.4%)

HIV/AIDS (3.6%)

Tuberculosis (2.0%)

Leukaemia (2.9%)Other neoplasms (2.6%)

Drowning (3.9%)

Septicaemia (2.4%)

Meningitis/encephalitis (4.1%)

Road injuries (10.2%)Diarrhoeal diseases (13.1%)

Lower respiratory infections (14.5%)

HIV/AIDS (6.2%)Tuberculosis (8.5%)

Meningitis/encephalitis (2.4%)Mechanical forces (2.7%)Interpersonal violence (3.5%)

Accidental threats to breathing (7.1%)

Road injuries (16.9%)

Diabetes mellitus (1.7%)

Diarrhoeal diseases (7.9%)

Lower respiratory infections (11.0%)

HIV/AIDS (8.8%)Tuberculosis (9.8%)

Road injuries (5.0%)

Nephritis/nephrosis (1.9%)

Diabetes mellitus (4.0%)Hypertensive heart disease (4.8%)

Ischaemic heart disease (1.8%)

Diarrhoeal diseases (7.9%)

Cerebrovascular disease (3.5%)

Lower respiratory infections (12.7%)

HIV/AIDS (15.6%)Tuberculosis (15.2%)

Cardiomyopathy (2.8%)

COPD (3.1%)Nephritis/nephrosis (3.0%)

Diabetes mellitus (8.7%)

Hypertensive heart disease (15.0%)

Ischaemic heart disease (4.7%)Diarrhoeal diseases (5.5%)

Cerebrovascular disease (13.8%)Lower respiratory infections (12.2%)

Tuberculosis (3.3%)

Percentage of deaths by broad cause and leading causes, 2009-2014Prov, DistrictLP, Capricorn: DC35

Show History

BroadcauseInjury

NCD

HIV and TB

Comm_mat_peri_nut

480

Section B: National and District Profiles

480

Section B: Profile Limpopo Province

Percentage of deaths by broad cause and leading causes, 2009–2014: Capricorn (DC35)

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Section B: National and District Profiles

481

Section B: Profile Limpopo Province

481

Indictor performance: Capricorn (DC35)

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] 0.0 35 5.7 9.2

Percentage of fixed PHC facilities with patients that have access to a medical practitioner [Percentage]

5.0 43 15.1 18.1

Management Inpatients

Average length of stay (district hospitals) [Days] 4.8 4.4 4.5 2 4.3 4.5

Expenditure per patient day equivalent (district hospitals) [Rand (real 2015/16 prices)]

2 544.5 2 778.6 2 792.4 38 2 790.6 2 342.2

Inpatient bed utilisation rate (district hospitals) [Percentage] 48.5 69.5 73.0 16 70.4 65.3 78.6

Inpatient crude death rate [Percentage] 6.8 6.3 6.2 40 5.4 5.0

OPD new client not referred rate (district hospitals) [Percentage] 69.5 59.5 62.2 30 73.8 58.3

Delivery Delivery by caesarean section rate (district hospitals) [Percentage] 18.6 21.0 23.1 22.3 24.1

Delivery in facility under 18 years rate [Percentage] 7.4 6.9 6.6 16 7.1 7.1

Inpatient early neonatal death rate [per 1 000 live births] 17.9 17.0 22.0 52 12.6 10.5 10.0

Maternal mortality in facility ratio [per 100 000 live births] 353.7 312.5 316.9 52 140.2 119.1 120.0

Mother postnatal visit within 6 days rate [Percentage] 67.1 72.0 62.0 35 66.8 68.5 85.0

Stillbirth in facility rate [per 1 000 births] 24.9 27.4 27.5 48 20.3 21.1

PMTCT Antenatal 1st visit before 20 weeks rate [Percentage] 41.7 46.1 56.5 46 60.7 61.2 60.0

Antenatal client initiated on ART rate [Percentage] 77.0 92.3 95.7 20 92.8 93.0 88.0

Percentage of PCR tests positive at birth [Percentage] 1.6 38 1.7 1.1

Child Health Child under 5 years diarrhoea case fatality rate [Percentage] 5.7 5.2 3.4 42 3.0 2.2 3.2

Child under 5 years pneumonia case fatality rate [Percentage] 5.5 4.4 3.7 41 3.1 2.3 3.0

Child under 5 years severe acute malnutrition case fatality rate [Percentage]

17.0 9.4 13.9 48 11.6 8.9 10.0

Inpatient death under 5 year rate [Percentage] 10.2 8.7 8.8 49 7.3 4.7

School Grade 1 screening coverage (annualised) [Percentage] 12.7 32.7 33.6 19 29.5 28.9 25.0

Vitamin A dose 12-59 months coverage (annualised) [Percentage] 30.1 42.5 48.0 43 50.0 57.0

Immunisation Immunisation coverage under 1 year [Percentage] 66.0 79.0 74.0 47 79.2 89.2 90.0

Measles 2nd dose coverage (annualised) [Percentage] 68.8 83.2 77.2 39 87.9 84.8 83.0

Reproductive health

Cervical cancer screening coverage (annualised) [Percentage of women 30+ /10]

62.1 54.6 55.9 27 50.1 56.6 60.0

Couple year protection rate (annualised) [Percentage] 39.6 52.5 52.4 26 50.4 48.2 60.0

HIV HIV testing coverage (including ANC) [Percentage] 42.0 47.4 42.6 9 39.1 34.5

Male condom distribution coverage [Condoms per male 15+] 37.1 45.3 54.2 16 51.2 44.4

Non-communicable diseases

Diabetes incidence (annualised) [per 1 000 population] 2.5 2.6 1.7 2.5 1.7

Hypertension incidence (annualised) [per 1 000 population 40+] 13.1 12.2 12.7 18.3 16.8

Human Resources

Percentage of fixed PHC facilities with performance management agreement for all staff [Percentage]

5.0 43 15.3 16.3

Percentage of fixed PHC facilities with staffing in line with WISN [Percentage]

0.0 23 0.0 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]

380.6 344.0 327.9 7 300.7 519.8

TB Rifampicin resistance confirmed client rate [Percentage]

4.4 5.1 5.5 24 5.2 6.1

TB treatment outcomes

TB cure rate (new sm+) [Percentage] 72.7 69.5 77.7 25 76.8 77.4

TB treatment success rate (ETR.net) [Percentage] 52.5 50.2 64.4 52 71.8 77.2 83.0

TB death rate (ETR.net) [Percentage] 16.2 12.4 13.6 50 11.2 6.7

New smear positive pulmonary TB loss to follow up rate [Percentage]

4.2 4.4 6.0 36 4.9 5.6

TB MDR treatment success rate (EDRWeb) [Percentage]

53.1 17 53.0 47.2 55.0

HIV Percentage of TB cases with known HIV status (ETR.net) [Percentage]

96.3 97.7 97.6 5 95.4 94.8

TB/HIV co-infected client on ART rate (ETR.Net) [Percentage]

63.6 86.1 80.8 34 79.9 84.5

NCDs Hypertension prevalence rate (crude) [Percentage] 19.2 19.5 1 21.4 28.2

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Section B: National and District Profiles

482

Section B: Profile Limpopo 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]

33.6 35.3 37.4 27 34.0 38.2

Percentage of YLLs due to HIV and TB [Percentage] 25.7 23.8 23.4 13 25.1 27.0

Percentage of YLLs due to communicable, maternal, perinatal, nutrition causes [Percentage]

30.6 30.0 28.4 46 30.4 21.2

Percentage of deaths garbage codes [Percentage] 9.7 10.7 10.5 8 11.5 14.6

Percentage of YLLs due to injuries [Percentage] 10.1 10.9 10.8 9 10.5 13.6

Percentage of deaths ill-defined [Percentage] 15.5 13.9 13.4 37 16.5 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

Page 17: 18 Limpopo Province - Health Systems Trust Health...Section B: National and District Profiles 467 Section B: Profile Limpopo Province 18 Limpopo Province Mopani District Municipality

Annual indicators for district: Capricorn: DC35Va

lue

1000

1200

1400

1600

1800

2006 2008 2010 2012 2014

01_DHS exp per capita

400

500

600

700

800

900

1000

2006 2008 2010 2012 2014

01_PHC exp per capita

150

200

250

300

350

2006 2008 2010 2012 2014

01_PHC exp per headcount

4.2

4.3

4.4

4.5

4.6

4.7

4.8

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)

60

65

70

75

80

2008 2010 2012 2014 2016

03_OPD new not ref rate (DH)

50

55

60

65

70

2006 2008 2010 2012 2014

03_Usable bed util (DH)

10

15

20

2006 2008 2010 2012 2014

04_Caesarean sect (DH)

6.5

7.0

7.5

8.0

8.5

9.0

2006 2008 2010 2012 2014

04_Deliv in fac <18

10

15

20

2006 2008 2010 2012 2014

04_IP early neo death rate

0

100

200

300

2008 2010 2012 2014

04_Maternal Mort ratio

0

20

40

60

2008 2010 2012 2014 2016

04_Postnatal mother <6d

20

22

24

26

2006 2008 2010 2012 2014

04_Stillbirth rate

30

35

40

45

50

55

60

2006 2008 2010 2012 2014

05_ANC 1st visit <20 w rate

70

75

80

85

90

95

2008 2010 2012 2014 2016

05_ANC initiate ART rate

5

10

15

2008 2010 2012 2014

06_Child <5 diar fat rate

2

4

6

8

10

2008 2010 2012 2014 2016

06_Child <5 pneumo death

10

20

30

40

2008 2010 2012 2014 2016

06_Child <5 sev mal fata

5

6

7

8

9

10

2010 2012 2014 2016 2018

06_Inpat death <5 rate

District value Provincial average ZA (national) average

Section B: National and District Profiles

483

Section B: Profile Limpopo Province

483

Annual indicators for district: Capricorn (DC35)

Page 18: 18 Limpopo Province - Health Systems Trust Health...Section B: National and District Profiles 467 Section B: Profile Limpopo Province 18 Limpopo Province Mopani District Municipality

Annual indicators for district: Capricorn: DC35

Valu

e

15

20

25

30

2010 2012 2014 2016 2018

06_School G1 screen cov yy

30

40

50

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

40

50

60

2006 2008 2010 2012 2014

08_Cerv cancer screen cov yy

25

30

35

40

45

50

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

2010 2012 2014 2016

09_RIF resistance rate

60

65

70

75

2006 2008 2010 2012 2014

09_TB cure rate new sm+

8

10

12

14

16

2008 2010 2012 2014 2016

09_TB deaths all TB

300

400

500

600

700

800

2006 2008 2010 2012 2014

09_TB inc all TB

50

55

60

65

70

75

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

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

30

40

50

60

70

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

10

12

14

16

18

20

22

2010 2012 2014 2016

11_Hypertension inci yy

20

25

30

2008 2010 2012 2014 2016

11_Hypertension prevalence

10

11

12

13

14

2008 2010 2012 2014

13_Garbage codes

District value Provincial average ZA (national) average

484

Section B: National and District Profiles

484

Section B: Profile Limpopo Province

Annual indicators for district: Capricorn (DC35)

Page 19: 18 Limpopo Province - Health Systems Trust Health...Section B: National and District Profiles 467 Section B: Profile Limpopo Province 18 Limpopo Province Mopani District Municipality

Section B: National and District Profiles

485

Section B: Profile Limpopo Province

485

Waterberg District Municipality (DC36)

Waterberg District is located in the western part of Limpopo Province. The district shares five border-control points with Botswana and comprises six sub-districts, namely Bela-Bela, Lephalale, Modimolle, Mogalakwena, Mookgophong and Thabazimbi. It has a population of 734 780, with a population density of 16.4 people per km2 and falls in socio-economic Quintile 3. Estimated medical scheme coverage is 16.7%

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

61 2 7 1 0 8

Headcount and deaths, 2013/14 – 2015/16

Data element 2013/14 2014/15 2015/16PHC headcount under 5 years 305 823 308 684 310 030PHC headcount 5 years and older 1 381 089 1 398 838 1 469 648Patient day equivalent 407 209 393 887 366 880Deaths – total 2 625 2 693 2 641Still births 316 335 267Early neonatal deaths 162 220 195Late neonatal deaths 19 15 21Child under 5 years with diarrhoea death 36 23 15Child under 5 years with pneumonia death 32 27 27Child under 5 years with severe acute malnutrition death 57 58 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.

Page 20: 18 Limpopo Province - Health Systems Trust Health...Section B: National and District Profiles 467 Section B: Profile Limpopo Province 18 Limpopo Province Mopani District Municipality

Broad age.. Female Male

<5 years

5-14

15-24

25-64

65+

Total 26%

15%

23%

28%

35%

74%

24%

4%

40%

37%

23%

11%

44%

79%

32%

18%

20%

8%

6%

2%

6%

17%

21%

7%

24%

15%

18%

17%

30%

77%

24%

7%

36%

17%

25%

9%

39%

76%

30%

12%

18%

7%

13%

3%

16%

55%

28%

6%

LP, Waterberg: DC36, 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) (3.1%)

Birth asphyxia (7.0%)

Protein-energy malnutrition (6.3%)

Preterm birth complications (10.6%)

Meningitis/encephalitis (3.0%)

Diarrhoeal diseases (23.1%)Lower respiratory infections (21.1%)

HIV/AIDS (6.9%)

Tuberculosis (3.1%)

Poisonings (including herbal) (2.2%)

Drowning (3.6%)

Epilepsy (3.0%)Meningitis/encephalitis (2.9%)

Accidental threats to breathing (3.5%)

Road injuries (15.2%)Diarrhoeal diseases (14.0%)

Lower respiratory infections (13.5%)HIV/AIDS (12.8%)

Tuberculosis (13.5%)

Drowning (2.3%)

Epilepsy (1.7%)Meningitis/encephalitis (2.2%)

Interpersonal violence (5.4%)Accidental threats to breathing (5.7%)

Road injuries (16.3%)

Diarrhoeal diseases (7.3%)Lower respiratory infections (10.3%)

HIV/AIDS (15.6%)Tuberculosis (13.2%)

Road injuries (6.9%)

Nephritis/nephrosis (2.0%)Diabetes mellitus (2.7%)Hypertensive heart disease (3.2%)

Ischaemic heart disease (3.6%)Diarrhoeal diseases (5.7%)

Cerebrovascular disease (3.4%)

Lower respiratory infections (10.6%)

HIV/AIDS (18.8%)Tuberculosis (18.7%)

Prostate (2.2%)COPD (3.3%)

Nephritis/nephrosis (4.2%)

Diabetes mellitus (7.4%)

Hypertensive heart disease (11.5%)Ischaemic heart disease (11.1%)

Diarrhoeal diseases (4.5%)

Cerebrovascular disease (14.5%)

Lower respiratory infections (8.9%)

Tuberculosis (3.9%)

Percentage of deaths by broad cause and leading causes, 2009-2014Prov, DistrictLP, Waterberg: DC36

Show History

BroadcauseInjury

NCD

HIV and TB

Comm_mat_peri_nut

486

Section B: National and District Profiles

486

Section B: Profile Limpopo Province

Percentage of deaths by broad cause and leading causes, 2009–2014: Waterberg (DC36)

Page 21: 18 Limpopo Province - Health Systems Trust Health...Section B: National and District Profiles 467 Section B: Profile Limpopo Province 18 Limpopo Province Mopani District Municipality

Section B: National and District Profiles

487

Section B: Profile Limpopo Province

487

Indictor performance: Waterberg (DC36)

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] 15.9 13 5.7 9.2

Percentage of fixed PHC facilities with patients that have access to a medical practitioner [Percentage]

25.4 17 15.1 18.1

Management Inpatients

Average length of stay (district hospitals) [Days] 4.1 4.2 4.1 12 4.3 4.5

Expenditure per patient day equivalent (district hospitals) [Rand (real 2015/16 prices)]

2 904.0 3 090.1 3 399.3 51 2 790.6 2 342.2

Inpatient bed utilisation rate (district hospitals) [Percentage] 61.8 63.1 62.1 34 70.4 65.3 78.6

Inpatient crude death rate [Percentage] 5.3 5.4 5.3 24 5.4 5.0

OPD new client not referred rate (district hospitals) [Percentage] 92.3 93.9 87.3 51 73.8 58.3

Delivery Delivery by caesarean section rate (district hospitals) [Percentage] 22.2 22.9 26.1 22.3 24.1

Delivery in facility under 18 years rate [Percentage] 7.6 7.4 7.0 19 7.1 7.1

Inpatient early neonatal death rate [per 1 000 live births] 10.9 14.7 13.5 44 12.6 10.5 10.0

Maternal mortality in facility ratio [per 100 000 live births] 121.4 133.4 83.4 15 140.2 119.1 120.0

Mother postnatal visit within 6 days rate [Percentage] 71.2 67.5 68.1 24 66.8 68.5 85.0

Stillbirth in facility rate [per 1 000 births] 20.9 21.9 18.2 14 20.3 21.1

PMTCT Antenatal 1st visit before 20 weeks rate [Percentage] 46.7 49.9 61.0 37 60.7 61.2 60.0

Antenatal client initiated on ART rate [Percentage] 74.9 88.5 91.4 33 92.8 93.0 88.0

Percentage of PCR tests positive at birth [Percentage] 2.2 48 1.7 1.1

Child Health Child under 5 years diarrhoea case fatality rate [Percentage] 7.0 3.8 2.7 35 3.0 2.2 3.2

Child under 5 years pneumonia case fatality rate [Percentage] 4.6 3.9 3.3 40 3.1 2.3 3.0

Child under 5 years severe acute malnutrition case fatality rate [Percentage]

15.8 12.3 6.9 17 11.6 8.9 10.0

Inpatient death under 5 year rate [Percentage] 9.0 8.5 7.1 43 7.3 4.7

School Grade 1 screening coverage (annualised) [Percentage] 19.1 21.5 24.0 27 29.5 28.9 25.0

Vitamin A dose 12-59 months coverage (annualised) [Percentage] 27.1 32.1 37.9 51 50.0 57.0

Immunisation Immunisation coverage under 1 year [Percentage] 54.0 63.4 66.7 51 79.2 89.2 90.0

Measles 2nd dose coverage (annualised) [Percentage] 51.1 61.4 66.4 52 87.9 84.8 83.0

Reproductive health

Cervical cancer screening coverage (annualised) [Percentage of women 30+ /10]

57.1 46.4 44.7 41 50.1 56.6 60.0

Couple year protection rate (annualised) [Percentage] 37.3 52.7 56.9 17 50.4 48.2 60.0

HIV HIV testing coverage (including ANC) [Percentage] 32.5 32.8 37.7 19 39.1 34.5

Male condom distribution coverage [Condoms per male 15+] 23.3 27.0 53.0 19 51.2 44.4

Non-communicable diseases

Diabetes incidence (annualised) [per 1 000 population] 2.0 1.7 2.1 2.5 1.7

Hypertension incidence (annualised) [per 1 000 population 40+] 13.2 10.0 10.9 18.3 16.8

Human Resources

Percentage of fixed PHC facilities with performance management agreement for all staff [Percentage]

23.8 19 15.3 16.3

Percentage of fixed PHC facilities with staffing in line with WISN [Percentage]

0.0 23 0.0 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]

548.6 530.6 492.8 19 300.7 519.8

TB Rifampicin resistance confirmed client rate [Percentage]

5.1 4.1 4.2 7 5.2 6.1

TB treatment outcomes

TB cure rate (new sm+) [Percentage] 68.8 64.9 74.8 33 76.8 77.4

TB treatment success rate (ETR.net) [Percentage] 64.5 62.6 69.9 45 71.8 77.2 83.0

TB death rate (ETR.net) [Percentage] 12.4 11.5 11.7 46 11.2 6.7

New smear positive pulmonary TB loss to follow up rate [Percentage]

7.2 5.8 5.0 25 4.9 5.6

TB MDR treatment success rate (EDRWeb) [Percentage]

45.0 30 53.0 47.2 55.0

HIV Percentage of TB cases with known HIV status (ETR.net) [Percentage]

93.2 95.0 93.7 39 95.4 94.8

TB/HIV co-infected client on ART rate (ETR.Net) [Percentage]

63.7 76.4 70.2 47 79.9 84.5

NCDs Hypertension prevalence rate (crude) [Percentage] 24.6 24.3 13 21.4 28.2

Page 22: 18 Limpopo Province - Health Systems Trust Health...Section B: National and District Profiles 467 Section B: Profile Limpopo Province 18 Limpopo Province Mopani District Municipality

488

Section B: National and District Profiles

488

Section B: Profile Limpopo 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]

29.7 32.8 33.6 17 34.0 38.2

Percentage of YLLs due to HIV and TB [Percentage] 33.0 27.8 29.0 33 25.1 27.0

Percentage of YLLs due to communicable, maternal, perinatal, nutrition causes [Percentage]

25.7 27.8 25.3 41 30.4 21.2

Percentage of deaths garbage codes [Percentage] 10.7 12.9 13.6 29 11.5 14.6

Percentage of YLLs due to injuries [Percentage] 11.6 11.6 12.1 15 10.5 13.6

Percentage of deaths ill-defined [Percentage] 25.7 10.3 7.7 10 16.5 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

Page 23: 18 Limpopo Province - Health Systems Trust Health...Section B: National and District Profiles 467 Section B: Profile Limpopo Province 18 Limpopo Province Mopani District Municipality

Annual indicators for district: Waterberg: DC36Va

lue

1000

1500

2000

2500

2006 2008 2010 2012 2014

01_DHS exp per capita

400

500

600

700

800

900

1000

2006 2008 2010 2012 2014

01_PHC exp per capita

150

200

250

300

350

2006 2008 2010 2012 2014

01_PHC exp per headcount

4.2

4.4

4.6

2006 2008 2010 2012 2014

03_Avg length of stay (DH)

5.0

5.2

5.4

5.6

5.8

6.0

2010 2012 2014 2016

03_Crude death rate

1500

2000

2500

3000

2006 2008 2010 2012 2014

03_Expenditure per PDE (DH)

60

70

80

90

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)

7.0

7.5

8.0

8.5

9.0

2006 2008 2010 2012 2014

04_Deliv in fac <18

10

12

14

16

2006 2008 2010 2012 2014

04_IP early neo death rate

0

50

100

150

2008 2010 2012 2014

04_Maternal Mort ratio

0

20

40

60

2008 2010 2012 2014 2016

04_Postnatal mother <6d

18

19

20

21

22

23

24

2006 2008 2010 2012 2014

04_Stillbirth rate

30

35

40

45

50

55

60

2006 2008 2010 2012 2014

05_ANC 1st visit <20 w rate

60

70

80

90

2008 2010 2012 2014 2016

05_ANC initiate ART rate

5

10

15

2008 2010 2012 2014

06_Child <5 diar fat rate

2

4

6

8

10

2008 2010 2012 2014 2016

06_Child <5 pneumo death

10

15

20

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

489

Section B: Profile Limpopo Province

489

Annual indicators for district: Waterberg (DC36)

Page 24: 18 Limpopo Province - Health Systems Trust Health...Section B: National and District Profiles 467 Section B: Profile Limpopo Province 18 Limpopo Province Mopani District Municipality

Annual indicators for district: Waterberg: DC36

Valu

e

20

25

30

2010 2012 2014 2016 2018

06_School G1 screen cov yy

20

30

40

50

2006 2008 2010 2012 2014

06_VitA 12−59 mm cov yy

60

70

80

90

2006 2008 2010 2012 2014

07_Imm cov <1 yy

50

60

70

80

90

100

2008 2010 2012 2014

07_Measles 2nd cov yy

30

40

50

60

2006 2008 2010 2012 2014

08_Cerv cancer screen cov yy

30

35

40

45

50

55

2006 2008 2010 2012 2014

08_Couple year protect rate

6

8

10

12

2008 2010 2012 2014 2016

09_New pulmonary TB LTF rate

4

5

6

7

2010 2012 2014 2016

09_RIF resistance rate

50

60

70

2006 2008 2010 2012 2014

09_TB cure rate new sm+

8

10

12

2008 2010 2012 2014 2016

09_TB deaths all TB

300

400

500

600

700

800

2006 2008 2010 2012 2014

09_TB inc all TB

55

60

65

70

75

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

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

1.5

2.0

2.5

2010 2012 2014 2016 2018

11_Diabetes incidence yy

10

15

20

2010 2012 2014 2016

11_Hypertension inci yy

22

24

26

28

30

32

2008 2010 2012 2014 2016

11_Hypertension prevalence

10

11

12

13

14

2008 2010 2012 2014

13_Garbage codes

District value Provincial average ZA (national) average

490

Section B: National and District Profiles

490

Section B: Profile Limpopo Province

Annual indicators for district: Waterberg (DC36)

Page 25: 18 Limpopo Province - Health Systems Trust Health...Section B: National and District Profiles 467 Section B: Profile Limpopo Province 18 Limpopo Province Mopani District Municipality

Section B: National and District Profiles

491

Section B: Profile Limpopo Province

491

Sekhukhune District Municipality (DC47)

Sekhukhune District is located in Limpopo Province, in northern South Africa. The district lies in the south-eastern part of the province and comprises five sub-districts: Elias Motsoaledi, Ephraim Mogale, Fetakgomo, Makhuduthamaga and Greater Tubatse. It has a population of 1 138  357, with a population density of 84.1 people per km2 and falls in socio-economic Quintile 1, among the poorest districts. Estimated medical scheme coverage is 7.1%.

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

85 3 5 2 0 0

Headcount and deaths, 2013/14 – 2015/16

Data element 2013/14 2014/15 2015/16PHC headcount under 5 years 655 915 628 278 627 923PHC headcount 5 years and older 2 317 079 2 349 447 2 485 931Patient day equivalent 441 719 489 082 505 588Deaths – total 3 191 3 462 3 211Still births 607 595 540Early neonatal deaths 266 280 213Late neonatal deaths 48 36 33Child under 5 years with diarrhoea death 55 40 31Child under 5 years with pneumonia death 50 39 40Child under 5 years with severe acute malnutrition death 57 40 34

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.

Page 26: 18 Limpopo Province - Health Systems Trust Health...Section B: National and District Profiles 467 Section B: Profile Limpopo Province 18 Limpopo Province Mopani District Municipality

Broad age.. Female Male

<5 years

5-14

15-24

25-64

65+

Total 39%

31%

38%

43%

50%

79%

18%

2%

31%

29%

13%

7%

40%

65%

28%

14%

19%

8%

4%

2%

4%

14%

18%

5%

36%

30%

32%

25%

45%

81%

19%

6%

28%

9%

12%

7%

34%

62%

27%

16%

15%

6%

11%

3%

14%

50%

28%

6%

LP, Sekhukhune: DC47, 2009-14

Rank.. 2009-14

<5 y

ears

12345678910

5-14

12345678910

15-2

4

12345678910

25-6

4

12345678910

65+

12345678910

Poisonings (including herbal) (2.0%)Birth asphyxia (4.1%)

Protein-energy malnutrition (5.5%)Preterm birth complications (6.6%)

Septicaemia (1.7%)Meningitis/encephalitis (1.9%)

Diarrhoeal diseases (31.6%)Lower respiratory infections (26.5%)

HIV/AIDS (5.3%)

Tuberculosis (2.0%)

Drowning (4.7%)Epilepsy (3.3%)

Septicaemia (1.7%)

Meningitis/encephalitis (3.2%)Accidental threats to breathing (2.2%)

Road injuries (13.6%)Diarrhoeal diseases (18.8%)

Lower respiratory infections (22.6%)

HIV/AIDS (6.4%)Tuberculosis (6.7%)

Epilepsy (2.4%)

Septicaemia (1.8%)

Meningitis/encephalitis (2.4%)

Mechanical forces (1.9%)

Accidental threats to breathing (7.1%)

Road injuries (15.6%)

Diarrhoeal diseases (9.0%)

Lower respiratory infections (19.9%)

HIV/AIDS (11.3%)

Tuberculosis (8.7%)

Septicaemia (1.8%)Meningitis/encephalitis (1.8%)

Road injuries (4.9%)

Diabetes mellitus (3.4%)Hypertensive heart disease (3.2%)

Diarrhoeal diseases (9.3%)

Cerebrovascular disease (4.0%)

Lower respiratory infections (21.0%)HIV/AIDS (16.5%)

Tuberculosis (12.9%)

Cardiomyopathy (3.8%)

Septicaemia (2.5%)Nephritis/nephrosis (2.2%)

Diabetes mellitus (6.3%)

Hypertensive heart disease (13.3%)

Ischaemic heart disease (3.0%)

Diarrhoeal diseases (7.3%)

Cerebrovascular disease (19.6%)Lower respiratory infections (19.2%)

Tuberculosis (2.8%)

Percentage of deaths by broad cause and leading causes, 2009-2014Prov, DistrictLP, Sekhukhune: DC47

Show History

BroadcauseInjury

NCD

HIV and TB

Comm_mat_peri_nut

492

Section B: National and District Profiles

492

Section B: Profile Limpopo Province

Percentage of deaths by broad cause and leading causes, 2009–2014: Sekhukhune (DC47)

Page 27: 18 Limpopo Province - Health Systems Trust Health...Section B: National and District Profiles 467 Section B: Profile Limpopo Province 18 Limpopo Province Mopani District Municipality

Section B: National and District Profiles

493

Section B: Profile Limpopo Province

493

Indicator performance: Sekhukhune (DC47)

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] 6.9 23 5.7 9.2

Percentage of fixed PHC facilities with patients that have access to a medical practitioner [Percentage]

6.9 40 15.1 18.1

Management Inpatients

Average length of stay (district hospitals) [Days] 4.2 3.9 3.8 24 4.3 4.5

Expenditure per patient day equivalent (district hospitals) [Rand (real 2015/16 prices)]

2 680.0 2 778.2 2 791.9 37 2 790.6 2 342.2

Inpatient bed utilisation rate (district hospitals) [Percentage] 64.9 63.3 61.4 36 70.4 65.3 78.6

Inpatient crude death rate [Percentage] 4.8 4.9 4.3 8 5.4 5.0

OPD new client not referred rate (district hospitals) [Percentage] 83.2 81.9 80.5 50 73.8 58.3

Delivery Delivery by caesarean section rate (district hospitals) [Percentage] 19.4 17.2 21.2 22.3 24.1

Delivery in facility under 18 years rate [Percentage] 7.7 7.2 6.8 18 7.1 7.1

Inpatient early neonatal death rate [per 1 000 live births] 10.3 10.7 8.5 15 12.6 10.5 10.0

Maternal mortality in facility ratio [per 100 000 live births] 61.8 149.2 96.3 21 140.2 119.1 120.0

Mother postnatal visit within 6 days rate [Percentage] 61.9 61.3 61.4 36 66.8 68.5 85.0

Stillbirth in facility rate [per 1 000 births] 22.9 22.3 21.2 25 20.3 21.1

PMTCT Antenatal 1st visit before 20 weeks rate [Percentage] 42.9 47.8 59.2 40 60.7 61.2 60.0

Antenatal client initiated on ART rate [Percentage] 78.7 93.8 91.3 34 92.8 93.0 88.0

Percentage of PCR tests positive at birth [Percentage] 1.5 36 1.7 1.1

Child Health Child under 5 years diarrhoea case fatality rate [Percentage] 5.7 3.8 3.2 41 3.0 2.2 3.2

Child under 5 years pneumonia case fatality rate [Percentage] 5.5 4.5 4.5 44 3.1 2.3 3.0

Child under 5 years severe acute malnutrition case fatality rate [Percentage]

20.6 20.7 13.0 46 11.6 8.9 10.0

Inpatient death under 5 year rate [Percentage] 7.9 10.6 6.4 36 7.3 4.7

School Grade 1 screening coverage (annualised) [Percentage] 14.3 12.7 10.1 45 29.5 28.9 25.0

Vitamin A dose 12-59 months coverage (annualised) [Percentage] 35.2 48.4 51.1 40 50.0 57.0

Immunisation Immunisation coverage under 1 year [Percentage] 61.4 75.6 74.4 46 79.2 89.2 90.0

Measles 2nd dose coverage (annualised) [Percentage] 76.3 83.9 91.5 11 87.9 84.8 83.0

Reproductive health

Cervical cancer screening coverage (annualised) [Percentage of women 30+ /10]

51.0 41.7 47.2 37 50.1 56.6 60.0

Couple year protection rate (annualised) [Percentage] 29.4 39.5 42.5 38 50.4 48.2 60.0

HIV HIV testing coverage (including ANC) [Percentage] 30.2 32.9 31.2 33 39.1 34.5

Male condom distribution coverage [Condoms per male 15+] 18.8 39.1 42.7 31 51.2 44.4

Non-communicable diseases

Diabetes incidence (annualised) [per 1 000 population] 2.4 3.1 3.2 2.5 1.7

Hypertension incidence (annualised) [per 1 000 population 40+] 25.0 21.0 35.8 18.3 16.8

Human Resources

Percentage of fixed PHC facilities with performance management agreement for all staff [Percentage]

6.9 39 15.3 16.3

Percentage of fixed PHC facilities with staffing in line with WISN [Percentage]

0.0 23 0.0 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]

367.8 290.7 263.4 2 300.7 519.8

TB Rifampicin resistance confirmed client rate [Percentage]

3.9 4.3 4.9 16 5.2 6.1

TB treatment outcomes

TB cure rate (new sm+) [Percentage] 73.2 58.8 75.2 32 76.8 77.4

TB treatment success rate (ETR.net) [Percentage] 65.2 56.2 74.5 35 71.8 77.2 83.0

TB death rate (ETR.net) [Percentage] 14.5 11.7 12.8 49 11.2 6.7

New smear positive pulmonary TB loss to follow up rate [Percentage]

4.2 3.8 6.0 35 4.9 5.6

TB MDR treatment success rate (EDRWeb) [Percentage]

50.7 23 53.0 47.2 55.0

HIV Percentage of TB cases with known HIV status (ETR.net) [Percentage]

92.5 95.3 93.8 38 95.4 94.8

TB/HIV co-infected client on ART rate (ETR.Net) [Percentage]

55.8 79.7 74.0 45 79.9 84.5

NCDs Hypertension prevalence rate (crude) [Percentage] 16.7 21.1 3 21.4 28.2

Page 28: 18 Limpopo Province - Health Systems Trust Health...Section B: National and District Profiles 467 Section B: Profile Limpopo Province 18 Limpopo Province Mopani District Municipality

494

Section B: National and District Profiles

494

Section B: Profile Limpopo 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]

26.2 29.4 30.1 9 34.0 38.2

Percentage of YLLs due to HIV and TB [Percentage] 26.1 25.7 25.3 21 25.1 27.0

Percentage of YLLs due to communicable, maternal, perinatal, nutrition causes [Percentage]

37.5 34.5 34.4 51 30.4 21.2

Percentage of deaths garbage codes [Percentage] 9.0 10.5 10.3 7 11.5 14.6

Percentage of YLLs due to injuries [Percentage] 10.2 10.4 10.2 5 10.5 13.6

Percentage of deaths ill-defined [Percentage] 6.5 7.2 7.9 14 16.5 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

Page 29: 18 Limpopo Province - Health Systems Trust Health...Section B: National and District Profiles 467 Section B: Profile Limpopo Province 18 Limpopo Province Mopani District Municipality

Annual indicators for district: Sekhukhune: DC47Va

lue

800

1000

1200

1400

1600

1800

2006 2008 2010 2012 2014

01_DHS exp per capita

400

600

800

1000

2006 2008 2010 2012 2014

01_PHC exp per capita

150

200

250

300

350

2006 2008 2010 2012 2014

01_PHC exp per headcount

3.8

4.0

4.2

4.4

4.6

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

2006 2008 2010 2012 2014

03_Expenditure per PDE (DH)

60

65

70

75

80

2008 2010 2012 2014 2016

03_OPD new not ref rate (DH)

65

70

75

2006 2008 2010 2012 2014

03_Usable bed util (DH)

10

15

20

2006 2008 2010 2012 2014

04_Caesarean sect (DH)

7.0

7.5

8.0

8.5

9.0

2006 2008 2010 2012 2014

04_Deliv in fac <18

10

12

14

2006 2008 2010 2012 2014

04_IP early neo death rate

0

50

100

150

2008 2010 2012 2014

04_Maternal Mort ratio

0

20

40

60

2008 2010 2012 2014 2016

04_Postnatal mother <6d

20

22

24

26

2006 2008 2010 2012 2014

04_Stillbirth rate

30

35

40

45

50

55

60

2006 2008 2010 2012 2014

05_ANC 1st visit <20 w rate

60

70

80

90

100

110

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

10

2008 2010 2012 2014 2016

06_Child <5 pneumo death

10

15

20

2008 2010 2012 2014 2016

06_Child <5 sev mal fata

5

6

7

8

9

10

2010 2012 2014 2016 2018

06_Inpat death <5 rate

District value Provincial average ZA (national) average

Section B: National and District Profiles

495

Section B: Profile Limpopo Province

495

Annual indicators for district: Sekhukhune (DC47)

Page 30: 18 Limpopo Province - Health Systems Trust Health...Section B: National and District Profiles 467 Section B: Profile Limpopo Province 18 Limpopo Province Mopani District Municipality

Annual indicators for district: Sekhukhune: DC47

Valu

e

10

15

20

25

30

2010 2012 2014 2016 2018

06_School G1 screen cov yy

20

30

40

50

2006 2008 2010 2012 2014

06_VitA 12−59 mm cov yy

60

70

80

90

100

2006 2008 2010 2012 2014

07_Imm cov <1 yy

70

80

90

100

110

120

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

30

35

40

45

50

2006 2008 2010 2012 2014

08_Couple year protect rate

4

5

6

7

8

9

2008 2010 2012 2014 2016

09_New pulmonary TB LTF rate

4

6

8

10

12

14

2010 2012 2014 2016

09_RIF resistance rate

50

55

60

65

70

75

2006 2008 2010 2012 2014

09_TB cure rate new sm+

8

10

12

14

16

2008 2010 2012 2014 2016

09_TB deaths all TB

200

400

600

800

2006 2008 2010 2012 2014

09_TB inc all TB

50

55

60

65

70

75

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

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

30

40

50

60

70

80

2010 2012 2014 2016

10_TB/HIV on ART

1.5

2.0

2.5

3.0

2010 2012 2014 2016 2018

11_Diabetes incidence yy

10

15

20

25

30

35

2010 2012 2014 2016

11_Hypertension inci yy

20

25

30

2008 2010 2012 2014 2016

11_Hypertension prevalence

8

10

12

14

2008 2010 2012 2014

13_Garbage codes

District value Provincial average ZA (national) average

496

Section B: National and District Profiles

496

Section B: Profile Limpopo Province

Annual indicators for district: Sekhukhune (DC47)