19 waZulu-Natal Province K - Health Systems Trust Health Barometers/19... · Section B: National and District ProfilesSection B: Profile KwaZulu-Natal Province 19 waZulu-Natal Province

432

Section B: National and District Profiles

432

Section B: Profile KwaZulu-Natal Province

19 KwaZulu-Natal Province

Ugu District Municipality (DC21)

Ugu District is situated in KwaZulu-Natal Province and has a population of 759 134, with a population density of 150.4 persons per km2. The district comprises six health sub-districts, namely Vulamehlo, Umdoni, uMzumbe, Hibiscus Coast, Ezinqoleni and uMuziwabantu, and falls in socio-economic Quintile 2. Estimated medical scheme coverage is 8.6%.

Social determinants of healtha

Unemployment ratea 35.2%

Youth unemployment rate (15-34 years)a 45.1%

No schooling 8.4%

Matric 31.9%

Higher education 8.1%

Households 175 146

Female-headed households 49.9%

Formal dwellings 58.6%

Flush toilet connected to sewerage 20.8%

Weekly refuse removal 19.7%

Piped water inside dwellings 21.1%

Electricity for lighting 84.1%

Blue Drop water score 66.3%

Source: StatsSA. 2014 Blue Drop Report.

Population distribution sub-district boundaries and health facility locations

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

Population per selected category

Population category 2017 2018 2019 2020

under 1 year 18 983 18 972 18 810 18 463

under 5 years 97 112 96 564 95 635 94 423

05-09 years 95 652 96 284 96 686 97 078

10-14 years 86 028 88 692 91 092 93 063

15-19 years 73 264 74 314 76 489 79 305

20-24 years 82 044 78 778 75 236 72 388

25-29 years 84 243 84 823 85 017 84 319

30-34 years 67 685 71 848 75 817 79 722

35-39 years 44 912 48 726 52 503 55 755

40-44 years 29 981 31 340 32 957 35 038

45-49 years 22 787 23 216 23 857 24 668

50-54 years 20 575 20 300 19 991 19 761

55-59 years 18 125 18 119 18 115 18 063

60-64 years 14 941 14 901 14 936 14 982

65-69 years 13 173 12 657 12 146 11 752

70-74 years 9 924 9 942 9 869 9 647

75-79 years 6 206 5 928 5 753 5 703

80 years and older 4 473 4 255 4 053 3 864

Total 771 116 780 676 790 154 799 522

Estimated pregnant women* 20 312 20 300 20 127 19 755

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


433


433

Number of facilities by level, 2016/17

Ward based outreach

teams Clinic CHCDistrict Hospital

Regional Hospital

Central/Tertiary

HospitalsOther

Hospitals

Ezinqoleni SD 4 4 0 0 0 0 0

Hibiscus Coast SD 17 16 1 1 1 0 4

Umdoni SD 5 6 0 1 0 0 0

uMuziwabantu SD 12 11 0 1 0 0 0

Umzumbe SD 17 13 1 0 0 0 1

Vulamehlo SD 6 5 0 0 0 0 0

Ugu 61 55 2 3 1 0 5

Source: DHIS.

Human resources – filled posts, 2016

Community Health

WorkersNursing

assistantsEnrolled

nurseProfessional

nurseMedical

practitioners PharmacistsDental

practitionersOccupational

therapy Physiotherapy

Speech Therapy and Audiology

Ugu 795 463 696 1 229 241 79 16 16 22 22

Source: Persal, DHIS.

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

PHC Management

Output Process & input

PHC utilisation rate (No)

Percentage Ideal clinics

(%)

Percentage of assessed PHC facilities with 90% of tracer

medicines available (%)

Provincial and LG

District Health Services

expenditure per capita

(uninsured) (Rand)

Provincial and LG PHC expenditure per capita

(uninsured) (Rand)

Provincial and LG PHC expenditure

per PHC headcount

(Rand)

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

Ezinqoleni SD Indicator 3.7 - - - - -

Numerator 206 533 - - - - -

Denominator 666 747 - - - - -

Hibiscus Coast SD Indicator 3.2 - - - - -

Numerator 875 723 - - - - -

Denominator 3 243 690 - - - - -

Umdoni SD Indicator 3.0 - - - - -

Numerator 250 832 - - - - -

Denominator 995 412 - - - - -

uMuziwabantu SD Indicator 3.1 - - - - -

Numerator 313 852 - - - - -

Denominator 1 228 329 - - - - -

Umzumbe SD Indicator 2.8 - - - - -

Numerator 477 766 - - - - -

Denominator 2 025 225 - - - - -

Vulamehlo SD Indicator 2.2 - - - - -

Numerator 175 051 - - - - -

Denominator 974 316 - - - - -

Ugu Indicator 3.0 30.4 84.9 2 334 1 421 429

Numerator 2 299 757 17 45 1 619 354 793 986 288 405 986 288 405

Denominator 9 133 719 56 53 693 914 693 914 2 299 757

KwaZulu-Natal Indicator 2.7 47.8 90.8 1 879 1 213 397

South Africa Indicator 2.3 29.8 78.4 1 726 1 054 389

Source: DHIS.

2008 2010 2012 2014 2016 2018Year

1_M

anag

emen

t

1_Im

pact

Inpatient crudedeath rate

2_O

utco

me

Average lengthof stay (districthospitals)

Expenditure perpatient dayequivalent(districthospitals)

3_O

utpu

t

Inpatient bedutilisation rate(districthospitals)

OPD new clientnot referred rate(districthospitals)

4_P

roce

ss_i

nput

PercentageIdeal clinics

Provincial andLG DistrictHealth Servicesexpenditure percapita(uninsured)

Provincial andLG PHCexpenditure percapita(uninsured)

Provincial andLG PHCexpenditure perPHC headcount

2

4

6

8

2

4

6

8

1K

2K

3K

4K

50

100

0

50

100

0

50

100

1K

2K

3K

500

1000

1500

200

400

KZN, DC21, Ugu District Municipality, SEQ 2 (deprived)

Measure NamesIndValueProv_avZA_av

Meas ure NamesIndV alue

P rov_av

ZA_av

434


434


Hos

pita

l

Dis

tric

t Hos

pita

lR

egio

nal H

ospi

tal

Tert

iary

/Cen

tral

Hos

pita

l

Aver

age

leng

th o

f st

ay -

tota

l (D

ays)

Expe

nditu

re

per p

atie

nt

day

equi

vale

nt

(Ran

d)

Inpa

tient

bed

ut

ilisa

tion

rate

- to

tal

(%)

Inpa

tient

cr

ude

deat

h ra

te (%

)

OPD

new

cl

ient

not

re

ferr

ed ra

te

(%)

Aver

age

leng

th o

f st

ay -

tota

l (D

ays)

Expe

nditu

re

per p

atie

nt

day

equi

vale

nt

(Ran

d)

Inpa

tient

bed

ut

ilisa

tion

rate

- to

tal

(%)

Inpa

tient

cr

ude

deat

h ra

te (%

)

OPD

new

cl

ient

not

re

ferr

ed ra

te

(%)

Aver

age

leng

th o

f st

ay -

tota

l (D

ays)

Expe

nditu

re

per p

atie

nt

day

equi

vale

nt

(Ran

d)

Inpa

tient

bed

ut

ilisa

tion

rate

- to

tal

(%)

Inpa

tient

cr

ude

deat

h ra

te (%

)

OPD

new

cl

ient

not

re

ferr

ed ra

te

(%)

Hib

iscu

s C

oast

SD

Indi

cato

r6.

22

178

73.4

6.4

38.6

5.3

3 47

971

.85.

222

.9 -

- -

- -

Num

erat

or80

330

231

836

357

80 3

3082

37

453

88 0

9353

8 59

7 43

888

093

866

7 32

6 -

- -

- -

Den

omin

ator

12 8

6510

6 46

110

9 51

212

865

19 3

1016

763

154

809

122

653

16 7

6331

948

- -

- -

-

Um

doni

SD

Indi

cato

r5.

62

689

50.3

6.7

20.4

- -

- -

- -

- -

- -

Num

erat

or68

796

282

733

460

68 7

9682

85

376

- -

- -

- -

- -

- -

Den

omin

ator

12 3

5410

5 15

313

6 89

012

354

26 3

23 -

- -

- -

- -

- -

-

uMuz

iwab

antu

SD

Indi

cato

r5.

82

315

56.3

6.0

77.2

- -

- -

- -

- -

- -

Num

erat

or43

244

161

233

267

43 2

4445

318

374

- -

- -

- -

- -

- -

Den

omin

ator

7 50

269

660

76 7

507

502

23 7

87 -

- -

- -

- -

- -

-

Ugu

In

dica

tor

5.9

2 40

359

.56.

444

.95.

33

479

71.8

5.2

22.9

- -

- -

-

Num

erat

or19

2 37

067

5 80

3 08

519

2 37

02

104

31 2

0388

093

538

597

438

88 0

9386

67

326

- -

- -

-

Den

omin

ator

32 7

2128

1 27

432

3 15

232

721

69 4

2016

763

154

809

122

653

16 7

6331

948

- -

- -

-

KwaZ

ulu-

Nat

alIn

dica

tor

5.4

2 56

656

.25.

449

.46.

12

935

67.9

5.5

34.6

8.0

5 98

271

.75.

526

.8

Sout

h Af

rica

Indi

cato

r4.

42

568

67.4

5.1

59.3

5.3

2 89

478

.35.

037

.26.

94

227

84.3

5.4

20.3

Sour

ce:

DH

IS a

nd B

AS.

Annual trends


435


435

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

D

ata

Elem

ent

(Num

ber)

2014

/15

2015

/16

2016

/17

PHC

/ CH

C / M

OU

*D

istr

ict

Hos

pita

lR

egio

nal

Hos

pita

l

Cen

tral

/te

rtia

ry

Hos

pita

lD

istr

ict

Tota

lPH

C / C

HC

/ MO

UD

istr

ict

Hos

pita

lR

egio

nal

Hos

pita

l

Cen

tral

/te

rtia

ry

Hos

pita

lD

istr

ict

Tota

lPH

C / C

HC

/ MO

UD

istr

ict

Hos

pita

lR

egio

nal

Hos

pita

l

Cen

tral

/te

rtia

ry

hosp

ital

Dis

tric

t To

tal

Mat

erna

l dea

ths

-4

13-

174

17

-12

-5

11-

16

Live

birt

hs2

322

8 87

63

122

-14

320

1 81

68

054

3 12

3-

12 9

931

506

7 61

62

940

-12

062

Still

birth

s28

159

126

-31

327

148

129

-30

416

126

102

-24

4

Child (under 5 years)

Infant (under 1

year)

Neo-natal

Dea

th in

faci

lity

0-7d

ays

690

42-

138

254

57-

113

260

57-

119

Dea

th in

faci

lity

8-28

day

s -

2613

-39

-9

20-

29-

1117

-28

Dea

th in

faci

lity

29 d

ays

- 11

mon

ths

-67

15-

82-

3924

-63

-20

21-

41

Dea

th in

faci

lity

12 –

59

mon

ths

-42

12-

54-

3323

-56

-21

13-

34

Dia

rrho

ea d

eath

und

er 5

yea

rs

-20

2-

22-

134

-17

-7

5-

12

Pneu

mon

ia d

eath

und

er 5

yea

rs1

245

-30

-21

11-

32-

99

-18

Seve

re a

cute

mal

nutri

tion

deat

h un

der 5

yea

rs

-30

4-

34-

257

-32

-11

8-

19

TB D

eath

s 1

674

702

--

2 37

61

500

708

18-

2 22

6-

--

--

Inpa

tient

dea

th to

tal

-2

363

864

-3

227

-2

265

900

-3

165

-2

104

866

-2

970

Patie

nt d

ay e

quiv

alen

t1

864

297

782

159

010

-45

8 65

61

292

281

993

158

683

-44

1 96

82

089

281

274

154

809

-43

8 17

2

Sour

ce:

DH

IS. *

MO

U –

Mat

erna

l Obs

tetr

ic U

nit.

AgeGroup.. Female Male<5 years

5-1415-2425-64

65+Total 18%

12%15%

20%36%

71%

29%6%

47%53%

27%11%

48%80%

34%14%

19%11%

5%3%5%

13%17%

7%

18%11%14%

11%28%

70%

32%10%

44%23%

29%12%

36%75%

27%12%

19%10%

15%4%

15%54%

24%8%

KZN, Ugu: DC21, 2010 - 2015

Rank.. Female Male

<5 y

ears

12345678910

5-14

12345678910

15-2

4

12345678910

25-6

4

12345678910

65+

12345678910

Other perinatal conditions (2.4%)

Sepsis/other newborn infectious (3.4%)

Birth asphyxia (7.3%)

Protein-energy malnutrition (6.0%)

Preterm birth complications (10.3%)

Septicaemia (2.4%)

Diarrhoeal diseases (22.6%)Lower respiratory infections (15.1%)

Tuberculosis (4.3%)

HIV/AIDS (7.2%)

Drowning (4.7%)

Epilepsy (2.6%)

Asthma (3.5%)

Meningitis/encephalitis (4.6%)

Accidental threats to breathing (2.9%)

Road injuries (4.3%)

Diarrhoeal diseases (19.0%)

Lower respiratory infections (9.6%)

Tuberculosis (15.5%)HIV/AIDS (13.2%)

Epilepsy (1.7%)

Meningitis/encephalitis (3.3%)Accidental threats to breathing (4.1%)

Interpersonal violence (1.9%)Road injuries (1.8%)


Cerebrovascular disease (1.2%)

Lower respiratory infections (7.6%)Tuberculosis (24.9%)

HIV/AIDS (29.5%)

Cervix (2.2%)

Nephritis/nephrosis (1.9%)

Hypertensive heart disease (2.5%)Diabetes mellitus (4.7%)Diarrhoeal diseases (4.9%)

Ischaemic heart disease (2.1%)

Cerebrovascular disease (7.0%)Lower respiratory infections (6.6%)


Asthma (2.5%)COPD (2.9%)


Hypertensive heart disease (9.1%)Diabetes mellitus (8.8%)





Tuberculosis (4.1%)



Birth asphyxia (6.7%)Protein-energy malnutrition (6.3%)


Septicaemia (2.4%)


Tuberculosis (3.8%)

HIV/AIDS (8.0%)

Drowning (8.0%)

Epilepsy (3.2%)

Asthma (4.4%)





Drowning (4.1%)Epilepsy (3.0%)

Mechanical forces (6.6%)

Accidental threats to breathing (15.0%)Interpersonal violence (18.0%)





Mechanical forces (3.1%)Accidental threats to breathing (3.2%)Interpersonal violence (3.6%)

Diabetes mellitus (2.2%)





Prostate (3.0%)Asthma (3.1%)

COPD (4.5%)Nephritis/nephrosis (3.6%)


Ischaemic heart disease (10.6%)Cerebrovascular disease (17.4%)


Rank.. Maternal conditions All other causes

Fem

ale

15-4

9

12345678910

Maternal sepsis (6.8%) n=9

Abortion (15.6%) n=20Maternal haemorrhage (8.5%) n=11

Hypertension in pregnancy (18.0%) n=23Other maternal (17.9%) n=23

Indirect maternal (33.1%) n=43

Asthma (1.3%) n=139Accidental threats to breathing (1.4%) n=143

Diabetes mellitus (1.6%) n=173Cervix (1.5%) n=156

Cerebrovascular disease (2.5%) n=258Meningitis/encephalitis (2.4%) n=248

Diarrhoeal diseases (5.8%) n=607Lower respiratory infections (7.4%) n=777

Tuberculosis (24.7%) n=2 598HIV/AIDS (34.1%) n=3 583

Percentage ofdeaths by broad

causes andsingle leading

causes

BroadcauseInjury

NCD

HIV and TB

Comm_mat_peri_nut

Prov, DistrictKZN, Ugu: DC21

Show history

Percentages are shownaccording to all the deaths

within the age/gendercategory of each box,

although only the leading10 causes are displayed.

436


436


Burden of disease profile

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

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

2009 2010 2011 2012 2013 2014 2015 2016Year

2_M

ater

nal a

nd w

omen

's h

ealth

1_Im

pact Maternal

mortality infacility ratio

2_O

utco

me

Antenatal 1stvisit before 20weeks rate

Couple yearprotection rate(WHO)

Delivery infacility under 18years rate

Motherpostnatal visitwithin 6 daysrate

3_O

utpu

t

Antenatal clientinitiated on ARTrate

Cervical cancerscreeningcoverage

0

200

400

600

800

20

40

60

80

100

200

5

10

15

0

100

200

50

100

150

200

50

100

150




437


437

Maternal and Women’s Health

Impact Outcome Output

Maternal mortality in facility ratio (per100K)

Antenatal client initiated

on ART rate (%)

Delivery in facility under 18 years rate

(%)

Antenatal 1st visit before 20 weeks rate (%)

Cervical cancer

screening coverage (%)

Couple year protection rate

(WHO) (%)

Mother postnatal visit within 6 days

rate (%)

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

Ezinqoleni SD Indicator - 86.8 2.2 61.9 98.2 60.9 210.9

Numerator - 132 4 499 1 083 8 805 386

Denominator 180 152 183 806 13 232 173 367 183

Hibiscus Coast SD Indicator 167.7 98.0 8.8 69.9 97.9 75.1 42.8

Numerator 11 1 100 577 3 888 5 974 58 821 2 810

Denominator 6 559 1 122 6 568 5 565 73 200 939 828 6 568

Umdoni SD Indicator 70.2 95.9 12.4 72.9 109.1 82.6 36.7

Numerator 2 376 357 1 147 2 063 19 364 1 055

Denominator 2 851 392 2 878 1 573 22 699 281 232 2 878

uMuziwabantu SD Indicator 144.3 64.2 9.9 71.4 81.6 49.1 62.8

Numerator 3 282 207 1 510 1 508 12 896 1 312

Denominator 2 079 439 2 090 2 115 22 168 314 853 2 090

Umzumbe SD Indicator - 87.8 1.6 69.1 49.0 64.6 393.9

Numerator - 302 5 1 616 1 632 27 245 1 221

Denominator 310 344 310 2 340 40 007 506 481 310

Vulamehlo SD Indicator - 82.4 1.2 73.8 139.1 54.8 403.7

Numerator - 103 1 537 2 233 11 330 331

Denominator 83 125 82 728 19 267 247 941 82

Ugu Indicator 132.6 89.2 9.5 70.1 91.3 67.4 58.7

Numerator 16 2 295 1 151 9 197 14 493 138 460 7 115

Denominator 12 062 2 574 12 111 13 127 190 573 2 463 702 12 111

KwaZulu-Natal Indicator 106.7 97.2 8.5 70.2 85.6 74.8 66.8

South Africa Indicator 116.9 95.1 6.8 65.2 61.5 70.2 70.3

Source: DHIS.

Annual trends

438


438


Child and School Health

Im

pact

Out

com

eO

utpu

t

Chi

ld u

nder

5

year

s di

arrh

oea

case

fata

lity

rate

(%)

Chi

ld u

nder

5

year

s pn

eum

onia

ca

se fa

talit

y ra

te (%

)

Chi

ld u

nder

5

year

s se

vere

acu

te

mal

nutr

ition

ca

se fa

talit

y ra

te (%

)

Inpa

tient

de

ath

unde

r 1

year

rate

(%)

Inpa

tient

de

ath

unde

r 5

year

rate

(%)

Inpa

tient

ea

rly n

eona

tal

deat

h ra

te

(per

1K)

Inpa

tient

ne

onat

al

deat

h ra

te

(per

1K)

Infa

nt P

CR

test

pos

itive

ar

ound

10

wee

ks ra

te

(%)

Imm

unis

atio

n co

vera

ge

unde

r 1 y

ear

(%)

Infa

nt

excl

usiv

ely

brea

stfe

d at

D

TaP-

IPV-

Hib

-HB

V 3rd

do

se ra

te (%

)

Mea

sles

2nd

dos

e co

vera

ge (%

)

Scho

ol G

rade

1

scre

enin

g co

vera

ge (%

)

Scho

ol G

rade

8

scre

enin

g co

vera

ge (%

)

Vita

min

A

dose

12-

59

mon

ths

cove

rage

(%)

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

Ezin

qole

ni S

DIn

dica

tor

- -

- -

- -

-1.

569

.645

.188

.061

.462

.563

.1

Num

erat

or -

- -

- -

- -

494

046

81

267

907

972

7 65

5

Den

omin

ator

- -

- -

-18

018

026

916

212

1 03

717

286

1 47

81

556

145

488

Hib

iscu

s C

oast

SD

Indi

cato

r1.

61.

67.

95.

03.

812

.315

.60.

882

.336

.210

8.1

57.5

31.7

61.3

Num

erat

or5

1011

128

148

8110

212

4 35

91

672

5 85

63

234

1 52

426

977

Den

omin

ator

319

625

139

2 54

93

845

6 55

96

559

1 53

963

540

4 61

664

983

5 62

04

806

528

078

Um

doni

SD

Indi

cato

r1.

21.

26.

84.

53.

49.

510

.21.

891

.648

.711

3.5

18.7

7.5

60.8

Num

erat

or2

45

3749

2729

81

371

723

1 76

638

595

7 78

9

Den

omin

ator

161

328

7482

41

427

2 85

12

851

457

17 9

671

485

18 6

662

058

1 26

015

3 82

2

uMuz

iwab

antu

SD

Indi

cato

r2.

61.

55.

83.

92.

54.

87.

22.

181

.456

.010

8.6

27.7

36.8

74.5

Num

erat

or5

43

2224

1015

122

132

1 28

33

010

1 05

91

402

17 3

86

Den

omin

ator

189

261

5256

395

02

079

2 07

956

131

446

2 29

233

267

3 83

03

807

280

056

Um

zum

be S

DIn

dica

tor

- -

-10

0.0

100.

03.

23.

22.

267

.258

.788

.339

.333

.150

.1

Num

erat

or -

- -

11

11

142

589

1 41

03

675

1 90

41

286

17 8

42

Den

omin

ator

- -

-1

131

031

062

846

242

2 40

449

953

4 84

13

885

427

326

Vula

meh

lo S

DIn

dica

tor

- -

- -

- -

-0.

865

.950

.774

.511

.710

.548

.1

Num

erat

or -

- -

- -

- -

11

283

555

1 51

931

325

98

177

Den

omin

ator

- -

- -

-83

8313

023

379

1 09

424

465

2 66

92

460

203

886

Ugu

In

dica

tor

1.8

1.5

7.2

4.8

3.6

9.9

12.2

1.4

76.5

47.3

98.3

38.1

31.2

59.2

Num

erat

or12

1819

188

222

119

147

5112

674

6 11

117

093

7 80

25

538

85 8

26

Den

omin

ator

669

1 21

426

53

937

6 22

312

062

12 0

623

584

198

786

12 9

2820

8 62

024

5 95

221

3 28

81

738

656

KwaZ

ulu-

Nat

alIn

dica

tor

2.0

1.8

7.4

6.4

4.5

9.7

12.4

1.0

85.8

53.9

99.8

26.2

16.4

62.1

Sout

h Af

rica

Indi

cato

r2.

02.

08.

06.

34.

49.

912

.41.

382

.341

.696

.233

.019

.858

.0

Sour

ce:

DH

IS.

2009 2010 2011 2012 2013 2014 2015 2016Year

3_C

hild

and

sch

ool h

ealth

1_Im

pact

Child under 5years diarrhoeacase fatality rate

Child under 5yearspneumoniacase fatality rate

Child under 5years severeacutemalnutritioncase fatality rate

Inpatient earlyneonatal deathrate

3_O

utpu

t

Immunisationcoverage under1 year

Infantexclusivelybreastfed atDTaP-IPV-Hib-HBV 3rd doserate

Measles 2nddose coverage

School Grade 1screeningcoverage

0

50

100

0

10

20

30

0

20

40

60

0

10

20

50

100

150

20

40

60

80

50

100

150

0

50

100



2009 2010 2011 2012 2013 2014 2015 2016Year

4_H

IV

4_P

roce

ss_i

nput

HIV testingcoverage(including ANC)

Male condomdistributioncoverage

Medical malecircumcisionrate

20

40

60

100

200

0

20

40

6080




439


439

Annual trends Child and School Health

Annual trends HIV

440


440


HIV

3rd

90-

90-9

02nd

90-

90-9

01st

90-9

0-90

Out

com

eO

utpu

tPr

oces

s &

inpu

t

Adu

lt w

ith v

iral

load

com

plet

ion

rate

at 1

2 m

onth

s (%

)

Chi

ld w

ith v

iral

load

com

plet

ion

rate

at 1

2 m

onth

s (%

)

Adu

lt w

ith v

iral

load

sup

pres

sed

rate

12

mon

ths

(%)

Chi

ld w

ith v

iral

load

sup

pres

sed

rate

12

mon

ths

(%)

Adu

lt pe

rcen

tage

on

AR

T af

ter 1

2 m

onth

s (%

)

Chi

ld p

erce

ntag

e on

AR

T af

ter 1

2 m

onth

s (%

)C

lient

s re

mai

ning

on

AR

T ra

te (%

)

HIV

test

pos

itive

cl

ient

15

year

s an

d ol

der r

ate

(incl

udin

g A

NC

) (%

)

HIV

test

ing

cove

rage

(in

clud

ing

AN

C)

(%)

Mal

e co

ndom

di

strib

utio

n co

vera

ge (N

o)

Med

ical

mal

e ci

rcum

cisi

on ra

te

(per

1K)

2015

2015

2015

2015

2015

2015

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

Ezin

qole

ni S

DIn

dica

tor

76.7

62.1

93.4

50.0

85.0

83.3

- -

52.0

56.3

28.0

Num

erat

or -

18 -

9 -

30 -

-14

132

812

260

500

Den

omin

ator

692

2953

118

853

36 -

-32

5 87

817

3 17

821

3 93

3

Hib

iscu

s C

oast

SD

Indi

cato

r82

.469

.092

.064

.181

.587

.0 -

-61

.447

.916

.5

Num

erat

or -

78 -

50 -

194

- -

94 0

144

165

320

1 64

5

Den

omin

ator

5 24

711

34

324

787

282

223

- -

1 83

8 47

81

042

854

1 19

3 93

1

Um

doni

SD

Indi

cato

r65

.975

.090

.151

.983

.084

.0 -

-64

.053

.575

.9

Num

erat

or -

54 -

28 -

84 -

-30

412

1 50

8 98

02

417

Den

omin

ator

1 40

672

926

541

953

100

- -

570

219

338

388

381

960

uMuz

iwab

antu

SD

Indi

cato

r80

.275

.991

.970

.576

.585

.1 -

-64

.532

.021

.5

Num

erat

or -

44 -

31 -

63 -

-31

434

811

103

692

Den

omin

ator

1 23

058

986

441

696

74 -

-58

5 14

730

3 95

438

7 13

2

Um

zum

be S

DIn

dica

tor

77.5

69.8

93.5

81.7

81.3

90.4

- -

47.5

52.4

22.0

Num

erat

or -

60 -

49 -

94 -

-38

372

2 34

0 10

51

214

Den

omin

ator

1 64

986

1 27

860

2 14

210

4 -

-96

8 81

453

6 25

366

3 32

1

Vula

meh

lo S

DIn

dica

tor

50.5

19.0

91.5

25.0

81.4

87.5

- -

33.5

43.7

10.2

Num

erat

or -

4

1

28 -

-13

138

943

040

272

Den

omin

ator

418

2121

14

671

32 -

-47

0 59

525

8 79

832

0 87

7

Ugu

In

dica

tor

77.6

68.1

92.1

65.1

81.3

86.6

62.1

8.3

55.9

47.9

25.6

Num

erat

or -

258

16

8

493

86 3

8819

574

221

502

10 5

80 8

086

740

Den

omin

ator

10 6

4237

98

256

258

14 5

9756

913

9 23

323

4 67

14

759

131

2 65

3 42

53

161

154

KwaZ

ulu-

Nat

alIn

dica

tor

58.0

56.8

91.8

68.5

75.9

78.5

61.3

11.4

42.5

53.9

30.5

Sout

h Af

rica

Indi

cato

r -

- -

- -

- 55

.08.

235

.947

.519

.0

Sour

ce:

DH

IS.


441


441

TB

I mpa

ctO

utco

me

Out

put

Proc

ess

& in

put

TB d

eath

rate

(E

TR.n

et) (

%)

TB D

R cl

ient

de

ath

rate

(E

DR

Web

) (%

)

TB c

lient

loss

to

follo

w u

p ra

te

(ETR

.Net

) (%

)

TB c

lient

tr

eatm

ent

succ

ess

rate

(E

TR.n

et) (

%)

TB D

R cl

ient

loss

to

follo

w u

p ra

te

(ED

RW

eb) (

%)

TB D

R tr

eatm

ent

succ

ess

rate

(E

DR

Web

) (%

)

TB R

ifam

pici

n re

sist

ance

co

nfirm

ed c

lient

ra

te (%

)

TB R

ifam

pici

n re

sist

ant c

lient

s tr

eatm

ent

initi

atio

n ra

te (%

)

TB/H

IV c

o-in

fect

ed c

lient

on

AR

T ra

te (E

TR.

Net

) (%

)

TB c

lient

initi

ated

on

trea

tmen

t ra

te (%

)

TB s

ympt

om 5

ye

ars

and

olde

r sc

reen

ed in

fa

cilit

y ra

te (%

)

2015

2014

2015

2015

2014

2014

2016

2016

2016

2016

2016

/17

Ezin

qole

ni S

DIn

dica

tor

5.2

-1.

476

.9 -

- -

-94

.8 -

92.8

Num

erat

or18

-5

266

- -

- -

73 -

163

705

Den

omin

ator

346

-34

634

6 -

- -

-77

-17

6 40

7

Hib

iscu

s C

oast

SD

Indi

cato

r6.

4 -

4.7

77.2

- -

- -

92.3

-80

.6

Num

erat

or18

9 -

139

2 28

5 -

- -

-1

221

-59

9 58

1

Den

omin

ator

2 96

1 -

2 96

12

961

- -

- -

1 32

3 -

743

704

Um

doni

SD

Indi

cato

r3.

8 -

0.7

90.0

- -

- -

100.

0 -

113.

9

Num

erat

or62

-11

1 48

5 -

- -

-62

9 -

243

831

Den

omin

ator

1 65

0 -

1 65

01

650

- -

- -

629

-21

4 16

2

uMuz

iwab

antu

SD

Indi

cato

r8.

5 -

3.6

71.4

- -

- -

99.3

-72

.5

Num

erat

or64

-27

535

- -

- -

301

-17

8 56

0

Den

omin

ator

749

-74

974

9 -

- -

-30

3 -

246

147

Um

zum

be S

DIn

dica

tor

4.3

-3.

083

.5 -

- -

-96

.7 -

77.9

Num

erat

or48

-33

932

- -

- -

265

-30

7 30

2

Den

omin

ator

1 11

6 -

1 11

61

116

- -

- -

274

-39

4 44

1

Vula

meh

lo S

DIn

dica

tor

8.7

-0.

483

.1 -

- -

-98

.2 -

91.4

Num

erat

or22

-1

211

- -

- -

54 -

130

034

Den

omin

ator

254

-25

425

4 -

- -

-55

-14

2 21

1

Ugu

In

dica

tor

5.7

19.7

3.1

80.8

15.6

59.4

5.9

83.5

95.6

73.4

84.7

Num

erat

or40

363

216

5 71

450

190

279

233

2 54

33

473

1 62

3 01

3

Den

omin

ator

7 07

632

07

076

7 07

632

032

04

730

279

2 66

14

730

1 91

7 07

2

KwaZ

ulu-

Nat

alIn

dica

tor

5.4

19.0

4.8

82.7

17.2

59.6

7.7

73.8

85.7

62.4

78.3

Sout

h Af

rica

Indi

cato

r6.

623

.06.

481

.017

.950

.56.

268

.088

.372

.851

.6

Sour

ce:

DH

IS.

2009 2010 2011 2012 2013 2014 2015 2016Year

5_TB

1_Im

pact

TB death rate(ETR.net)

TB DR clientdeath rate(EDRWeb)

2_O

utco

me

TB client lost tofollow up rate(ETR.Net)

TB clienttreatmentsuccess rate(ETR.net)

TB DR clientloss to follow uprate (EDRWeb)

TB DRtreatmentsuccess rate(EDRWeb)

TB Rifampicinresistanceconfirmed clientrate

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

4_P

roce

ss_i

nput

TB symptom 5years and olderscreened infacility rate

5

10

15

0

20

40

60

0

5

10

15

40

60

80

0

20

40

0

20

40

60

0

10

20

0

50

100

0

50

100



442


442


Annual trends TB

2010 2011 2012 2013 2014 2015 2016 2017Year

6_NCDs

2_Outcome

Diabetesincidence

Hypertensionincidence

0

5

20

40




443


443

Non-communicable diseases

Outcome

Diabetes incidence

(per1K)

Hypertension incidence

(per1K)

2016/17 2016/17

Ezinqoleni SD Indicator 0.8 13.1

Numerator 47 134

Denominator 666 747 122 316

Hibiscus Coast SD Indicator 3.8 16.3

Numerator 1 025 970

Denominator 3 243 690 715 629

Umdoni SD Indicator 5.3 25.7

Numerator 443 501


uMuziwabantu SD Indicator 1.8 37.0

Numerator 183 635

Denominator 1 228 329 206 022

Umzumbe SD Indicator 1.6 21.9

Numerator 270 740

Denominator 2 025 225 404 895

Vulamehlo SD Indicator 5.4 8.1

Numerator 436 131


Ugu Indicator 3.2 19.9

Numerator 2 404 3 111

Denominator 9 133 719 1 875 654

KwaZulu-Natal Indicator 2.8 21.7

South Africa Indicator 2.5 18.9

Source: DHIS.

Annual trends

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

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

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

444


444


uMgungundlovu District Municipality (DC22)

uMgungundlovu District, one of 11 National Health Insurance (NHI) pilot districts, is situated in the midlands of KwaZulu-Natal Province and comprises seven health sub-districts, namely Impendle, Mkhambathini, Mooi Mpofana, The Msunduzi, Richmond, uMngeni, and uMshwathi. The district has a population of 1 104 912, with a population density of 116.1 persons per km2, and falls in socio-economic Quintile 3. Estimated medical scheme coverage is 12.2%.




No schooling 5.9%

Matric 36.9%


Households 298 463













under 1 year 24 442 24 391 24 120 23 603

under 5 years 127 158 125 817 124 069 122 004

05-09 years 131 572 131 714 131 462 131 164

10-14 years 121 769 126 065 129 397 131 812

15-19 years 96 318 101 247 107 388 113 630

20-24 years 106 294 103 310 100 423 98 912

25-29 years 115 202 115 695 116 049 115 702

30-34 years 100 052 104 960 109 960 115 046

35-39 years 82 027 85 055 87 773 89 988

40-44 years 65 066 67 347 69 628 72 120

45-49 years 48 397 50 676 53 223 55 798

50-54 years 38 586 39 241 39 954 40 908

55-59 years 31 441 31 791 32 309 32 919

60-64 years 26 152 26 109 26 048 26 046

65-69 years 20 160 20 296 20 375 20 414

70-74 years 13 094 13 461 13 781 14 016

75-79 years 7 149 7 095 7 125 7 257

80 years and older 4 258 4 023 3 802 3 595

Total 1 134 692 1 153 896 1 172 768 1 191 332




445


445


Ward based outreach


Regional Hospital

Central/Tertiary

HospitalsOther

Hospitals

Impendle SD 5 3 0 0 0 0 1

Mkhambathini SD 5 5 0 0 0 0 1

Mooi Mpofana SD 2 2 1 0 0 0 1

Richmond SD 9 6 0 0 0 0 2

The Msunduzi SD 17 28 2 1 1 1 5

uMngeni SD 6 3 0 0 0 0 4

uMshwathi SD 11 8 0 1 0 0 1

uMgungundlovu 55 55 3 2 1 1 15

Source: DHIS.


Community Health

WorkersNursing

assistantsEnrolled

nurseProfessional

nurseMedical





uMgungundlovu 894 785 1 357 2 512 660 96 26 54 43 22



PHC Management




(%)



Provincial and LG



(uninsured) (Rand)


(uninsured) (Rand)


per PHC headcount

(Rand)

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

Impendle SD Indicator 2.4 - - - - -

Numerator 84 206 - - - - -

Denominator 429 753 - - - - -

Mkhambathini SD Indicator 2.3 - - - - -

Numerator 161 296 - - - - -

Denominator 823 659 - - - - -

Mooi Mpofana SD Indicator 2.7 - - - - -

Numerator 111 242 - - - - -

Denominator 499 119 - - - - -

Richmond SD Indicator 3.0 - - - - -

Numerator 216 531 - - - - -

Denominator 861 000 - - - - -

The Msunduzi SD Indicator 2.6 - - - - -

Numerator 1 730 065 - - - - -

Denominator 8 099 151 - - - - -

uMngeni SD Indicator 2.4 - - - - -

Numerator 240 674 - - - - -

Denominator 1 213 014 - - - - -

uMshwathi SD Indicator 2.8 - - - - -

Numerator 323 171 - - - - -

Denominator 1 387 113 - - - - -

uMgungundlovu Indicator 2.6 100.0 100.0 1 733 1 162 393

Numerator 2 867 185 52 52 1 681 004 094 1 127 196 620 1 127 196 620

Denominator 13 312 809 52 52 970 036 970 036 2 867 185



Source: DHIS.

2008 2010 2012 2014 2016 2018Year

1_M

anag

emen

t

1_Im

pact


2_O

utco

me



3_O

utpu

t



4_P

roce

ss_i

nput





2

4

6

8

2

4

6

8

1K

2K

3K

4K

50

100

0

50

100

0

50

100

1K

2K

3K

500

1000

1500

200

400

KZN, DC22, uMgungundlovu District Municipality, SEQ 3



P rov_av

ZA_av

446


446


Hos

pita

l

Dis

tric

t Hos

pita

lR

egio

nal H

ospi

tal

Tert

iary

/Cen

tral

Hos

pita

l

Aver

age

leng

th o

f st

ay -

tota

l (D

ays)

Expe

nditu

re

per p

atie

nt

day

equi

vale

nt

(Ran

d)

Inpa

tient

bed

ut

ilisa

tion

rate

- to

tal

(%)

Inpa

tient

cr

ude

deat

h ra

te (%

)

OPD

new

cl

ient

not

re

ferr

ed ra

te

(%)

Aver

age

leng

th o

f st

ay -

tota

l (D

ays)

Expe

nditu

re

per p

atie

nt

day

equi

vale

nt

(Ran

d)

Inpa

tient

bed

ut

ilisa

tion

rate

- to

tal

(%)

Inpa

tient

cr

ude

deat

h ra

te (%

)

OPD

new

cl

ient

not

re

ferr

ed ra

te

(%)

Aver

age

leng

th o

f st

ay -

tota

l (D

ays)

Expe

nditu

re

per p

atie

nt

day

equi

vale

nt

(Ran

d)

Inpa

tient

bed

ut

ilisa

tion

rate

- to

tal

(%)

Inpa

tient

cr

ude

deat

h ra

te (%

)

OPD

new

cl

ient

not

re

ferr

ed ra

te

(%)

The

Msu

nduz

i SD

Indi

cato

r5.

02

084

83.2

4.5

21.7

7.4

3 02

573

.85.

818

.110

.66

276

79.5

4.6

0.0

Num

erat

or12

9 89

644

4 74

1 98

812

9 89

61

171

13 5

9424

1 79

11

022

600

547

241

791

1 89

112

191

130

802

1 09

4 26

2 54

913

0 80

256

60

Den

omin

ator

26 0

0121

3 38

715

6 11

526

001

62 7

2132

623

338

012

327

745

32 6

2367

436

12 3

5217

4 35

916

4 48

112

352

19 3

59

uMsh

wat

hi S

DIn

dica

tor

6.8

2 88

564

.37.

938

.4 -

- -

- -

- -

- -

-

Num

erat

or30

102

127

967

699

30 1

0234

97

893

- -

- -

- -

- -

- -

Den

omin

ator

4 43

644

362

46 7

864

436

20 5

34 -

- -

- -

- -

- -

-

uMgu

ngun

dlov

u In

dica

tor

5.3

2 22

278

.95.

025

.87.

43

025

73.8

5.8

18.1

10.6

6 27

679

.54.

60.

0

Num

erat

or15

9 99

857

2 70

9 68

715

9 99

81

520

21 4

8724

1 79

11

022

600

547

241

791

1 89

112

191

130

802

1 09

4 26

2 54

913

0 80

256

60

Den

omin

ator

30 4

3725

7 74

920

2 90

130

437

83 2

5532

623

338

012

327

745

32 6

2367

436

12 3

5217

4 35

916

4 48

112

352

19 3

59

KwaZ

ulu-

Nat

alIn

dica

tor

5.4

2 56

656

.25.

449

.46.

12

935

67.9

5.5

34.6

8.0

5 98

271

.75.

526

.8

Sout

h Af

rica

Indi

cato

r4.

42

568

67.4

5.1

59.3

5.3

2 89

478

.35.

037

.26.

94

227

84.3

5.4

20.3

Sour

ce:

DH

IS a

nd B

AS.

Annual trends


447


447


Dat

a El

emen

t(N

umbe

r)

2014

/15

2015

/16

2016

/17

PHC

/ CH

C / M

OU

*D

istr

ict

Hos

pita

lR

egio

nal

Hos

pita

l

Cen

tral

/te

rtia

ry

Hos

pita

lD

istr

ict

Tota

lPH

C / C

HC

/ MO

UD

istr

ict

Hos

pita

lR

egio

nal

Hos

pita

l

Cen

tral

/te

rtia

ry

Hos

pita

lD

istr

ict

Tota

lPH

C / C

HC

/ MO

UD

istr

ict

Hos

pita

lR

egio

nal

Hos

pita

l

Cen

tral

/te

rtia

ry

hosp

ital

Dis

tric

t To

tal

Mat

erna

l dea

ths

-8

1411

33-

315

1533

-4

159

28

Live

birt

hs1

596

7 05

87

858

1 00

217

514

1 36

76

761

6 99

61

052

16 1

761

286

6 69

16

871

871

15 7

19

Still

birth

s16

143

244

107

510

1699

218

105

438

2193

174

111

399


Infant (under 1

year)

Neo-natal

Dea

th in

faci

lity

0-7d

ays

452

7730

163

748

7843

176

450

5227

133

Dea

th in

faci

lity

8-28

day

s -

1632

1765

-15

3215

62-

720

2047

Dea

th in

faci

lity

29 d

ays

- 11

mon

ths

-24

3837

99-

1930

4089

-10

2416

50

Dea

th in

faci

lity

12 –

59

mon

ths

-23

1640

79-

1923

4183

-14

1820

52

Dia

rrho

ea d

eath

und

er 5

yea

rs

-14

1024

-15

1-

16-

94

13

Pneu

mon

ia d

eath

und

er 5

yea

rs-

89

522

-13

137

33-

99

119

Seve

re a

cute

mal

nutri

tion

deat

h un

der 5

yea

rs

-15

41

20-

124

117

-3

51

9

TB D

eath

s 2

471

126

-56

2 65

32

051

210

-70

2 33

1-

--

--

Inpa

tient

dea

th to

tal

11

628

2 05

967

84

366

31

661

2 04

464

64

354

41

520

1 89

156

63

981

Patie

nt d

ay e

quiv

alen

t96

727

1 11

337

3 18

318

3 94

182

9 20

475

626

9 07

136

8 97

017

8 61

781

7 41

486

125

7 74

933

8 01

217

4 35

977

0 98

1

Sour

ce:

DH

IS. *

MO

U –

Mat

erna

l Obs

tetr

ic U

nit.


5-1415-2425-64

65+Total 16%

10%15%

21%32%

65%

22%3%

36%46%26%

12%

57%84%

44%18%

23%16%

5%3%5%

16%20%

7%

15%10%13%9%

23%66%

27%6%

37%19%

26%10%

44%81%

35%14%

19%16%

15%4%

15%58%

31%8%

KZN, uMgungundlovu: DC22, 2010 - 2015

Rank.. Female Male

<5 y

ears

12345678910

5-14

12345678910

15-2

4

12345678910

25-6

4

12345678910

65+

12345678910


Sepsis/other newborn infectious (5.2%)Birth asphyxia (4.8%)



Septicaemia (3.5%)


Tuberculosis (4.3%)

HIV/AIDS (7.8%)

Drowning (3.5%)Epilepsy (3.2%)

Fires, hot substances (6.2%)Meningitis/encephalitis (4.2%)



Tuberculosis (9.6%)

HIV/AIDS (19.6%)

Fires, hot substances (1.9%)Endocrine nutritional,blood, immune (2.3%)



Interpersonal violence (3.1%)





Cervix (2.8%)Nephritis/nephrosis (3.5%)

Hypertensive heart disease (2.2%)

Diabetes mellitus (5.3%)Diarrhoeal diseases (4.9%)




Endocrine nutritional,blood, immune (1.6%)COPD (1.7%)

Nephritis/nephrosis (5.8%)Hypertensive heart disease (6.6%)





Tuberculosis (2.1%)

Congenital heart anomalies (2.8%)




Septicaemia (3.0%)



Tuberculosis (2.9%)

HIV/AIDS (7.4%)

Other unintentional injuries (2.6%)

Drowning (10.5%)

Fires, hot substances (4.7%)







Self-inflicted injuries (3.1%)Drowning (2.7%)Fires, hot substances (2.4%)

Mechanical forces (10.4%)Accidental threats to breathing (12.3%)


Road injuries (3.5%)Lower respiratory infections (3.3%)







Ischaemic heart disease (4.5%)Cerebrovascular disease (4.8%)Lower respiratory infections (5.9%)


Prostate (3.7%)Trachea/bronchi/lung (3.3%)

COPD (3.9%)






Tuberculosis (4.3%)


Fem

ale

15-4

9

12345678910


Abortion (14.0%) n=28

Maternal haemorrhage (8.2%) n=16

Hypertension in pregnancy (13.4%) n=27

Other maternal (20.5%) n=41Indirect maternal (33.9%) n=67

Diabetes mellitus (1.8%) n=213Endocrine nutritional,blood, immune (1.7%) n=197

Cervix (2.1%) n=247Nephritis/nephrosis (2.2%) n=253






causes

BroadcauseInjury

NCD

HIV and TB

Comm_mat_peri_nut

Prov, DistrictKZN, uMgungundlovu: DC22

Show history




448


448





2009 2010 2011 2012 2013 2014 2015 2016Year

2_M

ater

nal a

nd w

omen

's h

ealth

1_Im

pact Maternal


2_O

utco

me





3_O

utpu

t



0

200

400

600

800

20

40

60

80

100

200

5

10

15

0

100

200

50

100

150

200

50

100

150




449


449





on ART rate (%)


(%)


Cervical cancer



(WHO) (%)


rate (%)

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

Impendle SD Indicator - 92.6 6.7 72.1 100.3 124.5 295.8

Numerator - 88 8 263 769 10 311 355

Denominator 119 95 120 365 9 200 99 399 120

Mkhambathini SD Indicator - 100.0 - 78.4 48.5 99.8 6 433.3

Numerator - 161 - 709 721 18 559 386

Denominator 6 161 6 904 17 854 223 239 6

Mooi Mpofana SD Indicator - 97.3 5.2 75.6 44.6 81.8 235.8

Numerator - 144 9 495 416 9 554 408

Denominator 173 148 173 655 11 183 140 160 173

Richmond SD Indicator - 97.8 5.1 73.8 80.5 86.4 154.2

Numerator - 225 14 686 1 234 16 292 424

Denominator 269 230 275 929 18 405 226 344 275

The Msunduzi SD Indicator 191.5 95.9 7.9 70.5 77.9 86.4 54.9

Numerator 27 2 588 1 131 8 270 12 678 171 815 7 833

Denominator 14 101 2 698 14 280 11 726 195 361 2 386 914 14 280

uMngeni SD Indicator - 91.9 16.3 71.6 37.6 45.4 1 305

Numerator - 228 7 775 999 12 980 561

Denominator 43 248 43 1 082 31 844 343 269 43

uMshwathi SD Indicator 99.2 81.6 17.6 68.2 68.0 85.7 73.5

Numerator 1 351 177 996 1 727 26 113 737

Denominator 1 008 430 1 003 1 461 30 497 365 445 1 003

uMgungundlovu Indicator 178.1 94.4 8.5 71.2 70.8 84.2 67.3

Numerator 28 3 785 1 346 12 194 18 544 265 625 10 704

Denominator 15 719 4 010 15 900 17 122 314 343 3 784 770 15 900



Source: DHIS.

Annual trends

450


450



Im

pact

Out

com

eO

utpu

t

Chi

ld u

nder

5

year

s di

arrh

oea

case

fata

lity

rate

(%)

Chi

ld u

nder

5

year

s pn

eum

onia

ca

se fa

talit

y ra

te (%

)

Chi

ld u

nder

5

year

s se

vere

acu

te

mal

nutr

ition

ca

se fa

talit

y ra

te (%

)

Inpa

tient

de

ath

unde

r 1

year

rate

(%)

Inpa

tient

de

ath

unde

r 5

year

rate

(%)

Inpa

tient

ea

rly n

eona

tal

deat

h ra

te

(per

1K)

Inpa

tient

ne

onat

al

deat

h ra

te

(per

1K)

Infa

nt P

CR

test

pos

itive

ar

ound

10

wee

ks ra

te

(%)

Imm

unis

atio

n co

vera

ge

unde

r 1 y

ear

(%)

Infa

nt

excl

usiv

ely

brea

stfe

d at

D

TaP-

IPV-

Hib

-HB

V 3rd

do

se ra

te (%

)

Mea

sles

2nd

dos

e co

vera

ge (%

)

Scho

ol G

rade

1

scre

enin

g co

vera

ge (%

)

Scho

ol G

rade

8

scre

enin

g co

vera

ge (%

)

Vita

min

A

dose

12-

59

mon

ths

cove

rage

(%)

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

Impe

ndle

SD

Indi

cato

r -

- -

- -

- -

4.0

46.7

60.2

70.7

0.7

0.0

54.1

Num

erat

or -

- -

- -

- -

238

828

162

48

04

043

Den

omin

ator

- -

- -

-11

911

950

9 96

646

710

587

1 10

667

689

598

Mkh

amba

thin

i SD

Indi

cato

r -

- -

- -

- -

0.5

59.2

60.1

82.8

18.9

0.5

82.7

Num

erat

or -

- -

- -

- -

190

560

91

268

304

710

146

Den

omin

ator

- -

- -

-6

618

618

333

1 01

418

378

1 60

91

392

147

168

Moo

i Mpo

fana

SD

Indi

cato

r -

- -

- -

- -

11

0.1

72.7

85.2

28.9

6.3

41.3

Num

erat

or -

- -

- -

- -

94

235

773

223

333

2 86

5

Den

omin

ator

- -

- -

-17

317

319

510

266

491

10 3

0880

752

883

172

Ric

hmon

d SD

Indi

cato

r -

- -

- -

- -

48

.037

.583

.546

.334

.155

.3

Num

erat

or -

- -

- -

- -

73

739

51

349

834

459

7 48

2

Den

omin

ator

- -

- -

-26

926

914

718

438

1 05

419

386

1 80

01

347

162

474

The

Msu

nduz

i SD

Indi

cato

r1.

21.

63.

28.

84.

48.

611

.80.

863

.649

.481

.513

.39.

859

.5

Num

erat

or9

176

216

264

121

167

237

673

4 43

09

918

1 65

51

047

58 4

91

Den

omin

ator

735

1 03

119

02

463

5 99

414

101

14 1

012

749

144

822

8 96

214

6 10

912

460

10 6

311

180

542

uMng

eni S

DIn

dica

tor

- -

- -

- -

- 2.

551

.747

.668

.131

.52.

047

.3

Num

erat

or -

- -

- -

- -

381

549

81

113

490

256

382

Den

omin

ator

- -

- -

-43

4312

218

933

1 04

719

605

1 55

81

223

161

844

uMsh

wat

hi S

DIn

dica

tor

4.4

1.5

13.0

11.8

4.9

11.9

12.9

3.2

62.7

52.8

89.1

10.3

0.8

105.

3

Num

erat

or4

23

1418

1213

71

629

891

2 31

430

725

21 9

60

Den

omin

ator

9013

023

119

367

1 00

81

008

221

31 1

611

687

31 1

552

995

3 09

225

0 22

4

uMgu

ngun

dlov

u In

dica

tor

1.6

1.6

4.2

8.9

4.4

8.5

11.5

1.0

62.3

50.7

81.3

17.2

8.4

64.4

Num

erat

or13

199

230

282

133

180

3613

089

7 46

117

318

3 83

11

596

111

369

Den

omin

ator

825

1 16

121

32

582

6 36

115

719

15 7

193

670

251

919

14 7

2225

5 52

826

8 02

022

6 66

82

075

022

KwaZ

ulu-

Nat

alIn

dica

tor

2.0

1.8

7.4

6.4

4.5

9.7

12.4

1.0

85.8

53.9

99.8

26.2

16.4

62.1

Sout

h Af

rica

Indi

cato

r2.

02.

08.

06.

34.

49.

912

.41.

382

.341

.696

.233

.019

.858

.0

Sour

ce:

DH

IS.

2009 2010 2011 2012 2013 2014 2015 2016Year

3_C

hild

and

sch

ool h

ealth

1_Im

pact





3_O

utpu

t





0

50

100

0

10

20

30

0

20

40

60

0

10

20

50

100

150

20

40

60

80

50

100

150

0

50

100



2009 2010 2011 2012 2013 2014 2015 2016Year

4_H

IV

4_P

roce

ss_i

nput




20

40

60

100

200

0

20

40

6080




451


451


Annual trends HIV

452


452


3rd 9

0-90

-90

2nd 9

0-90

-90

1st 90

-90-

90

Out

com

eO

utpu

tPr

oces

s &

inpu

t

Adu

lt w

ith v

iral

load

com

plet

ion

rate

at 1

2 m

onth

s (%

)

Chi

ld w

ith v

iral

load

com

plet

ion

rate

at 1

2 m

onth

s (%

)

Adu

lt w

ith v

iral

load

sup

pres

sed

rate

12

mon

ths

(%)

Chi

ld w

ith v

iral

load

sup

pres

sed

rate

12

mon

ths

(%)

Adu

lt pe

rcen

tage

on

AR

T af

ter 1

2 m

onth

s (%

)

Chi

ld p

erce

ntag

e on

AR

T af

ter 1

2 m

onth

s (%

)C

lient

s re

mai

ning

on

AR

T ra

te (%

)

HIV

test

pos

itive

cl

ient

15

year

s an

d ol

der r

ate

(incl

udin

g A

NC

) (%

)

HIV

test

ing

cove

rage

(in

clud

ing

AN

C)

(%)

Mal

e co

ndom

di

strib

utio

n co

vera

ge (N

o)

Med

ical

mal

e ci

rcum

cisi

on ra

te

(per

1K)

2015

2015

2015

2015

2015

2015

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

Impe

ndle

SD

Indi

cato

r95

.385

.095

.594

.190

.10.

0 -

-28

.511

3.2

35.0

Num

erat

or -

17 -

16 -

0 -

-4

480

1 07

5 50

641

5

Den

omin

ator

235

2022

417

365

29 -

-18

8 49

011

4 00

914

2 32

3

Mkh

amba

thin

i SD

Indi

cato

r53

.450

.086

.442

.980

402

3.2

- -

36.0

83.9

50.9

Num

erat

or -

7 -

3 -

1 -

-13

148

1 82

1 41

81

288

Den

omin

ator

442

1423

67

796

31 -

-43

8 24

626

0 36

430

3 61

5

Moo

i Mpo

fana

SD

Indi

cato

r35

.940

.082

.150

.079

.378

.6 -

-22

.661

.636

.7

Num

erat

or -

6 -

3 -

22 -

-5

224

843

291

581

Den

omin

ator

529

1519

06

850

28 -

-27

7 61

116

4 26

218

9 87

3

Ric

hmon

d SD

Indi

cato

r53

.575

.095

.288

.977

.561

.3 -

-22

.367

.838

.5

Num

erat

or -

9 -

8 -

19 -

-8

374

1 50

3 42

91

006

Den

omin

ator

430

1223

09

755

31 -

-45

0 68

426

6 00

731

3 91

4

The

Msu

nduz

i SD

Indi

cato

r59

.747

.489

.369

.577

.180

.0 -

-40

.566

.650

.9

Num

erat

or -

128

-89

-35

5 -

-15

8 24

815

266

507

13 2

49

Den

omin

ator

6 98

927

04

169

128

12 2

1144

4 -

-4

684

905

2 75

2 60

83

120

729

uMng

eni S

DIn

dica

tor

66.3

57.7

88.0

73.3

83.8

90.7

- -

20.7

29.9

7.3

Num

erat

or -

15 -

11 -

39 -

-11

851

1 08

1 41

429

3

Den

omin

ator

919

2660

915

1 46

143

- -

688

251

433

470

483

924

uMsh

wat

hi S

DIn

dica

tor

53.5

56.8

82.6

68.0

78.2

49.2

- -

36.9

69.4

54.3

Num

erat

or -

25 -

17 -

31 -

-21

918

2 43

3 52

92

259

Den

omin

ator

740

4439

625

1 23

463

- -

711

846

420

858

499

485

uMgu

ngun

dlov

u In

dica

tor

58.9

51.6

88.8

71.0

78.2

69.5

60.0

12.7

36.0

65.4

45.3

Num

erat

or -

207

-14

7 -

465

135

654

29 9

0222

3 24

324

025

094

19 0

91

Den

omin

ator

10 2

8440

16

054

207

17 6

7266

922

6 23

623

4 67

37

440

033

4 41

1 57

85

053

863

KwaZ

ulu-

Nat

alIn

dica

tor

58.0

56.8

91.8

68.5

75.9

78.5

61.3

11.4

42.5

53.9

30.5

Sout

h Af

rica

Indi

cato

r

55

.08.

235

.947

.519

.0

Sour

ce:

DH

IS.

HIV


453


453

TB

I mpa

ctO

utco

me

Out

put

Proc

ess

& in

put

TB d

eath

rate

(E

TR.n

et) (

%)

TB D

R cl

ient

de

ath

rate

(E

DR

Web

) (%

)

TB c

lient

loss

to

follo

w u

p ra

te

(ETR

.Net

) (%

)

TB c

lient

tr

eatm

ent

succ

ess

rate

(E

TR.n

et) (

%)

TB D

R cl

ient

loss

to

follo

w u

p ra

te

(ED

RW

eb) (

%)

TB D

R tr

eatm

ent

succ

ess

rate

(E

DR

Web

) (%

)

TB R

ifam

pici

n re

sist

ance

co

nfirm

ed c

lient

ra

te (%

)

TB R

ifam

pici

n re

sist

ant c

lient

s tr

eatm

ent

initi

atio

n ra

te (%

)

TB/H

IV c

o-in

fect

ed c

lient

on

AR

T ra

te (E

TR.

Net

) (%

)

TB c

lient

initi

ated

on

trea

tmen

t ra

te (%

)

TB s

ympt

om 5

ye

ars

and

olde

r sc

reen

ed in

fa

cilit

y ra

te (%

)

2015

2014

2015

2015

2014

2014

2016

2016

2016

2016

2016

/17

Impe

ndle

SD

Indi

cato

r2.

8 -

0.0

97.2

- -

- -

100.

0 -

93.6

Num

erat

or3

-0

105

- -

- -

43 -

64 9

64

Den

omin

ator

108

-10

810

8 -

- -

-43

-69

422

Mkh

amba

thin

i SD

Indi

cato

r6.

5 -

1.6

91.9

- -

- -

100.

0 -

57.5

Num

erat

or16

-4

227

- -

- -

52 -

75 3

38

Den

omin

ator

247

-24

724

7 -

- -

-52

-13

0 96

5

Moo

i Mpo

fana

SD

Indi

cato

r7.

3 -

5.6

87.0

- -

- -

100.

0 -

64.1

Num

erat

or13

-10

154

- -

- -

52 -

60 7

26

Den

omin

ator

177

-17

717

7 -

- -

-52

-94

789

Ric

hmon

d SD

Indi

cato

r18

.5 -

0.5

79.0

- -

- -

100.

0 -

55.1

Num

erat

or81

-2

346

- -

- -

123

-10

2 02

0

Den

omin

ator

438

-43

843

8 -

- -

-12

3 -

185

223

The

Msu

nduz

i SD

Indi

cato

r4.

6 -

6.6

85.8

- -

- -

99.8

-93

.4

Num

erat

or24

4 -

347

4 51

2 -

- -

-2

327

-1

397

423

Den

omin

ator

5 26

0 -

5 26

05

260

- -

- -

2 33

1 -

1 49

6 84

6

uMng

eni S

DIn

dica

tor

4.1

-0.

594

.7 -

- -

-10

0.0

-67

.1

Num

erat

or27

-3

622

- -

- -

184

-14

0 97

9

Den

omin

ator

657

-65

765

7 -

- -

-18

4 -

210

101

uMsh

wat

hi S

DIn

dica

tor

5.2

-0.

692

.9 -

- -

-10

0.0

-80

.9

Num

erat

or28

-3

501

- -

- -

182

-20

2 46

6

Den

omin

ator

539

-53

953

9 -

- -

-18

2 -

250

158

uMgu

ngun

dlov

u In

dica

tor

5.5

23.5

5.0

87.1

13.5

58.2

6.5

69.5

99.9

70.3

83.9

Num

erat

or41

273

369

6 46

742

181

357

248

2 96

33

854

2 04

3 91

6

Den

omin

ator

7 42

631

17

426

7 42

631

131

15

479

357

2 96

75

479

2 43

7 50

4

KwaZ

ulu-

Nat

alIn

dica

tor

5.4

19.0

4.8

82.7

17.2

59.6

7.7

73.8

85.7

62.4

78.3

Sout

h Af

rica

Indi

cato

r6.

623

.06.

481

.017

.950

.56.

268

.088

.372

.851

.6

Sour

ce:

DH

IS.

2009 2010 2011 2012 2013 2014 2015 2016Year

5_TB

1_Im

pact



2_O

utco

me







4_P

roce

ss_i

nput


5

10

15

0

20

40

60

0

5

10

15

40

60

80

0

20

40

0

20

40

60

0

10

20

0

50

100

0

50

100



454


454


Annual trends TB

2010 2011 2012 2013 2014 2015 2016 2017Year

6_NCDs

2_Outcome

Diabetesincidence


0

5

20

40




455


455


Outcome

Diabetes incidence

(per1K)


(per1K)

2016/17 2016/17

Impendle SD Indicator 3.2 44.5

Numerator 115 405


Mkhambathini SD Indicator 9.1 16.4

Numerator 624 276


Mooi Mpofana SD Indicator 1.5 14.2

Numerator 64 145


Richmond SD Indicator 29.2 42.3

Numerator 2 097 716


The Msunduzi SD Indicator 8.2 26.4


Denominator 8 099 151 2 161 194

uMngeni SD Indicator 0.6 11.7

Numerator 56 362

Denominator 1 213 014 372 021

uMshwathi SD Indicator 6.2 16.9

Numerator 716 486

Denominator 1 387 113 344 835

uMgungundlovu Indicator 8.3 24.4


Denominator 13 312 809 3 515 238



Source: DHIS.

Annual trends




456


456


uThukela District Municipality (DC23)

uThukela District is located on the western boundary of Kwazulu-Natal Province. It consists of five health sub-districts: Indaka, Emnambithi, uMtshezi, Okhahlamba and Imbabazane. The district has a population of 702 394, with a population density of 62.0 persons per km2 and falls in socio-economic Quintile 1, among the poorest districts. Estimated medical scheme coverage is 7.1%.




No schooling 10.0%

Matric 33.3%


Households 161 788













under 1 year 20 734 20 909 20 823 20 466

under 5 years 103 651 103 508 102 928 101 972

05-09 years 101 849 102 053 102 243 102 575

10-14 years 94 012 96 329 98 179 99 542

15-19 years 75 692 77 528 80 504 84 123

20-24 years 71 769 70 185 68 288 66 831

25-29 years 68 322 68 780 68 947 68 497

30-34 years 55 337 58 134 60 912 63 701

35-39 years 40 918 43 056 45 030 46 632

40-44 years 29 683 30 769 32 009 33 454

45-49 years 23 415 23 765 24 234 24 830

50-54 years 20 214 20 194 20 163 20 167

55-59 years 17 657 17 548 17 477 17 435

60-64 years 14 952 14 877 14 790 14 687

65-69 years 11 929 11 837 11 715 11 605

70-74 years 8 103 8 257 8 356 8 372

75-79 years 5 119 4 975 4 887 4 865

80 years and older 4 026 3 950 3 883 3 828

Total 746 649 755 749 764 548 773 120




457


457


Ward based outreach


Regional Hospital

Central/Tertiary

HospitalsOther

Hospitals

Emnambithi SD 12 13 1 0 1 0 0

Imbabazane SD 6 5 0 0 0 0 0

Indaka SD 8 9 0 0 0 0 0

Okhahlamba SD 14 8 0 1 0 0 0

Umtshezi SD 7 8 0 1 0 0 0

Uthukela 47 43 1 2 1 0 0

Source: DHIS.


Community Health

WorkersNursing

assistantsEnrolled

nurseProfessional

nurseMedical





uThukela 391 290 531 861 148 34 6 10 22 15



PHC Management




(%)



Provincial and LG



(uninsured) (Rand)


(uninsured) (Rand)


per PHC headcount

(Rand)

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

Emnambithi SD Indicator 2.6 - - - - -

Numerator 660 941 - - - - -

Denominator 3 021 726 - - - - -

Imbabazane SD Indicator 2.4 - - - - -

Numerator 288 315 - - - - -

Denominator 1 423 683 - - - - -

Indaka SD Indicator 2.2 - - - - -

Numerator 241 031 - - - - -

Denominator 1 286 970 - - - - -

Okhahlamba SD Indicator 1.9 - - - - -

Numerator 268 304 - - - - -

Denominator 1 660 614 - - - - -

Umtshezi SD Indicator 2.6 - - - - -

Numerator 232 480 - - - - -

Denominator 1 055 772 - - - - -

uThukela Indicator 2.4 54.1 97.3 1 716 1 151 444

Numerator 1 691 071 20 36 1 120 399 380 751 248 789 751 248 789

Denominator 8 448 765 37 37 652 753 652 753 1 691 071



Source: DHIS.

2008 2010 2012 2014 2016 2018Year

1_M

anag

emen

t

1_Im

pact


2_O

utco

me



3_O

utpu

t



4_P

roce

ss_i

nput





2

4

6

8

2

4

6

8

1K

2K

3K

4K

50

100

0

50

100

0

50

100

1K

2K

3K

500

1000

1500

200

400

KZN, DC23, uThukela District Municipality, SEQ 2 (deprived)



P rov_av

ZA_av

458


458

Section B: Profile KwaZulu-Natal ProvinceH

ospi

tal

Dis

tric

t Hos

pita

lR

egio

nal H

ospi

tal

Tert

iary

/Cen

tral

Hos

pita

l

Aver

age

leng

th o

f st

ay -

tota

l (D

ays)

Expe

nditu

re

per p

atie

nt

day

equi

vale

nt

(Ran

d)

Inpa

tient

bed

ut

ilisa

tion

rate

- to

tal

(%)

Inpa

tient

cr

ude

deat

h ra

te (%

)

OPD

new

cl

ient

not

re

ferr

ed ra

te

(%)

Aver

age

leng

th o

f st

ay -

tota

l (D

ays)

Expe

nditu

re

per p

atie

nt

day

equi

vale

nt

(Ran

d)

Inpa

tient

bed

ut

ilisa

tion

rate

- to

tal

(%)

Inpa

tient

cr

ude

deat

h ra

te (%

)

OPD

new

cl

ient

not

re

ferr

ed ra

te

(%)

Aver

age

leng

th o

f st

ay -

tota

l (D

ays)

Expe

nditu

re

per p

atie

nt

day

equi

vale

nt

(Ran

d)

Inpa

tient

bed

ut

ilisa

tion

rate

- to

tal

(%)

Inpa

tient

cr

ude

deat

h ra

te (%

)

OPD

new

cl

ient

not

re

ferr

ed ra

te

(%)

Emna

mbi

thi S

DIn

dica

tor

- -

- -

-6.

32

584

83.6

6.3

29.3

- -

- -

-

Num

erat

or -

- -

- -

138

545

510

397

462

138

545

1 38

310

752

- -

- -

-

Den

omin

ator

- -

- -

-21

915

197

519

165

728

21 9

1536

708

- -

- -

-

Okh

ahla

mba

SD

Indi

cato

r4.

93

358

61.8

6.0

25.1

- -

- -

- -

- -

- -

Num

erat

or35

180

160

822

713

35 1

8042

71

743

- -

- -

- -

- -

- -

Den

omin

ator

7 15

047

891

56 9

467

150

6 95

2 -

- -

- -

- -

- -

-

Um

tshe

zi S

DIn

dica

tor

5.4

2 43

959

.75.

554

.5 -

- -

- -

- -

- -

-

Num

erat

or66

901

229

539

767

66 9

0169

04

467

- -

- -

- -

- -

- -

Den

omin

ator

12 4

4494

127

112

067

12 4

448

194

- -

- -

- -

- -

- -

uThu

kela

In

dica

tor

5.2

2 74

960

.45.

741

.06.

32

584

83.6

6.3

29.3

- -

- -

-

Num

erat

or10

2 08

139

0 36

2 48

110

2 08

11

117

6 21

013

8 54

551

0 39

7 46

213

8 54

51

383

10 7

52 -

- -

- -

Den

omin

ator

19 5

9414

2 01

816

9 01

419

594

15 1

4621

915

197

519

165

728

21 9

1536

708

- -

- -

-

KwaZ

ulu-

Nat

alIn

dica

tor

5.4

2 56

656

.25.

449

.46.

12

935

67.9

5.5

34.6

8.0

5 98

271

.75.

526

.8

Sout

h Af

rica

Indi

cato

r4.

42

568

67.4

5.1

59.3

5.3

2 89

478

.35.

037

.26.

94

227

84.3

5.4

20.3

Sour

ce:

DH

IS a

nd B

AS.

Annual trends


459


459


Dat

a El

emen

t(N

umbe

r)

2014

/15

2015

/16

2016

/17

PHC

/ CH

C / M

OU

*D

istr

ict

Hos

pita

lR

egio

nal

Hos

pita

l

Cen

tral

/te

rtia

ry

Hos

pita

lD

istr

ict

Tota

lPH

C / C

HC

/ MO

UD

istr

ict

Hos

pita

lR

egio

nal

Hos

pita

l

Cen

tral

/te

rtia

ry

Hos

pita

lD

istr

ict

Tota

lPH

C / C

HC

/ MO

UD

istr

ict

Hos

pita

lR

egio

nal

Hos

pita

l

Cen

tral

/te

rtia

ry

hosp

ital

Dis

tric

t To

tal

Mat

erna

l dea

ths

-4

18-

22-

415

-19

-2

11-

13

Live

birt

hs2

032

4 84

45

643

-12

519

1 89

84

601

5 37

3-

11 8

721

762

4 43

45

396

-11

592

Still

birth

s14

127

204

-34

518

139

187

-34

49

6821

6-

293


Infant (under 1

year)

Neo-natal

Dea

th in

faci

lity

0-7d

ays

-63

41-

104

154

44-

99-

4549

-94

Dea

th in

faci

lity

8-28

day

s -

1037

-47

-15

21-

36-

1539

-54

Dea

th in

faci

lity

29 d

ays

- 11

mon

ths

-39

33-

72-

2226

-48

-22

35-

57

Dea

th in

faci

lity

12 –

59

mon

ths

-49

33-

82-

2310

-33

-18

20-

38

Dia

rrho

ea d

eath

und

er 5

yea

rs

-8

19-

27-

410

-14

-1

14-

15

Pneu

mon

ia d

eath

und

er 5

yea

rs-

1411

-25

-14

5-

19-

81

-9

Seve

re a

cute

mal

nutri

tion

deat

h un

der 5

yea

rs

-20

17-

37-

1111

-22

-12

18-

30

TB D

eath

s 98

039

0-

-1

370

885

280

--

1 16

5-

--

--

Inpa

tient

dea

th to

tal

-1

264

1 31

9-

2 58

3-

1 14

61

336

-2

482

-1

117

1 38

3-

2 50

0

Patie

nt d

ay e

quiv

alen

t-

159

298

183

927

-34

3 22

5-

152

289

180

993

-33

3 28

2-

142

018

197

519

-33

9 53

7

Sour

ce:

DH

IS. *

MO

U –

Mat

erna

l Obs

tetr

ic U

nit.


5-1415-2425-64

65+Total 24%

14%21%25%

41%75%

26%4%

41%45%

21%9%

46%79%

33%16%

18%10%

5%2%4%

13%20%

6%

21%14%16%

11%33%

78%

30%8%

41%21%

17%8%

35%73%

28%14%

17%8%

14%4%

14%55%

32%6%

KZN, uThukela: DC23, 2010 - 2015

Rank.. Female Male

<5 y

ears

12345678910

5-14

12345678910

15-2

4

12345678910

25-6

4

12345678910

65+

12345678910

Other perinatal conditions (2.1%)Sepsis/other newborn infectious (2.4%)

Poisonings (including herbal) (1.9%)





Vaccine preventable childhood (2.2%)Drowning (2.3%)


Accidental threats to breathing (5.0%)Road injuries (5.2%)



Lower respiratory infections (13.9%)Tuberculosis (11.8%)HIV/AIDS (11.2%)

Epilepsy (2.0%)









Cervix (2.5%)

Meningitis/encephalitis (3.1%)Hypertensive heart disease (2.6%)






HIV/AIDS (22.5%)

Cervix (1.5%)Cardiomyopathy (1.7%)






Tuberculosis (2.9%)







Exposure to natural forces (3.4%)

Drowning (6.8%)







Self-inflicted injuries (2.9%)Meningitis/encephalitis (2.8%)












Prostate (3.7%)COPD (2.9%)

Nephritis/nephrosis (4.4%)Hypertensive heart disease (6.3%)Diabetes mellitus (6.4%)





Fem

ale

15-4

9

12345678910

Maternal sepsis (5.5%) n=7Abortion (12.1%) n=15Maternal haemorrhage (13.5%) n=17



Ischaemic heart disease (1.3%) n=111Road injuries (1.4%) n=121

Cervix (1.7%) n=144Nephritis/nephrosis (1.5%) n=124






causes

BroadcauseInjury

NCD

HIV and TB

Comm_mat_peri_nut

Prov, DistrictKZN, uThukela: DC23

Show history




460


460





2009 2010 2011 2012 2013 2014 2015 2016Year

2_M

ater

nal a

nd w

omen

's h

ealth

1_Im

pact Maternal


2_O

utco

me





3_O

utpu

t



0

200

400

600

800

20

40

60

80

100

200

5

10

15

0

100

200

50

100

150

200

50

100

150




461


461





on ART rate (%)


(%)


Cervical cancer



(WHO) (%)


rate (%)

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

Emnambithi SD Indicator 182.6 102.0 8.1 69.9 53.8 78.2 41.1

Numerator 11 757 491 3 074 3 047 57 096 2 497

Denominator 6 025 742 6 080 4 395 67 942 876 591 6 080

Imbabazane SD Indicator - 103.3 4.6 72.1 153.6 62.0 214.0

Numerator - 376 31 1 455 3 745 20 139 1 436

Denominator 668 364 671 2 018 29 254 389 823 671

Indaka SD Indicator - 102.1 9.9 79.5 105.7 63.8 1 061

Numerator - 245 8 1 296 2 237 17 875 859

Denominator 80 240 81 1 630 25 401 336 267 81

Okhahlamba SD Indicator - 99.8 10.4 67.4 65.0 73.7 79.0

Numerator - 412 212 1 755 1 841 27 509 1 616

Denominator 2 026 413 2 046 2 605 33 980 447 912 2 046

Umtshezi SD Indicator 71.6 100.8 10.1 69.5 153.1 105.7 44.3

Numerator 2 368 279 1 171 3 031 27 462 1 219

Denominator 2 793 365 2 752 1 686 23 750 311 799 2 752

uThukela Indicator 112.1 101.6 8.8 71.0 92.5 76.2 65.6

Numerator 13 2 158 1 021 8 751 13 901 150 081 7 627

Denominator 11 592 2 124 11 630 12 334 180 327 2 362 392 11 630



Source: DHIS.

Annual trends

462


462



Im

pact

Out

com

eO

utpu

t

Chi

ld u

nder

5

year

s di

arrh

oea

case

fata

lity

rate

(%)

Chi

ld u

nder

5

year

s pn

eum

onia

ca

se fa

talit

y ra

te (%

)

Chi

ld u

nder

5

year

s se

vere

acu

te

mal

nutr

ition

ca

se fa

talit

y ra

te (%

)

Inpa

tient

de

ath

unde

r 1

year

rate

(%)

Inpa

tient

de

ath

unde

r 5

year

rate

(%)

Inpa

tient

ea

rly n

eona

tal

deat

h ra

te

(per

1K)

Inpa

tient

ne

onat

al

deat

h ra

te

(per

1K)

Infa

nt P

CR

test

pos

itive

ar

ound

10

wee

ks ra

te

(%)

Imm

unis

atio

n co

vera

ge

unde

r 1 y

ear

(%)

Infa

nt

excl

usiv

ely

brea

stfe

d at

D

TaP-

IPV-

Hib

-HB

V 3rd

do

se ra

te (%

)

Mea

sles

2nd

dos

e co

vera

ge (%

)

Scho

ol G

rade

1

scre

enin

g co

vera

ge (%

)

Scho

ol G

rade

8

scre

enin

g co

vera

ge (%

)

Vita

min

A

dose

12-

59

mon

ths

cove

rage

(%)

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

Emna

mbi

thi S

DIn

dica

tor

4.3

0.3

18.8

7.6

5.1

8.1

14.6

2.1

70.8

54.4

91.3

32.1

14.7

79.5

Num

erat

or14

118

123

143

4988

153

669

2 27

24

778

2 02

566

933

442

Den

omin

ator

326

326

961

624

2 79

86

025

6 02

570

062

166

4 17

762

826

6 30

34

552

504

498

Imba

baza

ne S

DIn

dica

tor

- -

- -

- -

- 1.

893

.978

.410

6.2

22.5

13.6

187.

6

Num

erat

or -

- -

- -

- -

82

588

2 24

82

974

713

346

42 3

78

Den

omin

ator

- -

- -

-66

866

845

733

060

2 86

633

594

3 17

12

551

271

026

Inda

ka S

DIn

dica

tor

- -

- -

- -

- -

77.8

72.6

86.5

16.6

4.6

111.

2

Num

erat

or -

- -

- -

- -

-2

204

1 76

02

527

621

151

26 5

53

Den

omin

ator

- -

- -

-80

8025

434

005

2 42

335

073

3 74

83

294

286

620

Okh

ahla

mba

SD

Indi

cato

r -

-5.

88.

05.

611

.414

.8

72.9

74.8

93.4

23.2

55.9

99.5

Num

erat

or -

-4

3746

2330

2

424

2 02

43

155

989

2 02

127

217

Den

omin

ator

128

179

6946

181

72

026

2 02

639

239

888

2 70

640

551

4 26

83

617

328

338

Um

tshe

zi S

DIn

dica

tor

0.6

4.3

17.4

9.5

5.1

7.9

10.7

0.4

83.4

63.9

103.

527

.611

.710

9.4

Num

erat

or1

88

4554

2230

21

490

1 05

51

880

723

246

16 1

57

Den

omin

ator

171

185

4647

21

054

2 79

32

793

446

21 4

441

650

21 7

922

618

2 10

917

7 24

0

uThu

kela

In

dica

tor

2.4

1.3

14.2

8.0

5.2

8.1

12.8

1.1

77.9

67.7

94.8

25.2

21.3

111.

6

Num

erat

or15

930

205

243

9414

825

12 3

759

359

15 3

145

071

3 43

314

5 74

7

Den

omin

ator

625

690

211

2 55

74

669

11 5

9211

592

2 24

919

0 56

313

822

193

836

241

296

193

476

1 56

7 72

2

KwaZ

ulu-

Nat

alIn

dica

tor

2.0

1.8

7.4

6.4

4.5

9.7

12.4

1.0

85.8

53.9

99.8

26.2

16.4

62.1

Sout

h Af

rica

Indi

cato

r2.

02.

08.

06.

34.

49.

912

.41.

382

.341

.696

.233

.019

.858

.0

Sour

ce:

DH

IS.

2009 2010 2011 2012 2013 2014 2015 2016Year

3_C

hild

and

sch

ool h

ealth

1_Im

pact





3_O

utpu

t





0

50

100

0

10

20

30

0

20

40

60

0

10

20

50

100

150

20

40

60

80

50

100

150

0

50

100



2009 2010 2011 2012 2013 2014 2015 2016Year

4_H

IV

4_P

roce

ss_i

nput




20

40

60

100

200

0

20

40

6080




463


463


Annual trends HIV

464


464


HIV

3rd

90-

90-9

02nd

90-

90-9

01st

90-9

0-90

Out

com

eO

utpu

tPr

oces

s &

inpu

t

Adu

lt w

ith v

iral

load

com

plet

ion

rate

at 1

2 m

onth

s (%

)

Chi

ld w

ith v

iral

load

com

plet

ion

rate

at 1

2 m

onth

s (%

)

Adu

lt w

ith v

iral

load

sup

pres

sed

rate

12

mon

ths

(%)

Chi

ld w

ith v

iral

load

sup

pres

sed

rate

12

mon

ths

(%)

Adu

lt pe

rcen

tage

on

AR

T af

ter 1

2 m

onth

s (%

)

Chi

ld p

erce

ntag

e on

AR

T af

ter 1

2 m

onth

s (%

)C

lient

s re

mai

ning

on

AR

T ra

te (%

)

HIV

test

pos

itive

cl

ient

15

year

s an

d ol

der r

ate

(incl

udin

g A

NC

) (%

)

HIV

test

ing

cove

rage

(in

clud

ing

AN

C)

(%)

Mal

e co

ndom

di

strib

utio

n co

vera

ge (N

o)

Med

ical

mal

e ci

rcum

cisi

on ra

te

(per

1K)

2015

2015

2015

2015

2015

2015

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

Emna

mbi

thi S

DIn

dica

tor

59.5

58.4

91.8

68.5

75.4

77.2

- -

26.4

60.2

43.2

Num

erat

or -

73 -

50 -

129

- -

37 2

364

765

888

3 95

9

Den

omin

ator

3 86

912

52

301

735

344

167

- -

1 69

1 34

694

9 62

01

099

782

Imba

baza

ne S

DIn

dica

tor

53.9

56.4

93.1

67.7

81.4

81.9

- -

20.2

46

.88.

7

Num

erat

or -

31 -

21 -

68 -

-12

385

1 59

4 41

635

4

Den

omin

ator

1 35

055

728

311

848

83 -

-73

7 36

140

9 04

448

8 43

0

Inda

ka S

DIn

dica

tor

48.4

44.4

90.3

68.8

77.3

72.6

- -

23.1

58.6

17.5

Num

erat

or -

16 -

11 -

37 -

-11

469

1 50

3 99

457

0

Den

omin

ator

977

3647

316

1 29

751

- -

595

731

308

010

390

294

Okh

ahla

mba

SD

Indi

cato

r48

.744

.992

.277

.480

.087

.4 -

-25

.458

.064

.9

Num

erat

or-

31 -

24 -

83 -

-17

619

2 22

1 38

13

029

Den

omin

ator

1 68

369

820

312

395

95 -

-83

3 64

645

9 50

755

9 70

4

Um

tshe

zi S

DIn

dica

tor

72.7

83.0

93.8

72.7

77.0

79.7

1 -

-24

.888

.894

.2

Num

erat

or -

44 -

32 -

55 -

-12

137

2 37

3 68

22

936

Den

omin

ator

1 64

753

1 19

844

2 22

369

- -

586

779

320

808

374

154

uThu

kela

In

dica

tor

57.9

57.7

92.3

70.8

77.6

80.0

59.3

11.9

24.5

61.1

44.7

Num

erat

or -

195

-13

8 -

372

70 0

5211

922

90 8

4612

459

361

10 8

48

Den

omin

ator

9 52

633

85

520

195

13 1

0746

511

8 15

010

0 10

44

444

863

2 44

6 98

92

912

364

KwaZ

ulu-

Nat

alIn

dica

tor

58.0

56.8

91.8

68.5

75.9

78.5

61.3

11.4

42.5

53.9

30.5

Sout

h Af

rica

Indi

cato

r-

- -

- -

- 55

.08.

235

.947

.519

.0

Sour

ce:

DH

IS.

2009 2010 2011 2012 2013 2014 2015 2016Year

5_TB

1_Im

pact



2_O

utco

me







4_P

roce

ss_i

nput


5

10

15

0

20

40

60

0

5

10

15

40

60

80

0

20

40

0

20

40

60

0

10

20

0

50

100

0

50

100




P rov_av

ZA_av


465


465

TB Annual trends

Impa

ctO

utco

me

Out

put

Proc

ess

& in

put

TB d

eath

rate

(E

TR.n

et) (

%)

TB D

R cl

ient

de

ath

rate

(E

DR

Web

) (%

)

TB c

lient

loss

to

follo

w u

p ra

te

(ETR

.Net

) (%

)

TB c

lient

tr

eatm

ent

succ

ess

rate

(E

TR.n

et) (

%)

TB D

R cl

ient

loss

to

follo

w u

p ra

te

(ED

RW

eb) (

%)

TB D

R tr

eatm

ent

succ

ess

rate

(E

DR

Web

) (%

)

TB R

ifam

pici

n re

sist

ance

co

nfirm

ed c

lient

ra

te (%

)

TB R

ifam

pici

n re

sist

ant c

lient

s tr

eatm

ent

initi

atio

n ra

te (%

)

TB/H

IV c

o-in

fect

ed c

lient

on

AR

T ra

te (E

TR.

Net

) (%

)

TB c

lient

initi

ated

on

trea

tmen

t ra

te (%

)

TB s

ympt

om 5

ye

ars

and

olde

r sc

reen

ed in

fa

cilit

y ra

te (%

)

2015

2014

2015

2015

2014

2014

2016

2016

2016

2016

2016

/17

Emna

mbi

thi S

DIn

dica

tor

4.7

-2.

677

.1 -

- -

-85

.0 -

74.8

Num

erat

or79

-44

1 28

6 -

- -

-78

5 -

410

625

Den

omin

ator

1 66

7 -

1 66

71

667

- -

- -

924

-54

8 68

2

Imba

baza

ne S

DIn

dica

tor

3.0

-0.

089

.0 -

- -

-97

.8 -

71.3

Num

erat

or13

-0

390

- -

- -

88 -

163

191

Den

omin

ator

438

-43

843

8 -

- -

-90

-22

8 82

9

Inda

ka S

DIn

dica

tor

9.0

-0.

477

.3 -

- -

-85

.7 -

86.1

Num

erat

or25

-1

215

- -

- -

48 -

166

295

Den

omin

ator

278

-27

827

8 -

- -

-56

-19

3 24

3

Okh

ahla

mba

SD

Indi

cato

r3.

7 -

0.5

68.3

- -

- -

96.2

-88

.2

Num

erat

or32

-4

583

- -

- -

254

-19

1 60

8

Den

omin

ator

854

-85

485

4 -

- -

-26

4 -

217

282

Um

tshe

zi S

DIn

dica

tor

17.4

-2.

465

.5 -

- -

-91

.9 -

73.9

Num

erat

or86

-12

324

- -

- -

295

-14

3 49

3

Den

omin

ator

495

-49

549

5 -

- -

-32

1 -

194

180

uThu

kela

In

dica

tor

6.3

20.4

1.6

75.0

19.4

59.2

7.5

89.6

88.8

45.3

77.8

Num

erat

or23

520

612

798

1958

164

147

1 47

099

41

075

212

Den

omin

ator

3 73

298

3 73

23

732

9898

2 19

316

41

655

2 19

31

382

216

KwaZ

ulu-

Nat

alIn

dica

tor

5.4

19.0

4.8

82.7

17.2

59.6

7.7

73.8

85.7

62.4

78.3

Sout

h Af

rica

Indi

cato

r6.

623

.06.

481

.017

.950

.56.

268

.088

.372

.851

.6

Sour

ce:

DH

IS.

2010 2011 2012 2013 2014 2015 2016 2017Year

6_NCDs

2_Outcome

Diabetesincidence


0

5

20

40



466


466



Outcome

Diabetes incidence

(per1K)


(per1K)

2016/17 2016/17

Impendle SD Indicator 3.2 44.5

Numerator 115 405


Emnambithi SD Indicator 2.0 17.7

Numerator 512 1 013

Denominator 3 021 726 687 585

Imbabazane SD Indicator 0.9 17.4

Numerator 109 439

Denominator 1 423 683 302 670

Indaka SD Indicator 3.6 15.1

Numerator 390 325

Denominator 1 286 970 258 138

Okhahlamba SD Indicator 1.2 9.0

Numerator 164 266

Denominator 1 660 614 353 886

Umtshezi SD Indicator 1.6 22.1

Numerator 140 440

Denominator 1 055 772 238 377

uThukela Indicator 1.9 16.2


Denominator 8 448 765 1 840 656



Source: DHIS.

Annual trends





467


467

uMzinyathi District Municipality (DC24)

uMzinyathi District is situated in the north-central region of KwaZulu-Natal Province and includes four health sub-districts, namely Endumeni, Nquthu, Msinga and uMvoti. The district has a total population of 527 386, with a population density of 61.4 persons per km2 and falls into socio-economic Quintile 1, among the poorest districts, and has an estimated medical scheme coverage of 5.6%. uMzinyathi is one of the 11 National Health Insurance (NHI) pilot districts.




No schooling 21.1%

Matric 26.9%


Households 126 791













under 1 year 13 936 14 299 15 045 15 871

under 5 years 74 877 75 056 75 810 76 953

05-09 years 74 806 75 075 74 793 74 414

10-14 years 64 716 66 902 69 401 71 546

15-19 years 61 302 59 906 59 220 59 608

20-24 years 62 620 61 382 59 622 57 649

25-29 years 58 721 59 570 60 085 60 012

30-34 years 44 102 47 280 50 436 53 568

35-39 years 28 462 30 866 33 260 35 416

40-44 years 18 671 19 548 20 621 21 977

45-49 years 14 778 14 869 15 077 15 421

50-54 years 13 584 13 423 13 211 13 021

55-59 years 11 557 11 591 11 691 11 758

60-64 years 10 723 10 408 10 074 9 797

65-69 years 9 222 9 127 9 001 8 839

70-74 years 7 028 7 025 6 995 6 933

75-79 years 4 899 4 839 4 789 4 752

80 years and older 4 822 4 784 4 756 4 741

Total 564 889 571 650 578 835 586 402



468


468



Ward based outreach


Regional Hospital

Central/Tertiary

HospitalsOther

Hospitals

Endumeni SD 10 6 0 1 0 0 0

Msinga SD 21 19 1 1 0 0 0

Nquthu SD 21 16 0 1 0 0 0

Umvoti SD 14 13 0 1 0 0 2

uMzinyathi 66 54 1 4 0 0 2

Source: DHIS.


Community Health

WorkersNursing

assistantsEnrolled

nurseProfessional

nurseMedical





uMzinyathi 396 308 594 886 91 27 6 9 6 12



PHC Management




(%)



Provincial and LG



(uninsured) (Rand)


(uninsured) (Rand)


per PHC headcount

(Rand)

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

Endumeni SD Indicator 2.6 - - - - -

Numerator 176 741 - - - - -

Denominator 830 856 - - - - -

Msinga SD Indicator 2.8 - - - - -

Numerator 511 597 - - - - -

Denominator 2 172 816 - - - - -

Nquthu SD Indicator 2.6 - - - - -

Numerator 440 625 - - - - -

Denominator 2 042 718 - - - - -

Umvoti SD Indicator 3.3 - - - - -

Numerator 357 008 - - - - -

Denominator 1 294 665 - - - - -

uMzinyathi Indicator 2.8 67.3 100.0 2 935 1 480 496

Numerator 1 485 971 35 36 1 460 740 041 736 617 895 736 617 895

Denominator 6 341 055 52 36 497 638 497 638 1 485 971



Source: DHIS.

2008 2010 2012 2014 2016 2018Year

1_M

anag

emen

t

1_Im

pact


2_O

utco

me



3_O

utpu

t



4_P

roce

ss_i

nput





2

4

6

8

2

4

6

8

1K

2K

3K

4K

50

100

0

50

100

0

50

100

1K

2K

3K

500

1000

1500

200

400

KZN, DC24, uMzinyathi District Municipality, SEQ 1 (most deprived)



P rov_av

ZA_av


469


469

Hos

pita

l

Dis

tric

t Hos

pita

lR

egio

nal H

ospi

tal

Tert

iary

/Cen

tral

Hos

pita

l

Aver

age

leng

th o

f st

ay -

tota

l (D

ays)

Expe

nditu

re

per p

atie

nt

day

equi

vale

nt

(Ran

d)

Inpa

tient

bed

ut

ilisa

tion

rate

- to

tal

(%)

Inpa

tient

cr

ude

deat

h ra

te (%

)

OPD

new

cl

ient

not

re

ferr

ed ra

te

(%)

Aver

age

leng

th o

f st

ay -

tota

l (D

ays)

Expe

nditu

re

per p

atie

nt

day

equi

vale

nt

(Ran

d)

Inpa

tient

bed

ut

ilisa

tion

rate

- to

tal

(%)

Inpa

tient

cr

ude

deat

h ra

te (%

)

OPD

new

cl

ient

not

re

ferr

ed ra

te

(%)

Aver

age

leng

th o

f st

ay -

tota

l (D

ays)

Expe

nditu

re

per p

atie

nt

day

equi

vale

nt

(Ran

d)

Inpa

tient

bed

ut

ilisa

tion

rate

- to

tal

(%)

Inpa

tient

cr

ude

deat

h ra

te (%

)

OPD

new

cl

ient

not

re

ferr

ed ra

te

(%)

Endu

men

i SD

Indi

cato

r4.

63

162

43.0

5.6

60.8

- -

- -

- -

- -

- -

Num

erat

or35

169

178

314

939

35 1

6943

114

513

- -

- -

- -

- -

- -

Den

omin

ator

7 65

156

394

81 7

697

651

23 8

73 -

- -

- -

- -

- -

-

Msi

nga

SDIn

dica

tor

7.7

2 18

463

.65.

739

.4 -

- -

- -

- -

- -

-

Num

erat

or80

519

223

231

480

80 5

1959

55

194

- -

- -

- -

- -

- -

Den

omin

ator

10 4

5210

2 23

012

6 66

910

452

13 1

67 -

- -

- -

- -

- -

-

Nqu

thu

SDIn

dica

tor

5.5

2 35

848

.76.

169

.2 -

- -

- -

- -

- -

-

Num

erat

or62

016

206

932

209

62 0

1669

424

049

- -

- -

- -

- -

- -

Den

omin

ator

11 3

0687

769

127

308

11 3

0634

739

- -

- -

- -

- -

- -

Um

voti

SDIn

dica

tor

5.5

3 18

947

.85.

076

.5 -

- -

- -

- -

- -

-

Num

erat

or40

821

170

762

194

40 8

2136

813

111

- -

- -

- -

- -

- -

Den

omin

ator

7 37

353

544

85 4

197

373

17 1

46 -

- -

- -

- -

- -

-

uMzi

nyat

hi

Indi

cato

r5.

92

598

51.9

5.7

63.9

- -

- -

- -

- -

- -

Num

erat

or21

8 52

477

9 24

0 82

221

8 52

42

088

56 8

67 -

- -

- -

- -

- -

-

Den

omin

ator

36 7

8229

9 93

742

1 16

536

782

88 9

25 -

- -

- -

- -

- -

-

KwaZ

ulu-

Nat

alIn

dica

tor

5.4

2 56

656

.25.

449

.46.

12

935

67.9

5.5

34.6

8.0

5 98

271

.75.

526

.8

Sout

h Af

rica

Indi

cato

r4.

42

568

67.4

5.1

59.3

5.3

2 89

478

.35.

037

.26.

94

227

84.3

5.4

20.3

Sour

ce:

DH

IS a

nd B

AS.

Annual trends

470


470



Dat

a El

emen

t(N

umbe

r)

2014

/15

2015

/16

2016

/17

PHC

/ CH

C / M

OU

*D

istr

ict

Hos

pita

lR

egio

nal

Hos

pita

l

Cen

tral

/te

rtia

ry

Hos

pita

lD

istr

ict

Tota

lPH

C / C

HC

/ MO

UD

istr

ict

Hos

pita

lR

egio

nal

Hos

pita

l

Cen

tral

/te

rtia

ry

Hos

pita

lD

istr

ict

Tota

lPH

C / C

HC

/ MO

UD

istr

ict

Hos

pita

lR

egio

nal

Hos

pita

l

Cen

tral

/te

rtia

ry

hosp

ital

Dis

tric

t To

tal

Mat

erna

l dea

ths

-9

--

911

--

11-

3-

-3

Live

birt

hs47

510

826

--

11 3

0163

410

221

--

10 8

5558

810

016

--

10 6

04

Still

birth

s9

193

--

202

2015

8-

-17

89

158

--

167


Infant (under 1

year)

Neo-natal

Dea

th in

faci

lity

0-7d

ays

-10

6-

-10

61

129

--

130

310

2-

-10

5

Dea

th in

faci

lity

8-28

day

s -

26-

-26

-20

--

20-

13-

-13

Dea

th in

faci

lity

29 d

ays

- 11

mon

ths

-55

--

551

51-

-52

-31

--

31

Dea

th in

faci

lity

12 –

59

mon

ths

-51

--

51-

42-

-42

-31

--

31

Dia

rrho

ea d

eath

und

er 5

yea

rs

-30

--

30-

14-

-14

-11

--

11

Pneu

mon

ia d

eath

und

er 5

yea

rs-

15-

-15

-21

--

21-

12-

-12

Seve

re a

cute

mal

nutri

tion

deat

h un

der 5

yea

rs

-35

--

35-

24-

-24

-11

--

11

TB D

eath

s 68

841

2-

-1

100

556

472

--

1 02

8-

--

--

Inpa

tient

dea

th to

tal

32

272

--

2 27

58

2 18

7-

-2

195

82

088

--

2 09

6

Patie

nt d

ay e

quiv

alen

t20

531

447

--

311

652

1 93

531

5 17

0-

-31

7 10

52

940

299

937

--

302

877

Sour

ce:

DH

IS. *

MO

U –

Mat

erna

l Obs

tetr

ic U

nit.


5-1415-2425-64

65+Total 25%

18%19%21%

43%77%

28%6%

47%54%

23%9%

42%74%

29%10%

14%8%

5%3%5%

14%19%

7%

23%19%17%

10%38%

73%

32%12%

44%20%

22%9%

31%66%

26%10%

9%9%

14%4%

14%60%

31%9%

KZN, uMzinyathi: DC24, 2010 - 2015

Rank.. Female Male

<5 y

ears

12345678910

5-14

12345678910

15-2

4

12345678910

25-6

4

12345678910

65+

12345678910


Sepsis/other newborn infectious (1.9%)Poisonings (including herbal) (2.0%)






Drowning (4.2%)Epilepsy (4.7%)Meningitis/encephalitis (5.7%)





Self-inflicted injuries (1.9%)




Road injuries (4.7%)Diarrhoeal diseases (6.1%)Lower respiratory infections (6.4%)


Cervix (2.4%)

Meningitis/encephalitis (2.4%)Hypertensive heart disease (2.2%)






HIV/AIDS (25.9%)

Cervix (2.2%)Septicaemia (2.3%)Nephritis/nephrosis (2.9%)





Tuberculosis (4.6%)

Other perinatal conditions (2.4%)Poisonings (including herbal) (2.3%)Drowning (2.1%)


Preterm birth complications (17.1%)Diarrhoeal diseases (20.5%)




Drowning (11.6%)

Epilepsy (1.7%)

Fires, hot substances (2.5%)Meningitis/encephalitis (3.9%)




Tuberculosis (9.4%)

HIV/AIDS (14.4%)










Road injuries (2.8%)Diabetes mellitus (2.2%)






COPD (3.2%)Nephritis/nephrosis (3.4%)





Tuberculosis (8.7%)

HIV/AIDS (3.1%)


Fem

ale

15-4

9

12345678910




Mechanical forces (1.2%) n=61

Road injuries (2.1%) n=112Cervix (1.8%) n=94Nephritis/nephrosis (1.2%) n=65






causes

BroadcauseInjury

NCD

HIV and TB

Comm_mat_peri_nut

Prov, DistrictKZN, uMzinyathi: DC24

Show history





471


471




2009 2010 2011 2012 2013 2014 2015 2016Year

2_M

ater

nal a

nd w

omen

's h

ealth

1_Im

pact Maternal


2_O

utco

me





3_O

utpu

t



0

200

400

600

800

20

40

60

80

100

200

5

10

15

0

100

200

50

100

150

200

50

100

150



472


472






on ART rate (%)


(%)


Cervical cancer



(WHO) (%)


rate (%)

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

Endumeni SD Indicator 61.8 104.1 7.2 74.8 170.7 197.5 49.5

Numerator 1 202 118 1 101 2 497 39 582 806

Denominator 1 617 194 1 628 1 472 17 553 240 477 1 628

Msinga SD Indicator 28.1 98.2 9.8 77.8 274.5 119.7 78.7

Numerator 1 494 345 3 659 10 399 61 162 2 771

Denominator 3 557 503 3 519 4 701 45 468 613 272 3 519

Nquthu SD Indicator 29.1 100.2 11.1 70.1 109.0 174.2 54.6

Numerator 1 550 381 2 310 3 588 81 606 1 875

Denominator 3 438 549 3 432 3 293 39 498 562 239 3 432

Umvoti SD Indicator - 98.7 9.9 73.3 84.2 152.3 66.1

Numerator - 393 201 1 727 2 084 50 173 1 337

Denominator 1 992 398 2 023 2 356 29 685 395 217 2 023

uMzinyathi Indicator 28.3 99.7 9.9 74.4 168.5 154.1 64.0

Numerator 3 1 639 1 045 8 797 18 568 232 524 6 789

Denominator 10 604 1 644 10 602 11 822 132 205 1 811 205 10 602



Source: DHIS.

Annual trends

2009 2010 2011 2012 2013 2014 2015 2016Year

3_C

hild

and

sch

ool h

ealth

1_Im

pact





3_O

utpu

t





0

50

100

0

10

20

30

0

20

40

60

0

10

20

50

100

150

20

40

60

80

50

100

150

0

50

100




P rov_av

ZA_av


473


473

Child and School HealthIm

pact

Out

com

eO

utpu

t

Chi

ld u

nder

5

year

s di

arrh

oea

case

fata

lity

rate

(%)

Chi

ld u

nder

5

year

s pn

eum

onia

ca

se fa

talit

y ra

te (%

)

Chi

ld u

nder

5

year

s se

vere

acu

te

mal

nutr

ition

ca

se fa

talit

y ra

te (%

)

Inpa

tient

de

ath

unde

r 1

year

rate

(%)

Inpa

tient

de

ath

unde

r 5

year

rate

(%)

Inpa

tient

ea

rly n

eona

tal

deat

h ra

te

(per

1K)

Inpa

tient

ne

onat

al

deat

h ra

te

(per

1K)

Infa

nt P

CR

test

pos

itive

ar

ound

10

wee

ks ra

te

(%)

Imm

unis

atio

n co

vera

ge

unde

r 1 y

ear

(%)

Infa

nt

excl

usiv

ely

brea

stfe

d at

D

TaP-

IPV-

Hib

-H

BV

3rd d

ose

rate

(%)

Mea

sles

2nd

dos

e co

vera

ge (%

)

Scho

ol G

rade

1

scre

enin

g co

vera

ge (%

)

Scho

ol G

rade

8

scre

enin

g co

vera

ge (%

)

Vita

min

A

dose

12-

59

mon

ths

cove

rage

(%)

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

Endu

men

i SD

Indi

cato

r0.

92.

11.

94.

93.

28.

08.

70.

810

8.6

81.1

142.

936

.729

.638

.3

Num

erat

or1

41

1720

1314

31

126

1 16

81

644

1 00

256

43

814

Den

omin

ator

109

188

5334

762

51

617

1 61

735

812

444

1 44

013

806

2 73

31

904

119

460

Msi

nga

SDIn

dica

tor

0.4

1.1

7.7

4.5

3.1

7.9

8.7

0.8

88.0

75.7

116.

433

.915

.761

.1

Num

erat

or1

37

4147

2831

64

036

4 17

15

605

2 48

481

924

287

Den

omin

ator

232

279

9191

41

524

3 55

73

557

740

55 0

205

507

57 7

867

326

5 20

447

6 84

4

Nqu

thu

SDIn

dica

tor

3.1

1.4

-6.

14.

911

.313

.40.

475

.171

.185

.915

.10.

040

.7

Num

erat

or8

3 -

6078

3946

33

005

2 57

63

648

865

014

412

Den

omin

ator

255

219

5299

11

599

3 43

83

438

683

48 0

093

623

50 9

705

726

4 92

242

4 96

2

Um

voti

SDIn

dica

tor

1.1

4.5

6.4

13.2

6.1

12.6

13.6

1.2

104.

275

.211

5.9

17.0

20.4

50.3

Num

erat

or1

23

3135

2527

62

392

1 90

22

689

581

580

9 34

1

Den

omin

ator

9444

4723

457

21

992

1 99

249

527

546

2 52

827

846

3 41

12

843

222

912

uMzi

nyat

hi

Indi

cato

r1.

61.

64.

56.

04.

29.

911

.10.

888

.675

.010

8.4

25.7

13.2

50.0

Num

erat

or11

1211

149

180

105

118

1810

559

9 81

713

586

4 93

21

963

51 8

54

Den

omin

ator

690

730

243

2 48

64

320

10 6

0410

604

2 27

614

3 01

913

098

150

408

230

352

178

476

1 24

4 17

8

KwaZ

ulu-

Nat

alIn

dica

tor

2.0

1.8

7.4

6.4

4.5

9.7

12.4

1.0

85.8

53.9

99.8

26.2

16.4

62.1

Sout

h Af

rica

Indi

cato

r2.

02.

08.

06.

34.

49.

912

.41.

382

.341

.696

.233

.019

.858

.0

Sour

ce:

DH

IS.

Annual trends

2009 2010 2011 2012 2013 2014 2015 2016Year

4_H

IV

4_P

roce

ss_i

nput




20

40

60

100

200

0

20

40

6080




P rov_av

ZA_av

474


474


HIV

3rd

90-

90-9

02nd

90-

90-9

01st

90-9

0-90

Out

com

eO

utpu

tPr

oces

s &

inpu

t

Adu

lt w

ith v

iral

load

com

plet

ion

rate

at 1

2 m

onth

s (%

)

Chi

ld w

ith v

iral

load

com

plet

ion

rate

at 1

2 m

onth

s (%

)

Adu

lt w

ith v

iral

load

sup

pres

sed

rate

12

mon

ths

(%)

Chi

ld w

ith v

iral

load

sup

pres

sed

rate

12

mon

ths

(%)

Adu

lt pe

rcen

tage

on

AR

T af

ter 1

2 m

onth

s (%

)

Chi

ld p

erce

ntag

e on

AR

T af

ter 1

2 m

onth

s (%

)C

lient

s re

mai

ning

on

AR

T ra

te (%

)

HIV

test

pos

itive

cl

ient

15

year

s an

d ol

der r

ate

(incl

udin

g A

NC

) (%

)

HIV

test

ing

cove

rage

(in

clud

ing

AN

C)

(%)

Mal

e co

ndom

di

strib

utio

n co

vera

ge (N

o)

Med

ical

mal

e ci

rcum

cisi

on ra

te

(per

1K)

2015

2015

2015

2015

2015

2015

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

Endu

men

i SD

Indi

cato

r43

.243

.890

.666

.774

.779

.0 -

-73

.616

0.5

85.1

Num

erat

or -

21 -

14 -

49 -

-31

047

4 00

5 71

62

375

Den

omin

ator

1 25

348

541

211

707

62 -

-50

6 15

129

9 56

833

5 01

9

Msi

nga

SDIn

dica

tor

43.5

33.0

89.0

66.7

81.4

79.3

- -

63.4

141.

776

.9

Num

erat

or -

30 -

20 -

115

- -

55 7

435

934

378

4 05

3

Den

omin

ator

1 80

191

783

302

498

145

- -

1 05

5 07

050

2 51

863

2 11

8

Nqu

thu

SDIn

dica

tor

34.6

30.5

91.5

81.3

77.4

85.4

- -

53.8

187.

867

.7

Num

erat

or32

-26

-11

7 -

199

822

46 4

318

369

362

3 69

43

029

Den

omin

ator

1 86

610

564

532

2 55

613

7 -

-1

034

898

534

765

655

173

Um

voti

SDIn

dica

tor

36.1

47.6

86.3

60.0

74.9

76.7

- -

63.2

166.

675

.8

Num

erat

or -

30 -

18 -

66 -

-38

143

5 16

3 41

12

749

Den

omin

ator

1 47

263

531

302

013

86 -

-72

3 71

137

1 95

843

5 17

4

uMzi

nyat

hi

Indi

cato

r39

.136

.889

.469

.077

.480

.758

.64.

961

.916

4.8

75.1

Num

erat

or -

113

- 78

- 34

754

593

8 93

017

1 36

423

472

867

12 8

71

Den

omin

ator

6 39

230

72

500

113

8 77

443

093

166

182

493

3 31

9 83

01

708

809

2 05

7 48

4

KwaZ

ulu-

Nat

alIn

dica

tor

58.0

56.8

91.8

68.5

75.9

78.5

61.3

11.4

42.5

53.9

30.5

Sout

h Af

rica

Indi

cato

r -

- -

- -

-55

.08.

235

.947

.519

.0

Sour

ce:

DH

IS.

Annual trends

2009 2010 2011 2012 2013 2014 2015 2016Year

5_TB

1_Im

pact



2_O

utco

me







4_P

roce

ss_i

nput


5

10

15

0

20

40

60

0

5

10

15

40

60

80

0

20

40

0

20

40

60

0

10

20

0

50

100

0

50

100




P rov_av

ZA_av


475


475

TB

I mpa

ctO

utco

me

Out

put

Proc

ess

& in

put

TB d

eath

rate

(E

TR.n

et) (

%)

TB D

R cl

ient

de

ath

rate

(E

DR

Web

) (%

)

TB c

lient

loss

to

follo

w u

p ra

te

(ETR

.Net

) (%

)

TB c

lient

tr

eatm

ent

succ

ess

rate

(E

TR.n

et) (

%)

TB D

R cl

ient

loss

to

follo

w u

p ra

te

(ED

RW

eb) (

%)

TB D

R tr

eatm

ent

succ

ess

rate

(E

DR

Web

) (%

)

TB R

ifam

pici

n re

sist

ance

co

nfirm

ed c

lient

ra

te (%

)

TB R

ifam

pici

n re

sist

ant c

lient

s tr

eatm

ent

initi

atio

n ra

te (%

)

TB/H

IV c

o-in

fect

ed c

lient

on

AR

T ra

te (E

TR.

Net

) (%

)

TB c

lient

initi

ated

on

trea

tmen

t ra

te (%

)

TB s

ympt

om 5

ye

ars

and

olde

r sc

reen

ed in

fa

cilit

y ra

te (%

)

2015

2014

2015

2015

2014

2014

2016

2016

2016

2016

2016

/17

Endu

men

i SD

In

dica

tor

7.6

-0.

589

.7 -

- -

-97

.2 -

71.1

Num

erat

or33

-2

390

- -

- -

139

-10

6 23

7

Den

omin

ator

435

-43

543

5 -

- -

-14

3 -

149

323

Msi

nga

SD

Indi

cato

r10

.0 -

0.7

86.5

- -

- -

99.2

-82

.3

Num

erat

or91

-6

785

- -

- -

508

-32

4 40

4

Den

omin

ator

907

-90

790

7 -

- -

-51

2 -

394

283

Nqu

thu

SD

Indi

cato

r9.

8 -

2.5

86.5

- -

- -

100.

0 -

40.3

Num

erat

or72

-18

633

- -

- -

282

-13

7 10

2

Den

omin

ator

732

-73

273

2 -

- -

-28

2 -

340

165

Um

voti

SD

Indi

cato

r13

.1 -

0.8

86.1

- -

- -

93.5

-77

.5

Num

erat

or63

-4

414

- -

- -

202

-23

2 43

3

Den

omin

ator

481

-48

148

1 -

- -

-21

6 -

299

760

uMzi

nyat

hi

Indi

cato

r10

.123

.31.

287

.06.

862

.57.

388

.798

.169

.867

.6

Num

erat

or25

941

302

222

1211

014

112

51

131

1 34

180

0 17

6

Den

omin

ator

2 55

517

62

555

2 55

517

617

61

922

141

1 15

31

922

1 18

3 53

1

KwaZ

ulu-

Nat

alIn

dica

tor

5.4

19.0

4.8

82.7

17.2

59.6

7.7

73.8

85.7

62.4

78.3

Sout

h Af

rica

Indi

cato

r6.

623

.06.

481

.017

.950

.56.

268

.088

.372

.851

.6

Sour

ce:

DH

IS.

Annual trends

2010 2011 2012 2013 2014 2015 2016 2017Year

6_NCDs

2_Outcome

Diabetesincidence


0

5

20

40



476


476



Outcome

Diabetes incidence

(per1K)


(per1K)

2016/17 2016/17

Endumeni SD Indicator 1.2 16.9

Numerator 86 244


Msinga SD Indicator 0.8 15.7

Numerator 137 533

Denominator 2 172 816 407 214

Nquthu SD Indicator 0.8 19.1

Numerator 130 585

Denominator 2 042 718 366 666

Umvoti SD Indicator 1.1 12.6

Numerator 117 283

Denominator 1 294 665 270 129

uMzinyathi Indicator 0.9 16.2

Numerator 470 1 645

Denominator 6 341 055 1 217 439



Source: DHIS.

Annual trends





477


477

Amajuba District Municipality (DC25)

Amajuba District is located in the north-western corner of KwaZulu-Natal Province and comprises three health sub-districts, namely Dannhauser, Emadlangeni and Newcastle. The district has a population of 530 447, with a population density of 76.8 persons per km2 and falls into socio-economic Quintile 3. Estimated medical scheme coverage is 8.4%. Amajuba is one of the 11 National Health Insurance (NHI) pilot districts.




No schooling 6.1%

Matric 36.6%


Households 117 256













under 1 year 14 556 14 917 15 231 15 421

under 5 years 73 293 73 900 74 479 74 981

05-09 years 72 416 72 806 73 087 73 474

10-14 years 66 904 68 968 70 732 72 117

15-19 years 55 255 56 965 59 358 62 072

20-24 years 55 828 54 635 53 420 52 739

25-29 years 54 020 54 606 55 044 55 041

30-34 years 44 501 46 635 48 764 50 956

35-39 years 34 428 36 029 37 436 38 535

40-44 years 24 908 26 121 27 441 28 855

45-49 years 19 014 19 521 20 141 20 886

50-54 years 16 076 16 136 16 257 16 443

55-59 years 14 857 14 636 14 411 14 238

60-64 years 12 521 12 668 12 769 12 794

65-69 years 9 252 9 429 9 595 9 745

70-74 years 6 218 6 325 6 435 6 553

75-79 years 3 564 3 673 3 766 3 844

80 years and older 2 170 2 211 2 257 2 306

Total 565 227 575 265 585 389 595 573



478


478



Ward based outreach

teamsClinic CHC

District Hospital

Regional Hospital

Central/Tertiary

Hospitals

Other Hospitals

Dannhauser SD 12 10 1 0 0 0 1

Emadlangeni SD 4 2 0 1 0 0 1

Newcastle SD 5 14 0 0 2 0 2

Amajuba 21 26 1 1 2 0 4

Source: DHIS.


Community Health

WorkersNursing

assistantsEnrolled

nurseProfessional

nurseMedical





Amajuba 925 406 478 887 205 42 8 11 21 11



PHC Management




(%)



Provincial and LG



(uninsured) (Rand)


(uninsured) (Rand)


per PHC headcount

(Rand)

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

Dannhauser SD Indicator 2.4 - - - - -

Numerator 261 239 - - - - -

Denominator 1 297 671 - - - - -

Emadlangeni SD Indicator 2.6 - - - - -

Numerator 97 094 - - - - -

Denominator 440 499 - - - - -

Newcastle SD Indicator 2.0 - - - - -

Numerator 775 442 - - - - -

Denominator 4 652 817 - - - - -

Amajuba Indicator 2.1 96.2 100.0 1 216 1 006 431

Numerator 1 133 775 25 26 590 984 146 488 952 668 488 952 668

Denominator 6 390 987 26 26 486 142 486 142 1 133 775



Source: DHIS.

2008 2010 2012 2014 2016 2018Year

1_M

anag

emen

t

1_Im

pact


2_O

utco

me



3_O

utpu

t



4_P

roce

ss_i

nput





2

4

6

8

2

4

6

8

1K

2K

3K

4K

50

100

0

50

100

0

50

100

1K

2K

3K

500

1000

1500

200

400

KZN, DC25, Amajuba District Municipality, SEQ 3



P rov_av

ZA_av


479


479

Hos

pita

l

Dis

tric

t Hos

pita

lR

egio

nal H

ospi

tal

Tert

iary

/Cen

tral

Hos

pita

l

Aver

age

leng

th o

f st

ay -

tota

l (D

ays)

Expe

nditu

re

per p

atie

nt

day

equi

vale

nt

(Ran

d)

Inpa

tient

bed

ut

ilisa

tion

rate

- to

tal

(%)

Inpa

tient

cr

ude

deat

h ra

te (%

)

OPD

new

cl

ient

not

re

ferr

ed ra

te

(%)

Aver

age

leng

th o

f st

ay -

tota

l (D

ays)

Expe

nditu

re

per p

atie

nt

day

equi

vale

nt

(Ran

d)

Inpa

tient

bed

ut

ilisa

tion

rate

- to

tal

(%)

Inpa

tient

cr

ude

deat

h ra

te (%

)

OPD

new

cl

ient

not

re

ferr

ed ra

te

(%)

Aver

age

leng

th o

f st

ay -

tota

l (D

ays)

Expe

nditu

re

per p

atie

nt

day

equi

vale

nt

(Ran

d)

Inpa

tient

bed

ut

ilisa

tion

rate

- to

tal

(%)

Inpa

tient

cr

ude

deat

h ra

te (%

)

OPD

new

cl

ient

not

re

ferr

ed ra

te

(%)

Emad

lang

eni S

DIn

dica

tor

4.5

3 78

871

.57.

248

.2 -

- -

- -

- -

- -

-

Num

erat

or12

442

84 3

02 4

4312

442

200

3 22

4 -

- -

- -

- -

- -

-

Den

omin

ator

2 76

022

258

17 4

002

760

6 69

0 -

- -

- -

- -

- -

-

New

cast

le S

DIn

dica

tor

- -

- -

7.

62

880

66.7

5.7

40.1

- -

- -

-

Num

erat

or -

- -

-

262

051

994

064

337

262

051

1 97

631

490

- -

- -

-

Den

omin

ator

- -

- -

34

612

345

118

393

057

34 6

1278

550

- -

- -

-

Amaj

uba

Indi

cato

r4.

53

788

71.5

7.2

48.2

7.6

2 88

066

.75.

740

.1 -

- -

- -

Num

erat

or12

442

84 3

02 4

4312

442

200

3 22

426

2 05

199

4 06

4 33

726

2 05

11

976

31 4

90 -

- -

- -

Den

omin

ator

2 76

022

258

17 4

002

760

6 69

034

612

345

118

393

057

34 6

1278

550

- -

- -

-

KwaZ

ulu-

Nat

alIn

dica

tor

5.4

2 56

656

.25.

449

.46.

12

935

67.9

5.5

34.6

8.0

5 98

271

.75.

526

.8

Sout

h Af

rica

Indi

cato

r4.

42

568

67.4

5.1

59.3

5.3

2 89

478

.35.

037

.26.

94

227

84.3

5.4

20.3

Sour

ce:

DH

IS a

nd B

AS.

Annual trends

480


480



Dat

a El

emen

t(N

umbe

r)

2014

/15

2015

/16

2016

/17

PHC

/ CH

C / M

OU

*D

istr

ict

Hos

pita

lR

egio

nal

Hos

pita

l

Cen

tral

/te

rtia

ry

Hos

pita

lD

istr

ict

Tota

lPH

C / C

HC

/ MO

UD

istr

ict

Hos

pita

lR

egio

nal

Hos

pita

l

Cen

tral

/te

rtia

ry

Hos

pita

lD

istr

ict

Tota

lPH

C / C

HC

/ MO

UD

istr

ict

Hos

pita

lR

egio

nal

Hos

pita

l

Cen

tral

/te

rtia

ry

hosp

ital

Dis

tric

t To

tal

Mat

erna

l dea

ths

--

20-

20-

-14

-14

-2

9-

11

Live

birt

hs68

563

012

650

-13

965

601

582

7 47

7-

8 66

071

853

77

185

-8

440

Still

birth

s21

1028

4-

315

85

216

-22

96

619

8-

210


Infant (under 1

year)

Neo-natal

Dea

th in

faci

lity

0-7d

ays

-2

107

-10

91

287

-90

15

96-

102

Dea

th in

faci

lity

8-28

day

s -

428

-32

-2

26-

28-

114

-15

Dea

th in

faci

lity

29 d

ays

- 11

mon

ths

-7

32-

39-

125

-26

-1

22-

23

Dea

th in

faci

lity

12 –

59

mon

ths

-2

14-

16-

26

-8

-1

19-

20

Dia

rrho

ea d

eath

und

er 5

yea

rs

-3

13-

16-

-6

-6

--

3-

3

Pneu

mon

ia d

eath

und

er 5

yea

rs-

14

-5

--

8-

8-

-8

-8

Seve

re a

cute

mal

nutri

tion

deat

h un

der 5

yea

rs

--

20-

20-

39

-12

--

7-

7

TB D

eath

s 32

415

951

9-

1 00

226

114

745

9-

867

--

--

-

Inpa

tient

dea

th to

tal

-18

31

962

-2

145

-18

61

989

-2

175

-20

01

976

-2

176

Patie

nt d

ay e

quiv

alen

t-

33 6

9335

5 48

4-

389

177

727

748

329

622

-35

7 37

73

592

22 2

5834

5 11

8-

370

968

Sour

ce:

DH

IS. *

MO

U –

Mat

erna

l Obs

tetr

ic U

nit.


5-1415-2425-64

65+Total 27%

15%25%

33%35%

75%

23%4%

35%38%

23%6%

46%79%

36%17%

23%14%

4%2%4%

12%19%

5%

25%17%

22%14%

34%75%

25%7%

35%14%

17%5%

36%72%

29%15%

19%11%

14%3%

14%57%

30%8%

KZN, Amajuba: DC25, 2010 - 2015

Rank.. Female Male

<5 y

ears

12345678910

5-14

12345678910

15-2

4

12345678910

25-6

4

12345678910

65+

12345678910

Congenital heart anomalies (2.3%)Sepsis/other newborn infectious (2.3%)


Other respiratory (2.9%)

Preterm birth complications (17.5%)Diarrhoeal diseases (20.1%)Lower respiratory infections (20.3%)



Epilepsy (3.4%)Fires, hot substances (3.2%)

Asthma (3.8%)Meningitis/encephalitis (4.5%)

Road injuries (12.9%)Diarrhoeal diseases (13.2%)


HIV/AIDS (11.3%)


Epilepsy (2.2%)

Meningitis/encephalitis (3.8%)Accidental threats to breathing (3.8%)Road injuries (3.6%)




HIV/AIDS (16.9%)

Cervix (2.9%)Meningitis/encephalitis (2.7%)

Nephritis/nephrosis (3.0%)Hypertensive heart disease (3.4%)Diabetes mellitus (3.7%)

Diarrhoeal diseases (6.1%)Cerebrovascular disease (5.6%)



Cervix (2.3%)Cardiomyopathy (2.5%)







Tuberculosis (3.1%)




Septicaemia (2.2%)


Tuberculosis (3.3%)

HIV/AIDS (2.3%)

Drowning (9.1%)

Other respiratory (4.6%)Fires, hot substances (5.4%)





Tuberculosis (10.8%)

HIV/AIDS (9.0%)

Drowning (4.1%)Meningitis/encephalitis (3.4%)






HIV/AIDS (5.8%)



Nephritis/nephrosis (2.4%)Diabetes mellitus (2.4%)

Diarrhoeal diseases (4.2%)Ischaemic heart disease (3.6%)



HIV/AIDS (14.7%)

Prostate (3.6%)COPD (3.8%)Nephritis/nephrosis (4.9%)






Tuberculosis (5.7%)


Fem

ale

15-4

9

12345678910





Endocrine nutritional,blood, immune (2.0%) n=115

Road injuries (2.2%) n=124Cervix (2.3%) n=128

Nephritis/nephrosis (2.2%) n=122

Cerebrovascular disease (2.0%) n=111

Meningitis/encephalitis (3.5%) n=195Diarrhoeal diseases (6.9%) n=388

Lower respiratory infections (16.7%) n=945




causes

BroadcauseInjury

NCD

HIV and TB

Comm_mat_peri_nut

Prov, DistrictKZN, Amajuba: DC25

Show history





481


481




2009 2010 2011 2012 2013 2014 2015 2016Year

2_M

ater

nal a

nd w

omen

's h

ealth

1_Im

pact Maternal


2_O

utco

me





3_O

utpu

t



0

200

400

600

800

20

40

60

80

100

200

5

10

15

0

100

200

50

100

150

200

50

100

150



482


482






on ART rate (%)


(%)


Cervical cancer



(WHO) (%)


rate (%)

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

Dannhauser SD Indicator - 97.3 8.1 72.6 114.8 91.4 538.6

Numerator - 285 17 1 211 2 351 25 351 1 131

Denominator 218 293 210 1 669 24 571 332 901 210

Emadlangeni SD Indicator 372.4 67.4 10.0 64.5 83.5 174.5 57.6

Numerator 2 122 54 427 578 16 022 312

Denominator 537 181 542 662 8 307 110 172 542

Newcastle SD Indicator 117.1 96.9 8.0 70.1 83.1 57.7 54.8

Numerator 9 1 278 620 4 723 6 901 63 843 4 241

Denominator 7 685 1 319 7 743 6 735 99 713 1 327 263 7 743

Amajuba Indicator 130.3 94.0 8.1 70.2 89.0 71.3 66.9

Numerator 11 1 685 691 6 361 9 830 105 216 5 684

Denominator 8 440 1 793 8 495 9 066 132 591 1 770 336 8 495



Source: DHIS.

Annual trends

2009 2010 2011 2012 2013 2014 2015 2016Year

3_C

hild

and

sch

ool h

ealth

1_Im

pact





3_O

utpu

t





0

50

100

0

10

20

30

0

20

40

60

0

10

20

50

100

150

20

40

60

80

50

100

150

0

50

100




P rov_av

ZA_av


483


483


pact

Out

com

eO

utpu

t

Chi

ld u

nder

5

year

s di

arrh

oea

case

fata

lity

rate

(%)

Chi

ld u

nder

5

year

s pn

eum

onia

ca

se fa

talit

y ra

te (%

)

Chi

ld u

nder

5

year

s se

vere

acu

te

mal

nutr

ition

ca

se fa

talit

y ra

te (%

)

Inpa

tient

de

ath

unde

r 1

year

rate

(%)

Inpa

tient

de

ath

unde

r 5

year

rate

(%)

Inpa

tient

ea

rly n

eona

tal

deat

h ra

te

(per

1K)

Inpa

tient

ne

onat

al

deat

h ra

te

(per

1K)

Infa

nt P

CR

test

pos

itive

ar

ound

10

wee

ks ra

te

(%)

Imm

unis

atio

n co

vera

ge

unde

r 1 y

ear

(%)

Infa

nt

excl

usiv

ely

brea

stfe

d at

D

TaP-

IPV-

Hib

-H

BV

3rd d

ose

rate

(%)

Mea

sles

2nd

dos

e co

vera

ge (%

)

Scho

ol G

rade

1

scre

enin

g co

vera

ge (%

)

Scho

ol G

rade

8

scre

enin

g co

vera

ge (%

)

Vita

min

A

dose

12-

59

mon

ths

cove

rage

(%)

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

Dan

nhau

ser S

D

Indi

cato

r -

- -

- -

- -

1.1

66.2

64.9

85.4

46.3

15.5

84.1

Num

erat

or -

- -

- -

- -

42

025

1 05

82

478

1 32

348

418

571

Den

omin

ator

- -

- -

-21

821

837

136

696

1 62

934

824

2 85

63

128

265

116

Emad

lang

eni S

D

Indi

cato

r -

- -

4.0

2.3

9.3

11.2

-60

.659

.510

4.6

51.8

28.4

52.6

Num

erat

or -

- -

78

56

-53

233

689

642

734

13

556

Den

omin

ator

8610

412

173

343

537

537

138

10 5

3656

510

281

825

1 19

981

120

New

cast

le S

D

Indi

cato

r0.

71.

16.

86.

14.

012

.614

.41.

181

.955

.793

.262

.712

.458

.6

Num

erat

or3

87

133

152

9711

117

7 16

63

800

7 93

05

273

838

38 7

71

Den

omin

ator

455

707

103

2 17

23

766

7 68

57

685

1 59

510

5 05

76

818

102

117

8 41

16

744

793

602

Amaj

uba

Indi

cato

r0.

61.

06.

16.

03.

912

.113

.91.

076

.657

.692

.158

.115

.064

.1

Num

erat

or3

87

140

160

102

117

219

723

5 19

411

304

7 02

31

663

60 8

98

Den

omin

ator

541

811

115

2 34

54

109

8 44

08

440

2 10

415

2 28

99

012

147

222

145

104

132

852

1 13

9 83

8

KwaZ

ulu-

Nat

alIn

dica

tor

2.0

1.8

7.4

6.4

4.5

9.7

12.4

1.0

85.8

53.9

99.8

26.2

16.4

62.1

Sout

h Af

rica

Indi

cato

r2.

02.

08.

06.

34.

49.

912

.41.

382

.341

.696

.233

.019

.858

.0

Sour

ce:

DH

IS.

Annual trends

2009 2010 2011 2012 2013 2014 2015 2016Year

4_H

IV

4_P

roce

ss_i

nput




20

40

60

100

200

0

20

40

6080




P rov_av

ZA_av

484


484


HIV

3rd

90-

90-9

02nd

90-

90-9

01st

90-9

0-90

Out

com

eO

utpu

tPr

oces

s &

inpu

t

Adu

lt w

ith v

iral

load

com

plet

ion

rate

at 1

2 m

onth

s (%

)

Chi

ld w

ith v

iral

load

com

plet

ion

rate

at 1

2 m

onth

s (%

)

Adu

lt w

ith v

iral

load

sup

pres

sed

rate

12

mon

ths

(%)

Chi

ld w

ith v

iral

load

sup

pres

sed

rate

12

mon

ths

(%)

Adu

lt pe

rcen

tage

on

AR

T af

ter 1

2 m

onth

s (%

)

Chi

ld p

erce

ntag

e on

AR

T af

ter 1

2 m

onth

s (%

)C

lient

s re

mai

ning

on

AR

T ra

te (%

)

HIV

test

pos

itive

cl

ient

15

year

s an

d ol

der r

ate

(incl

udin

g A

NC

) (%

)

HIV

test

ing

cove

rage

(in

clud

ing

AN

C)

(%)

Mal

e co

ndom

di

strib

utio

n co

vera

ge (N

o)

Med

ical

mal

e ci

rcum

cisi

on ra

te

(per

1K)

2015

2015

2015

2015

2015

2015

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

Dan

nhau

ser S

D

Indi

cato

r34

.451

.694

.175

.080

.581

.6 -

-36

.779

.810

.3

Num

erat

or -

16 -

12 -

40 -

-19

337

2 43

6 62

938

5

Den

omin

ator

1 03

931

357

161

367

49 -

-63

1 97

436

6 20

144

8 59

0

Emad

lang

eni S

D

Indi

cato

r48

.654

.393

.173

.779

.287

.8 -

-33

.813

5.9

31.8

Num

erat

or -

19 -

14 -

36 -

-6

387

1 62

5 91

945

2

Den

omin

ator

479

3523

319

611

41 -

-22

6 60

514

3 58

317

0 36

4

New

cast

le S

D

Indi

cato

r34

.670

.593

.979

.970

.277

.7 -

-38

.635

.525

.4

Num

erat

or -

134

-10

7 -

205

- -

82 2

654

356

722

3 63

4

Den

omin

ator

3 82

919

01

323

134

6 03

026

4 -

-2

559

330

1 47

1 09

81

714

059

Amaj

uba

Indi

cato

r35

.866

.093

.878

.772

.779

.462

.19.

237

.951

.023

.0

Num

erat

or -

169

-13

3 -

281

53 6

4610

761

107

989

8 41

9 27

04

471

Den

omin

ator

5 34

725

61

913

169

8 00

835

486

354

116

765

3 41

7 90

91

980

882

2 33

3 01

3

KwaZ

ulu-

Nat

alIn

dica

tor

58.0

56.8

91.8

68.5

75.9

78.5

61.3

11.4

42.5

53.9

30.5

Sout

h Af

rica

Indi

cato

r -

- -

- -

-55

.08.

235

.947

.519

.0

Sour

ce:

DH

IS.

Annual trends

2009 2010 2011 2012 2013 2014 2015 2016Year

5_TB

1_Im

pact



2_O

utco

me







4_P

roce

ss_i

nput


5

10

15

0

20

40

60

0

5

10

15

40

60

80

0

20

40

0

20

40

60

0

10

20

0

50

100

0

50

100




P rov_av

ZA_av


485


485

TB

I mpa

ctO

utco

me

Out

put

Proc

ess

& in

put

TB d

eath

rate

(E

TR.n

et) (

%)

TB D

R cl

ient

de

ath

rate

(E

DR

Web

) (%

)

TB c

lient

loss

to

follo

w u

p ra

te

(ETR

.Net

) (%

)

TB c

lient

tr

eatm

ent

succ

ess

rate

(E

TR.n

et) (

%)

TB D

R cl

ient

loss

to

follo

w u

p ra

te

(ED

RW

eb) (

%)

TB D

R tr

eatm

ent

succ

ess

rate

(E

DR

Web

) (%

)

TB R

ifam

pici

n re

sist

ance

co

nfirm

ed c

lient

ra

te (%

)

TB R

ifam

pici

n re

sist

ant c

lient

s tr

eatm

ent

initi

atio

n ra

te (%

)

TB/H

IV c

o-in

fect

ed c

lient

on

AR

T ra

te (E

TR.

Net

) (%

)

TB c

lient

initi

ated

on

trea

tmen

t ra

te (%

)

TB s

ympt

om 5

ye

ars

and

olde

r sc

reen

ed in

fa

cilit

y ra

te (%

)

2015

2014

2015

2015

2014

2014

2016

2016

2016

2016

2016

/17

Dan

nhau

ser S

D

Indi

cato

r6.

9 -

4.4

87.2

- -

- -

81.4

-59

.3

Num

erat

or22

-14

279

- -

- -

92 -

129

604

Den

omin

ator

320

-32

032

0 -

- -

-11

3 -

218

491

Emad

lang

eni S

D

Indi

cato

r18

.1 -

6.2

68.8

- -

- -

69.9

-76

.9

Num

erat

or50

-17

190

- -

- -

102

-59

359

Den

omin

ator

276

-27

627

6 -

- -

-14

6 -

77 1

51

New

cast

le S

D

Indi

cato

r12

.2 -

6.2

77.2

- -

- -

86.4

-92

.3

Num

erat

or21

8 -

110

1 38

0 -

- -

-75

8 -

586

288

Den

omin

ator

1 78

7 -

1 78

71

787

- -

- -

877

-63

4 96

6

Amaj

uba

Indi

cato

r12

.221

.65.

977

.618

.758

.38.

055

.683

.852

.083

.3

Num

erat

or29

030

141

1 84

926

8117

195

952

1 11

377

5 25

1

Den

omin

ator

2 38

313

92

383

2 38

313

913

92

141

171

1 13

62

141

930

608

KwaZ

ulu-

Nat

alIn

dica

tor

5.4

19.0

4.8

82.7

17.2

59.6

7.7

73.8

85.7

62.4

78.3

Sout

h Af

rica

Indi

cato

r6.

623

.06.

481

.017

.950

.56.

268

.088

.372

.851

.6

Sour

ce:

DH

IS.

Annual trends

2010 2011 2012 2013 2014 2015 2016 2017Year

6_NCDs

2_Outcome

Diabetesincidence


0

5

20

40



486


486



Outcome

Diabetes incidence

(per1K)


(per1K)

2016/17 2016/17

Dannhauser SD Indicator 0.7 7.0

Numerator 74 160

Denominator 1 297 671 274 254

Emadlangeni SD Indicator 3.5 31.0

Numerator 127 253


Newcastle SD Indicator 1.3 27.7

Numerator 522 2 462

Denominator 4 652 817 1 066 221

Amajuba Indicator 1.4 24.0

Numerator 723 2 875

Denominator 6 390 987 1 438 425



Source: DHIS.

Annual trends





487


487

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 health sub-districts, namely Nongoma, Ulundi, eDumbe, uPhongolo and Abaqulusi. The district has a population of 854 894, with a population density of 57.8 persons per km2, and falls into socio-economic Quintile 1, among the poorest districts. Estimated medical scheme coverage is 5.6%.




No schooling 12.2%

Matric 32.4%


Households 178 516













under 1 year 21 864 21 981 22 420 22 856

under 5 years 116 008 115 824 115 785 115 875

05-09 years 112 003 113 656 114 558 115 214

10-14 years 93 905 97 774 102 230 106 282

15-19 years 90 963 88 950 87 834 88 295

20-24 years 95 225 93 279 90 996 88 600

25-29 years 93 857 94 215 93 972 92 980

30-34 years 73 452 78 435 83 200 87 754

35-39 years 46 926 51 413 55 834 59 699

40-44 years 29 098 30 906 33 081 35 762

45-49 years 22 159 22 443 22 935 23 695

50-54 years 20 297 20 076 19 842 19 656

55-59 years 18 512 18 430 18 337 18 211

60-64 years 15 740 15 883 15 960 15 973

65-69 years 12 134 12 315 12 504 12 685

70-74 years 9 111 9 085 9 092 9 143

75-79 years 7 054 6 894 6 734 6 582

80 years and older 7 606 7 705 7 820 7 948

Total 864 047 877 285 890 722 904 345



488


488



Ward based outreach


Regional Hospital

Central/Tertiary

HospitalsOther

Hospitals

Abaqulusi SD 20 16 0 1 0 0 3

eDumbe SD 9 7 1 0 0 0 2

Nongoma SD 18 14 0 1 0 0 2

Ulundi SD 30 27 0 2 0 0 3

uPhongolo SD 11 10 0 1 0 0 1

Zululand 88 74 1 5 0 0 11

Source: DHIS.


Community Health

WorkersNursing

assistantsEnrolled

nurseProfessional

nurseMedical





Zululand 1 161 374 782 1 108 98 36 6 5 17 9



PHC Management




(%)



Provincial and LG



(uninsured) (Rand)


(uninsured) (Rand)


per PHC headcount

(Rand)

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

Abaqulusi SD Indicator 2.5 - - - - -

Numerator 566 070 - - - - -

Denominator 2 735 028 - - - - -

eDumbe SD Indicator 2.7 - - - - -

Numerator 235 690 - - - - -

Denominator 1 050 825 - - - - -

Nongoma SD Indicator 2.3 - - - - -

Numerator 467 813 - - - - -

Denominator 2 463 909 - - - - -

Ulundi SD Indicator 2.8 - - - - -

Numerator 568 165 - - - - -

Denominator 2 399 952 - - - - -

uPhongolo SD Indicator 2.6 - - - - -

Numerator 349 554 - - - - -

Denominator 1 642 605 - - - - -

Zululand Indicator 2.6 62.0 90.0 2 221 1 143 422

Numerator 2 187 292 44 63 1 792 019 213 922 198 931 922 198 931

Denominator 10 292 319 71 70 807 010 807 010 2 187 292



Source: DHIS.

2008 2010 2012 2014 2016 2018Year

1_M

anag

emen

t

1_Im

pact


2_O

utco

me



3_O

utpu

t



4_P

roce

ss_i

nput





2

4

6

8

2

4

6

8

1K

2K

3K

4K

50

100

0

50

100

0

50

100

1K

2K

3K

500

1000

1500

200

400

KZN, DC26, Zululand District Municipality, SEQ 1 (most deprived)



P rov_av

ZA_av


489


489

Hos

pita

l

Dis

tric

t Hos

pita

lR

egio

nal H

ospi

tal

Tert

iary

/Cen

tral

Hos

pita

l

Aver

age

leng

th o

f st

ay -

tota

l (D

ays)

Expe

nditu

re

per p

atie

nt

day

equi

vale

nt

(Ran

d)

Inpa

tient

bed

ut

ilisa

tion

rate

- to

tal

(%)

Inpa

tient

cr

ude

deat

h ra

te (%

)

OPD

new

cl

ient

not

re

ferr

ed ra

te

(%)

Aver

age

leng

th o

f st

ay -

tota

l (D

ays)

Expe

nditu

re

per p

atie

nt

day

equi

vale

nt

(Ran

d)

Inpa

tient

bed

ut

ilisa

tion

rate

- to

tal

(%)

Inpa

tient

cr

ude

deat

h ra

te (%

)

OPD

new

cl

ient

not

re

ferr

ed ra

te

(%)

Aver

age

leng

th o

f st

ay -

tota

l (D

ays)

Expe

nditu

re

per p

atie

nt

day

equi

vale

nt

(Ran

d)

Inpa

tient

bed

ut

ilisa

tion

rate

- to

tal

(%)

Inpa

tient

cr

ude

deat

h ra

te (%

)

OPD

new

cl

ient

not

re

ferr

ed ra

te

(%)

Abaq

ulus

i SD

Indi

cato

r5.

12

233

71.2

5.3

41.6

- -

- -

- -

- -

- -

Num

erat

or80

495

242

423

913

80 4

9584

014

433

- -

- -

- -

- -

- -

Den

omin

ator

15 8

8310

8 56

811

3 10

215

883

34 6

58 -

- -

- -

- -

- -

-

Non

gom

a SD

Indi

cato

r5.

82

876

45.0

5.3

76.1

- -

- -

- -

- -

- -

Num

erat

or74

610

274

642

780

74 6

1067

818

265

- -

- -

- -

- -

- -

Den

omin

ator

12 8

5495

505

165

698

12 8

5423

994

- -

- -

- -

- -

- -

Ulu

ndi S

DIn

dica

tor

6.0

3 00

653

.58.

632

.0 -

- -

- -

- -

- -

-

Num

erat

or70

735

309

220

208

70 7

351

013

16 7

51 -

- -

- -

- -

- -

-

Den

omin

ator

11 8

3210

2 86

813

2 14

411

832

52 3

33 -

- -

- -

- -

- -

-

uPho

ngol

o SD

Indi

cato

r4.

82

317

76.6

5.0

7.5

- -

- -

- -

- -

- -

Num

erat

or43

076

149

089

119

43 0

7644

53

414

- -

- -

- -

- -

- -

Den

omin

ator

8 91

764

339

56 2

168

917

45 5

76 -

- -

- -

- -

- -

-

Zulu

land

In

dica

tor

5.4

2 62

757

.66.

033

.8 -

- -

- -

- -

- -

-

Num

erat

or26

8 91

697

5 37

6 02

026

8 91

62

976

52 8

63 -

- -

- -

- -

- -

-

Den

omin

ator

49 4

8637

1 28

046

7 16

049

486

156

561

- -

- -

- -

- -

- -

KwaZ

ulu-

Nat

alIn

dica

tor

5.4

2 56

656

.25.

449

.46.

1 2

935

67.9

5.5

34.6

8.0

5 98

271

.75.

526

.8

Sout

h Af

rica

Indi

cato

r4.

42

568

67.4

5.1

59.3

5.3

2 89

478

.35.

037

.26.

94

227

84.3

5.4

20.3

Sour

ce:

DH

IS a

nd B

AS.

Annual trends

490


490



Dat

a El

emen

t(N

umbe

r)

2014

/15

2015

/16

2016

/17

PHC

/ CH

C / M

OU

*D

istr

ict

Hos

pita

lR

egio

nal

Hos

pita

l

Cen

tral

/te

rtia

ry

Hos

pita

lD

istr

ict

Tota

lPH

C / C

HC

/ MO

UD

istr

ict

Hos

pita

lR

egio

nal

Hos

pita

l

Cen

tral

/te

rtia

ry

Hos

pita

lD

istr

ict

Tota

lPH

C / C

HC

/ MO

UD

istr

ict

Hos

pita

lR

egio

nal

Hos

pita

l

Cen

tral

/te

rtia

ry

hosp

ital

Dis

tric

t To

tal

Mat

erna

l dea

ths

-10

--

10-

13-

-13

-16

--

16

Live

birt

hs1

852

14 7

36-

-16

588

1 75

113

511

--

15 2

621

627

14 7

00-

-16

327

Still

birth

s23

244

--

267

2726

9-

-29

626

260

--

286


Infant (under 1

year)

Neo-natal

Dea

th in

faci

lity

0-7d

ays

316

6-

-16

91

110

--

--

157

--

158

Dea

th in

faci

lity

8-28

day

s 2

32-

-34

-24

--

24-

24-

-24

Dea

th in

faci

lity

29 d

ays

- 11

mon

ths

-15

4-

-15

4-

86-

-86

179

--

80

Dea

th in

faci

lity

12 –

59

mon

ths

-10

8-

-10

8-

51-

-51

-49

--

49

Dia

rrho

ea d

eath

und

er 5

yea

rs

-52

--

521

33-

-34

134

--

35

Pneu

mon

ia d

eath

und

er 5

yea

rs-

32-

-32

-31

--

31-

26-

-26

Seve

re a

cute

mal

nutri

tion

deat

h un

der 5

yea

rs

-47

--

47-

22-

-22

146

--

47

TB D

eath

s 1

875

220

--

2 09

51

590

315

--

1 90

5-

--

--

Inpa

tient

dea

th to

tal

262

934

--

2 96

038

2 77

1-

-2

809

886

2 97

6-

-3

862

Patie

nt d

ay e

quiv

alen

t5

068

425

710

--

430

778

3 85

640

8 77

0-

-41

2 62

64

707

371

280

--

375

987

Sour

ce:

DH

IS. *

MO

U –

Mat

erna

l Obs

tetr

ic U

nit.


5-1415-2425-64

65+Total 24%

18%18%22%

34%73%

32%8%

49%54%32%

11%

38%72%

28%12%

16%7%

5%2%4%

12%17%

9%

22%16%16%

11%33%

72%

36%16%

48%24%

26%11%

28%64%

23%11%

16%8%

13%3%

13%53%

25%9%

KZN, Zululand: DC26, 2010 - 2015

Rank.. Female Male

<5 y

ears

12345678910

5-14

12345678910

15-2

4

12345678910

25-6

4

12345678910

65+

12345678910





Septicaemia (2.0%)



Drowning (6.0%)

Epilepsy (3.9%)

Endocrine nutritional,blood, immune (1.3%)







HIV/AIDS (13.7%)

Epilepsy (1.6%)Endocrine nutritional,blood, immune (2.3%)



Accidental threats to breathing (3.6%)Road injuries (3.8%)



Cervix (3.1%)Endocrine nutritional,blood, immune (2.1%)







Cervix (2.3%)Endocrine nutritional,blood, immune (2.3%)Nephritis/nephrosis (3.1%)






Tuberculosis (7.1%)







Tuberculosis (4.7%)

HIV/AIDS (6.6%)

Drowning (10.1%)

Epilepsy (4.3%)Asthma (2.1%)





Epilepsy (3.1%)Meningitis/encephalitis (3.1%)








HIV/AIDS (9.9%)
















Fem

ale

15-4

9

12345678910

Maternal sepsis (8.4%) n=10Abortion (11.2%) n=13

Maternal haemorrhage (18.5%) n=21Hypertension in pregnancy (16.5%) n=19

Other maternal (13.3%) n=15


Endocrine nutritional,blood, immune (2.1%) n=185Road injuries (1.9%) n=167

Cervix (2.1%) n=191

Nephritis/nephrosis (1.3%) n=113Cerebrovascular disease (1.7%) n=147

Meningitis/encephalitis (4.1%) n=362Diarrhoeal diseases (6.1%) n=543Lower respiratory infections (7.0%) n=625




causes

BroadcauseInjury

NCD

HIV and TB

Comm_mat_peri_nut

Prov, DistrictKZN, Zululand: DC26

Show history





491


491




2009 2010 2011 2012 2013 2014 2015 2016Year

2_M

ater

nal a

nd w

omen

's h

ealth

1_Im

pact Maternal


2_O

utco

me





3_O

utpu

t



0

200

400

600

800

20

40

60

80

100

200

5

10

15

0

100

200

50

100

150

200

50

100

150



492


492






on ART rate (%)


(%)


Cervical cancer



(WHO) (%)


rate (%)

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

Abaqulusi SD Indicator 146.6 99.7 11.5 82.4 82.9 73.4 60.2

Numerator 6 793 478 3 458 3 713 46 444 2 496

Denominator 4 094 795 4 145 4 196 53 736 759 594 4 145

eDumbe SD Indicator - 96.7 6.5 71.2 58.6 74.8 158.9

Numerator - 322 46 1 108 971 17 750 1 119

Denominator 703 333 704 1 556 19 898 284 673 704

Nongoma SD Indicator 105.3 110.9 9.3 73.0 89.8 59.0 32.7

Numerator 5 845 443 3 168 3 384 33 867 1 558

Denominator 4 747 762 4 763 4 338 45 233 689 373 4 763

Ulundi SD Indicator 55.9 98.9 8.8 66.1 73.4 68.4 59.5

Numerator 2 831 315 2 885 2 837 39 086 2 136

Denominator 3 580 840 3 592 4 363 46 403 685 572 3 592

uPhongolo SD Indicator 93.7 97.0 10.3 63.8 99.5 83.3 41.8

Numerator 3 623 334 2 036 2 449 31 940 1 349

Denominator 3 203 642 3 230 3 192 29 542 460 101 3 230

Zululand Indicator 98.0 101.2 9.8 71.7 82.3 70.5 52.7

Numerator 16 3 414 1 616 12 655 13 354 169 087 8 658

Denominator 16 327 3 372 16 434 17 645 194 813 2 879 313 16 434



Source: DHIS.

Annual trends


493


493


pact

Out

com

eO

utpu

t

Chi

ld u

nder

5

year

s di

arrh

oea

case

fata

lity

rate

(%)

Chi

ld u

nder

5

year

s pn

eum

onia

ca

se fa

talit

y ra

te (%

)

Chi

ld u

nder

5

year

s se

vere

acu

te

mal

nutr

ition

ca

se fa

talit

y ra

te (%

)

Inpa

tient

de

ath

unde

r 1

year

rate

(%)

Inpa

tient

de

ath

unde

r 5

year

rate

(%)

Inpa

tient

ea

rly n

eona

tal

deat

h ra

te

(per

1K)

Inpa

tient

ne

onat

al

deat

h ra

te

(per

1K)

Infa

nt P

CR

test

pos

itive

ar

ound

10

wee

ks ra

te

(%)

Imm

unis

atio

n co

vera

ge

unde

r 1 y

ear

(%)

Infa

nt

excl

usiv

ely

brea

stfe

d at

D

TaP-

IPV-

Hib

-H

BV

3rd d

ose

rate

(%)

Mea

sles

2nd

dos

e co

vera

ge (%

)

Scho

ol G

rade

1

scre

enin

g co

vera

ge (%

)

Scho

ol G

rade

8

scre

enin

g co

vera

ge (%

)

Vita

min

A

dose

12-

59

mon

ths

cove

rage

(%)

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

Abaq

ulus

i SD

In

dica

tor

1.3

1.2

12.5

3.1

2.6

8.1

9.3

0.5

91.7

50.2

104.

236

.520

.954

.7

Num

erat

or5

58

5262

3338

64

300

2 11

75

008

2 28

91

069

21 4

72

Den

omin

ator

391

402

641

663

2 37

64

094

4 09

41

093

56 2

714

220

57 6

576

264

5 10

447

1 02

4

eDum

be S

D

Indi

cato

r6.

7 -

50.0

6.7

2.2

- -

1.6

74.8

61.3

93.1

10.6

5.3

65.4

Num

erat

or1

-1

11

- -

61

503

933

1 91

630

612

710

991

Den

omin

ator

159

215

4570

370

336

424

114

1 52

124

690

2 87

62

413

201

774

Non

gom

a SD

In

dica

tor

6.5

6.4

12.4

19.1

10.7

14.3

16.6

0.9

61.6

51.6

79.5

42.3

23.0

97.2

Num

erat

or16

1213

108

123

6879

73

451

2 14

04

329

2 16

71

156

41 0

99

Den

omin

ator

246

187

105

566

1 14

94

747

4 74

776

167

176

4 14

465

367

5 12

85

036

507

198

Ulu

ndi S

D

Indi

cato

r2.

12.

015

.79.

65.

910

.111

.70.

581

.650

.497

.031

.416

.963

.7

Num

erat

or6

28

6170

3642

43

908

2 05

04

680

2 23

51

060

24 6

82

Den

omin

ator

287

102

5163

31

178

3 58

03

580

820

57 4

414

065

57 8

977

125

6 28

746

4 80

2

uPho

ngol

o SD

In

dica

tor

4.1

6.7

22.1

12.9

8.8

6.6

7.2

1.8

77.1

56.2

100.

642

.315

.648

.5

Num

erat

or7

717

4055

2123

112

486

1 60

13

249

1 94

067

812

508

Den

omin

ator

171

105

7731

162

53

203

3 20

361

638

709

2 84

938

760

4 58

14

346

309

558

Zulu

land

In

dica

tor

3.2

3.2

15.7

8.2

5.8

9.7

11.1

0.9

77.0

52.6

94.2

34.4

17.6

68.0

Num

erat

or35

2647

262

311

158

182

3415

648

8 84

119

182

8 93

74

090

110

752

Den

omin

ator

1 11

080

529

93

188

5 37

316

327

16 3

273

654

243

711

16 7

9924

4 37

131

1 68

827

8 23

21

954

356

KwaZ

ulu-

Nat

alIn

dica

tor

2.0

1.8

7.4

6.4

4.5

9.7

12.4

1.0

85.8

53.9

99.8

26.2

16.4

62.1

Sout

h Af

rica

Indi

cato

r2.

02.

08.

06.

34.

49.

912

.41.

382

.341

.696

.233

.019

.858

.0

Sour

ce:

DH

IS.

2009 2010 2011 2012 2013 2014 2015 2016Year

3_C

hild

and

sch

ool h

ealth

1_Im

pact





3_O

utpu

t





0

50

100

0

10

20

30

0

20

40

60

0

10

20

50

100

150

20

40

60

80

50

100

150

0

50

100



2009 2010 2011 2012 2013 2014 2015 2016Year

4_H

IV

4_P

roce

ss_i

nput




20

40

60

100

200

0

20

40

6080



494


494


Annual trends HIV



495


495

HIV

3rd 9

0-90

-90

2nd 9

0-90

-90

1st 90

-90-

90

Out

com

eO

utpu

tPr

oces

s &

inpu

t

Adu

lt w

ith v

iral

load

com

plet

ion

rate

at 1

2 m

onth

s (%

)

Chi

ld w

ith v

iral

load

com

plet

ion

rate

at 1

2 m

onth

s (%

)

Adu

lt w

ith v

iral

load

sup

pres

sed

rate

12

mon

ths

(%)

Chi

ld w

ith v

iral

load

sup

pres

sed

rate

12

mon

ths

(%)

Adu

lt pe

rcen

tage

on

AR

T af

ter 1

2 m

onth

s (%

)

Chi

ld p

erce

ntag

e on

AR

T af

ter 1

2 m

onth

s (%

)C

lient

s re

mai

ning

on

AR

T ra

te (%

)

HIV

test

pos

itive

cl

ient

15

year

s an

d ol

der r

ate

(incl

udin

g A

NC

) (%

)

HIV

test

ing

cove

rage

(in

clud

ing

AN

C)

(%)

Mal

e co

ndom

di

strib

utio

n co

vera

ge (N

o)

Med

ical

mal

e ci

rcum

cisi

on ra

te

(per

1K)

2015

2015

2015

2015

2015

2015

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

Abaq

ulus

i SD

In

dica

tor

27.2

29.9

91.3

82.9

74.1

75.0

- -

39.9

42.6

26.9

Num

erat

or -

41 -

34 -

138

- -

50 7

463

136

992

2 30

5

Den

omin

ator

2 94

613

780

241

4 12

918

4 -

-1

526

511

883

197

1 02

8 64

9

eDum

be S

D

Indi

cato

r51

.932

.493

.581

.883

.394

.4 -

-27

.961

.628

.8

Num

erat

or -

11 -

9 -

34 -

-12

856

1 59

7 86

089

3

Den

omin

ator

684

3435

511

836

36 -

-55

2 87

331

1 13

937

2 33

9

Non

gom

a SD

In

dica

tor

40.5

44.4

93.8

60.4

78.9

79.9

- -

41.0

51.7

58.9

Num

erat

or -

48 -

29 -

111

- -

42 8

262

817

082

3 96

6

Den

omin

ator

2 31

710

893

848

3 01

713

9 -

-1

253

631

653

529

807

465

Ulu

ndi S

D

Indi

cato

r35

.740

.990

.672

.277

.882

.7 -

-35

.562

.534

.2

Num

erat

or -

54 -

39 -

134

- -

37 3

823

471

427

2 30

0

Den

omin

ator

2 27

313

281

254

3 03

316

2 -

-1

264

152

666

801

807

801

uPho

ngol

o SD

In

dica

tor

39.6

35.1

87.8

80.0

65.4

74.0

- -

29.3

67.2

16.8

Num

erat

or -

20 -

16 -

77 -

-22

008

2 80

6 01

883

1

Den

omin

ator

997

5739

520

2 09

310

4 -

-90

1 97

450

0 73

359

2 96

8

Zulu

land

In

dica

tor

35.8

37.2

91.7

73.0

75.3

79.0

59.1

9.4

36.2

55.0

34.2

Num

erat

or -

174

- 12

7-

494

101

471

16 8

0816

5 81

813

829

379

10 2

95

Den

omin

ator

9 21

746

83

302

174

13 1

0862

517

1 64

017

8 75

55

499

141

3 01

5 39

93

609

222

KwaZ

ulu-

Nat

alIn

dica

tor

58.0

56.8

91.8

68.5

75.9

78.5

61.3

11.4

42.5

53.9

30.5

Sout

h Af

rica

Indi

cato

r -

- -

- -

-55

.08.

235

.947

.519

.0

Sour

ce:

DH

IS.

2009 2010 2011 2012 2013 2014 2015 2016Year

5_TB

1_Im

pact



2_O

utco

me







4_P

roce

ss_i

nput


5

10

15

0

20

40

60

0

5

10

15

40

60

80

0

20

40

0

20

40

60

0

10

20

0

50

100

0

50

100




P rov_av

ZA_av

496


496


TB

Im

pact

Out

com

eO

utpu

tPr

oces

s &

inpu

t

TB d

eath

rate

(E

TR.n

et) (

%)

TB D

R cl

ient

de

ath

rate

(E

DR

Web

) (%

)

TB c

lient

loss

to

follo

w u

p ra

te

(ETR

.Net

) (%

)

TB c

lient

tr

eatm

ent

succ

ess

rate

(E

TR.n

et) (

%)

TB D

R cl

ient

loss

to

follo

w u

p ra

te

(ED

RW

eb) (

%)

TB D

R tr

eatm

ent

succ

ess

rate

(E

DR

Web

) (%

)

TB R

ifam

pici

n re

sist

ance

co

nfirm

ed c

lient

ra

te (%

)

TB R

ifam

pici

n re

sist

ant c

lient

s tr

eatm

ent

initi

atio

n ra

te (%

)

TB/H

IV c

o-in

fect

ed c

lient

on

AR

T ra

te (E

TR.

Net

) (%

)

TB c

lient

initi

ated

on

trea

tmen

t ra

te (%

)

TB s

ympt

om 5

ye

ars

and

olde

r sc

reen

ed in

fa

cilit

y ra

te (%

)

2015

2014

2015

2015

2014

2014

2016

2016

2016

2016

2016

/17

Abaq

ulus

i SD

In

dica

tor

7.9

-2.

286

.7 -

- -

-81

.9 -

77.3

Num

erat

or17

4 -

481

914

- -

- -

567

-36

3 56

8

Den

omin

ator

2 20

7 -

2 20

72

207

- -

- -

692

-47

0 37

5

eDum

be S

D

Indi

cato

r7.

6 -

0.4

88.0

- -

- -

72.5

-74

.4

Num

erat

or37

-2

427

- -

- -

116

-14

6 22

6

Den

omin

ator

485

-48

548

5 -

- -

-16

0 -

196

587

Non

gom

a SD

In

dica

tor

6.1

-3.

483

.6 -

- -

-80

.1 -

88.3

Num

erat

or81

-46

1 11

5 -

- -

-32

2 -

329

180

Den

omin

ator

1 33

4 -

1 33

41

334

- -

- -

402

-37

2 74

0

Ulu

ndi S

D

Indi

cato

r6.

7 -

2.6

83.8

- -

- -

88.2

-75

.2

Num

erat

or79

-30

984

- -

- -

402

-34

9 03

0

Den

omin

ator

1 17

4 -

1 17

41

174

- -

- -

456

-46

4 33

7

uPho

ngol

o SD

In

dica

tor

7.8

-4.

383

.8 -

- -

-91

.2 -

86.5

Num

erat

or76

-42

820

- -

- -

332

-24

3 27

0

Den

omin

ator

979

-97

997

9 -

- -

-36

4 -

281

254

Zulu

land

In

dica

tor

7.2

24.1

2.7

85.1

10.9

59.0

10.3

66.5

83.8

67.0

80.2

Num

erat

or44

710

816

85

260

4926

531

621

01

739

2 06

11

431

274

Den

omin

ator

6 17

944

96

179

6 17

944

944

93

077

316

2 0

743

077

1 78

5 29

3

KwaZ

ulu-

Nat

alIn

dica

tor

5.4

19.0

4.8

82.7

17.2

59.6

7.7

73.8

85.7

62.4

78.3

Sout

h Af

rica

Indi

cato

r6.

623

.06.

481

.017

.950

.56.

268

.088

.372

.851

.6

Sour

ce:

DH

IS.

Annual trends

2010 2011 2012 2013 2014 2015 2016 2017Year

6_NCDs

2_Outcome

Diabetesincidence


0

5

20

40




497


497


Outcome

Diabetes incidence

(per1K)


(per1K)

2016/17 2016/17

Abaqulusi SD Indicator 0.5 8.6

Numerator 105 380

Denominator 2 735 028 528 357

eDumbe SD Indicator 0.7 7.2

Numerator 59 119

Denominator 1 050 825 196 983

Nongoma SD Indicator 6.5 23.6

Numerator 1 327 842

Denominator 2 463 909 427 848

Ulundi SD Indicator 5.3 18.8

Numerator 1 064 680

Denominator 2 399 952 433 734

uPhongolo SD Indicator 1.1 18.7

Numerator 145 432

Denominator 1 642 605 276 678

Zululand Indicator 3.1 15.8


Denominator 10 292 319 1 863 600



Source: DHIS.

Annual trends




498


498


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 health sub-districts, namely Hlabisa, Jozini, Mtubatuba, The Big 5 and uMhlabuyalingana. The district has a population of 655 616, with a population density of 47.3 persons per km2 and falls in socio-economic Quintile 1, among the poorest districts. Estimated medical scheme coverage is 5.5%.




No schooling 17.8%

Matric 31.1%


Households 151 245













under 1 year 17 610 17 714 18 131 18 582

under 5 years 94 753 93 914 93 465 93 296

05-09 years 94 844 95 042 94 578 93 942

10-14 years 80 487 83 480 86 595 89 171

15-19 years 70 763 70 263 70 612 72 019

20-24 years 70 772 69 049 67 075 65 223

25-29 years 68 583 68 707 68 377 67 443

30-34 years 53 544 56 902 60 142 63 210

35-39 years 36 557 39 240 41 780 43 938

40-44 years 24 755 25 978 27 466 29 229

45-49 years 20 567 20 680 20 846 21 198

50-54 years 17 541 17 862 18 179 18 419

55-59 years 15 067 15 206 15 300 15 416

60-64 years 11 310 11 797 12 310 12 751

65-69 years 8 753 8 758 8 791 8 926

70-74 years 6 329 6 462 6 583 6 653

75-79 years 5 106 4 754 4 501 4 376

80 years and older 5 738 5 803 5 872 5 959

Total 685 470 693 899 702 470 711 176




499


499


Ward based outreach


Regional Hospital

Central/Tertiary

HospitalsOther

Hospitals

Hlabisa SD 5 5 0 1 0 0 1

Jozini SD 13 18 0 2 0 0 1

Mtubatuba SD 13 12 0 0 0 0 1

The Big 5 SD 5 4 0 0 0 0 1

Umhlabuyalingana SD 11 18 0 2 0 0 1

Umkhanyakude 47 57 0 5 0 0 5

Source: DHIS.


Community Health

WorkersNursing

assistantsEnrolled

nurseProfessional

nurseMedical





uMkhanyakude 830 259 868 915 95 30 6 23 22 16



PHC Management




(%)



Provincial and LG



(uninsured) (Rand)


(uninsured) (Rand)


per PHC headcount

(Rand)

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

Hlabisa SD Indicator 2.5 - - - - -

Numerator 186 901 - - - - -

Denominator 9 002 280 - - - - -

Jozini SD Indicator 3.5 - - - - -

Numerator 688 475 - - - - -

Denominator 234 349 - - - - -

Mtubatuba SD Indicator 2.9 - - - - -

Numerator 536 447 - - - - -

Denominator 2 220 132 - - - - -

The Big 5 SD Indicator 4.8 - - - - -

Numerator 167 633 - - - - -

Denominator 419 370 - - - - -

Umhlabuyalingana SD Indicator 3.7 - - - - -

Numerator 614 987 - - - - -

Denominator 2 000 139 - - - - -

uMkhanyakude Indicator 3.3 56.1 85.7 2 778 1 466 414

Numerator 2 194 443 32 48 1 721 377 601 908 136 694 908 136 694

Denominator 7 883 364 57 56 619 651 619 651 2 194 443



Source: DHIS.

2008 2010 2012 2014 2016 2018Year

1_M

anag

emen

t

1_Im

pact


2_O

utco

me



3_O

utpu

t



4_P

roce

ss_i

nput





2

4

6

8

2

4

6

8

1K

2K

3K

4K

50

100

0

50

100

0

50

100

1K

2K

3K

500

1000

1500

200

400

KZN, DC27, uMkhanyakude District Municipality, SEQ 1 (most deprived)



P rov_av

ZA_av

500


500


ospi

tal

Dis

tric

t Hos

pita

lR

egio

nal H

ospi

tal

Tert

iary

/Cen

tral

Hos

pita

l

Aver

age

leng

th o

f st

ay -

tota

l (D

ays)

Expe

nditu

re

per p

atie

nt

day

equi

vale

nt

(Ran

d)

Inpa

tient

bed

ut

ilisa

tion

rate

- to

tal

(%)

Inpa

tient

cr

ude

deat

h ra

te (%

)

OPD

new

cl

ient

not

re

ferr

ed ra

te

(%)

Aver

age

leng

th o

f st

ay -

tota

l (D

ays)

Expe

nditu

re

per p

atie

nt

day

equi

vale

nt

(Ran

d)

Inpa

tient

bed

ut

ilisa

tion

rate

- to

tal

(%)

Inpa

tient

cr

ude

deat

h ra

te (%

)

OPD

new

cl

ient

not

re

ferr

ed ra

te

(%)

Aver

age

leng

th o

f st

ay -

tota

l (D

ays)

Expe

nditu

re

per p

atie

nt

day

equi

vale

nt

(Ran

d)

Inpa

tient

bed

ut

ilisa

tion

rate

- to

tal

(%)

Inpa

tient

cr

ude

deat

h ra

te (%

)

OPD

new

cl

ient

not

re

ferr

ed ra

te

(%)

Hla

bisa

SD

Indi

cato

r5.

13

144

57.0

6.2

39.4

- -

- -

- -

- -

- -

Num

erat

or55

149

217

750

456

55 1

4967

39

393

- -

- -

- -

- -

- -

Den

omin

ator

10 8

1069

266

96 7

3610

810

23 8

46 -

- -

- -

- -

- -

-

Jozi

ni S

DIn

dica

tor

4.0

3 12

351

.53.

343

.9 -

- -

- -

- -

- -

-

Num

erat

or78

887

344

727

804

78 8

8765

714

636

- -

- -

- -

- -

- -

Den

omin

ator

19 7

3411

0 39

715

3 04

319

734

33 3

44 -

- -

- -

- -

- -

-

Um

hlab

uyal

inga

na S

DIn

dica

tor

6.1

2 59

265

.94.

357

.4 -

- -

- -

- -

- -

-

Num

erat

or10

4 57

539

3 45

5 52

510

4 57

573

637

745

- -

- -

- -

- -

- -

Den

omin

ator

17 2

8515

1 82

015

8 79

217

285

65 7

62 -

- -

- -

- -

- -

-

uMkh

anya

kude

In

dica

tor

5.0

2 88

458

.44.

350

.2 -

- -

- -

- -

- -

-

Num

erat

or23

8 61

195

5 93

3 78

423

8 61

12

066

61 7

74 -

- -

- -

- -

- -

-

Den

omin

ator

47 8

2933

1 48

340

8 57

147

829

122

952

- -

- -

- -

- -

- -

KwaZ

ulu-

Nat

alIn

dica

tor

5.4

2 56

656

.25.

449

.46.

12

935

67.9

5.5

34.6

8.0

5 98

271

.75.

526

.8

Sout

h Af

rica

Indi

cato

r4.

42

568

67.4

5.1

59.3

5.3

2 89

478

.35.

037

.26.

94

227

84.3

5.4

20.3

Sour

ce:

DH

IS a

nd B

AS.

Annual trends


501


501


Dat

a El

emen

t(N

umbe

r)

2014

/15

2015

/16

2016

/17

PHC

/ CH

C / M

OU

*D

istr

ict

Hos

pita

lR

egio

nal

Hos

pita

l

Cen

tral

/te

rtia

ry

Hos

pita

lD

istr

ict

Tota

lPH

C / C

HC

/ MO

UD

istr

ict

Hos

pita

lR

egio

nal

Hos

pita

l

Cen

tral

/te

rtia

ry

Hos

pita

lD

istr

ict

Tota

lPH

C / C

HC

/ MO

UD

istr

ict

Hos

pita

lR

egio

nal

Hos

pita

l

Cen

tral

/te

rtia

ry

hosp

ital

Dis

tric

t To

tal

Mat

erna

l dea

ths

-9

--

912

--

12-

6-

-6

Live

birt

hs2

797

12 3

67-

-15

164

2 73

211

356

--

14 0

882

642

11 1

92-

-13

834

Still

birth

s38

222

--

260

4320

3-

-24

640

186

--

226


Infant (under 1

year)

Neo-natal

Dea

th in

faci

lity

0-7d

ays

381

--

846

97-

-10

33

90-

-93

Dea

th in

faci

lity

8-28

day

s 1

18-

-19

-21

--

211

19-

-20

Dea

th in

faci

lity

29 d

ays

- 11

mon

ths

-73

--

73-

58-

-58

-42

--

42

Dea

th in

faci

lity

12 –

59

mon

ths

-37

--

37-

28-

-28

-28

--

28

Dia

rrho

ea d

eath

und

er 5

yea

rs

-44

--

44-

12-

-12

-21

--

21

Pneu

mon

ia d

eath

und

er 5

yea

rs-

27-

-27

-13

--

13-

14-

-14

Seve

re a

cute

mal

nutri

tion

deat

h un

der 5

yea

rs

-29

--

29-

24-

-24

-13

--

13

TB D

eath

s 50

023

5-

-73

598

030

5-

-1

285

--

--

-

Inpa

tient

dea

th to

tal

-2

213

--

2 21

3-

2 07

1-

-2

071

-2

066

--

2 06

6

Patie

nt d

ay e

quiv

alen

t-

374

543

--

374

543

-34

5 03

5-

-34

5 03

5-

331

483

--

331

483

Sour

ce:

DH

IS. *

MO

U –

Mat

erna

l Obs

tetr

ic U

nit.


5-1415-2425-64

65+Total 16%

14%10%15%

29%65%

37%8%

59%61%33%

17%

41%75%

27%13%

21%9%

5%3%4%

11%17%

9%

16%11%10%10%

24%65%

40%16%

55%26%

27%15%

31%69%

22%13%

25%10%

13%4%

13%50%

24%10%

KZN, uMkhanyakude: DC27, 2010 - 2015

Rank.. Female Male

<5 y

ears

12345678910

5-14

12345678910

15-2

4

12345678910

25-6

4

12345678910

65+

12345678910

Other perinatal conditions (2.9%)Poisonings (including herbal) (3.8%)

Birth asphyxia (7.0%)Protein-energy malnutrition (8.3%)Preterm birth complications (8.4%)

Septicaemia (2.2%)


Tuberculosis (6.3%)

HIV/AIDS (11.3%)

Rheumatic heart disease (2.2%)

Drowning (6.6%)

Epilepsy (2.9%)

Meningitis/encephalitis (6.1%)Road injuries (4.4%)Nephritis/nephrosis (3.4%)



Epilepsy (1.5%)









Cervix (3.4%)








Cervix (2.6%)







HIV/AIDS (2.9%)




Protein-energy malnutrition (8.5%)Preterm birth complications (8.5%)



Tuberculosis (4.2%)

HIV/AIDS (11.7%)

Other neurological conditions (3.1%)

Drowning (11.3%)






Tuberculosis (8.7%)

HIV/AIDS (20.5%)

Drowning (3.7%)









HIV/AIDS (15.0%)








Prostate (6.0%)









HIV/AIDS (5.4%)


Fem

ale

15-4

9

12345678910





Accidental threats to breathing (1.1%) n=57Endocrine nutritional,blood, immune (1.0%) n=51

Road injuries (1.7%) n=88

Cervix (2.6%) n=136






causes

BroadcauseInjury

NCD

HIV and TB

Comm_mat_peri_nut

Prov, DistrictKZN, uMkhanyakude: DC27

Show history




502


502





2009 2010 2011 2012 2013 2014 2015 2016Year

2_M

ater

nal a

nd w

omen

's h

ealth

1_Im

pact Maternal


2_O

utco

me





3_O

utpu

t



0

200

400

600

800

20

40

60

80

100

200

5

10

15

0

100

200

50

100

150

200

50

100

150




503


503





on ART rate (%)


(%)


Cervical cancer



(WHO) (%)


rate (%)

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

Hlabisa SD Indicator 114.1 103.1 10.5 68.3 73.2 67.2 48.1

Numerator 4 264 370 923 1 032 13 104 1 692

Denominator 3 505 256 3 521 1 351 16 925 233 994 3 521

Jozini SD Indicator - 98.7 12.9 72.7 86.9 58.4 92.7

Numerator - 787 552 3 257 3 074 31 302 3 967

Denominator 4 272 797 4 278 4 478 42 459 643 233 4 278

Mtubatuba SD Indicator - 99.9 4.7 69.0 63.7 39.2 151.6

Numerator - 765 53 2 530 2 252 19 649 1 696

Denominator 1 108 766 1 119 3 668 42 418 601 689 1 119

The Big 5 SD Indicator - 99.6 4.9 73.1 124.8 85.8 233.8

Numerator - 253 10 859 860 8 345 477

Denominator 203 254 204 1 175 8 271 116 736 204

Umhlabuyalingana SD Indicator 42.1 99.0 10.4 76.6 116.6 91.2 71.1

Numerator 2 694 497 3 137 3 934 41 855 3 386

Denominator 4 746 701 4 762 4 097 40 488 550 488 4 762

uMkhanyakude Indicator 43.4 99.6 10.7 72.5 88.9 63.9 80.8

Numerator 6 2 763 1 482 10 706 11 152 114 255 11 218

Denominator 13 834 2 774 13 884 14 769 150 561 2 146 140 13 884



Source: DHIS.

Annual trends

504


504



Impa

ctO

utco

me

Out

put

Chi

ld u

nder

5

year

s di

arrh

oea

case

fata

lity

rate

(%)

Chi

ld u

nder

5

year

s pn

eum

onia

ca

se fa

talit

y ra

te (%

)

Chi

ld u

nder

5

year

s se

vere

acu

te

mal

nutr

ition

ca

se fa

talit

y ra

te (%

)

Inpa

tient

de

ath

unde

r 1

year

rate

(%)

Inpa

tient

de

ath

unde

r 5

year

rate

(%)

Inpa

tient

ea

rly n

eona

tal

deat

h ra

te

(per

1K)

Inpa

tient

ne

onat

al

deat

h ra

te

(per

1K)

Infa

nt P

CR

test

pos

itive

ar

ound

10

wee

ks ra

te

(%)

Imm

unis

atio

n co

vera

ge

unde

r 1 y

ear

(%)

Infa

nt

excl

usiv

ely

brea

stfe

d at

D

TaP-

IPV-

Hib

-HB

V 3rd

do

se ra

te (%

)

Mea

sles

2nd

dos

e co

vera

ge (%

)

Scho

ol G

rade

1

scre

enin

g co

vera

ge (%

)

Scho

ol G

rade

8

scre

enin

g co

vera

ge (%

)

Vita

min

A

dose

12-

59

mon

ths

cove

rage

(%)

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

Hla

bisa

SD

In

dica

tor

4.9

12.0

12.5

11.5

8.1

10.6

12.0

0.2

109.

681

.812

9.7

17.0

21.0

40.4

Num

erat

or13

68

6583

3742

12

108

1 44

32

559

480

522

6 46

4

Den

omin

ator

263

5064

565

1 02

73

505

3 50

544

723

076

1 76

523

682

2 82

92

491

192

150

Jozi

ni S

D

Indi

cato

r2.

01.

14.

26.

93.

26.

68.

21.

573

.053

.588

.523

.816

.446

.8

Num

erat

or7

34

4651

2835

123

445

2 07

24

369

1 78

195

419

155

Den

omin

ator

342

273

9666

71

583

4 27

24

272

786

56 6

463

875

59 2

387

489

5 80

449

0 75

2

Mtu

batu

ba S

D

Indi

cato

r -

- -

100.

010

0.0

-0.

91.

171

.753

.990

.15.

63.

434

.3

Num

erat

or -

- -

11

1

103

081

1 74

94

081

344

139

12 8

87

Den

omin

ator

- -

-1

11

108

1 10

892

251

549

3 24

254

357

6 12

24

082

451

386

The

Big

5 SD

In

dica

tor

- -

- -

- -

-0.

596

.342

.910

1.3

27.7

23.6

68.1

Num

erat

or -

- -

- -

- -

174

638

480

641

218

84

422

Den

omin

ator

- -

- -

-20

320

321

29

300

895

9 54

61

488

797

77 9

58

Um

hlab

uyal

inga

na

SD

Indi

cato

r0.

31.

31.

45.

42.

95.

97.

41.

097

.762

.512

0.3

37.3

43.2

47.7

Num

erat

or1

51

4348

2835

83

870

2 67

74

923

2 37

11

743

16 0

30

Den

omin

ator

297

400

7279

91

681

4 74

64

746

782

47 5

114

282

49 1

166

356

4 03

640

3 59

0

uMkh

anya

kude

In

dica

tor

2.3

1.9

5.6

7.6

4.3

6.7

8.2

1.0

84.5

59.2

102.

522

.220

.643

.8

Num

erat

or21

1413

155

183

9311

332

13 2

508

325

16 7

385

388

3 54

658

958

Den

omin

ator

902

723

232

2 03

24

292

13 8

3413

834

3 14

918

8 08

214

059

195

939

291

408

206

520

1 61

5 83

6

KwaZ

ulu-

Nat

alIn

dica

tor

2.0

1.8

7.4

6.4

4.5

9.7

12.4

1.0

85.8

53.9

99.8

26.2

16.4

62.1

Sout

h Af

rica

Indi

cato

r2.

02.

08.

06.

34.

49.

912

.41.

382

.341

.696

.233

.019

.858

.0

Sour

ce:

DH

IS.

2009 2010 2011 2012 2013 2014 2015 2016Year

3_C

hild

and

sch

ool h

ealth

1_Im

pact





3_O

utpu

t





0

50

100

0

10

20

30

0

20

40

60

0

10

20

50

100

150

20

40

60

80

50

100

150

0

50

100



2009 2010 2011 2012 2013 2014 2015 2016Year

4_H

IV

4_P

roce

ss_i

nput




20

40

60

100

200

0

20

40

6080




505


505


Annual trends HIV

506


506


HIV

3rd

90-

90-9

02nd

90-

90-9

01st

90-9

0-90

Out

com

eO

utpu

tPr

oces

s &

inpu

t

Adu

lt w

ith v

iral

load

com

plet

ion

rate

at 1

2 m

onth

s (%

)

Chi

ld w

ith v

iral

load

com

plet

ion

rate

at 1

2 m

onth

s (%

)

Adu

lt w

ith v

iral

load

sup

pres

sed

rate

12

mon

ths

(%)

Chi

ld w

ith v

iral

load

sup

pres

sed

rate

12

mon

ths

(%)

Adu

lt pe

rcen

tage

on

AR

T af

ter 1

2 m

onth

s (%

)

Chi

ld p

erce

ntag

e on

AR

T af

ter 1

2 m

onth

s (%

)C

lient

s re

mai

ning

on

AR

T ra

te (%

)

HIV

test

pos

itive

cl

ient

15

year

s an

d ol

der r

ate

(incl

udin

g A

NC

) (%

)

HIV

test

ing

cove

rage

(in

clud

ing

AN

C)

(%)

Mal

e co

ndom

di

strib

utio

n co

vera

ge (N

o)

Med

ical

mal

e ci

rcum

cisi

on ra

te

(per

1K)

2015

2015

2015

2015

2015

2015

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

Hla

bisa

SD

Indi

cato

r49

.561

.492

.366

.776

.978

.9 -

-24

.840

.025

.9

Num

erat

or -

27 -

18 -

45 -

-9

104

817

051

645

Den

omin

ator

945

4446

827

1 26

257

- -

440

994

245

364

298

434

Jozi

ni S

DIn

dica

tor

62.0

59.3

94.0

67.1

78.8

83.6

- -

30.9

38.6

39.5

Num

erat

or -

70 -

47 -

122

- -

31 0

542

090

408

2 59

9

Den

omin

ator

2 85

711

81

772

703

726

146

- -

1 20

5 82

964

9 58

478

9 44

1

Mtu

batu

ba S

DIn

dica

tor

52.7

37.6

93.9

71.4

81.6

77.0

- -

20.4

26.5

31.9

Num

erat

or -

35 -

25 -

94 -

-19

684

1 42

4 55

82

040

Den

omin

ator

3 04

993

1 60

835

3 83

212

2 -

-1

157

856

644

316

766

446

The

Big

5 SD

Indi

cato

r48

.847

.493

.777

.887

.474

.1 -

-37

.166

.421

.6

Num

erat

or -

9 -

7 -

20 -

-7

020

708

109

273

Den

omin

ator

1 16

819

570

91

356

27 -

-22

7 28

012

8 04

315

1 46

7

Um

hlab

uyal

inga

na S

DIn

dica

tor

61.8

59.0

92.6

66.7

81.4

81.1

- -

44.5

70.9

30.0

Num

erat

or -

69 -

46 -

120

- -

38 0

833

270

675

1 68

0

Den

omin

ator

2 82

811

71

749

693

543

148

- -

1 02

6 74

455

3 30

567

2 51

6

uMkh

anya

kude

In

dica

tor

56.9

53.7

93.4

68.1

80.9

80.2

73.1

10.3

31.0

44.9

32.4

Num

erat

or -

210

-14

3 -

401

84 5

0617

8755

104

945

8 31

0 80

17

237

Den

omin

ator

10 8

4739

16

167

210

13 7

1950

011

5 68

811

7 16

24

058

703

22 2

0 61

22

678

304

KwaZ

ulu-

Nat

alIn

dica

tor

58.0

56.8

91.8

68.5

75.9

78.5

61.3

11.4

42.5

53.9

30.5

Sout

h Af

rica

Indi

cato

r -

- -

- -

-55

.08.

235

.947

.519

.0

Sour

ce:

DH

IS.


507


507

TBIm

pact

Out

com

eO

utpu

tPr

oces

s &

inpu

t

TB d

eath

rate

(E

TR.n

et) (

%)

TB D

R cl

ient

de

ath

rate

(E

DR

Web

) (%

)

TB c

lient

loss

to

follo

w u

p ra

te

(ETR

.Net

) (%

)

TB c

lient

tr

eatm

ent

succ

ess

rate

(E

TR.n

et) (

%)

TB D

R cl

ient

loss

to

follo

w u

p ra

te

(ED

RW

eb) (

%)

TB D

R tr

eatm

ent

succ

ess

rate

(E

DR

Web

) (%

)

TB R

ifam

pici

n re

sist

ance

co

nfirm

ed c

lient

ra

te (%

)

TB R

ifam

pici

n re

sist

ant c

lient

s tr

eatm

ent

initi

atio

n ra

te (%

)

TB/H

IV c

o-in

fect

ed c

lient

on

AR

T ra

te (E

TR.

Net

) (%

)

TB c

lient

initi

ated

on

trea

tmen

t ra

te (%

)

TB s

ympt

om 5

ye

ars

and

olde

r sc

reen

ed in

fa

cilit

y ra

te (%

)

2015

2014

2015

2015

2014

2014

2016

2016

2016

2016

2016

/17

Hla

bisa

SD

Indi

cato

r8.

0 -

1.2

87.9

- -

- -

98.0

-60

.4

Num

erat

or47

-7

517

- -

- -

288

-92

270

Den

omin

ator

588

-58

858

8 -

- -

-29

4 -

152

811

Jozi

ni S

DIn

dica

tor

2.9

-0.

787

.8 -

- -

-96

.5 -

79.7

Num

erat

or39

-9

1 17

4 -

- -

-43

5 -

442

135

Den

omin

ator

1 33

7 -

1 33

71

337

- -

- -

451

-55

4 56

3

Mtu

batu

ba S

DIn

dica

tor

4.6

-0.

492

.4 -

- -

-98

.5 -

51.0

Num

erat

or49

-4

986

- -

- -

399

-22

4 22

6

Den

omin

ator

1 06

7 -

1 06

71

067

- -

- -

405

-43

9 36

6

The

Big

5 SD

Indi

cato

r4.

5 -

0.2

93.3

- -

- -

97.1

-62

.2

Num

erat

or18

-1

375

- -

- -

100

-84

762

Den

omin

ator

402

-40

240

2 -

- -

-10

3 -

136

353

Um

hlab

uyal

inga

na S

DIn

dica

tor

7.6

-3.

083

.9 -

- -

-97

.0 -

78.9

Num

erat

or10

5 -

411

161

- -

- -

639

-38

4 36

0

Den

omin

ator

1 38

3 -

1 38

31

383

- -

- -

659

-48

7 00

6

uMkh

anya

kude

In

dica

tor

5.4

17.2

1.3

88.2

6.7

71.1

10.5

83.8

97.3

72.8

69.4

Num

erat

or25

862

624

213

2425

626

522

21

861

1 84

41

227

753

Den

omin

ator

4 77

736

04

777

4 77

736

036

02

532

265

1 91

22

532

1 77

0 09

9

KwaZ

ulu-

Nat

alIn

dica

tor

5.4

19.0

4.8

82.7

17.2

59.6

7.7

73.8

85.7

62.4

78.3

Sout

h Af

rica

Indi

cato

r6.

623

.06.

481

.017

.950

.56.

268

.088

.372

.851

.6

Sour

ce:

DH

IS.

2009 2010 2011 2012 2013 2014 2015 2016Year

5_TB

1_Im

pact



2_O

utco

me







4_P

roce

ss_i

nput


5

10

15

0

20

40

60

0

5

10

15

40

60

80

0

20

40

0

20

40

60

0

10

20

0

50

100

0

50

100



508


508


Annual trends TB

2010 2011 2012 2013 2014 2015 2016 2017Year

6_NCDs

2_Outcome

Diabetesincidence


0

5

20

40




509


509


Outcome

Diabetes incidence

(per1K)


(per1K)

2016/17 2016/17

Hlabisa SD Indicator 3.5 29.9

Numerator 265 438


Jozini SD Indicator 0.4 14.0

Numerator 81 485

Denominator 2 343 495 414 927

Mtubatuba SD Indicator 1.0 14.2

Numerator 179 496

Denominator 2 220 132 418 992

The Big 5 SD Indicator 0.9 37.4

Numerator 32 254


Umhlabuyalingana SD Indicator 2.2 13.4

Numerator 360 443

Denominator 2 000 139 397 230

uMkhanyakude Indicator 1.4 17.1

Numerator 917 2 116

Denominator 7 883 364 1 488 471



Source: DHIS.

Annual trends




510


510


King Cetshwayo District Municipality (DC28)

King Cetshwayo District (previously known as uThungulu) lies in the north-eastern area of KwaZulu-Natal Province and includes six health sub-districts, namely uMlalazi, uMfolozi, uMhlathuze, Mthonjaneni, Nkandla and Ntambanana. The district has a population of approximately 968 621, with a population density of 117.9 people per km2 and falls in socio-economic Quintile 2, among the poorer districts. Estimated medical scheme coverage is 9.5%.




No schooling 13.3%

Matric 36.0%


Households 225 797













under 1 year 26 280 26 342 26 352 26 166

under 5 years 136 049 134 962 133 707 132 309

05-09 years 134 939 135 241 135 070 134 855

10-14 years 118 842 122 822 126 350 129 053

15-19 years 96 647 98 283 101 459 105 736

20-24 years 94 529 91 892 88 898 86 570

25-29 years 88 367 89 160 89 503 88 886

30-34 years 70 622 73 929 77 293 80 719

35-39 years 54 774 56 735 58 465 59 801

40-44 years 42 550 43 709 44 878 46 191

45-49 years 33 108 33 995 35 051 36 142

50-54 years 28 498 28 470 28 440 28 525

55-59 years 25 072 25 086 25 070 25 046

60-64 years 19 843 20 245 20 665 20 993

65-69 years 15 758 15 666 15 561 15 558

70-74 years 10 798 11 171 11 458 11 599

75-79 years 7 370 7 024 6 834 6 835

80 years and older 7 051 7 079 7 122 7 179

Total 984 829 995 462 1 005 822 1 016 001




511


511


Ward based outreach


Regional Hospital

Central/Tertiary

HospitalsOther

Hospitals

Mthonjaneni SD 8 5 0 1 0 0 1

Nkandla SD 20 19 0 2 0 0 1

Ntambanana SD 5 5 0 0 0 0 1

uMfolozi SD 7 7 0 0 0 0 1

uMhlathuze SD 12 13 1 0 1 1 3

uMlalazi SD 14 16 0 3 0 0 1

King Cetshwayo 66 65 1 6 1 1 8

Source: DHIS.


Community Health

WorkersNursing

assistantsEnrolled

nurseProfessional

nurseMedical





King Cetshwayo 1 030 460 1 205 1 536 305 56 12 9 15 12



PHC Management




(%)



Provincial and LG



(uninsured) (Rand)


(uninsured) (Rand)


per PHC headcount

(Rand)

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

Mthonjaneni SD Indicator 3.2 - - - - -

Numerator 163 275 - - - - -

Denominator 615 441 - - - - -

Nkandla SD Indicator 3.2 - - - - -

Numerator 390 102 - - - - -

Denominator 1 474 515 - - - - -

Ntambanana SD Indicator 1.9 - - - - -

Numerator 149 597 - - - - -

Denominator 954 375 - - - - -

uMfolozi SD Indicator 2.3 - - - - -

Numerator 304 809 - - - - -

Denominator 1 575 993 - - - - -

uMhlathuze SD Indicator 3.2 - - - - -

Numerator 1 125 650 - - - - -

Denominator 4 285 911 - - - - -

uMlalazi SD Indicator 2.4 - - - - -

Numerator 556 591 - - - - -

Denominator 2 746 767 - - - - -

King Cetshwayo Indicator 2.8 40.3 86.7 1 960 1 164 380

Numerator 2 690 024 25 52 1 719 058 277 1 021 226 884 1 021 226 884

Denominator 11 653 002 62 60 877 072 877 072 2 690 024



Source: DHIS.

2008 2010 2012 2014 2016 2018Year

1_M

anag

emen

t

1_Im

pact


2_O

utco

me



3_O

utpu

t



4_P

roce

ss_i

nput





2

4

6

8

2

4

6

8

1K

2K

3K

4K

50

100

0

50

100

0

50

100

1K

2K

3K

500

1000

1500

200

400

KZN, DC28, King Cetshwayo District Municipality, SEQ 2 (deprived)



P rov_av

ZA_av

512


512


ospi

tal

Dis

tric

t Hos

pita

lR

egio

nal H

ospi

tal

Tert

iary

/Cen

tral

Hos

pita

l

Aver

age

leng

th o

f st

ay -

tota

l (D

ays)

Expe

nditu

re

per p

atie

nt

day

equi

vale

nt

(Ran

d)

Inpa

tient

bed

ut

ilisa

tion

rate

- to

tal

(%)

Inpa

tient

cr

ude

deat

h ra

te (%

)

OPD

new

cl

ient

not

re

ferr

ed ra

te

(%)

Aver

age

leng

th o

f st

ay -

tota

l (D

ays)

Expe

nditu

re

per p

atie

nt

day

equi

vale

nt

(Ran

d)

Inpa

tient

bed

ut

ilisa

tion

rate

- to

tal

(%)

Inpa

tient

cr

ude

deat

h ra

te (%

)

OPD

new

cl

ient

not

re

ferr

ed ra

te

(%)

Aver

age

leng

th o

f st

ay -

tota

l (D

ays)

Expe

nditu

re

per p

atie

nt

day

equi

vale

nt

(Ran

d)

Inpa

tient

bed

ut

ilisa

tion

rate

- to

tal

(%)

Inpa

tient

cr

ude

deat

h ra

te (%

)

OPD

new

cl

ient

not

re

ferr

ed ra

te

(%)

Mth

onja

neni

SD

Indi

cato

r6.

22

973

49.2

6.0

63.2

- -

- -

- -

- -

- -

Num

erat

or27

126

111

162

404

27 1

2626

39

023

- -

- -

- -

- -

- -

Den

omin

ator

4 39

537

388

55 1

214

395

14 2

78 -

- -

- -

- -

- -

-

Nka

ndla

SD

Indi

cato

r6.

72

646

53.7

5.1

61.6

- -

- -

- -

- -

- -

Num

erat

or64

745

243

833

421

64 7

4549

516

016

- -

- -

- -

- -

- -

Den

omin

ator

9 62

292

158

120

646

9 62

225

979

- -

- -

- -

- -

- -

uMhl

athu

ze S

DIn

dica

tor

- -

- -

-5.

24

196

65.9

2.2

6.0

8.3

3 82

478

.311

.446

.3

Num

erat

or -

- -

- -

86 9

5545

1 45

1 58

386

955

367

915

123

767

673

552

519

123

767

1 69

017

212

Den

omin

ator

- -

- -

-16

619

107

587

131

901

16 6

1915

202

14 8

4017

6 12

115

8 03

214

840

37 1

39

uMla

lazi

SD

Indi

cato

r6.

12

345

39.2

6.2

81.7

- -

- -

- -

- -

- -

Num

erat

or10

4 40

241

3 93

5 07

910

4 40

21

057

65 9

56 -

- -

- -

- -

- -

-

Den

omin

ator

16 9

7817

6 53

926

6 60

116

978

80 7

06 -

- -

- -

- -

- -

-

King

Cet

shw

ayo

Indi

cato

r6.

32

512

44.4

5.9

75.2

5.2

4 19

665

.92.

26.

08.

33

824

78.3

11.4

46.3

Num

erat

or19

6 27

276

8 93

0 90

419

6 27

21

815

90 9

9586

955

451

451

583

86 9

5536

791

512

3 76

767

3 55

2 51

912

3 76

71

690

17 2

12

Den

omin

ator

30 9

9530

6 08

644

2 36

830

995

120

963

16 6

1910

7 58

713

1 90

116

619

15 2

0214

840

176

121

158

032

14 8

4037

139

KwaZ

ulu-

Nat

alIn

dica

tor

5.4

2 56

656

.25.

449

.46.

12

935

67.9

5.5

34.6

8.0

5 98

271

.75.

526

.8

Sout

h Af

rica

Indi

cato

r4.

42

568

67.4

5.1

59.3

5.3

2 89

478

.35.

037

.26.

94

227

84.3

5.4

20.3

Sour

ce:

DH

IS a

nd B

AS.

Annual trends


513


513


Dat

a El

emen

t(N

umbe

r)

2014

/15

2015

/16

2016

/17

PHC

/ CH

C / M

OU

*D

istr

ict

Hos

pita

lR

egio

nal

Hos

pita

l

Cen

tral

/te

rtia

ry

Hos

pita

lD

istr

ict

Tota

lPH

C / C

HC

/ MO

UD

istr

ict

Hos

pita

lR

egio

nal

Hos

pita

l

Cen

tral

/te

rtia

ry

Hos

pita

lD

istr

ict

Tota

lPH

C / C

HC

/ MO

UD

istr

ict

Hos

pita

lR

egio

nal

Hos

pita

l

Cen

tral

/te

rtia

ry

hosp

ital

Dis

tric

t To

tal

Mat

erna

l dea

ths

-10

331

44-

524

-29

-2

22-

24

Live

birt

hs4

626

7 35

68

341

-20

323

4 11

66

806

7 92

7-

18 8

494

028

6 46

67

569

-18

063

Still

birth

s53

141

312

-50

639

9936

2-

500

3811

335

6-

507


Infant (under 1

year)

Neo-natal

Dea

th in

faci

lity

0-7d

ays

159

193

-25

38

5420

1-

263

336

132

-17

1

Dea

th in

faci

lity

8-28

day

s -

575

383

-3

86-

891

1357

-71

Dea

th in

faci

lity

29 d

ays

- 11

mon

ths

-68

3261

161

-48

621

111

-12

47-

59

Dea

th in

faci

lity

12 –

59

mon

ths

-42

1833

93-

2937

167

-15

367

58

Dia

rrho

ea d

eath

und

er 5

yea

rs

-17

526

48-

1110

-21

-4

11-

15

Pneu

mon

ia d

eath

und

er 5

yea

rs-

1510

2853

-8

35-

43-

47

-11

Seve

re a

cute

mal

nutri

tion

deat

h un

der 5

yea

rs

-36

1216

64-

1815

-33

-9

16-

25

TB D

eath

s 1

248

1 36

8-

62

622

1 31

41

374

624

2 71

8-

--

--

Inpa

tient

dea

th to

tal

-1

924

391

2 13

74

452

-1

876

477

1 84

14

194

-1

815

367

1 69

03

872

Patie

nt d

ay e

quiv

alen

t-

339

368

95 2

7423

0 86

766

5 50

9-

329

052

115

578

192

496

637

126

-30

6 08

610

7 58

717

6 12

158

9 79

4

Sour

ce:

DH

IS. *

MO

U –

Mat

erna

l Obs

tetr

ic U

nit.


5-1415-2425-64

65+Total 20%

13%16%

22%31%

71%

30%6%

46%48%29%

11%

44%78%

33%16%

25%12%

5%3%5%

14%16%

6%

19%13%12%10%

27%70%

33%11%

45%19%

29%10%

33%72%

27%14%

19%12%

16%4%

16%57%

25%8%

KZN, King Cetshwayo: DC28, 2010 - 2015

Rank.. Female Male

<5 y

ears

12345678910

5-14

12345678910

15-2

4

12345678910

25-6

4

12345678910

65+

12345678910

Other congenital abnormalities (2.8%)




Preterm birth complications (18.6%)Diarrhoeal diseases (13.9%)


Tuberculosis (2.8%)

HIV/AIDS (7.8%)

Pericarditis, endocarditis and myocardi (2.4%)Epilepsy (2.7%)

Asthma (3.9%)Meningitis/encephalitis (6.1%)







Mechanical forces (2.0%)Accidental threats to breathing (2.3%)Interpersonal violence (2.3%)



HIV/AIDS (30.4%)

Cervix (2.9%)



Diabetes mellitus (4.0%)Diarrhoeal diseases (4.5%)Cerebrovascular disease (5.4%)Lower respiratory infections (6.0%)


Cervix (2.2%)Septicaemia (1.6%)







Tuberculosis (4.5%)





Septicaemia (2.7%)


Tuberculosis (2.9%)

HIV/AIDS (6.7%)

Drowning (7.5%)

Epilepsy (4.2%)

Septicaemia (2.1%)






Drowning (2.7%)














HIV/AIDS (23.3%)

Prostate (3.5%)Nephritis/nephrosis (4.9%)







Tuberculosis (9.0%)

HIV/AIDS (2.6%)


Fem

ale

15-4

9

12345678910

Maternal sepsis (4.0%) n=8Abortion (9.4%) n=19Maternal haemorrhage (11.0%) n=22



Septicaemia (1.4%) n=144


Cervix (2.0%) n=197Nephritis/nephrosis (2.1%) n=210Cerebrovascular disease (2.2%) n=217

Meningitis/encephalitis (2.8%) n=275Diarrhoeal diseases (4.7%) n=465Lower respiratory infections (6.6%) n=652




causes

BroadcauseInjury

NCD

HIV and TB

Comm_mat_peri_nut

Prov, DistrictKZN, King Cetshwayo: DC28

Show history




514


514





2009 2010 2011 2012 2013 2014 2015 2016Year

2_M

ater

nal a

nd w

omen

's h

ealth

1_Im

pact Maternal


2_O

utco

me





3_O

utpu

t



0

200

400

600

800

20

40

60

80

100

200

5

10

15

0

100

200

50

100

150

200

50

100

150




515


515





on ART rate (%)


(%)


Cervical cancer



(WHO) (%)


rate (%)

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

Mthonjaneni SD Indicator - 100.0 10.6 73.0 81.2 77.2 52.3

Numerator - 242 115 890 863 10 420 570

Denominator 1 092 242 1 090 1 219 12 753 162 060 1 090

Nkandla SD Indicator 50.7 93.8 8.2 64.2 85.2 49.1 66.7

Numerator 1 345 164 1 726 2 245 15 069 1 326

Denominator 1 973 368 1 988 2 689 31 617 368 205 1 988

Ntambanana SD Indicator - 99.2 4.2 71.7 75.5 41.5 230.5

Numerator - 119 10 748 1 181 8 383 551

Denominator 239 120 239 1 043 18 781 242 634 239

uMfolozi SD Indicator - 96.4 4.7 70.7 77.5 39.0 175.2

Numerator - 320 27 1 143 1 969 13 422 1 016

Denominator 578 332 580 1 616 30 506 413 319 580

uMhlathuze SD Indicator 210.4 99.5 7.3 70.4 77.7 60.6 56.4

Numerator 22 1 761 779 6 278 5 770 65 564 6 001

Denominator 10 456 1 770 10 637 8 915 89 157 1 297 290 10 637

uMlalazi SD Indicator 26.8 99.6 10.4 69.2 106.6 68.5 71.4

Numerator 1 709 386 2 819 5 251 40 457 2 643

Denominator 3 726 712 3 703 4 071 59 117 708 936 3 703

King Cetshwayo Indicator 132.9 98.6 8.1 69.6 85.7 57.6 66.4

Numerator 24 3 496 1 481 13 604 17 279 153 314 12 107

Denominator 18 064 3 544 18 237 19 553 241 931 3 192 444 18 237



Source: DHIS.

Annual trends

516


516



Impa

ctO

utco

me

Out

put

Chi

ld u

nder

5

year

s di

arrh

oea

case

fata

lity

rate

(%)

Chi

ld u

nder

5

year

s pn

eum

onia

ca

se fa

talit

y ra

te (%

)

Chi

ld u

nder

5

year

s se

vere

acu

te

mal

nutr

ition

ca

se fa

talit

y ra

te (%

)

Inpa

tient

de

ath

unde

r 1

year

rate

(%)

Inpa

tient

de

ath

unde

r 5

year

rate

(%)

Inpa

tient

ea

rly n

eona

tal

deat

h ra

te

(per

1K)

Inpa

tient

ne

onat

al

deat

h ra

te

(per

1K)

Infa

nt P

CR

test

pos

itive

ar

ound

10

wee

ks ra

te

(%)

Imm

unis

atio

n co

vera

ge

unde

r 1 y

ear

(%)

Infa

nt

excl

usiv

ely

brea

stfe

d at

D

TaP-

IPV-

Hib

-HB

V 3rd

do

se ra

te (%

)

Mea

sles

2nd

dos

e co

vera

ge (%

)

Scho

ol G

rade

1

scre

enin

g co

vera

ge (%

)

Scho

ol G

rade

8

scre

enin

g co

vera

ge (%

)

Vita

min

A

dose

12-

59

mon

ths

cove

rage

(%)

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

Mth

onja

neni

SD

Indi

cato

r1.

0 -

4.5

8.4

4.7

11.9

13.7

2.3

76.2

70.9

105.

316

.16.

944

.4

Num

erat

or1

-1

1619

1315

41

051

801

1 45

872

925

34

949

Den

omin

ator

9683

2219

040

41

092

1 09

217

716

560

1 13

016

614

4 53

83

647

133

758

Nka

ndla

SD

Indi

cato

r1.

02.

36.

85.

73.

36.

66.

62.

082

.853

.091

.01.

95.

536

.3

Num

erat

or2

45

2226

1313

82

662

1 49

73

000

4611

89

850

Den

omin

ator

203

172

7338

979

91

973

1 97

339

538

592

2 82

739

552

2 43

02

145

325

908

Nta

mba

nana

SD

Indi

cato

r -

- -

- -

- -

3.0

50.7

61.5

73.3

18.3

5.7

28.2

Num

erat

or -

- -

- -

- -

41

050

699

1 55

670

116

14

922

Den

omin

ator

- -

- -

-23

923

913

224

834

1 13

725

464

3 82

62

805

209

130

uMfo

lozi

SD

Indi

cato

r -

- -

- -

- -

0.5

74.9

87.6

78.6

4.6

1.0

35.8

Num

erat

or -

- -

- -

- -

22

419

1 95

22

613

8415

9 77

7

Den

omin

ator

- -

- -

-57

857

839

438

760

2 22

839

879

1 82

71

432

327

450

uMhl

athu

ze S

DIn

dica

tor

2.5

2.2

8.2

6.1

5.7

12.9

18.4

0.7

96.0

46.8

114.

029

.134

.238

.3

Num

erat

or11

716

239

282

135

192

137

189

3 40

08

606

2 35

72

153

23 2

21

Den

omin

ator

446

319

195

3 93

94

987

10 4

5610

456

1 82

289

841

7 26

790

558

8 10

96

303

727

344

uMla

lazi

SD

Indi

cato

r0.

2 -

5.2

4.3

2.3

3.0

6.2

0.9

77.6

50.4

96.4

18.4

11.6

46.2

Num

erat

or1

-3

2533

1123

104

458

2 17

85

642

1 31

364

622

114

Den

omin

ator

417

252

5857

61

462

3 72

63

726

1 05

368

922

4 31

970

260

7 12

65

569

574

260

King

Cet

shw

ayo

Indi

cato

r1.

31.

37.

25.

94.

79.

513

.51.

081

.455

.797

.218

.815

.339

.1

Num

erat

or15

1125

302

360

172

243

4118

829

10 5

2722

875

5 23

03

346

74 8

33

Den

omin

ator

1 16

282

634

85

094

7 65

218

064

18 0

643

973

277

509

18 9

0828

2 32

733

4 27

226

2 81

22

297

850

KwaZ

ulu-

Nat

alIn

dica

tor

2.0

1.8

7.4

6.4

4.5

9.7

12.4

1.0

85.8

53.9

99.8

26.2

16.4

62.1

Sout

h Af

rica

Indi

cato

r2.

02.

08.

06.

34.

49.

912

.41.

382

.341

.696

.233

.019

.858

.0

Sour

ce:

DH

IS.

2009 2010 2011 2012 2013 2014 2015 2016Year

3_C

hild

and

sch

ool h

ealth

1_Im

pact





3_O

utpu

t





0

50

100

0

10

20

30

0

20

40

60

0

10

20

50

100

150

20

40

60

80

50

100

150

0

50

100




P rov_av

ZA_av

2009 2010 2011 2012 2013 2014 2015 2016Year

4_H

IV

4_P

roce

ss_i

nput




20

40

60

100

200

0

20

40

6080




P rov_av

ZA_av


517


517


Annual trends HIV

518


518


HIV

3rd

90-

90-9

02nd

90-

90-9

01st

90-9

0-90

Out

com

eO

utpu

tPr

oces

s &

inpu

t

Adu

lt w

ith v

iral

load

com

plet

ion

rate

at 1

2 m

onth

s (%

)

Chi

ld w

ith v

iral

load

com

plet

ion

rate

at 1

2 m

onth

s (%

)

Adu

lt w

ith v

iral

load

sup

pres

sed

rate

12

mon

ths

(%)

Chi

ld w

ith v

iral

load

sup

pres

sed

rate

12

mon

ths

(%)

Adu

lt pe

rcen

tage

on

AR

T af

ter 1

2 m

onth

s (%

)

Chi

ld p

erce

ntag

e on

AR

T af

ter 1

2 m

onth

s (%

)C

lient

s re

mai

ning

on

AR

T ra

te (%

)

HIV

test

pos

itive

cl

ient

15

year

s an

d ol

der r

ate

(incl

udin

g A

NC

) (%

)

HIV

test

ing

cove

rage

(in

clud

ing

AN

C)

(%)

Mal

e co

ndom

di

strib

utio

n co

vera

ge (N

o)

Med

ical

mal

e ci

rcum

cisi

on ra

te

(per

1K)

2015

2015

2015

2015

2015

2015

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

Mth

onja

neni

SD

Indi

cato

r82

.074

.290

.547

.873

.773

.9 -

-55

.769

.336

.1

Num

erat

or -

23 -

11 -

34 -

-13

435

883

213

580

Den

omin

ator

772

3163

323

1 11

046

- -

289

614

152

835

192

636

Nka

ndla

SD

Indi

cato

r70

.267

.691

.684

.878

.681

.1 -

-53

.138

.941

.1

Num

erat

or -

46 -

39 -

73 -

-27

843

1 04

9 59

01

466

Den

omin

ator

1 13

668

798

461

738

90 -

-62

9 31

632

3 78

142

8 15

7

Nta

mba

nana

SD

Indi

cato

r92

.710

0.0

93.1

71.4

83.7

84.2

- -

24.2

38.2

38.3

Num

erat

or -

14 -

10 -

16 -

-8

787

738

140

943

Den

omin

ator

641

1459

414

830

19 -

-43

5 19

523

1 59

729

5 72

8

uMfo

lozi

SD

Indi

cato

r84

.873

.493

.468

.183

.986

.8 -

-25

.329

.926

.8

Num

erat

or -

47 -

32 -

66 -

-16

537

1 09

2 32

01

191

Den

omin

ator

1 43

964

1 22

047

1 77

976

- -

784

422

4 38

3 84

532

761

uMhl

athu

ze S

DIn

dica

tor

82.0

85.6

93.4

82.6

77.2

79.6

- -

45.2

40.4

33.1

Num

erat

or -

178

-14

7 -

222

- -

93 7

044

625

800

4 37

2

Den

omin

ator

6 21

620

85

096

178

8 67

427

9 -

-2

486

025

1 37

5 13

41

584

351

uMla

lazi

SD

Indi

cato

r74

.970

.192

.364

.066

.784

.0 -

-52

.860

.235

.9

Num

erat

or -

75 -

48 -

110

- -

55 9

373

464

909

2 59

0

Den

omin

ator

2 53

710

71

900

754

090

131

- -

1 27

1 82

069

0 90

686

5 65

9

King

Cet

shw

ayo

Indi

cato

r80

.477

.892

.974

.975

.781

.361

.011

.044

.044

.334

.3

Num

erat

or -

383

-28

7 -

521

105

433

26 2

6921

6 24

311

853

972

11 1

42

Den

omin

ator

12 7

4149

210

241

383

18 2

2164

117

2 96

023

8 52

75

896

392

3 21

2 63

73

899

292

KwaZ

ulu-

Nat

alIn

dica

tor

58.0

56.8

91.8

68.5

75.9

78.5

61.3

11.4

42.5

53.9

30.5

Sout

h Af

rica

Indi

cato

r -

- -

- -

-55

.08.

235

.947

.519

.0

Sour

ce:

DH

IS.


519


519

TBIm

pact

Out

com

eO

utpu

tPr

oces

s &

inpu

t

TB d

eath

rate

(E

TR.n

et) (

%)

TB D

R cl

ient

de

ath

rate

(E

DR

Web

) (%

)

TB c

lient

loss

to

follo

w u

p ra

te

(ETR

.Net

) (%

)

TB c

lient

tr

eatm

ent

succ

ess

rate

(E

TR.n

et) (

%)

TB D

R cl

ient

loss

to

follo

w u

p ra

te

(ED

RW

eb) (

%)

TB D

R tr

eatm

ent

succ

ess

rate

(E

DR

Web

) (%

)

TB R

ifam

pici

n re

sist

ance

co

nfirm

ed c

lient

ra

te (%

)

TB R

ifam

pici

n re

sist

ant c

lient

s tr

eatm

ent

initi

atio

n ra

te (%

)

TB/H

IV c

o-in

fect

ed c

lient

on

AR

T ra

te (E

TR.

Net

) (%

)

TB c

lient

initi

ated

on

trea

tmen

t ra

te (%

)

TB s

ympt

om 5

ye

ars

and

olde

r sc

reen

ed in

fa

cilit

y ra

te (%

)

2015

2014

2015

2015

2014

2014

2016

2016

2016

2016

2016

/17

Mth

onja

neni

SD

Indi

cato

r10

.1 -

3.5

82.3

- -

- -

100.

0 -

77.1

Num

erat

or79

-27

643

- -

- -

161

-10

0 61

7

Den

omin

ator

781

-78

178

1 -

- -

-16

1 -

130

566

Nka

ndla

SD

Indi

cato

r5.

8 -

1.8

84.6

- -

- -

100.

0 -

86.4

Num

erat

or36

-11

523

- -

- -

200

-27

2 86

2

Den

omin

ator

618

-61

861

8 -

- -

-20

0 -

315

755

Nta

mba

nana

SD

Indi

cato

r4.

9 -

1.7

81.2

- -

- -

100.

0 -

75.4

Num

erat

or14

-5

233

- -

- -

55 -

90 4

50

Den

omin

ator

287

-28

728

7 -

- -

-55

-11

9 89

4

uMfo

lozi

SD

Indi

cato

r9.

0 -

2.8

76.3

- -

- -

100.

0 -

58.4

Num

erat

or77

-24

651

- -

- -

105

-14

5 19

7

Den

omin

ator

853

-85

385

3 -

- -

-10

5 -

248

630

uMhl

athu

ze S

DIn

dica

tor

2.6

-3.

389

.6 -

- -

-99

.9 -

75.9

Num

erat

or93

-12

03

231

- -

- -

1 58

8 -

711

444

Den

omin

ator

3 60

6 -

3 60

63

606

- -

- -

1 58

9 -

937

517

uMla

lazi

SD

Indi

cato

r7.

6 -

7.6

75.1

- -

- -

90.4

-88

.7

Num

erat

or17

9 -

179

1 77

8 -

- -

-66

6 -

390

457

Den

omin

ator

2 36

8 -

2 36

82

368

- -

- -

737

-44

0 25

8

King

Cet

shw

ayo

Indi

cato

r5.

613

.54.

382

.919

.660

.810

.664

.097

.557

.878

.0

Num

erat

or47

849

366

7 05

971

220

445

285

2 77

52

420

1 71

1 02

7

Den

omin

ator

8 51

336

28

513

8 51

336

236

24

189

445

2 84

74

189

2 19

2 62

0

KwaZ

ulu-

Nat

alIn

dica

tor

5.4

19.0

4.8

82.7

17.2

59.6

7.7

73.8

85.7

62.4

78.3

Sout

h Af

rica

Indi

cato

r6.

623

.06.

481

.017

.950

.56.

268

.088

.372

.851

.6

Sour

ce:

DH

IS.

2009 2010 2011 2012 2013 2014 2015 2016Year

5_TB

1_Im

pact



2_O

utco

me







4_P

roce

ss_i

nput


5

10

15

0

20

40

60

0

5

10

15

40

60

80

0

20

40

0

20

40

60

0

10

20

0

50

100

0

50

100



520


520


Annual trends TB

2010 2011 2012 2013 2014 2015 2016 2017Year

6_NCDs

2_Outcome

Diabetesincidence


0

5

20

40




521


521


Outcome

Diabetes incidence

(per1K)


(per1K)

2016/17 2016/17

Mthonjaneni SD Indicator 0.2 10.1

Numerator 12 110


Nkandla SD Indicator 1.5 85.5

Numerator 188 2 345

Denominator 1 474 515 329 187

Ntambanana SD Indicator 0.6 14.2

Numerator 46 230


uMfolozi SD Indicator 0.3 7.4

Numerator 39 196

Denominator 1 575 993 315 909

uMhlathuze SD Indicator 2.4 14.9

Numerator 869 1 119

Denominator 4 285 911 901 386

uMlalazi SD Indicator 5.9 12.1

Numerator 1 348 633

Denominator 2 746 767 629 166

King Cetshwayo Indicator 2.6 22.2


Denominator 11 653 002 2 501 484



Source: DHIS.

Annual trends




522


522


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 health sub-districts, namely Mandeni, KwaDukuza, Maphumulo and Ndwedwe. It has a population of 662 414, with a population density of 202.6 persons per km2 and falls in socio-economic Quintile 2, among the poorer districts. Estimated medical scheme coverage is 7.9%.




No schooling 11.1%

Matric 32.8%


Households 191 369













under 1 year 14 690 14 738 14 899 15 018

under 5 years 78 590 77 932 77 351 76 829

05-09 years 81 056 81 250 81 028 80 721

10-14 years 73 291 75 721 78 079 79 992

15-19 years 65 402 66 046 67 297 69 107

20-24 years 69 670 68 227 66 651 65 405

25-29 years 70 484 71 043 71 379 71 213

30-34 years 58 427 61 670 64 887 68 107

35-39 years 44 609 46 996 49 223 51 080

40-44 years 33 684 35 090 36 603 38 334

45-49 years 25 812 26 788 27 925 29 145

50-54 years 21 759 22 060 22 334 22 691

55-59 years 17 930 18 321 18 765 19 208

60-64 years 14 663 14 797 15 001 15 244

65-69 years 12 996 12 761 12 502 12 320

70-74 years 9 711 10 084 10 348 10 433

75-79 years 6 439 6 370 6 430 6 643

80 years and older 6 752 7 069 7 394 7 727

Total 691 279 702 222 713 189 724 200




523


523


Ward based outreach


Regional Hospital

Central/Tertiary

HospitalsOther

Hospitals

KwaDukuza SD 11 11 0 0 1 0 1

Mandeni SD 11 8 1 0 0 0 2

Maphumulo SD 13 11 0 2 0 0 0

Ndwedwe SD 6 7 1 1 0 0 0

iLembe 41 37 2 3 1 0 3

Source: DHIS.


Community Health

WorkersNursing

assistantsEnrolled

nurseProfessional

nurseMedical





iLembe 960 290 532 778 187 42 10 9 24 11



PHC Management




(%)



Provincial and LG



(uninsured) (Rand)


(uninsured) (Rand)


per PHC headcount

(Rand)

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

KwaDukuza SD Indicator 2.6 - - - - -

Numerator 668 223 - - - - -

Denominator 3 094 881 - - - - -

Mandeni SD Indicator 3.6 - - - - -

Numerator 544 076 - - - - -

Denominator 1 817 430 - - - - -

Maphumulo SD Indicator 3.2 - - - - -

Numerator 326 888 - - - - -

Denominator 1 241 733 - - - - -

Ndwedwe SD Indicator 2.9 - - - - -

Numerator 439 022 - - - - -

Denominator 1 826 721 - - - - -

iLembe Indicator 3.0 25.0 72.7 1 735 1 215 375

Numerator 1 978 209 9 24 1 058 893 516 741 600 329 741 600 329

Denominator 7 980 765 36 33 610 192 610 192 1 978 209



Source: DHIS.

2008 2010 2012 2014 2016 2018Year

1_M

anag

emen

t

1_Im

pact


2_O

utco

me



3_O

utpu

t



4_P

roce

ss_i

nput





2

4

6

8

2

4

6

8

1K

2K

3K

4K

50

100

0

50

100

0

50

100

1K

2K

3K

500

1000

1500

200

400

KZN, DC29, iLembe District Municipality, SEQ 2 (deprived)



P rov_av

ZA_av

524


524


ospi

tal

Dis

tric

t Hos

pita

lR

egio

nal H

ospi

tal

Tert

iary

/Cen

tral

Hos

pita

l

Aver

age

leng

th o

f st

ay -

tota

l (D

ays)

Expe

nditu

re

per p

atie

nt

day

equi

vale

nt

(Ran

d)

Inpa

tient

bed

ut

ilisa

tion

rate

- to

tal

(%)

Inpa

tient

cr

ude

deat

h ra

te (%

)

OPD

new

cl

ient

not

re

ferr

ed ra

te

(%)

Aver

age

leng

th o

f st

ay -

tota

l (D

ays)

Expe

nditu

re

per p

atie

nt

day

equi

vale

nt

(Ran

d)

Inpa

tient

bed

ut

ilisa

tion

rate

- to

tal

(%)

Inpa

tient

cr

ude

deat

h ra

te (%

)

OPD

new

cl

ient

not

re

ferr

ed ra

te

(%)

Aver

age

leng

th o

f st

ay -

tota

l (D

ays)

Expe

nditu

re

per p

atie

nt

day

equi

vale

nt

(Ran

d)

Inpa

tient

bed

ut

ilisa

tion

rate

- to

tal

(%)

Inpa

tient

cr

ude

deat

h ra

te (%

)

OPD

new

cl

ient

not

re

ferr

ed ra

te

(%)

KwaD

ukuz

a SD

Indi

cato

r -

- -

- -

5.8

2 74

876

.35.

156

.8 -

- -

- -

Num

erat

or -

- -

- -

139

186

568

615

752

139

186

1 24

022

847

- -

- -

-

Den

omin

ator

- -

- -

-24

141

206

908

182

520

24 1

4140

195

- -

- -

-

Map

hum

ulo

SDIn

dica

tor

6.3

3 18

750

.16.

169

.9 -

- -

- -

- -

- -

-

Num

erat

or49

566

222

812

698

49 5

6647

812

116

- -

- -

- -

- -

- -

Den

omin

ator

7 86

269

915

98 9

267

862

17 3

40 -

- -

- -

- -

- -

-

Ndw

edw

e SD

Indi

cato

r5.

74

891

47.0

7.159

.5 -

- -

- -

- -

- -

-

Num

erat

or19

048

115

719

867

19 0

4823

85

827

- -

- -

- -

- -

- -

Den

omin

ator

3 35

623

658

40 5

193

356

9 78

8 -

- -

- -

- -

- -

-

iLem

be

Indi

cato

r6.

13

618

49.2

6.4

66.1

5.8

2 74

876

.35.

156

.8 -

- -

- -

Num

erat

or68

614

338

532

566

68 6

1471

617

943

139

186

568

615

752

139

186

1 24

022

847

- -

- -

-

Den

omin

ator

11 2

1893

572

139

445

11 2

1827

128

24 1

4120

6 90

818

2 52

024

141

40 1

95 -

- -

- -

KwaZ

ulu-

Nat

alIn

dica

tor

5.4

2 56

656

.25.

449

.46.

12

935

67.9

5.5

34.6

8.0

5 98

271

.75.

526

.8

Sout

h Af

rica

Indi

cato

r4.

42

568

67.4

5.1

59.3

5.3

2 89

478

.35.

037

.26.

94

227

84.3

5.4

20.3

Sour

ce:

DH

IS a

nd B

AS.

Annual trends


525


525


Dat

a El

emen

t(N

umbe

r)

2014

/15

2015

/16

2016

/17

PHC

/ CH

C / M

OU

*D

istr

ict

Hos

pita

lR

egio

nal

Hos

pita

l

Cen

tral

/te

rtia

ry

Hos

pita

lD

istr

ict

Tota

lPH

C / C

HC

/ MO

UD

istr

ict

Hos

pita

lR

egio

nal

Hos

pita

l

Cen

tral

/te

rtia

ry

Hos

pita

lD

istr

ict

Tota

lPH

C / C

HC

/ MO

UD

istr

ict

Hos

pita

lR

egio

nal

Hos

pita

l

Cen

tral

/te

rtia

ry

hosp

ital

Dis

tric

t To

tal

Mat

erna

l dea

ths

-3

14-

171

38

-12

--

6-

6

Live

birt

hs1

629

2 73

86

878

-11

245

1 53

12

629

6 12

110

281

1 47

62

421

5 78

6-

9 68

3

Still

birth

s19

6018

8-

267

2545

160

230

1141

159

-21

1


Infant (under 1

year)

Neo-natal

Dea

th in

faci

lity

0-7d

ays

-32

98-

132

432

84-

120

317

99-

119

Dea

th in

faci

lity

8-28

day

s -

222

-25

-2

18-

20-

318

-21

Dea

th in

faci

lity

29 d

ays

- 11

mon

ths

-8

17-

27-

421

-25

-4

21-

25

Dea

th in

faci

lity

12 –

59

mon

ths

-11

43-

57-

1115

-26

-5

8-

13

Dia

rrho

ea d

eath

und

er 5

yea

rs

13

7-

111

110

-12

-6

6-

12

Pneu

mon

ia d

eath

und

er 5

yea

rs-

35

-8

-2

9-

11-

56

-11

Seve

re a

cute

mal

nutri

tion

deat

h un

der 5

yea

rs

-9

19-

28-

520

-25

-3

6-

9

TB D

eath

s 53

222

025

6-

1 00

843

217

624

0-

848

--

--

-

Inpa

tient

dea

th to

tal

5975

6 1

238

-2

053

4485

01

208

-2

102

261

716

1 24

0-

2 21

7

Patie

nt d

ay e

quiv

alen

t6

192

111

927

215

927

-33

4 04

68

114

100

570

206

789

-31

5 47

38

226

93 5

7220

6 90

8-

308

706

Sour

ce:

DH

IS. *

MO

U –

Mat

erna

l Obs

tetr

ic U

nit.


5-1415-2425-64

65+Total 20%

12%16%

21%44%

75%

29%6%

46%53%

24%9%

45%79%

33%13%

16%10%

5%3%5%

13%17%

7%

18%10%13%11%

43%75%

34%12%

45%23%

23%10%

34%74%

27%10%

11%9%

15%4%

15%56%

22%7%

KZN, iLembe: DC29, 2010 - 2015

Rank.. Female Male

<5 y

ears

12345678910

5-14

12345678910

15-2

4

12345678910

25-6

4

12345678910

65+

12345678910






Septicaemia (3.9%)


Tuberculosis (2.8%)

HIV/AIDS (6.4%)

Drowning (4.8%)








HIV/AIDS (11.5%)

Adverse effects medical/surgical (1.3%)Epilepsy (1.3%)








Cervix (2.8%)Meningitis/encephalitis (2.5%)







Asthma (1.8%)Septicaemia (1.8%)






Tuberculosis (4.8%)






Septicaemia (3.1%)




Drowning (6.5%)



Mechanical forces (3.1%)Road injuries (5.0%)




Epilepsy (1.9%)








HIV/AIDS (9.0%)

















Fem

ale

15-4

9

12345678910


Maternal haemorrhage (12.6%) n=8Hypertension in pregnancy (12.3%) n=8


Accidental threats to breathing (1.4%) n=84Road injuries (1.5%) n=92Cervix (2.2%) n=135







causes

BroadcauseInjury

NCD

HIV and TB

Comm_mat_peri_nut

Prov, DistrictKZN, iLembe: DC29

Show history




526


526





2009 2010 2011 2012 2013 2014 2015 2016Year

2_M

ater

nal a

nd w

omen

's h

ealth

1_Im

pact Maternal


2_O

utco

me





3_O

utpu

t



0

200

400

600

800

20

40

60

80

100

200

5

10

15

0

100

200

50

100

150

200

50

100

150




527


527





on ART rate (%)


(%)


Cervical cancer



(WHO) (%)


rate (%)

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

KwaDukuza SD Indicator 103.6 100.3 8.0 69.2 78.0 56.1 33.2

Numerator 6 1 220 469 3 435 4 652 43 690 1 935

Denominator 5 791 1 216 5 837 4 963 71 539 934 470 5 837

Mandeni SD Indicator - 100.0 4.5 81.5 117.5 117.1 139.1

Numerator - 533 52 2 210 3 962 53 951 1 609

Denominator 1 156 533 1 157 2 713 40 458 552 822 1 157

Maphumulo SD Indicator - 91.0 11.8 75.3 111.7 77.2 74.6

Numerator - 264 204 1 542 2 661 20 915 1 291

Denominator 1 710 290 1 731 2 047 28 593 325 287 1 731

Ndwedwe SD Indicator - 93.7 11.6 64.3 88.6 77.7 122.3

Numerator - 329 121 1 222 3 022 30 831 1 272

Denominator 1 026 351 1 040 1 900 40 949 476 127 1 040

iLembe Indicator 62.0 98.2 8.7 72.3 94.5 78.3 62.5

Numerator 6 2 346 846 8 409 14 297 149 387 6 107

Denominator 9 683 2 390 9 765 11 623 181 538 2 288 706 9 765



Source: DHIS.

Annual trends

528


528



Impa

ctO

utco

me

Out

put

Chi

ld u

nder

5

year

s di

arrh

oea

case

fata

lity

rate

(%)

Chi

ld u

nder

5

year

s pn

eum

onia

ca

se fa

talit

y ra

te (%

)

Chi

ld u

nder

5

year

s se

vere

acu

te

mal

nutr

ition

ca

se fa

talit

y ra

te (%

)

Inpa

tient

de

ath

unde

r 1

year

rate

(%)

Inpa

tient

de

ath

unde

r 5

year

rate

(%)

Inpa

tient

ea

rly n

eona

tal

deat

h ra

te

(per

1K)

Inpa

tient

ne

onat

al

deat

h ra

te

(per

1K)

Infa

nt P

CR

test

pos

itive

ar

ound

10

wee

ks ra

te

(%)

Imm

unis

atio

n co

vera

ge

unde

r 1 y

ear

(%)

Infa

nt

excl

usiv

ely

brea

stfe

d at

D

TaP-

IPV-

Hib

-HB

V 3rd

do

se ra

te (%

)

Mea

sles

2nd

dos

e co

vera

ge (%

)

Scho

ol G

rade

1

scre

enin

g co

vera

ge (%

)

Scho

ol G

rade

8

scre

enin

g co

vera

ge (%

)

Vita

min

A

dose

12-

59

mon

ths

cove

rage

(%)

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

KwaD

ukuz

a SD

Indi

cato

r2.

61.

73.

38.

15.

617

.320

.41.

983

.646

.511

1.3

9.9

3.3

42.7

Num

erat

or6

66

139

147

100

118

243

858

1 92

95

247

504

123

16 1

49

Den

omin

ator

232

362

184

1 72

12

625

5 79

15

791

1 29

755

359

4 14

456

568

5 07

43

687

453

366

Man

deni

SD

Indi

cato

r -

- -

11.8

9.5

1.7

1.7

1.3

90.0

61.7

113.

133

.914

.884

.9

Num

erat

or -

- -

22

22

62

706

1 63

03

512

1 11

641

121

429

Den

omin

ator

- -

-17

211

156

1 15

647

336

084

2 64

337

275

3 28

92

786

303

024

Map

hum

ulo

SDIn

dica

tor

0.7

0.4

4.4

4.2

2.6

8.2

9.4

0.8

99.6

64.4

128.

617

.520

.258

.2

Num

erat

or1

12

2024

1416

32

354

1 44

63

125

621

625

11 6

19

Den

omin

ator

151

226

4547

492

11

710

1 71

039

428

368

2 24

529

160

3 54

23

094

239

460

Ndw

edw

e SD

Indi

cato

r16

.713

.32.

95.

22.

32.

93.

91.

276

.378

.197

.419

.023

.857

.6

Num

erat

or5

41

45

34

72

377

1 83

43

193

919

1 04

915

709

Den

omin

ator

3030

3577

219

1 02

61

026

565

37 4

042

347

39 3

244

828

4 40

032

7 08

4

iLem

be

Indi

cato

r2.

91.

83.

47.

24.

712

.314

.51.

586

.260

.111

1.5

18.9

15.8

58.9

Num

erat

or12

119

165

178

119

140

4011

295

6 83

915

077

3 16

02

208

64 9

06

Den

omin

ator

413

618

264

2 28

93

786

9 68

39

683

2 72

915

7 21

511

379

162

327

200

796

167

604

1 32

2 93

4

KwaZ

ulu-

Nat

alIn

dica

tor

2.0

1.8

7.4

6.4

4.5

9.7

12.4

1.0

85.8

53.9

99.8

26.2

16.4

62.1

Sout

h Af

rica

Indi

cato

r2.

02.

08.

06.

34.

49.

912

.41.

382

.341

.696

.233

.019

.858

.0

Sour

ce:

DH

IS.

2009 2010 2011 2012 2013 2014 2015 2016Year

3_C

hild

and

sch

ool h

ealth

1_Im

pact





3_O

utpu

t





0

50

100

0

10

20

30

0

20

40

60

0

10

20

50

100

150

20

40

60

80

50

100

150

0

50

100



2009 2010 2011 2012 2013 2014 2015 2016Year

4_H

IV

4_P

roce

ss_i

nput




20

40

60

100

200

0

20

40

6080




529


529


Annual trends HIV

530


530


HIV

3rd

90-

90-9

02nd

90-

90-9

01st

90-9

0-90

Out

com

eO

utpu

tPr

oces

s &

inpu

t

Adu

lt w

ith v

iral

load

com

plet

ion

rate

at 1

2 m

onth

s (%

)

Chi

ld w

ith v

iral

load

com

plet

ion

rate

at 1

2 m

onth

s (%

)

Adu

lt w

ith v

iral

load

sup

pres

sed

rate

12

mon

ths

(%)

Chi

ld w

ith v

iral

load

sup

pres

sed

rate

12

mon

ths

(%)

Adu

lt pe

rcen

tage

on

AR

T af

ter 1

2 m

onth

s (%

)

Chi

ld p

erce

ntag

e on

AR

T af

ter 1

2 m

onth

s (%

)C

lient

s re

mai

ning

on

AR

T ra

te (%

)

HIV

test

pos

itive

cl

ient

15

year

s an

d ol

der r

ate

(incl

udin

g A

NC

) (%

)

HIV

test

ing

cove

rage

(in

clud

ing

AN

C)

(%)

Mal

e co

ndom

di

strib

utio

n co

vera

ge (N

o)

Med

ical

mal

e ci

rcum

cisi

on ra

te

(per

1K)

2015

2015

2015

2015

2015

2015

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

KwaD

ukuz

a SD

Indi

cato

r56

.356

.189

.546

.773

.677

.0 -

-23

.530

.620

.6

Num

erat

or -

60 -

28 -

184

- -

37 3

992

907

634

2 15

5

Den

omin

ator

3 32

010

71

870

605

721

239

- -

1 91

1 11

41

141

779

1 25

5 62

3

Man

deni

SD

Indi

cato

r51

.954

.091

.955

.679

.079

.8 -

-51

.310

2.4

27.4

Num

erat

or -

27 -

15 -

71 -

-45

285

5 01

8 95

81

528

Den

omin

ator

1 95

850

1 01

727

3 28

289

- -

1 05

8 58

958

8 09

366

9 91

5

Map

hum

ulo

SDIn

dica

tor

46.5

31.9

88.6

60.0

77.6

73.9

- -

51.6

67.6

32.4

Num

erat

or -

15 -

9 -

85 -

-24

624

1 76

4 72

01

055

Den

omin

ator

737

4734

315

1 84

811

5 -

-57

2 99

131

3 36

539

0 47

4

Ndw

edw

e SD

Indi

cato

r64

.760

.386

.365

.776

.583

.3 -

-36

.765

.227

.6

Num

erat

or -

35 -

23 -

70 -

-28

022

2 96

3 54

81

481

Den

omin

ator

981

5863

535

1 80

884

- -

915

096

545

169

644

349

iLem

be

Indi

cato

r55

.252

.389

.554

.776

.077

.863

.210

.836

.458

.725

.2

Num

erat

or -

137

- 75

-41

066

904

15 4

8713

5 33

012

654

860

6 21

9

Den

omin

ator

6 99

626

23

865

137

12 6

5952

710

5 90

614

3 89

944

57

790

2 58

8 40

62

960

361

KwaZ

ulu-

Nat

alIn

dica

tor

58.0

56.8

91.8

68.5

75.9

78.5

61.3

11.4

42.5

53.9

30.5

Sout

h Af

rica

Indi

cato

r -

- -

- -

- 55

.08.

235

.947

.519

.0

Sour

ce:

DH

IS.

2009 2010 2011 2012 2013 2014 2015 2016Year

5_TB

1_Im

pact



2_O

utco

me







4_P

roce

ss_i

nput


5

10

15

0

20

40

60

0

5

10

15

40

60

80

0

20

40

0

20

40

60

0

10

20

0

50

100

0

50

100




P rov_av

ZA_av


531


531

TBIm

pact

Out

com

eO

utpu

tPr

oces

s &

inpu

t

TB d

eath

rate

(E

TR.n

et) (

%)

TB D

R cl

ient

de

ath

rate

(E

DR

Web

) (%

)

TB c

lient

loss

to

follo

w u

p ra

te

(ETR

.Net

) (%

)

TB c

lient

tr

eatm

ent

succ

ess

rate

(E

TR.n

et) (

%)

TB D

R cl

ient

loss

to

follo

w u

p ra

te

(ED

RW

eb) (

%)

TB D

R tr

eatm

ent

succ

ess

rate

(E

DR

Web

) (%

)

TB R

ifam

pici

n re

sist

ance

co

nfirm

ed c

lient

ra

te (%

)

TB R

ifam

pici

n re

sist

ant c

lient

s tr

eatm

ent

initi

atio

n ra

te (%

)

TB/H

IV c

o-in

fect

ed c

lient

on

AR

T ra

te (E

TR.

Net

) (%

)

TB c

lient

initi

ated

on

trea

tmen

t ra

te (%

)

TB s

ympt

om 5

ye

ars

and

olde

r sc

reen

ed in

fa

cilit

y ra

te (%

)

2015

2014

2015

2015

2014

2014

2016

2016

2016

2016

2016

/17

KwaD

ukuz

a SD

Indi

cato

r4.

0 -

8.8

82.3

- -

- -

99.6

-56

.1

Num

erat

or10

5 -

232

2 16

1 -

- -

-1

170

-31

4 65

2

Den

omin

ator

2 62

7 -

2 62

72

627

- -

- -

1 17

5 -

560

715

Man

deni

SD

Indi

cato

r2.

8 -

7.0

88.4

- -

- -

79.9

-66

.4

Num

erat

or34

-86

1 09

1 -

- -

-22

2 -

307

880

Den

omin

ator

1 23

4 -

1 23

41

234

- -

- -

278

-46

3 74

3

Map

hum

ulo

SDIn

dica

tor

5.3

-2.

783

.4 -

- -

-73

.9 -

76.3

Num

erat

or40

-20

625

- -

- -

147

-19

6 58

8

Den

omin

ator

749

-74

974

9 -

- -

-19

9 -

257

792

Ndw

edw

e SD

Indi

cato

r5.

4 -

7.8

83.2

- -

- -

100.

0 -

65.9

Num

erat

or33

-47

504

- -

- -

227

-23

8 17

2

Den

omin

ator

606

-60

660

6 -

- -

-22

7 -

361

670

iLem

be

Indi

cato

r4.

116

.77.

484

.022

.957

.38.

264

.394

.046

.464

.3

Num

erat

or21

232

385

4 38

144

110

280

180

1 76

61

584

1 05

7 29

2

Den

omin

ator

5 21

619

25

216

5 21

619

219

23

416

280

1 87

93

416

1 64

3 92

0

KwaZ

ulu-

Nat

alIn

dica

tor

5.4

19.0

4.8

82.7

17.2

59.6

7.7

73.8

85.7

62.4

78.3

Sout

h Af

rica

Indi

cato

r6.

623

.06.

481

.017

.950

.56.

268

.088

.372

.851

.6

Sour

ce:

DH

IS.

Annual trends

2010 2011 2012 2013 2014 2015 2016 2017Year

6_NCDs

2_Outcome

Diabetesincidence


0

5

20

40



532


532



Outcome

Diabetes incidence

(per1K)


(per1K)

2016/17 2016/17

KwaDukuza SD Indicator 3.6 6.5

Numerator 922 406

Denominator 3 094 881 753 699

Mandeni SD Indicator 1.0 10.9

Numerator 147 369

Denominator 1 817 430 405 672

Maphumulo SD Indicator 0.8 15.5

Numerator 80 404

Denominator 1 241 733 311 991

Ndwedwe SD Indicator 0.7 8.3

Numerator 108 323

Denominator 1 826 721 465 855

iLembe Indicator 1.9 9.3


Denominator 7 980 765 1 937 217



Source: DHIS.

Annual trends





533


533

Harry Gwala District Municipality (DC43)

Harry Gwala District is situated in the south of KwaZulu-Natal Province and comprises five health sub-districts, namely Ingwe, Kwa Sani, uMzimkhulu, Greater Kokstad and Ubuhlebezwe. The district has a population of 492 203, with a population density of 46.7 persons per km2 and falls in socio-economic Quintile 1, among the poorest districts in South Africa. Estimated medical scheme coverage is 5.9%.




No schooling 10.2%

Matric 23.5%


Households 123 705













under 1 year 14 457 14 470 14 409 14 219

under 5 years 73 011 73 061 72 782 72 257

05-09 years 67 833 69 021 70 025 70 987

10-14 years 57 255 59 395 61 642 63 715

15-19 years 50 282 50 113 50 658 51 905

20-24 years 54 036 52 097 49 973 48 111

25-29 years 54 241 54 434 54 211 53 414

30-34 years 40 956 44 006 47 005 49 859

35-39 years 25 787 28 043 30 313 32 373

40-44 years 16 904 17 578 18 434 19 585

45-49 years 13 375 13 442 13 596 13 847

50-54 years 12 090 11 929 11 759 11 603

55-59 years 10 785 10 674 10 574 10 465

60-64 years 9 257 9 168 9 065 8 954

65-69 years 7 339 7 278 7 211 7 137

70-74 years 5 522 5 448 5 358 5 262

75-79 years 3 906 3 863 3 803 3 723

80 years and older 3 850 3 812 3 780 3 761

Total 506 435 513 362 520 188 526 956



534


534



Ward based outreach


Regional Hospital

Central/Tertiary

HospitalsOther

Hospitals

Greater Kokstad SD 5 2 1 0 0 2

Ingwe SD 13 9 1 1 0 0 1

Kwa Sani SD 4 3 0 0 0 0 0

Ubuhlebezwe SD 12 9 0 1 0 0 1

uMzimkhulu SD 19 16 0 1 0 0 3

Harry Gwala 53 39 1 4 0 0 7

Source: DHIS.


Community Health

WorkersNursing

assistantsEnrolled

nurseProfessional

nurseMedical





Harry Gwala 639 319 389 700 82 32 5 8 9 2



PHC Management




(%)



Provincial and LG



(uninsured) (Rand)


(uninsured) (Rand)


per PHC headcount

(Rand)

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

Geater Kokstad SD Indicator 2.4 - - - - -

Numerator 179 127 - - - - -

Denominator 878 049 - - - - -

Ingwe SD Indicator 2.6 - - - - -

Numerator 279 167 - - - - -

Denominator 1 284 168 - - - - -

Kwa Sani SD Indicator 5.4 - - - - -

Numerator 77 528 - - - - -

Denominator 171 717 - - - - -

Ubuhlebezwe SD Indicator 2.7 - - - - -

Numerator 292 889 - - - - -

Denominator 1 299 384 - - - - -

Umzimkhulu SD Indicator 2.2 - - - - -

Numerator 426 157 - - - - -

Denominator 2 295 315 - - - - -

Harry Gwala Indicator 2.5 22.5 86.2 2 373 1 246 460

Numerator 1 254 868 9 25 1 098 421 913 577 030 561 577 030 561

Denominator 5 928 633 40 29 462 936 462 936 1 254 868



Source: DHIS.

2008 2010 2012 2014 2016 2018Year

1_M

anag

emen

t

1_Im

pact


2_O

utco

me



3_O

utpu

t



4_P

roce

ss_i

nput





2

4

6

8

2

4

6

8

1K

2K

3K

4K

50

100

0

50

100

0

50

100

1K

2K

3K

500

1000

1500

200

400

KZN, DC43, Harry Gwala District Municipality, SEQ 1 (most deprived)



P rov_av

ZA_av


535


535

Hos

pita

l

Dis

tric

t Hos

pita

lR

egio

nal H

ospi

tal

Tert

iary

/Cen

tral

Hos

pita

l

Aver

age

leng

th o

f st

ay -

tota

l (D

ays)

Expe

nditu

re

per p

atie

nt

day

equi

vale

nt

(Ran

d)

Inpa

tient

bed

ut

ilisa

tion

rate

- to

tal

(%)

Inpa

tient

cr

ude

deat

h ra

te (%

)

OPD

new

cl

ient

not

re

ferr

ed ra

te

(%)

Aver

age

leng

th o

f st

ay -

tota

l (D

ays)

Expe

nditu

re

per p

atie

nt

day

equi

vale

nt

(Ran

d)

Inpa

tient

bed

ut

ilisa

tion

rate

- to

tal

(%)

Inpa

tient

cr

ude

deat

h ra

te (%

)

OPD

new

cl

ient

not

re

ferr

ed ra

te

(%)

Aver

age

leng

th o

f st

ay -

tota

l (D

ays)

Expe

nditu

re

per p

atie

nt

day

equi

vale

nt

(Ran

d)

Inpa

tient

bed

ut

ilisa

tion

rate

- to

tal

(%)

Inpa

tient

cr

ude

deat

h ra

te (%

)

OPD

new

cl

ient

not

re

ferr

ed ra

te

(%)

Gre

ater

Kok

stad

SD

Indi

cato

r4.

92

524

43.5

5.4

56.1

- -

- -

- -

- -

- -

Num

erat

or36

758

140

659

609

36 7

5840

56

079

- -

- -

- -

- -

- -

Den

omin

ator

7 56

655

728

84 4

167

566

10 8

28 -

- -

- -

- -

- -

-

Ingw

e SD

Indi

cato

r5.

33

264

63.3

6.1

38.2

- -

- -

- -

- -

- -

Num

erat

or33

742

133

046

261

33 7

4239

02

856

- -

- -

- -

- -

- -

Den

omin

ator

6 34

940

756

53 2

966

349

7 47

9 -

- -

- -

- -

- -

-

Ubu

hleb

ezw

e SD

Indi

cato

r4.

82

791

53.4

5.7

50.1

- -

- -

- -

- -

- -

Num

erat

or39

338

149

195

165

39 3

3846

84

692

- -

- -

- -

- -

- -

Den

omin

ator

8 27

853

449

73 6

478

278

9 37

1 -

- -

- -

- -

- -

-

Um

zim

khul

u SD

Indi

cato

r4.

72

359

55.2

4.5

89.7

- -

- -

- -

- -

- -

Num

erat

or39

668

147

015

581

39 6

6837

642

891

- -

- -

- -

- -

- -

Den

omin

ator

8 38

062

321

71 9

138

380

47 8

08 -

- -

- -

- -

- -

-

Har

ry G

wal

a In

dica

tor

4.9

2 68

552

.85.

474

.9 -

- -

- -

- -

- -

-

Num

erat

or14

9 50

556

9 91

6 61

714

9 50

51

639

56 5

18 -

- -

- -

- -

- -

-

Den

omin

ator

30 5

7321

2 25

428

3 27

130

573

75 4

86 -

- -

- -

- -

- -

-

KwaZ

ulu-

Nat

alIn

dica

tor

5.4

2 56

656

.25.

449

.46.

12

935

67.9

5.5

34.6

8.0

5 98

271

.75.

526

.8

Sout

h Af

rica

Indi

cato

r4.

42

568

67.4

5.1

59.3

5.3

2 89

478

.35.

037

.26.

94

227

84.3

5.4

20.3

Sour

ce:

DH

IS a

nd B

AS.

Annual trends

536


536



Dat

a El

emen

t(N

umbe

r)

2014

/15

2015

/16

2016

/17

PHC

/ CH

C / M

OU

*D

istr

ict

Hos

pita

lR

egio

nal

Hos

pita

l

Cen

tral

/te

rtia

ry

Hos

pita

lD

istr

ict

Tota

lPH

C / C

HC

/ MO

UD

istr

ict

Hos

pita

lR

egio

nal

Hos

pita

l

Cen

tral

/te

rtia

ry

Hos

pita

lD

istr

ict

Tota

lPH

C / C

HC

/ MO

UD

istr

ict

Hos

pita

lR

egio

nal

Hos

pita

l

Cen

tral

/te

rtia

ry

hosp

ital

Dis

tric

t To

tal

Mat

erna

l dea

ths

-12

--

12-

8-

-8

-6

--

6

Live

birt

hs54

98

156

--

8 70

528

57

724

--

8 00

916

97

424

--

7 59

3

Still

birth

s12

127

--

139

913

1-

-14

04

122

--

126


Infant (under 1

year)

Neo-natal

Dea

th in

faci

lity

0-7d

ays

-14

3-

-14

31

86-

-87

194

--

95

Dea

th in

faci

lity

8-28

day

s -

20-

-20

-22

--

22-

16-

-16

Dea

th in

faci

lity

29 d

ays

- 11

mon

ths

-35

--

35-

26-

-26

-28

--

28

Dea

th in

faci

lity

12 –

59

mon

ths

-31

--

31-

25-

-25

-18

--

18

Dia

rrho

ea d

eath

und

er 5

yea

rs

-24

--

24

-13

--

13-

14-

-14

Pneu

mon

ia d

eath

und

er 5

yea

rs-

12-

-12

-11

--

11-

13-

-13

Seve

re a

cute

mal

nutri

tion

deat

h un

der 5

yea

rs

-23

--

23-

17-

-17

-15

--

15

TB D

eath

s 96

055

5-

-1

515

815

300

--

1 11

5-

--

--

Inpa

tient

dea

th to

tal

-1

793

--

1 79

3-

1 69

4-

-1

694

-1

639

--

1 63

9

Patie

nt d

ay e

quiv

alen

t-

231

552

--

231

552

1 02

123

1 90

3-

-23

2 92

487

121

2 25

4-

-21

3 12

5

Sour

ce:

DH

IS. *

MO

U –

Mat

erna

l Obs

tetr

ic U

nit.


5-1415-2425-64

65+Total 21%

13%17%20%

44%77%

29%6%

44%53%

23%9%

46%79%

35%15%

18%9%

4%2%4%

11%15%

5%

20%14%15%

12%38%

75%

34%13%

45%24%

25%9%

34%70%

29%14%

17%9%

12%3%

11%50%

20%7%

KZN, Harry Gwala: DC43, 2010 - 2015

Rank.. Female Male

<5 y

ears

12345678910

5-14

12345678910

15-2

4

12345678910

25-6

4

12345678910

65+

12345678910






Septicaemia (2.1%)


Tuberculosis (3.3%)

HIV/AIDS (6.1%)

Drowning (5.1%)

Other digestive (2.4%)Asthma (3.1%)

Septicaemia (2.3%)





HIV/AIDS (11.7%)


Epilepsy (1.7%)

Asthma (2.2%)Endocrine nutritional,blood, immune (1.7%)

Meningitis/encephalitis (3.8%)Road injuries (3.3%)



Cervix (2.8%)

Meningitis/encephalitis (2.5%)Nephritis/nephrosis (2.5%)


Diabetes mellitus (4.8%)Diarrhoeal diseases (5.7%)



Cervix (2.1%)

Asthma (4.6%)Nephritis/nephrosis (4.1%)











Tuberculosis (2.4%)

HIV/AIDS (6.5%)


Drowning (8.4%)


Meningitis/encephalitis (5.4%)Road injuries (6.5%)




Epilepsy (3.3%)






HIV/AIDS (9.2%)

Asthma (2.6%)Meningitis/encephalitis (2.3%)Interpersonal violence (2.2%)

Road injuries (2.9%)Diabetes mellitus (2.8%)




Prostate (2.9%)

Asthma (6.1%)








Fem

ale

15-4

9

12345678910





Asthma (1.7%) n=125


Cervix (1.9%) n=134







causes

BroadcauseInjury

NCD

HIV and TB

Comm_mat_peri_nut

Prov, DistrictKZN, Harry Gwala: DC43

Show history





537


537




2009 2010 2011 2012 2013 2014 2015 2016Year

2_M

ater

nal a

nd w

omen

's h

ealth

1_Im

pact Maternal


2_O

utco

me





3_O

utpu

t



0

200

400

600

800

20

40

60

80

100

200

5

10

15

0

100

200

50

100

150

200

50

100

150



538


538






on ART rate (%)


(%)


Cervical cancer



(WHO) (%)


rate (%)

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

Geater Kokstad SD Indicator 109.1 96.2 10.8 60.3 102.1 84.5 55.4

Numerator 2 378 199 1 035 1 398 19 007 1 018

Denominator 1 833 393 1 836 1 717 16 436 269 916 1 836

Ingwe SD Indicator 57.2 91.2 11.9 73.8 124.9 88.9 37.3

Numerator 1 165 209 957 2 491 24 894 656

Denominator 1 749 181 1 758 1 296 23 926 335 928 1 758

Kwa Sani SD Indicator - 100.0 - 74.4 253.2 103.6 940.0

Numerator - 66 - 329 775 4 240 188

Denominator 20 66 20 442 3 673 49 092 20

Ubuhlebezwe SD Indicator 53.8 95.9 11.0 70.5 66.9 92.1 59.5

Numerator 1 446 210 1 482 1 404 26 441 1 133

Denominator 1 859 465 1 904 2 102 25 172 344 394 1 904

Umzimkhulu SD Indicator 93.8 87.7 8.3 77.9 116.1 91.3 90.1

Numerator 2 458 178 2 987 4 065 46 456 1 920

Denominator 2 132 522 2 132 3 836 42 008 610 290 2 132

Harry Gwala Indicator 79.0 93.0 10.4 72.3 109.3 90.2 64.2

Numerator 6 1 513 796 6 790 10 133 121 037 4 915

Denominator 7 593 1 627 7 650 9 393 111 216 1 609 620 7 650



Source: DHIS.

Annual trends


539


539


pact

Out

com

eO

utpu

t

Chi

ld u

nder

5

year

s di

arrh

oea

case

fata

lity

rate

(%)

Chi

ld u

nder

5

year

s pn

eum

onia

ca

se fa

talit

y ra

te (%

)

Chi

ld u

nder

5

year

s se

vere

acu

te

mal

nutr

ition

ca

se fa

talit

y ra

te (%

)

Inpa

tient

de

ath

unde

r 1

year

rate

(%)

Inpa

tient

de

ath

unde

r 5

year

rate

(%)

Inpa

tient

ea

rly n

eona

tal

deat

h ra

te

(per

1K)

Inpa

tient

ne

onat

al

deat

h ra

te

(per

1K)

Infa

nt P

CR

test

pos

itive

ar

ound

10

wee

ks ra

te

(%)

Imm

unis

atio

n co

vera

ge

unde

r 1 y

ear

(%)

Infa

nt

excl

usiv

ely

brea

stfe

d at

D

TaP-

IPV-

Hib

-HB

V 3rd

do

se ra

te (%

)

Mea

sles

2nd

dos

e co

vera

ge (%

)

Scho

ol G

rade

1

scre

enin

g co

vera

ge (%

)

Scho

ol G

rade

8

scre

enin

g co

vera

ge (%

)

Vita

min

A

dose

12-

59

mon

ths

cove

rage

(%)

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

Gea

ter K

okst

ad S

DIn

dica

tor

0.8

0.8

2.1

6.4

3.7

9.3

11.5

0.6

83.8

34.9

128.

942

.729

.162

.7

Num

erat

or1

11

2930

1721

41

343

566

1 97

760

749

07

324

Den

omin

ator

132

122

4745

581

81

833

1 83

370

819

227

1 62

218

408

1 42

31

683

140

256

Ingw

e SD

Indi

cato

r1.

72.

12.

17.

24.

713

.214

.91.

956

.845

.192

.641

.211

.656

.3

Num

erat

or2

31

2934

2326

41

662

721

2 70

21

349

258

13 0

53

Den

omin

ator

121

145

4840

173

01

749

1 74

920

735

100

1 60

035

004

3 27

62

220

277

986

Kwa

Sani

SD

Indi

cato

r-

--

--

--

3.5

114.

355

.418

1.8

68.3

0.0

127.

4

Num

erat

or-

--

--

--

429

420

046

036

20

2 49

2

Den

omin

ator

--

--

-20

2011

43

087

361

3 03

653

017

623

472

Ubu

hleb

ezw

e SD

Indi

cato

r6.

92.

611

.96.

44.

48.

19.

10.

582

.254

.911

7.0

41.4

21.3

69.6

Num

erat

or10

68

2735

1517

52

306

1 24

73

238

1 46

175

215

156

Den

omin

ator

144

233

6742

478

91

859

1 85

999

733

675

2 27

233

219

3 53

13

526

261

126

Um

zim

khul

u SD

Indi

cato

r0.

62.

612

.813

.68.

018

.822

.00.

765

.751

.797

.637

.832

.484

.0

Num

erat

or1

35

5458

4047

53

523

2 15

35

195

2 31

11

449

35 3

51

Den

omin

ator

174

117

3939

872

72

132

2 13

267

264

341

4 16

163

864

6 10

84

466

505

218

Har

ry G

wal

a In

dica

tor

2.5

2.1

7.5

8.3

5.1

12.5

14.6

0.8

70.5

48.8

106.

141

.024

.472

.9

Num

erat

or14

1315

139

157

9511

122

9 12

84

887

13 5

726

090

2 94

973

376

Den

omin

ator

571

617

201

1 67

83

064

7 59

37

593

2 69

815

5 43

010

016

153

531

178

416

144

852

1 20

8 05

8

KwaZ

ulu-

Nat

alIn

dica

tor

2.0

1.8

7.4

6.4

4.5

9.7

12.4

1.0

85.8

53.9

99.8

26.2

16.4

62.1

Sout

h Af

rica

Indi

cato

r2.

02.

08.

06.

34.

49.

912

.41.

382

.341

.696

.233

.019

.858

.0

Sour

ce:

DH

IS.

2009 2010 2011 2012 2013 2014 2015 2016Year

3_C

hild

and

sch

ool h

ealth

1_Im

pact





3_O

utpu

t





0

50

100

0

10

20

30

0

20

40

60

0

10

20

50

100

150

20

40

60

80

50

100

150

0

50

100



2009 2010 2011 2012 2013 2014 2015 2016Year

4_H

IV

4_P

roce

ss_i

nput




20

40

60

100

200

0

20

40

6080



540


540


Annual trends HIV



541


541

HIV

3rd 9

0-90

-90

2nd 9

0-90

-90

1st 90

-90-

90

Out

com

eO

utpu

tPr

oces

s &

inpu

t

Adu

lt w

ith v

iral

load

com

plet

ion

rate

at 1

2 m

onth

s (%

)

Chi

ld w

ith v

iral

load

com

plet

ion

rate

at 1

2 m

onth

s (%

)

Adu

lt w

ith v

iral

load

sup

pres

sed

rate

12

mon

ths

(%)

Chi

ld w

ith v

iral

load

sup

pres

sed

rate

12

mon

ths

(%)

Adu

lt pe

rcen

tage

on

AR

T af

ter 1

2 m

onth

s (%

)

Chi

ld p

erce

ntag

e on

AR

T af

ter 1

2 m

onth

s (%

)C

lient

s re

mai

ning

on

AR

T ra

te (%

)

HIV

test

pos

itive

cl

ient

15

year

s an

d ol

der r

ate

(incl

udin

g A

NC

) (%

)

HIV

test

ing

cove

rage

(in

clud

ing

AN

C)

(%)

Mal

e co

ndom

di

strib

utio

n co

vera

ge (N

o)

Med

ical

mal

e ci

rcum

cisi

on ra

te

(per

1K)

2015

2015

2015

2015

2015

2015

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

Gr K

okst

ad S

DIn

dica

tor

68.9

81.8

86.1

57.8

72.3

79.2

- -

34.6

65.5

17.4

Num

erat

or -

45 -

26 -

61 -

-16

041

1 70

7 67

950

8

Den

omin

ator

1 04

355

719

451

613

77 -

-55

5 81

331

2 74

435

1 21

6

Ingw

e SD

Indi

cato

r48

.152

.689

.763

.381

.192

.1 -

-48

.179

.733

.8

Num

erat

or -

30 -

19 -

58 -

-25

533

2 32

0 34

51

208

Den

omin

ator

1 09

457

526

301

447

63 -

-63

7 40

434

9 16

442

8 62

5

Kwa

Sani

SD

Indi

cato

r46

.450

.086

.757

.186

.193

.8 -

-55

.260

.012

.9

Num

erat

or -

7 -

4 -

15 -

-5

110

355

521

82

Den

omin

ator

373

1417

37

453

16 -

-11

1 11

771

082

76 5

21

Ubu

hleb

ezw

e SD

Indi

cato

r47

.647

.584

.737

.573

.086

.0 -

-54

.081

.243

.8

Num

erat

or -

48 -

18 -

111

- -

30 0

082

521

910

1 63

4

Den

omin

ator

2 20

210

11

049

483

146

129

- -

666

870

372

537

447

915

Um

zim

khul

u SD

Indi

cato

r49

.554

.481

.967

.476

.282

.4 -

-50

.493

.829

.3

Num

erat

or -

43 -

29 -

84 -

-46

730

4 56

3 84

51

781

Den

omin

ator

1 93

079

955

432

698

102

- -

1 11

2 35

258

3 89

072

9 10

5

Har

ry G

wal

a In

dica

tor

51.5

56.5

85.1

55.5

75.7

85.0

56.5

7.8

48.0

81.5

30.8

Num

erat

or -

173

-96

-32

949

519

10 6

1012

3 42

211

469

300

5 21

3

Den

omin

ator

6 64

230

63

422

173

9 35

738

787

579

135

215

3 08

3 55

61

689

417

2 03

3 38

2

KwaZ

ulu-

Nat

alIn

dica

tor

58.0

56.8

91.8

68.5

75.9

78.5

61.3

11.4

42.5

53.9

30.5

Sout

h Af

rica

Indi

cato

r -

- -

- -

-55

.08.

235

.947

.519

.0

Sour

ce:

DH

IS.

2009 2010 2011 2012 2013 2014 2015 2016Year

5_TB

1_Im

pact



2_O

utco

me







4_P

roce

ss_i

nput


5

10

15

0

20

40

60

0

5

10

15

40

60

80

0

20

40

0

20

40

60

0

10

20

0

50

100

0

50

100




P rov_av

ZA_av

542


542


TB

Impa

ctO

utco

me

Out

put

Proc

ess

& in

put

TB d

eath

rate

(E

TR.n

et) (

%)

TB D

R cl

ient

de

ath

rate

(E

DR

Web

) (%

)

TB c

lient

loss

to

follo

w u

p ra

te

(ETR

.Net

) (%

)

TB c

lient

tr

eatm

ent

succ

ess

rate

(E

TR.n

et) (

%)

TB D

R cl

ient

loss

to

follo

w u

p ra

te

(ED

RW

eb) (

%)

TB D

R tr

eatm

ent

succ

ess

rate

(E

DR

Web

) (%

)

TB R

ifam

pici

n re

sist

ance

co

nfirm

ed c

lient

ra

te (%

)

TB R

ifam

pici

n re

sist

ant c

lient

s tr

eatm

ent

initi

atio

n ra

te (%

)

TB/H

IV c

o-in

fect

ed c

lient

on

AR

T ra

te (E

TR.

Net

) (%

)

TB c

lient

initi

ated

on

trea

tmen

t ra

te (%

)

TB s

ympt

om 5

ye

ars

and

olde

r sc

reen

ed in

fa

cilit

y ra

te (%

)

2015

2014

2015

2015

2014

2014

2016

2016

2016

2016

2016

/17

Gr K

okst

ad S

DIn

dica

tor

7.0

-11

.273

.2 -

- -

-63

.7 -

93.0

Num

erat

or69

-11

172

3 -

- -

-26

3 -

130

415

Den

omin

ator

988

-98

898

8 -

- -

-41

3 -

140

225

Ingw

e SD

Indi

cato

r13

.3 -

1.3

81.5

- -

- -

95.8

-84

.5

Num

erat

or61

-6

374

- -

- -

182

-19

0 31

8

Den

omin

ator

459

-45

945

9 -

- -

-19

0 -

225

257

Kwa

Sani

SD

Indi

cato

r5.

4 -

0.0

93.2

- -

- -

90.0

-76

.2

Num

erat

or4

-0

69 -

- -

-18

-51

855

Den

omin

ator

74 -

7474

- -

- -

20 -

68 0

10

Ubu

hleb

ezw

e SD

Indi

cato

r5.

3 -

0.4

90.3

- -

- -

97.8

-74

.7

Num

erat

or38

-3

650

- -

- -

317

-17

7 37

4

Den

omin

ator

720

-72

072

0 -

- -

-32

4 -

237

436

Um

zim

khul

u SD

Indi

cato

r7.

0 -

2.4

82.7

- -

- -

99.8

-78

.3

Num

erat

or76

-26

897

- -

- -

430

-25

8 54

2

Den

omin

ator

1 08

5 -

1 08

51

085

- -

- -

431

-33

0 28

5

Har

ry G

wal

a In

dica

tor

7.5

28.5

4.4

81.6

13.9

54.3

6.8

63.8

87.8

58.5

80.8

Num

erat

or24

843

146

2 71

321

8214

190

1 21

01

220

808

504

Den

omin

ator

3 32

615

13

326

3 32

615

115

12

085

141

1 37

82

085

1 00

1 21

3

KwaZ

ulu-

Nat

alIn

dica

tor

5.4

19.0

4.8

82.7

17.2

59.6

7.7

73.8

85.7

62.4

78.3

Sout

h Af

rica

Indi

cato

r6.

623

.06.

481

.017

.950

.56.

268

.088

.372

.851

.6

Sour

ce:

DH

IS.

Annual trends

2010 2011 2012 2013 2014 2015 2016 2017Year

6_NCDs

2_Outcome

Diabetesincidence


0

5

20

40




543


543


Outcome

Diabetes incidence

(per1K)


(per1K)

2016/17 2016/17

Gr Kokstad SD Indicator 4.1 67.1

Numerator 297 817


Ingwe SD Indicator 1.6 127.8

Numerator 172 2 515

Denominator 1 284 168 236 232

Kwa Sani SD Indicator 1.0 35.5

Numerator 15 112


Ubuhlebezwe SD Indicator 1.6 17.2

Numerator 169 366

Denominator 1 299 384 254 871

Umzimkhulu SD Indicator 1.5 19.5

Numerator 279 664

Denominator 2 295 315 408 789

Harry Gwala Indicator 1.9 49.5

Numerator 932 4 474

Denominator 5 928 633 1 083 903



Source: DHIS.

Annual trends




544


544


eThekwini Metropolitan Municipality (ETH)

eThekwini Metro is situated in KwaZulu-Natal Province and has a population of 3 548 516, with a population density of 1 548.7 persons per km2. The metro falls into socio-economic Quintile 5, placing it among the wealthiest districts in South Africa. Estimated medical scheme coverage is 18.7%.




No schooling 4.7%

Matric 43.1%


Households 1 125 767













under 1 year 67 509 67 974 69 476 71 085

under 5 years 366 821 362 210 359 350 357 705

05-09 years 388 055 385 573 380 612 375 238

10-14 years 350 797 362 494 372 715 380 060

15-19 years 295 038 303 852 314 423 325 641

20-24 years 313 638 307 654 302 552 300 374

25-29 years 328 927 328 550 328 315 326 910

30-34 years 296 855 305 258 314 616 324 762

35-39 years 280 370 280 996 279 498 276 587

40-44 years 247 614 252 862 257 565 261 576

45-49 years 205 449 211 349 217 674 223 876

50-54 years 175 029 178 194 181 122 184 350

55-59 years 144 768 148 262 151 959 155 634

60-64 years 116 381 119 206 122 141 125 105

65-69 years 91 985 93 610 95 087 96 769

70-74 years 62 071 65 693 68 942 71 556

75-79 years 32 305 34 327 36 802 39 827

80 years and older 19 225 20 317 21 421 22 541

Total 3 715 328 3 760 409 3 804 794 3 848 515




545


545


Ward based outreach


Regional Hospital

Central/Tertiary

HospitalsOther

Hospitals

eThekwini 48 129 8 4 5 2 30

Source: DHIS.


Community Health

WorkersNursing

assistantsEnrolled

nurseProfessional

nurseMedical





eThekwini 1 663 2 269 3 276 5 209 1 301 344 39 65 124 45



PHC Management




(%)



Provincial and LG



(uninsured) (Rand)


(uninsured) (Rand)


per PHC headcount

(Rand)

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

eThekwini Indicator 2.7 17.7 94.4 1 424 1 157 354

Numerator 9 427 971 20 84 4 108 445 771 3 339 114 743 3 339 114 743

Denominator 42 632 217 113 89 2 885 513 2 885 513 9 427 971



Source: DHIS.

2008 2010 2012 2014 2016 2018Year

1_M

anag

emen

t

1_Im

pact


2_O

utco

me



3_O

utpu

t



4_P

roce

ss_i

nput





2

4

6

8

2

4

6

8

1K

2K

3K

4K

50

100

0

50

100

0

50

100

1K

2K

3K

500

1000

1500

200

400

KZN, ETH, eThekwini Metropolitan Municipality, SEQ 5 (least deprived)


546


546


ospi

tal

Dis

tric

t Hos

pita

lR

egio

nal H

ospi

tal

Tert

iary

/Cen

tral

Hos

pita

l

Aver

age

leng

th o

f st

ay -

tota

l (D

ays)

Expe

nditu

re

per p

atie

nt

day

equi

vale

nt

(Ran

d)

Inpa

tient

bed

ut

ilisa

tion

rate

- to

tal

(%)

Inpa

tient

cr

ude

deat

h ra

te (%

)

OPD

new

cl

ient

not

re

ferr

ed ra

te

(%)

Aver

age

leng

th o

f st

ay -

tota

l (D

ays)

Expe

nditu

re

per p

atie

nt

day

equi

vale

nt

(Ran

d)

Inpa

tient

bed

ut

ilisa

tion

rate

- to

tal

(%)

Inpa

tient

cr

ude

deat

h ra

te (%

)

OPD

new

cl

ient

not

re

ferr

ed ra

te

(%)

Aver

age

leng

th o

f st

ay -

tota

l (D

ays)

Expe

nditu

re

per p

atie

nt

day

equi

vale

nt

(Ran

d)

Inpa

tient

bed

ut

ilisa

tion

rate

- to

tal

(%)

Inpa

tient

cr

ude

deat

h ra

te (%

)

OPD

new

cl

ient

not

re

ferr

ed ra

te

(%)

eThe

kwin

iIn

dica

tor

4.9

1 99

258

.74.

531

.35.

62

831

62.7

5.8

38.1

7.3

6 59

467

.94.

123

.4

Num

erat

or15

9 42

156

4 91

6 76

315

9 42

11

472

35 9

9170

3 08

53

367

962

370

703

085

7 23

085

641

415

364

3 53

6 60

3 12

541

5 36

42

333

13 9

48

Den

omin

ator

32 6

6128

3 58

327

1 55

932

661

115

067

125

211

1 18

9 68

21

120

855

125

211

224

797

56 9

9353

6 31

961

2 08

156

993

59 7

13

KwaZ

ulu-

Nat

alIn

dica

tor

5.4

2 56

656

.25.

449

.46.

12

935

67.9

5.5

34.6

8.0

5 98

271

.75.

526

.8

Sout

h Af

rica

Indi

cato

r4.

42

568

67.4

5.1

59.3

5.3

2 89

478

.35.

037

.26.

94

227

84.3

5.4

20.3

Sour

ce:

DH

IS a

nd B

AS.

Annual trends


547


547


Dat

a El

emen

t(N

umbe

r)

2014

/15

2015

/16

2016

/17

PHC

/ CH

C / M

OU

*D

istr

ict

Hos

pita

lR

egio

nal

Hos

pita

l

Cen

tral

/te

rtia

ry

Hos

pita

lD

istr

ict

Tota

lPH

C / C

HC

/ MO

UD

istr

ict

Hos

pita

lR

egio

nal

Hos

pita

l

Cen

tral

/te

rtia

ry

Hos

pita

lD

istr

ict

Tota

lPH

C / C

HC

/ MO

UD

istr

ict

Hos

pita

lR

egio

nal

Hos

pita

l

Cen

tral

/te

rtia

ry

hosp

ital

Dis

tric

t To

tal

Mat

erna

l dea

ths

34

3416

57-

334

2158

16

3518

60

Live

birt

hs7

383

10 8

5126

993

7 48

352

710

7 07

210

438

26 6

406

670

50 8

206

224

9 44

627

215

6 44

249

327

Still

birth

s73

183

730

256

1 24

279

177

703

259

1 21

877

142

668

213

1 10

0


Infant (under 1

year)

Neo-natal

Dea

th in

faci

lity

0-7d

ays

1195

300

231

637

1199

347

198

655

1859

312

124

513

Dea

th in

faci

lity

8-28

day

s 1

675

9918

12

881

9118

2-

865

8515

8

Dea

th in

faci

lity

29 d

ays

- 11

mon

ths

953

109

232

403

356

9814

129

82

3072

8518

9

Dea

th in

faci

lity

12 –

59

mon

ths

133

161

183

378

616

9193

206

110

8055

146

Dia

rrho

ea d

eath

und

er 5

yea

rs

613

291

498

934

1061

-6

2411

41

Pneu

mon

ia d

eath

und

er 5

yea

rs1

634

2970

44

2553

86-

223

3257

Seve

re a

cute

mal

nutri

tion

deat

h un

der 5

yea

rs

210

467

654

530

1453

-12

2112

45

TB D

eath

s 95

484

1320

1 07

190

773

182

1 00

0-

--

--

Inpa

tient

dea

th to

tal

191

2 14

36

359

2 17

910

872

229

2 04

66

571

2 29

011

136

150

1 47

27

230

2 33

311

185

Patie

nt d

ay e

quiv

alen

t28

242

323

524

1 28

1 81

658

9 40

12

222

983

30 6

6132

3 09

91

230

818

575

848

2 16

0 42

634

825

2835

831

189

682

536

318

2 04

4 40

8

Sour

ce:

DH

IS. *

MO

U –

Mat

erna

l Obs

tetr

ic U

nit.


5-1415-2425-64

65+Total 16%

9%15%

20%34%

70%

23%3%

37%47%21%

8%

56%85%

43%17%

25%16%

5%2%

5%16%

20%7%

14%9%11%8%

28%68%

24%5%

34%17%

20%8%

45%83%

37%12%

22%16%

17%4%

18%63%

30%8%

KZN, eThekwini: ETH, 2010 - 2015

Rank.. Female Male

<5 y

ears

12345678910

5-14

12345678910

15-2

4

12345678910

25-6

4

12345678910

65+

12345678910

Congenital heart anomalies (3.5%)





Septicaemia (3.4%)



Tuberculosis (2.5%)

HIV/AIDS (5.6%)


Fires, hot substances (2.7%)Asthma (2.5%)














Breast (2.4%)Cervix (2.5%)



Ischaemic heart disease (5.0%)Cerebrovascular disease (5.6%)Lower respiratory infections (5.9%)


Breast (2.0%)COPD (1.8%)






Other congenital abnormalities (2.9%)Congenital heart anomalies (2.8%)





Septicaemia (3.0%)



HIV/AIDS (4.8%)


Drowning (8.5%)





Other unintentional injuries (1.9%)Drowning (2.7%)




Road injuries (5.7%)Lower respiratory infections (2.9%)




Interpersonal violence (2.9%)Nephritis/nephrosis (3.2%)





Prostate (3.2%)

Trachea/bronchi/lung (4.0%)COPD (4.3%)






Tuberculosis (3.9%)


Fem

ale

15-4

9

12345678910


Maternal haemorrhage (6.9%) n=29



Accidental threats to breathing (2.1%) n=584

Ischaemic heart disease (1.6%) n=445Cervix (1.9%) n=517

Nephritis/nephrosis (2.6%) n=713Cerebrovascular disease (2.5%) n=700

Meningitis/encephalitis (3.0%) n=841Diarrhoeal diseases (4.5%) n=1 228

Lower respiratory infections (6.9%) n=1 893




causes

BroadcauseInjury

NCD

HIV and TB

Comm_mat_peri_nut

Prov, DistrictKZN, eThekwini: ETH

Show history




548


548





2009 2010 2011 2012 2013 2014 2015 2016Year

2_M

ater

nal a

nd w

omen

's h

ealth

1_Im

pact Maternal


2_O

utco

me





3_O

utpu

t



0

200

400

600

800

20

40

60

80

100

200

5

10

15

0

100

200

50

100

150

200

50

100

150




549


549





on ART rate (%)


(%)


Cervical cancer



(WHO) (%)


rate (%)

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

eThekwini Indicator 112.6 97.4 7.0 67.6 73.0 66.1 71.3

Numerator 61 13 121 3 838 43 403 64 155 6 273 683 39 094

Denominator 54 151 13 473 54 833 64 235 1 054 301 11 399 982 54 833



Source: DHIS.

Annual trends

2009 2010 2011 2012 2013 2014 2015 2016Year

3_C

hild

and

sch

ool h

ealth

1_Im

pact





3_O

utpu

t





0

50

100

0

10

20

30

0

20

40

60

0

10

20

50

100

150

20

40

60

80

50

100

150

0

50

100



550


550



Impa

ctO

utco

me

Out

put

Chi

ld u

nder

5

year

s di

arrh

oea

case

fata

lity

rate

(%)

Chi

ld u

nder

5

year

s pn

eum

onia

ca

se fa

talit

y ra

te (%

)

Chi

ld u

nder

5

year

s se

vere

acu

te

mal

nutr

ition

ca

se fa

talit

y ra

te (%

)

Inpa

tient

de

ath

unde

r 1

year

rate

(%)

Inpa

tient

de

ath

unde

r 5

year

rate

(%)

Inpa

tient

ea

rly n

eona

tal

deat

h ra

te

(per

1K)

Inpa

tient

ne

onat

al

deat

h ra

te

(per

1K)

Infa

nt P

CR

test

pos

itive

ar

ound

10

wee

ks ra

te

(%)

Imm

unis

atio

n co

vera

ge

unde

r 1 y

ear

(%)

Infa

nt

excl

usiv

ely

brea

stfe

d at

D

TaP-

IPV-

Hib

-HB

V 3rd

do

se ra

te (%

)

Mea

sles

2nd

dos

e co

vera

ge (%

)

Scho

ol G

rade

1

scre

enin

g co

vera

ge (%

)

Scho

ol G

rade

8

scre

enin

g co

vera

ge (%

)

Vita

min

A

dose

12-

59

mon

ths

cove

rage

(%)

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

eThe

kwin

i In

dica

tor

1.8

2.0

6.2

5.6

4.2

10.1

13.1

0.8

109.

445

.910

6.4

20.1

11.2

61.7

Num

erat

or41

5945

903

1 05

054

671

212

962

946

27 0

4163

051

12 9

296

195

302

605

Den

omin

ator

2 25

72

886

731

16 0

6424

763

54 1

5154

151

15 2

0569

0 71

458

957

711

339

772

380

666

372

5 88

9 86

4

KwaZ

ulu-

Nat

alIn

dica

tor

2.0

1.8

7.4

6.4

4.5

9.7

12.4

1.0

85.8

53.9

99.8

26.2

16.4

62.1

Sout

h Af

rica

Indi

cato

r2.

02.

08.

06.

34.

49.

912

.41.

382

.341

.696

.233

.019

.858

.0

Sour

ce:

DH

IS.

Annual trends

2009 2010 2011 2012 2013 2014 2015 2016Year

4_H

IV

4_P

roce

ss_i

nput




20

40

60

100

200

0

20

40

6080




551


551

HIV

3rd 9

0-90

-90

2nd 9

0-90

-90

1st 90

-90-

90

Out

com

eO

utpu

tPr

oces

s &

inpu

t

Adu

lt w

ith v

iral

load

com

plet

ion

rate

at 1

2 m

onth

s (%

)

Chi

ld w

ith v

iral

load

com

plet

ion

rate

at 1

2 m

onth

s (%

)

Adu

lt w

ith v

iral

load

sup

pres

sed

rate

12

mon

ths

(%)

Chi

ld w

ith v

iral

load

sup

pres

sed

rate

12

mon

ths

(%)

Adu

lt pe

rcen

tage

on

AR

T af

ter 1

2 m

onth

s (%

)

Chi

ld p

erce

ntag

e on

AR

T af

ter 1

2 m

onth

s (%

)C

lient

s re

mai

ning

on

AR

T ra

te (%

)

HIV

test

pos

itive

cl

ient

15

year

s an

d ol

der r

ate

(incl

udin

g A

NC

) (%

)

HIV

test

ing

cove

rage

(in

clud

ing

AN

C)

(%)

Mal

e co

ndom

di

strib

utio

n co

vera

ge (N

o)

Med

ical

mal

e ci

rcum

cisi

on ra

te

(per

1K)

2015

2015

2015

2015

2015

2015

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

eThe

kwin

i In

dica

tor

- -

- -

- -

61.1

11.4

46.8

37.8

19.4

Num

erat

or -

- -

- -

-37

9 83

310

9 04

390

6 66

748

498

377

28 0

05

Den

omin

ator

- -

- -

- -

621

411

952

769

23 2

50 6

3015

383

517

17 3

51 4

42

KwaZ

ulu-

Nat

alIn

dica

tor

58.0

56.8

91.8

68.5

75.9

78.5

61.3

11.4

42.5

53.9

30.5

Sout

h Af

rica

Indi

cato

r -

- -

- -

-55

.08.

235

.947

.519

.0

Sour

ce:

DH

IS.

Annual trends

2009 2010 2011 2012 2013 2014 2015 2016Year

5_TB

1_Im

pact



2_O

utco

me







4_P

roce

ss_i

nput


5

10

15

0

20

40

60

0

5

10

15

40

60

80

0

20

40

0

20

40

60

0

10

20

0

50

100

0

50

100



552


552


TB

Impa

ctO

utco

me

Out

put

Proc

ess

& in

put

TB d

eath

rate

(E

TR.n

et) (

%)

TB D

R cl

ient

de

ath

rate

(E

DR

Web

) (%

)

TB c

lient

loss

to

follo

w u

p ra

te

(ETR

.Net

) (%

)

TB c

lient

tr

eatm

ent

succ

ess

rate

(E

TR.n

et) (

%)

TB D

R cl

ient

loss

to

follo

w u

p ra

te

(ED

RW

eb) (

%)

TB D

R tr

eatm

ent

succ

ess

rate

(E

DR

Web

) (%

)

TB R

ifam

pici

n re

sist

ance

co

nfirm

ed c

lient

ra

te (%

)

TB R

ifam

pici

n re

sist

ant c

lient

s tr

eatm

ent

initi

atio

n ra

te (%

)

TB/H

IV c

o-in

fect

ed c

lient

on

AR

T ra

te (E

TR.

Net

) (%

)

TB c

lient

initi

ated

on

trea

tmen

t ra

te (%

)

TB s

ympt

om 5

ye

ars

and

olde

r sc

reen

ed in

fa

cilit

y ra

te (%

)

2015

2014

2015

2015

2014

2014

2016

2016

2016

2016

2016

/17

eThe

kwin

i In

dica

tor

3.7

16.7

6.6

81.6

22.7

57.7

7.177

.473

.061

.980

.4

Num

erat

or1

079

243

1 94

324

022

331

840

1 45

61

127

8 93

312

660

6 44

6 10

0

Den

omin

ator

29 4

251

456

29 4

2529

425

1 45

61

456

20 4

511

456

12 2

3020

451

8 01

9 34

1

KwaZ

ulu-

Nat

alIn

dica

tor

5.4

19.0

4.8

82.7

17.2

59.6

7.7

73.8

85.7

62.4

78.3

Sout

h Af

rica

Indi

cato

r6.

623

.06.

481

.017

.950

.56.

268

.088

.372

.851

.6

Sour

ce:

DH

IS.

Annual trends

2010 2011 2012 2013 2014 2015 2016 2017Year

6_NCDs

2_Outcome

Diabetesincidence


0

5

20

40




553


553


Outcome

Diabetes incidence

(per1K)


(per1K)

2016/17 2016/17

eThekwini Indicator 2.1 22.9


Denominator 42 632 217 13 603 392



Source: DHIS.

Annual trends




Documents

19 waZulu-Natal Province K - Health Systems Trust Health Barometers/19... · Section B: National and District ProfilesSection B: Profile KwaZulu-Natal Province 19 waZulu-Natal Province