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Section B: National and District Profiles
569
Section B: Profile Western Cape Province
569
22 Western Cape Province
Cape Town Metropolitan Municipality (CPT)
Cape Town Metro has a population of 3 998 422, with a population density of 1 638.8 people per km2, and is situated in the southern peninsula of the Western Cape Province. The Metro incorporates eight sub-districts, namely Eastern, Western, Northern, Southern, Khayelitsha, Klipfontein, Tygerberg and Mitchells Plain, and falls into socio-economic Quintile 5, placing it among the wealthiest districts. Estimated medical scheme coverage is 28.0%.
Number of facilities by level, 2015/16
Clin
ic
CH
C
Dis
tric
t Hos
pita
l
Reg
iona
l H
ospi
tal
Cen
tral
/Ter
tiary
H
ospi
tals
Oth
er H
ospi
tals
83 9 9 2 3 25
Headcount and deaths, 2013/14 – 2015/16
Data element 2013/14 2014/15 2015/16PHC headcount under 5 years 1 297 746 1 304 919 1 289 336PHC headcount 5 years and older 9 470 328 9 492 289 9 424 069Patient day equivalent 3 173 502 3 220 191 3 264 518Deaths – total 10 601 10 700 11 007Still births 1 189 1 207 1 138Early neonatal deaths 288 320 433Late neonatal deaths 65 85 110Child under 5 years with diarrhoea death 4 5 9Child under 5 years with pneumonia death 23 18 21Child under 5 years with severe acute malnutrition death 5 7 6
Burden of disease profile
For the percentage of deaths by broad cause, deaths are classified into four groups, namely: (i) injuries; (ii) non-communicable diseases; (iii) HIV and TB; and (iv) communicable diseases together with maternal, perinatal and nutritional conditions. Data are given by gender and age group for the period 2009–2014. The second part of the graph shows the 10 leading single causes of death within each age group (both genders) for 2009–2014 combined.
Broad age.. Female Male
<5 years
5-14
15-24
25-64
65+
Total 11%
7%
7%
12%
19%
65%
17%
2%
31%
45%
12%
6%
68%
89%
56%
20%
37%
23%
5%
2%
6%
23%
32%
6%
8%
5%
5%
3%
15%
66%
16%
3%
26%
10%
9%
5%
56%
88%
48%
10%
31%
21%
19%
3%
22%
76%
45%
8%
WC, Cape Town: CPT, 2009-14
Rank.. 2009-14
<5 y
ears
12345678910
5-14
12345678910
15-2
4
12345678910
25-6
4
12345678910
65+
12345678910
Other congenital abnormalities (3.1%)
Congenital heart anomalies (4.6%)Sepsis/other newborn infectious (5.7%)Birth asphyxia (6.5%)
Other respiratory (3.1%)
Preterm birth complications (17.6%)
Septicaemia (2.9%)
Diarrhoeal diseases (13.3%)Lower respiratory infections (11.1%)
HIV/AIDS (4.3%)
Leukaemia (3.3%)
Other neurological conditions (4.3%)
Drowning (6.4%)
Fires, hot substances (7.7%)
Mechanical forces (3.6%)
Accidental threats to breathing (4.5%)
Road injuries (11.7%)
Lower respiratory infections (3.6%)
HIV/AIDS (7.0%)
Tuberculosis (3.8%)
Other neurological conditions (1.2%)
Fires, hot substances (2.9%)
Mechanical forces (19.5%)Interpersonal violence (25.7%)
Accidental threats to breathing (5.6%)Road injuries (4.2%)
Nephritis/nephrosis (1.0%)
Lower respiratory infections (1.4%)
HIV/AIDS (10.4%)Tuberculosis (10.3%)
Trachea/bronchi/lung (4.7%)
Mechanical forces (4.3%)Interpersonal violence (4.5%)
COPD (2.9%)Nephritis/nephrosis (2.7%)
Diabetes mellitus (3.1%)
Ischaemic heart disease (6.8%)Cerebrovascular disease (5.0%)
HIV/AIDS (15.6%)Tuberculosis (12.3%)
Alzheimer’s and other dementias (3.3%)Colo-rectal (2.8%)
Trachea/bronchi/lung (5.9%)
COPD (5.2%)
Nephritis/nephrosis (4.5%)
Diabetes mellitus (5.3%)
Hypertensive heart disease (4.8%)
Ischaemic heart disease (16.7%)Cerebrovascular disease (11.6%)
Lower respiratory infections (3.4%)
Percentage of deaths by broad cause and leading causes, 2009-2014Prov, DistrictWC, Cape Town: CPT
Show History
BroadcauseInjury
NCD
HIV and TB
Comm_mat_peri_nut
570
Section B: National and District Profiles
570
Section B: Profile Western Cape Province
Percentage of deaths by broad cause and leading causes, 2009–2014: Cape Town (CPT)
Section B: National and District Profiles
571
Section B: Profile Western Cape Province
571
Indicator performance: Cape Town (CPT)
District value
District ranking
Provincial average
National average
National target
Category Indicator 2013/14 2014/15 2015/16 2015/16 2015/16 2015/16 2015/16Management PHC
Percentage ideal clinics [Percentage] 0.0 35 0.0 9.2
Percentage of fixed PHC facilities with patients that have access to a medical practitioner [Percentage]
0.0 47 0.0 18.1
Management Inpatients
Average length of stay (district hospitals) [Days] 4.3 4.3 3.7 27 3.3 4.5
Expenditure per patient day equivalent (district hospitals) [Rand (real 2015/16 prices)]
2 182.3 2 174.4 2 221.5 17 2 059.6 2 342.2
Inpatient bed utilisation rate (district hospitals) [Percentage] 97.6 99.4 93.9 1 87.5 65.3 78.6
Inpatient crude death rate [Percentage] 3.0 3.1 2.8 3 2.9 5.0
OPD new client not referred rate (district hospitals) [Percentage] 26.3 26.3 19.2 4 21.2 58.3
Delivery Delivery by caesarean section rate (district hospitals) [Percentage] 32.5 35.5 35.0 28.1 24.1
Delivery in facility under 18 years rate [Percentage] 5.5 5.2 4.8 3 5.5 7.1
Inpatient early neonatal death rate [per 1 000 live births] 4.7 5.0 7.0 5 7.3 10.5 10.0
Maternal mortality in facility ratio [per 100 000 live births] 74.2 56.4 75.7 10 69.6 119.1 120.0
Mother postnatal visit within 6 days rate [Percentage] 108.3 130.1 76.3 9 67.8 68.5 85.0
Stillbirth in facility rate [per 1 000 births] 18.4 18.6 18.0 13 17.5 21.1
PMTCT Antenatal 1st visit before 20 weeks rate [Percentage] 54.6 61.5 63.8 24 67.7 61.2 60.0
Antenatal client initiated on ART rate [Percentage] 65.3 84.1 79.3 47 77.5 93.0 88.0
Percentage of PCR tests positive at birth [Percentage] 2.3 49 2.4 1.1
Child Health Child under 5 years diarrhoea case fatality rate [Percentage] 0.1 0.1 0.2 7 0.1 2.2 3.2
Child under 5 years pneumonia case fatality rate [Percentage] 0.8 0.4 0.3 6 0.3 2.3 3.0
Child under 5 years severe acute malnutrition case fatality rate [Percentage]
2.5 1.5 1.0 4 0.9 8.9 10.0
Inpatient death under 5 year rate [Percentage] 1.5 1.7 1.3 4 1.3 4.7
School Grade 1 screening coverage (annualised) [Percentage] 0.0 24.0 48.3 8 52.1 28.9 25.0
Vitamin A dose 12-59 months coverage (annualised) [Percentage] 34.4 43.0 41.7 50 47.3 57.0
Immunisation Immunisation coverage under 1 year [Percentage] 89.0 97.3 93.7 11 89.3 89.2 90.0
Measles 2nd dose coverage (annualised) [Percentage] 70.6 77.4 88.7 16 86.2 84.8 83.0
Reproductive health
Cervical cancer screening coverage (annualised) [Percentage of women 30+ /10]
54.5 54.8 51.9 32 54.0 56.6 60.0
Couple year protection rate (annualised) [Percentage] 66.9 61.6 56.9 18 58.6 48.2 60.0
HIV HIV testing coverage (including ANC) [Percentage] 8.7 31.9 34.4 25 35.3 34.5
Male condom distribution coverage [Condoms per male 15+] 64.4 56.8 46.8 27 49.9 44.4
Non-communicable diseases
Diabetes incidence (annualised) [per 1 000 population] 1.4 1.1 1.1 1.0 1.7
Hypertension incidence (annualised) [per 1 000 population 40+] 8.2 6.0 6.0 6.9 16.8
Human Resources
Percentage of fixed PHC facilities with performance management agreement for all staff [Percentage]
0.0 46 0.0 16.3
Percentage of fixed PHC facilities with staffing in line with WISN [Percentage]
0.0 23 0.0 1.5
District value
District ranking
Provincial average
National average
National target
Category Indicator 20122013 & 2013/14
2014 & 2014/15 2015 2015* 2015* 2015* 2015*
TB case finding Incidence (diagnosed cases) of TB (ETR.net) [Cases per 100 000 population]
678.9 637.5 595.6 28 681.4 519.8
TB Rifampicin resistance confirmed client rate [Percentage]
5.6 6.0 5.8 28 5.0 6.1
TB treatment outcomes
TB cure rate (new sm+) [Percentage] 83.1 82.2 81.2 14 78.7 77.4
TB treatment success rate (ETR.net) [Percentage] 83.1 84.5 83.8 6 81.8 77.2 83.0
TB death rate (ETR.net) [Percentage] 4.1 3.6 3.3 3 3.6 6.7
New smear positive pulmonary TB loss to follow up rate [Percentage]
7.8 8.4 8.6 46 8.8 5.6
TB MDR treatment success rate (EDRWeb) [Percentage]
41.3 35 43.5 47.2 55.0
HIV Percentage of TB cases with known HIV status (ETR.net) [Percentage]
98.4 98.7 98.5 2 96.1 94.8
TB/HIV co-infected client on ART rate (ETR.Net) [Percentage]
84.5 88.4 79.6 37 75.7 84.5
NCDs Hypertension prevalence rate (crude) [Percentage] 37.3 31.4 31 35.6 28.2
572
Section B: National and District Profiles
572
Section B: Profile Western Cape Province
District value
District ranking
Provincial average
National average
National target
Category Indicator 20122013 & 2013/14
2014 & 2014/15 2015 2015* 2015* 2015* 2015*
Burden of disease
Percentage of YLLs due to non-communicable diseases [Percentage]
50.9 50.3 49.6 47 50.7 38.2
Percentage of YLLs due to HIV and TB [Percentage] 20.6 19.2 18.5 3 19.6 27.0
Percentage of YLLs due to communicable, maternal, perinatal, nutrition causes [Percentage]
11.2 11.1 11.2 5 10.7 21.2
Percentage of deaths garbage codes [Percentage] 11.8 12.3 12.0 16 12.2 14.6
Percentage of YLLs due to injuries [Percentage] 17.4 19.4 20.7 52 19.0 13.6
Percentage of deaths ill-defined [Percentage] 7.8 7.4 7.2 6 6.9 13.8
* – value for most recent year which ranges from 2013 to 2015
Value in red – improvement strategies are urgently needed
Value highlighted in yellow – performance is ranked among the 10 best in the country
Value highlighted in red – performance is ranked among the 10 worst in the country
Annual indicators for district: Cape Town: CPTVa
lue
800
1000
1200
1400
1600
1800
2006 2008 2010 2012 2014
01_DHS exp per capita
500
600
700
800
900
1000
1100
2006 2008 2010 2012 2014
01_PHC exp per capita
200
250
300
350
2006 2008 2010 2012 2014
01_PHC exp per headcount
2.5
3.0
3.5
4.0
4.5
2006 2008 2010 2012 2014
03_Avg length of stay (DH)
3
4
5
2010 2012 2014 2016
03_Crude death rate
500
1000
1500
2000
2006 2008 2010 2012 2014
03_Expenditure per PDE (DH)
20
30
40
50
60
2010 2012 2014 2016 2018
03_OPD new not ref rate (DH)
70
80
90
100
2006 2008 2010 2012 2014
03_Usable bed util (DH)
15
20
25
30
35
2006 2008 2010 2012 2014
04_Caesarean sect (DH)
5
6
7
8
9
2006 2008 2010 2012 2014
04_Deliv in fac <18
5
6
7
8
9
10
2006 2008 2010 2012 2014
04_IP early neo death rate
0
50
100
150
2008 2010 2012 2014
04_Maternal Mort ratio
0
50
100
2008 2010 2012 2014 2016
04_Postnatal mother <6d
18
20
22
24
2006 2008 2010 2012 2014
04_Stillbirth rate
30
40
50
60
2006 2008 2010 2012 2014
05_ANC 1st visit <20 w rate
70
80
90
100
2008 2010 2012 2014 2016
05_ANC initiate ART rate
0
2
4
6
8
2008 2010 2012 2014
06_Child <5 diar fat rate
0
2
4
6
2008 2010 2012 2014 2016
06_Child <5 pneumo death
0
5
10
15
20
2008 2010 2012 2014 2016
06_Child <5 sev mal fata
2
3
4
5
2010 2012 2014 2016 2018
06_Inpat death <5 rate
District value Provincial average ZA (national) average
Section B: National and District Profiles
573
Section B: Profile Western Cape Province
573
Annual indicators for district: Cape Town (CPT)
Annual indicators for district: Cape Town: CPT
Valu
e
0
10
20
30
40
50
2010 2012 2014 2016 2018
06_School G1 screen cov yy
20
30
40
50
2006 2008 2010 2012 2014
06_VitA 12−59 mm cov yy
80
85
90
95
2006 2008 2010 2012 2014
07_Imm cov <1 yy
70
75
80
85
90
2008 2010 2012 2014
07_Measles 2nd cov yy
30
40
50
60
2006 2008 2010 2012 2014
08_Cerv cancer screen cov yy
30
40
50
60
2006 2008 2010 2012 2014
08_Couple year protect rate
6
7
8
2008 2010 2012 2014 2016
09_New pulmonary TB LTF rate
5.0
5.5
6.0
6.5
7.0
2010 2012 2014 2016
09_RIF resistance rate
65
70
75
80
2006 2008 2010 2012 2014
09_TB cure rate new sm+
4
5
6
7
8
2008 2010 2012 2014 2016
09_TB deaths all TB
500
600
700
800
900
2006 2008 2010 2012 2014
09_TB inc all TB
70
75
80
85
2006 2008 2010 2012 2014
09_TB success all TB
10
15
20
25
30
35
2010 2012 2014 2016 2018
10_HIV test cov inc ANC
10
20
30
40
50
60
2006 2008 2010 2012 2014
10_Male cond dist cov yy
50
60
70
80
90
100
2008 2010 2012 2014 2016
10_TB known HIV status
30
40
50
60
70
80
90
2010 2012 2014 2016
10_TB/HIV on ART
1.0
1.2
1.4
1.6
1.8
2.0
2010 2012 2014 2016 2018
11_Diabetes incidence yy
10
15
20
2010 2012 2014 2016
11_Hypertension inci yy
30
35
40
2008 2010 2012 2014 2016
11_Hypertension prevalence
12
13
14
15
16
2008 2010 2012 2014
13_Garbage codes
District value Provincial average ZA (national) average
574
Section B: National and District Profiles
574
Section B: Profile Western Cape Province
Annual indicators for district: Cape Town (CPT)
Section B: National and District Profiles
575
Section B: Profile Western Cape Province
575
West Coast District Municipality (DC1)
The West Coast District in the Western Cape Province comprises five sub-districts, namely Swartland, Bergrivier, Matzikama, Cederberg and Saldanha Bay. The district has a population of 437 652, with a population density of 14.1 people per km2, and falls into socio-economic Quintile 5, among the wealthiest districts. Estimated medical scheme coverage is 29.0%.
Number of facilities by level, 2015/16
Clin
ic
CH
C
Dis
tric
t Hos
pita
l
Reg
iona
l H
ospi
tal
Cen
tral
/Ter
tiary
H
ospi
tals
Oth
er H
ospi
tals
26 0 7 0 0 3
Headcount and deaths, 2013/14 – 2015/16
Data element 2013/14 2014/15 2015/16PHC headcount under 5 years 144 764 142 164 139 683PHC headcount 5 years and older 823 613 814 567 797 494Patient day equivalent 195 382 206 921 204 928Deaths – total 1 141 1 158 1 181Still births 62 87 71Early neonatal deaths 20 23 40Late neonatal deaths 0 0 5Child under 5 years with diarrhoea death 1 1 0Child under 5 years with pneumonia death 1 1 1Child under 5 years with severe acute malnutrition death 0 0 1
Burden of disease profile
For the percentage of deaths by broad cause, deaths are classified into four groups, namely: (i) injuries; (ii) non-communicable diseases; (iii) HIV and TB; and (iv) communicable diseases together with maternal, perinatal and nutritional conditions. Data are given by gender and age group for the period 2009–2014. The second part of the graph shows the 10 leading single causes of death within each age group (both genders) for 2009–2014 combined.
Broad age.. Female Male
<5 years
5-14
15-24
25-64
65+
Total 10%
7%
6%
10%
17%
73%
18%
3%
32%
48%
17%
5%
66%
89%
55%
15%
19%
15%
6%
2%
7%
28%
47%
8%
8%
5%
5%
5%
11%
72%
20%
6%
30%
13%
9%
6%
56%
86%
47%
9%
15%
15%
16%
3%
19%
73%
65%
6%
WC, West Coast: DC1, 2009-14
Rank.. 2009-14
<5 y
ears
12345678910
5-14
12345678910
15-2
4
12345678910
25-6
4
12345678910
65+
12345678910
Upper respiratory infections (2.3%)
Other congenital abnormalities (3.0%)
Congenital heart anomalies (2.6%)Other perinatal conditions (2.8%)Drowning (3.0%)
Birth asphyxia (8.9%)
Preterm birth complications (20.2%)Diarrhoeal diseases (13.0%)
Lower respiratory infections (22.1%)
HIV/AIDS (3.9%)
Drowning (51.5%)
Fires, hot substances (4.1%)Meningitis/encephalitis (4.5%)
Accidental threats to breathing (9.3%)Road injuries (10.9%)
Lower respiratory infections (4.1%)HIV/AIDS (2.9%)
Tuberculosis (12.7%)
Drowning (8.6%)
Epilepsy (1.7%)
Fires, hot substances (4.1%)
Mechanical forces (9.4%)
Interpersonal violence (21.7%)
Accidental threats to breathing (11.5%)
Road injuries (3.3%)Lower respiratory infections (2.6%)
HIV/AIDS (11.5%)
Tuberculosis (15.6%)
Trachea/bronchi/lung (4.6%)Interpersonal violence (3.7%)
Accidental threats to breathing (2.9%)
COPD (5.5%)
Diabetes mellitus (2.3%)
Ischaemic heart disease (8.0%)Cerebrovascular disease (5.5%)
Lower respiratory infections (2.5%)
HIV/AIDS (11.7%)Tuberculosis (18.9%)
Prostate (3.2%)
Trachea/bronchi/lung (5.8%)COPD (7.2%)
Nephritis/nephrosis (3.5%)
Diabetes mellitus (4.6%)Hypertensive heart disease (5.6%)
Ischaemic heart disease (18.4%)Cerebrovascular disease (14.8%)
Lower respiratory infections (3.6%)Tuberculosis (3.7%)
Percentage of deaths by broad cause and leading causes, 2009-2014Prov, DistrictWC, West Coast: DC1
Show History
BroadcauseInjury
NCD
HIV and TB
Comm_mat_peri_nut
576
Section B: National and District Profiles
576
Section B: Profile Western Cape Province
Percentage of deaths by broad cause and leading causes, 2009–2014: West Coast (DC1)
Section B: National and District Profiles
577
Section B: Profile Western Cape Province
577
Indicator performance: West Coast (DC1)
District value
District ranking
Provincial average
National average
National target
Category Indicator 2013/14 2014/15 2015/16 2015/16 2015/16 2015/16 2015/16Management PHC
Percentage ideal clinics [Percentage] 0.0 35 0.0 9.2
Percentage of fixed PHC facilities with patients that have access to a medical practitioner [Percentage]
0.0 47 0.0 18.1
Management Inpatients
Average length of stay (district hospitals) [Days] 3.1 3.0 2.7 48 3.3 4.5
Expenditure per patient day equivalent (district hospitals) [Rand (real 2015/16 prices)]
1 584.9 1 701.6 1 800.3 41 2 059.6 2 342.2
Inpatient bed utilisation rate (district hospitals) [Percentage] 83.2 81.4 79.4 5 87.5 65.3 78.6
Inpatient crude death rate [Percentage] 3.1 3.0 2.9 5 2.9 5.0
OPD new client not referred rate (district hospitals) [Percentage] 59.5 31.6 22.4 7 21.2 58.3
Delivery Delivery by caesarean section rate (district hospitals) [Percentage] 17.6 19.1 21.1 28.1 24.1
Delivery in facility under 18 years rate [Percentage] 8.4 9.1 8.0 28 5.5 7.1
Inpatient early neonatal death rate [per 1 000 live births] 3.9 4.3 7.6 10 7.3 10.5 10.0
Maternal mortality in facility ratio [per 100 000 live births] 38.9 75.6 76.4 12 69.6 119.1 120.0
Mother postnatal visit within 6 days rate [Percentage] 31.1 36.8 44.7 50 67.8 68.5 85.0
Stillbirth in facility rate [per 1 000 births] 11.9 16.2 13.4 2 17.5 21.1
PMTCT Antenatal 1st visit before 20 weeks rate [Percentage] 72.1 73.3 72.3 7 67.7 61.2 60.0
Antenatal client initiated on ART rate [Percentage] 69.8 78.7 88.4 41 77.5 93.0 88.0
Percentage of PCR tests positive at birth [Percentage] 3.4 51 2.4 1.1
Child Health Child under 5 years diarrhoea case fatality rate [Percentage] 0.1 0.1 0.0 1 0.1 2.2 3.2
Child under 5 years pneumonia case fatality rate [Percentage] 0.2 0.2 0.2 5 0.3 2.3 3.0
Child under 5 years severe acute malnutrition case fatality rate [Percentage]
0.0 0.0 1.2 5 0.9 8.9 10.0
Inpatient death under 5 year rate [Percentage] 0.7 1.0 0.9 1 1.3 4.7
School Grade 1 screening coverage (annualised) [Percentage] - 21.0 29.8 23 52.1 28.9 25.0
Vitamin A dose 12-59 months coverage (annualised) [Percentage] 50.9 49.7 50.1 42 47.3 57.0
Immunisation Immunisation coverage under 1 year [Percentage] 68.4 75.1 82.5 30 89.3 89.2 90.0
Measles 2nd dose coverage (annualised) [Percentage] 66.5 70.1 77.6 38 86.2 84.8 83.0
Reproductive health
Cervical cancer screening coverage (annualised) [Percentage of women 30+ /10]
45.5 40.8 42.7 45 54.0 56.6 60.0
Couple year protection rate (annualised) [Percentage] 48.9 47.2 52.9 24 58.6 48.2 60.0
HIV HIV testing coverage (including ANC) [Percentage] 9.8 33.4 37.2 20 35.3 34.5
Male condom distribution coverage [Condoms per male 15+] 44.1 45.9 51.1 23 49.9 44.4
Non-communicable diseases
Diabetes incidence (annualised) [per 1 000 population] 1.6 1.1 0.8 1.0 1.7
Hypertension incidence (annualised) [per 1 000 population 40+] 10.3 9.9 7.3 6.9 16.8
Human Resources
Percentage of fixed PHC facilities with performance management agreement for all staff [Percentage]
0.0 46 0.0 16.3
Percentage of fixed PHC facilities with staffing in line with WISN [Percentage]
0.0 23 0.0 1.5
District value
District ranking
Provincial average
National average
National target
Category Indicator 20122013 & 2013/14
2014 & 2014/15 2015 2015* 2015* 2015* 2015*
TB case finding Incidence (diagnosed cases) of TB (ETR.net) [Cases per 100 000 population]
861.9 825.7 837.0 46 681.4 519.8
TB Rifampicin resistance confirmed client rate [Percentage]
4.2 5.4 4.6 10 5.0 6.1
TB treatment outcomes
TB cure rate (new sm+) [Percentage] 74.7 75.0 77.3 27 78.7 77.4
TB treatment success rate (ETR.net) [Percentage] 76.8 79.2 80.3 15 81.8 77.2 83.0
TB death rate (ETR.net) [Percentage] 5.0 4.4 4.1 6 3.6 6.7
New smear positive pulmonary TB loss to follow up rate [Percentage]
10.1 10.3 8.0 43 8.8 5.6
TB MDR treatment success rate (EDRWeb) [Percentage]
51.7 19 43.5 47.2 55.0
HIV Percentage of TB cases with known HIV status (ETR.net) [Percentage]
94.5 96.2 94.2 36 96.1 94.8
TB/HIV co-infected client on ART rate (ETR.Net) [Percentage]
52.2 75.2 56.1 52 75.7 84.5
NCDs Hypertension prevalence rate (crude) [Percentage] 47.4 46.1 50 35.6 28.2
578
Section B: National and District Profiles
578
Section B: Profile Western Cape Province
District value
District ranking
Provincial average
National average
National target
Category Indicator 20122013 & 2013/14
2014 & 2014/15 2015 2015* 2015* 2015* 2015*
Burden of disease
Percentage of YLLs due to non-communicable diseases [Percentage]
48.2 50.1 50.4 48 50.7 38.2
Percentage of YLLs due to HIV and TB [Percentage] 26.7 22.7 24.9 16 19.6 27.0
Percentage of YLLs due to communicable, maternal, perinatal, nutrition causes [Percentage]
9.6 11.0 7.8 1 10.7 21.2
Percentage of deaths garbage codes [Percentage] 13.5 13.8 12.9 21 12.2 14.6
Percentage of YLLs due to injuries [Percentage] 15.5 16.3 16.8 45 19.0 13.6
Percentage of deaths ill-defined [Percentage] 6.8 7.7 8.9 19 6.9 13.8
* – value for most recent year which ranges from 2013 to 2015
Value in red – improvement strategies are urgently needed
Value highlighted in yellow – performance is ranked among the 10 best in the country
Value highlighted in red – performance is ranked among the 10 worst in the country
Annual indicators for district: West Coast: DC1Va
lue
1000
1200
1400
1600
1800
2006 2008 2010 2012 2014
01_DHS exp per capita
500
600
700
800
900
1000
2006 2008 2010 2012 2014
01_PHC exp per capita
150
200
250
300
350
2006 2008 2010 2012 2014
01_PHC exp per headcount
2.5
3.0
3.5
4.0
4.5
2006 2008 2010 2012 2014
03_Avg length of stay (DH)
3.0
3.5
4.0
4.5
5.0
5.5
2010 2012 2014 2016
03_Crude death rate
1000
1500
2000
2006 2008 2010 2012 2014
03_Expenditure per PDE (DH)
20
30
40
50
60
2010 2012 2014 2016 2018
03_OPD new not ref rate (DH)
65
70
75
80
85
90
2006 2008 2010 2012 2014
03_Usable bed util (DH)
10
15
20
25
2006 2008 2010 2012 2014
04_Caesarean sect (DH)
6
8
10
12
2006 2008 2010 2012 2014
04_Deliv in fac <18
4
6
8
10
2006 2008 2010 2012 2014
04_IP early neo death rate
0
50
100
150
2008 2010 2012 2014
04_Maternal Mort ratio
20
40
60
80
100
2008 2010 2012 2014 2016
04_Postnatal mother <6d
12
14
16
18
20
22
24
2006 2008 2010 2012 2014
04_Stillbirth rate
30
40
50
60
70
2006 2008 2010 2012 2014
05_ANC 1st visit <20 w rate
70
80
90
100
2008 2010 2012 2014 2016
05_ANC initiate ART rate
0
2
4
6
8
2008 2010 2012 2014
06_Child <5 diar fat rate
0
2
4
6
2008 2010 2012 2014 2016
06_Child <5 pneumo death
0
5
10
15
20
2008 2010 2012 2014 2016
06_Child <5 sev mal fata
1
2
3
4
5
2010 2012 2014 2016 2018
06_Inpat death <5 rate
District value Provincial average ZA (national) average
Section B: National and District Profiles
579
Section B: Profile Western Cape Province
579
Annual indicators for district: West Coast (DC1)
Annual indicators for district: West Coast: DC1
Valu
e
0
10
20
30
40
50
2010 2012 2014 2016 2018
06_School G1 screen cov yy
30
40
50
2006 2008 2010 2012 2014
06_VitA 12−59 mm cov yy
70
75
80
85
90
95
2006 2008 2010 2012 2014
07_Imm cov <1 yy
65
70
75
80
85
90
2008 2010 2012 2014
07_Measles 2nd cov yy
40
50
60
2006 2008 2010 2012 2014
08_Cerv cancer screen cov yy
30
40
50
60
70
2006 2008 2010 2012 2014
08_Couple year protect rate
6
7
8
9
10
2008 2010 2012 2014 2016
09_New pulmonary TB LTF rate
0
2
4
6
2010 2012 2014 2016
09_RIF resistance rate
65
70
75
80
2006 2008 2010 2012 2014
09_TB cure rate new sm+
4
5
6
7
8
2008 2010 2012 2014 2016
09_TB deaths all TB
600
800
1000
1200
2006 2008 2010 2012 2014
09_TB inc all TB
70
75
80
2006 2008 2010 2012 2014
09_TB success all TB
10
15
20
25
30
35
2010 2012 2014 2016 2018
10_HIV test cov inc ANC
10
20
30
40
50
60
2006 2008 2010 2012 2014
10_Male cond dist cov yy
50
60
70
80
90
2008 2010 2012 2014 2016
10_TB known HIV status
30
40
50
60
70
80
2010 2012 2014 2016
10_TB/HIV on ART
0.8
1.0
1.2
1.4
1.6
1.8
2.0
2010 2012 2014 2016 2018
11_Diabetes incidence yy
10
15
20
2010 2012 2014 2016
11_Hypertension inci yy
30
35
40
45
50
55
2008 2010 2012 2014 2016
11_Hypertension prevalence
12
13
14
15
16
17
2008 2010 2012 2014
13_Garbage codes
District value Provincial average ZA (national) average
580
Section B: National and District Profiles
580
Section B: Profile Western Cape Province
Annual indicators for district: West Coast (DC1)
Section B: National and District Profiles
581
Section B: Profile Western Cape Province
581
Cape Winelands District Municipality (DC2)
The Cape Winelands District in the Western Cape Province has a population of 845 237 people, with a population density of 39.4 people per km2. The district consists of five sub-districts, namely Witzenberg, Drakenstein, Stellenbosch, Breede Valley and Langeberg, and falls into socio-economic Quintile 5, placing it among the wealthiest districts. Estimated medical scheme coverage is 25.2%.
Number of facilities by level, 2015/16
Clin
ic
CH
C
Dis
tric
t Hos
pita
l
Reg
iona
l H
ospi
tal
Cen
tral
/Ter
tiary
H
ospi
tals
Oth
er H
ospi
tals
42 0 4 2 0 5
Headcount and deaths, 2013/14 – 2015/16
Data element 2013/14 2014/15 2015/16PHC headcount under 5 years 328 860 309 970 309 649PHC headcount 5 years and older 1 696 266 1 639 625 1 611 754Patient day equivalent 416 223 420 467 440 214Deaths – total 1 963 2 088 2 246Still births 215 198 226Early neonatal deaths 46 63 112Late neonatal deaths 9 7 19Child under 5 years with diarrhoea death 5 2 2Child under 5 years with pneumonia death 2 11 7Child under 5 years with severe acute malnutrition death 3 10 3
Burden of disease profile
For the percentage of deaths by broad cause, deaths are classified into four groups, namely: (i) injuries; (ii) non-communicable diseases; (iii) HIV and TB; and (iv) communicable diseases together with maternal, perinatal and nutritional conditions. Data are given by gender and age group for the period 2009–2014. The second part of the graph shows the 10 leading single causes of death within each age group (both genders) for 2009–2014 combined.
Broad age.. Female Male
<5 years
5-14
15-24
25-64
65+
Total 9%
7%
5%
9%
14%
62%
17%
3%
30%
47%
10%
10%
67%
89%
57%
13%
32%
19%
7%
2%
8%
31%
45%
9%
8%
6%
4%
3%
14%
66%
20%
5%
30%
14%
7%
8%
56%
86%
47%
10%
18%
18%
16%
3%
19%
74%
61%
8%
WC, Cape Winelands: DC2, 2009-14
Rank.. 2009-14
<5 y
ears
12345678910
5-14
12345678910
15-2
4
12345678910
25-6
4
12345678910
65+
12345678910
Congenital heart anomalies (3.4%)Sepsis/other newborn infectious (2.9%)
Birth asphyxia (8.2%)
Protein-energy malnutrition (5.0%)Other respiratory (5.2%)
Preterm birth complications (16.0%)
Accidental threats to breathing (3.5%)
Diarrhoeal diseases (17.5%)
Lower respiratory infections (9.3%)
HIV/AIDS (6.8%)
Other unintentional injuries (3.4%)
Other neurological conditions (6.0%)
Drowning (25.2%)
Fires, hot substances (5.9%)
Meningitis/encephalitis (4.6%)
Mechanical forces (3.1%)
Accidental threats to breathing (6.1%)Road injuries (8.7%)
HIV/AIDS (3.3%)
Tuberculosis (5.6%)
Self-inflicted injuries (2.4%)
Drowning (6.2%)Fires, hot substances (4.2%)
Mechanical forces (7.9%)
Interpersonal violence (20.0%)
Accidental threats to breathing (10.2%)Road injuries (8.0%)
Lower respiratory infections (2.0%)
HIV/AIDS (13.4%)Tuberculosis (12.3%)
Trachea/bronchi/lung (5.1%)Interpersonal violence (4.0%)
Accidental threats to breathing (2.5%)
Road injuries (2.1%)
COPD (6.1%)
Diabetes mellitus (2.4%)
Ischaemic heart disease (5.9%)Cerebrovascular disease (5.5%)
HIV/AIDS (15.3%)Tuberculosis (14.9%)
Prostate (2.9%)
Trachea/bronchi/lung (5.2%)COPD (8.1%)
Nephritis/nephrosis (4.2%)Diabetes mellitus (4.2%)
Hypertensive heart disease (3.8%)
Ischaemic heart disease (15.4%)Cerebrovascular disease (15.2%)
Lower respiratory infections (3.5%)Tuberculosis (3.3%)
Percentage of deaths by broad cause and leading causes, 2009-2014Prov, DistrictWC, Cape Winelands: D..
Show History
BroadcauseInjury
NCD
HIV and TB
Comm_mat_peri_nut
582
Section B: National and District Profiles
582
Section B: Profile Western Cape Province
Percentage of deaths by broad cause and leading causes, 2009–2014: Cape Winelands (DC2)
Section B: National and District Profiles
583
Section B: Profile Western Cape Province
583
Indicator performance: Cape Winelands (DC2)
District value
District ranking
Provincial average
National average
National target
Category Indicator 2013/14 2014/15 2015/16 2015/16 2015/16 2015/16 2015/16Management PHC
Percentage ideal clinics [Percentage] 0.0 35 0.0 9.2
Percentage of fixed PHC facilities with patients that have access to a medical practitioner [Percentage]
0.0 47 0.0 18.1
Management Inpatients
Average length of stay (district hospitals) [Days] 3.2 3.0 2.6 50 3.3 4.5
Expenditure per patient day equivalent (district hospitals) [Rand (real 2015/16 prices)]
1 646.0 1 745.8 1 578.3 47 2 059.6 2 342.2
Inpatient bed utilisation rate (district hospitals) [Percentage] 76.1 74.2 77.9 6 87.5 65.3 78.6
Inpatient crude death rate [Percentage] 3.1 3.3 2.8 4 2.9 5.0
OPD new client not referred rate (district hospitals) [Percentage] 38.5 30.4 25.4 8 21.2 58.3
Delivery Delivery by caesarean section rate (district hospitals) [Percentage] 19.8 19.1 21.0 28.1 24.1
Delivery in facility under 18 years rate [Percentage] 7.7 7.3 6.1 10 5.5 7.1
Inpatient early neonatal death rate [per 1 000 live births] 3.3 4.4 8.0 12 7.3 10.5 10.0
Maternal mortality in facility ratio [per 100 000 live births] 35.5 20.8 56.9 6 69.6 119.1 120.0
Mother postnatal visit within 6 days rate [Percentage] 34.5 47.6 54.3 43 67.8 68.5 85.0
Stillbirth in facility rate [per 1 000 births] 15.1 13.5 15.8 7 17.5 21.1
PMTCT Antenatal 1st visit before 20 weeks rate [Percentage] 72.2 72.7 73.6 5 67.7 61.2 60.0
Antenatal client initiated on ART rate [Percentage] 85.9 80.1 69.8 50 77.5 93.0 88.0
Percentage of PCR tests positive at birth [Percentage] 3.2 50 2.4 1.1
Child Health Child under 5 years diarrhoea case fatality rate [Percentage] 0.3 0.1 0.1 6 0.1 2.2 3.2
Child under 5 years pneumonia case fatality rate [Percentage] 0.2 0.9 0.5 7 0.3 2.3 3.0
Child under 5 years severe acute malnutrition case fatality rate [Percentage]
2.2 8.4 2.9 7 0.9 8.9 10.0
Inpatient death under 5 year rate [Percentage] 1.3 1.7 1.4 5 1.3 4.7
School Grade 1 screening coverage (annualised) [Percentage] 0.0 48.7 56.2 5 52.1 28.9 25.0
Vitamin A dose 12-59 months coverage (annualised) [Percentage] 65.9 49.5 54.1 33 47.3 57.0
Immunisation Immunisation coverage under 1 year [Percentage] 81.1 80.0 79.0 39 89.3 89.2 90.0
Measles 2nd dose coverage (annualised) [Percentage] 71.9 71.5 78.4 36 86.2 84.8 83.0
Reproductive health
Cervical cancer screening coverage (annualised) [Percentage of women 30+ /10]
60.2 57.1 53.2 28 54.0 56.6 60.0
Couple year protection rate (annualised) [Percentage] 58.5 59.5 64.3 5 58.6 48.2 60.0
HIV HIV testing coverage (including ANC) [Percentage] 8.4 26.6 33.1 29 35.3 34.5
Male condom distribution coverage [Condoms per male 15+] 50.8 57.6 60.4 11 49.9 44.4
Non-communicable diseases
Diabetes incidence (annualised) [per 1 000 population] 1.0 0.9 0.9 1.0 1.7
Hypertension incidence (annualised) [per 1 000 population 40+] 10.3 10.0 8.4 6.9 16.8
Human Resources
Percentage of fixed PHC facilities with performance management agreement for all staff [Percentage]
0.0 46 0.0 16.3
Percentage of fixed PHC facilities with staffing in line with WISN [Percentage]
0.0 23 0.0 1.5
District value
District ranking
Provincial average
National average
National target
Category Indicator 20122013 & 2013/14
2014 & 2014/15 2015 2015* 2015* 2015* 2015*
TB case finding Incidence (diagnosed cases) of TB (ETR.net) [Cases per 100 000 population]
906.3 890.7 880.3 49 681.4 519.8
TB Rifampicin resistance confirmed client rate [Percentage]
4.2 4.3 4.1 5 5.0 6.1
TB treatment outcomes
TB cure rate (new sm+) [Percentage] 77.3 75.9 71.9 40 78.7 77.4
TB treatment success rate (ETR.net) [Percentage] 77.5 78.3 76.2 30 81.8 77.2 83.0
TB death rate (ETR.net) [Percentage] 4.3 3.6 3.6 4 3.6 6.7
New smear positive pulmonary TB loss to follow up rate [Percentage]
7.5 8.7 9.7 48 8.8 5.6
TB MDR treatment success rate (EDRWeb) [Percentage]
51.4 20 43.5 47.2 55.0
HIV Percentage of TB cases with known HIV status (ETR.net) [Percentage]
90.6 91.0 91.7 46 96.1 94.8
TB/HIV co-infected client on ART rate (ETR.Net) [Percentage]
70.2 86.3 73.0 46 75.7 84.5
NCDs Hypertension prevalence rate (crude) [Percentage] 42.5 41.7 47 35.6 28.2
584
Section B: National and District Profiles
584
Section B: Profile Western Cape Province
District value
District ranking
Provincial average
National average
National target
Category Indicator 20122013 & 2013/14
2014 & 2014/15 2015 2015* 2015* 2015* 2015*
Burden of disease
Percentage of YLLs due to non-communicable diseases [Percentage]
50.4 51.7 51.6 49 50.7 38.2
Percentage of YLLs due to HIV and TB [Percentage] 23.8 23.4 23.3 12 19.6 27.0
Percentage of YLLs due to communicable, maternal, perinatal, nutrition causes [Percentage]
10.0 8.8 8.5 2 10.7 21.2
Percentage of deaths garbage codes [Percentage] 15.0 14.6 14.6 38 12.2 14.6
Percentage of YLLs due to injuries [Percentage] 15.8 16.0 16.6 44 19.0 13.6
Percentage of deaths ill-defined [Percentage] 9.6 8.1 7.3 8 6.9 13.8
* – value for most recent year which ranges from 2013 to 2015
Value in red – improvement strategies are urgently needed
Value highlighted in yellow – performance is ranked among the 10 best in the country
Value highlighted in red – performance is ranked among the 10 worst in the country
Annual indicators for district: Cape Winelands: DC2Va
lue
800
1000
1200
1400
1600
2006 2008 2010 2012 2014
01_DHS exp per capita
500
600
700
800
900
1000
2006 2008 2010 2012 2014
01_PHC exp per capita
150
200
250
300
350
2006 2008 2010 2012 2014
01_PHC exp per headcount
2.5
3.0
3.5
4.0
4.5
2006 2008 2010 2012 2014
03_Avg length of stay (DH)
3.0
3.5
4.0
4.5
5.0
5.5
2010 2012 2014 2016
03_Crude death rate
1000
1500
2000
2006 2008 2010 2012 2014
03_Expenditure per PDE (DH)
20
30
40
50
60
2010 2012 2014 2016 2018
03_OPD new not ref rate (DH)
65
70
75
80
85
90
2006 2008 2010 2012 2014
03_Usable bed util (DH)
15
20
25
2006 2008 2010 2012 2014
04_Caesarean sect (DH)
6
7
8
9
10
2006 2008 2010 2012 2014
04_Deliv in fac <18
4
6
8
10
2006 2008 2010 2012 2014
04_IP early neo death rate
0
50
100
150
2008 2010 2012 2014
04_Maternal Mort ratio
20
40
60
80
100
2008 2010 2012 2014 2016
04_Postnatal mother <6d
14
16
18
20
22
24
2006 2008 2010 2012 2014
04_Stillbirth rate
30
40
50
60
70
2006 2008 2010 2012 2014
05_ANC 1st visit <20 w rate
70
80
90
100
2008 2010 2012 2014 2016
05_ANC initiate ART rate
0
2
4
6
8
2008 2010 2012 2014
06_Child <5 diar fat rate
0
2
4
6
2008 2010 2012 2014 2016
06_Child <5 pneumo death
5
10
15
20
2008 2010 2012 2014 2016
06_Child <5 sev mal fata
2
3
4
5
2010 2012 2014 2016 2018
06_Inpat death <5 rate
District value Provincial average ZA (national) average
Section B: National and District Profiles
585
Section B: Profile Western Cape Province
585
Annual indicators for district: Cape Winelands (DC2)
Annual indicators for district: Cape Winelands: DC2
Valu
e
0
10
20
30
40
50
2010 2012 2014 2016 2018
06_School G1 screen cov yy
30
40
50
60
2006 2008 2010 2012 2014
06_VitA 12−59 mm cov yy
80
85
90
2006 2008 2010 2012 2014
07_Imm cov <1 yy
70
80
90
2008 2010 2012 2014
07_Measles 2nd cov yy
30
40
50
60
70
80
2006 2008 2010 2012 2014
08_Cerv cancer screen cov yy
30
40
50
60
2006 2008 2010 2012 2014
08_Couple year protect rate
6
7
8
9
2008 2010 2012 2014 2016
09_New pulmonary TB LTF rate
4
6
8
10
2010 2012 2014 2016
09_RIF resistance rate
65
70
75
80
2006 2008 2010 2012 2014
09_TB cure rate new sm+
4
5
6
7
8
2008 2010 2012 2014 2016
09_TB deaths all TB
600
800
1000
1200
2006 2008 2010 2012 2014
09_TB inc all TB
70
75
80
2006 2008 2010 2012 2014
09_TB success all TB
10
15
20
25
30
35
2010 2012 2014 2016 2018
10_HIV test cov inc ANC
10
20
30
40
50
60
2006 2008 2010 2012 2014
10_Male cond dist cov yy
50
60
70
80
90
2008 2010 2012 2014 2016
10_TB known HIV status
20
40
60
80
2010 2012 2014 2016
10_TB/HIV on ART
1.0
1.2
1.4
1.6
1.8
2.0
2010 2012 2014 2016 2018
11_Diabetes incidence yy
10
15
20
2010 2012 2014 2016
11_Hypertension inci yy
30
35
40
45
2008 2010 2012 2014 2016
11_Hypertension prevalence
12
14
16
18
2008 2010 2012 2014
13_Garbage codes
District value Provincial average ZA (national) average
586
Section B: National and District Profiles
586
Section B: Profile Western Cape Province
Annual indicators for district: Cape Winelands (DC2)
Section B: National and District Profiles
587
Section B: Profile Western Cape Province
587
Overberg District Municipality (DC3)
Overberg District is situated in the Western Cape Province and has four sub-districts, namely Overstrand, Theewaterskloof, Swellendam and Cape Agulhas. The district has a population of 285 810, with a population density of 23.3 people per km2 and falls into socio-economic Quintile 5, among the wealthiest districts. Estimated medical scheme coverage is 20.3%.
Number of facilities by level, 2015/16
Clin
ic
CH
C
Dis
tric
t Hos
pita
l
Reg
iona
l H
ospi
tal
Cen
tral
/Ter
tiary
H
ospi
tals
Oth
er H
ospi
tals
17 0 4 0 0 1
Headcount and deaths, 2013/14 – 2015/16
Data element 2013/14 2014/15 2015/16PHC headcount under 5 years 110 188 107 380 111 565PHC headcount 5 years and older 670 274 677 883 698 460Patient day equivalent 90 084 89 749 87 500Deaths – total 446 438 468Still births 38 33 42Early neonatal deaths 30 25 34Late neonatal deaths 1 1 2Child under 5 years with diarrhoea death 0 1 1Child under 5 years with pneumonia death 110 188 107 380 111 565Child under 5 years with severe acute malnutrition death 670 274 677 883 698 460
Burden of disease profile
For the percentage of deaths by broad cause, deaths are classified into four groups, namely: (i) injuries; (ii) non-communicable diseases; (iii) HIV and TB; and (iv) communicable diseases together with maternal, perinatal and nutritional conditions. Data are given by gender and age group for the period 2009–2014. The second part of the graph shows the 10 leading single causes of death within each age group (both genders) for 2009–2014 combined.
Broad age.. Female Male
<5 years
5-14
15-24
25-64
65+
Total 9%
5%
6%
10%
8%
63%
12%
2%
25%
37%
12%
8%
72%
90%
61%
19%
36%
16%
7%
3%
9%
34%
44%
13%
7%
5%
5%
2%
12%
66%
14%
3%
23%
15%
4%
6%
60%
89%
49%
11%
12%
12%
18%
3%
23%
73%
72%
15%
WC, Overberg: DC3, 2009-14
Rank.. 2009-14
<5 y
ears
12345678910
5-14
12345678910
15-2
4
12345678910
25-6
4
12345678910
65+
12345678910
Congenital heart anomalies (3.6%)Sepsis/other newborn infectious (3.0%)
Birth asphyxia (8.5%)
Protein-energy malnutrition (5.7%)
Fires, hot substances (2.9%)
Preterm birth complications (15.7%)
Accidental threats to breathing (6.5%)
Diarrhoeal diseases (15.4%)
Lower respiratory infections (16.8%)
HIV/AIDS (6.4%)
Drowning (57.6%)Road injuries (23.0%)
Diarrhoeal diseases (6.2%)Lower respiratory infections (6.3%)Tuberculosis (6.9%)
Self-inflicted injuries (4.3%)
Drowning (8.2%)
Epilepsy (2.6%)
Fires, hot substances (4.4%)
Interpersonal violence (20.4%)
Accidental threats to breathing (5.1%)
Road injuries (20.4%)
Lower respiratory infections (2.0%)
HIV/AIDS (11.1%)Tuberculosis (12.4%)
Breast (2.4%)
Trachea/bronchi/lung (5.7%)
Interpersonal violence (4.8%)
Road injuries (6.4%)
COPD (5.0%)
Ischaemic heart disease (7.8%)
Cerebrovascular disease (5.0%)
Lower respiratory infections (2.5%)
HIV/AIDS (11.4%)Tuberculosis (12.2%)
Alzheimer’s and other dementias (3.8%)
Colo-rectal (3.3%)
Trachea/bronchi/lung (5.9%)COPD (6.4%)
Nephritis/nephrosis (3.5%)
Diabetes mellitus (4.0%)Hypertensive heart disease (4.5%)
Ischaemic heart disease (16.1%)Cerebrovascular disease (13.2%)
Lower respiratory infections (3.4%)
Percentage of deaths by broad cause and leading causes, 2009-2014Prov, DistrictWC, Overberg: DC3
Show History
BroadcauseInjury
NCD
HIV and TB
Comm_mat_peri_nut
588
Section B: National and District Profiles
588
Section B: Profile Western Cape Province
Percentage of deaths by broad cause and leading causes, 2009–2014: Overberg (DC3)
Section B: National and District Profiles
589
Section B: Profile Western Cape Province
589
Indicator performance: Overberg (DC3)
District value
District ranking
Provincial average
National average
National target
Category Indicator 2013/14 2014/15 2015/16 2015/16 2015/16 2015/16 2015/16Management PHC
Percentage ideal clinics [Percentage] 0.0 35 0.0 9.2
Percentage of fixed PHC facilities with patients that have access to a medical practitioner [Percentage]
0.0 47 0.0 18.1
Management Inpatients
Average length of stay (district hospitals) [Days] 3.2 3.1 2.8 44 3.3 4.5
Expenditure per patient day equivalent (district hospitals) [Rand (real 2015/16 prices)]
1 799.5 1 970.9 2 284.2 6 2 059.6 2 342.2
Inpatient bed utilisation rate (district hospitals) [Percentage] 75.3 73.3 75.7 10 87.5 65.3 78.6
Inpatient crude death rate [Percentage] 2.5 2.4 2.3 1 2.9 5.0
OPD new client not referred rate (district hospitals) [Percentage] 42.3 52.8 34.1 12 21.2 58.3
Delivery Delivery by caesarean section rate (district hospitals) [Percentage] 20.4 22.5 24.0 28.1 24.1
Delivery in facility under 18 years rate [Percentage] 8.2 8.0 7.4 25 5.5 7.1
Inpatient early neonatal death rate [per 1 000 live births] 9.6 7.4 10.3 30 7.3 10.5 10.0
Maternal mortality in facility ratio [per 100 000 live births] 63.9 0.0 0.0 1 69.6 119.1 120.0
Mother postnatal visit within 6 days rate [Percentage] 46.1 53.2 67.4 29 67.8 68.5 85.0
Stillbirth in facility rate [per 1 000 births] 12.0 9.7 12.6 1 17.5 21.1
PMTCT Antenatal 1st visit before 20 weeks rate [Percentage] 75.1 75.3 78.7 1 67.7 61.2 60.0
Antenatal client initiated on ART rate [Percentage] 61.8 90.2 84.4 46 77.5 93.0 88.0
Percentage of PCR tests positive at birth [Percentage] 2.2 47 2.4 1.1
Child Health Child under 5 years diarrhoea case fatality rate [Percentage] 0.0 0.0 0.0 1 0.1 2.2 3.2
Child under 5 years pneumonia case fatality rate [Percentage] 0.0 0.2 0.2 4 0.3 2.3 3.0
Child under 5 years severe acute malnutrition case fatality rate [Percentage]
0.0 0.0 0.0 1 0.9 8.9 10.0
Inpatient death under 5 year rate [Percentage] 1.3 1.5 1.6 7 1.3 4.7
School Grade 1 screening coverage (annualised) [Percentage] - 95.4 82.7 2 52.1 28.9 25.0
Vitamin A dose 12-59 months coverage (annualised) [Percentage] 60.9 55.0 54.9 28 47.3 57.0
Immunisation Immunisation coverage under 1 year [Percentage] 80.3 79.9 86.7 24 89.3 89.2 90.0
Measles 2nd dose coverage (annualised) [Percentage] 71.9 73.5 77.9 37 86.2 84.8 83.0
Reproductive health
Cervical cancer screening coverage (annualised) [Percentage of women 30+ /10]
53.3 63.6 56.4 26 54.0 56.6 60.0
Couple year protection rate (annualised) [Percentage] 60.6 60.7 62.0 8 58.6 48.2 60.0
HIV HIV testing coverage (including ANC) [Percentage] 10.0 35.8 41.4 11 35.3 34.5
Male condom distribution coverage [Condoms per male 15+] 46.1 52.9 51.0 24 49.9 44.4
Non-communicable diseases
Diabetes incidence (annualised) [per 1 000 population] 1.3 0.9 0.9 1.0 1.7
Hypertension incidence (annualised) [per 1 000 population 40+] 13.7 9.5 8.5 6.9 16.8
Human Resources
Percentage of fixed PHC facilities with performance management agreement for all staff [Percentage]
0.0 46 0.0 16.3
Percentage of fixed PHC facilities with staffing in line with WISN [Percentage]
0.0 23 0.0 1.5
District value
District ranking
Provincial average
National average
National target
Category Indicator 20122013 & 2013/14
2014 & 2014/15 2015 2015* 2015* 2015* 2015*
TB case finding Incidence (diagnosed cases) of TB (ETR.net) [Cases per 100 000 population]
771.0 761.1 751.5 40 681.4 519.8
TB Rifampicin resistance confirmed client rate [Percentage]
3.9 3.3 3.7 4 5.0 6.1
TB treatment outcomes
TB cure rate (new sm+) [Percentage] 79.4 88.8 88.9 2 78.7 77.4
TB treatment success rate (ETR.net) [Percentage] 81.3 89.3 91.3 1 81.8 77.2 83.0
TB death rate (ETR.net) [Percentage] 4.0 2.8 2.4 1 3.6 6.7
New smear positive pulmonary TB loss to follow up rate [Percentage]
6.4 3.2 3.5 10 8.8 5.6
TB MDR treatment success rate (EDRWeb) [Percentage]
46.4 28 43.5 47.2 55.0
HIV Percentage of TB cases with known HIV status (ETR.net) [Percentage]
86.8 96.0 93.1 43 96.1 94.8
TB/HIV co-infected client on ART rate (ETR.Net) [Percentage]
66.5 82.3 59.5 50 75.7 84.5
NCDs Hypertension prevalence rate (crude) [Percentage] 45.6 40.2 44 35.6 28.2
590
Section B: National and District Profiles
590
Section B: Profile Western Cape Province
District value
District ranking
Provincial average
National average
National target
Category Indicator 20122013 & 2013/14
2014 & 2014/15 2015 2015* 2015* 2015* 2015*
Burden of disease
Percentage of YLLs due to non-communicable diseases [Percentage]
51.4 54.0 55.6 51 50.7 38.2
Percentage of YLLs due to HIV and TB [Percentage] 18.0 17.6 14.3 1 19.6 27.0
Percentage of YLLs due to communicable, maternal, perinatal, nutrition causes [Percentage]
10.8 9.7 11.5 7 10.7 21.2
Percentage of deaths garbage codes [Percentage] 12.8 10.7 10.5 9 12.2 14.6
Percentage of YLLs due to injuries [Percentage] 19.8 18.7 18.7 48 19.0 13.6
Percentage of deaths ill-defined [Percentage] 6.8 7.3 8.8 18 6.9 13.8
* – value for most recent year which ranges from 2013 to 2015
Value in red – improvement strategies are urgently needed
Value highlighted in yellow – performance is ranked among the 10 best in the country
Value highlighted in red – performance is ranked among the 10 worst in the country
Annual indicators for district: Overberg: DC3Va
lue
800
1000
1200
1400
1600
1800
2006 2008 2010 2012 2014
01_DHS exp per capita
400
600
800
1000
2006 2008 2010 2012 2014
01_PHC exp per capita
150
200
250
300
350
2006 2008 2010 2012 2014
01_PHC exp per headcount
2.5
3.0
3.5
4.0
4.5
2006 2008 2010 2012 2014
03_Avg length of stay (DH)
3
4
5
2010 2012 2014 2016
03_Crude death rate
1000
1500
2000
2006 2008 2010 2012 2014
03_Expenditure per PDE (DH)
20
30
40
50
60
2010 2012 2014 2016 2018
03_OPD new not ref rate (DH)
65
70
75
80
85
90
2006 2008 2010 2012 2014
03_Usable bed util (DH)
15
20
25
2006 2008 2010 2012 2014
04_Caesarean sect (DH)
6
7
8
9
2006 2008 2010 2012 2014
04_Deliv in fac <18
4
6
8
10
2006 2008 2010 2012 2014
04_IP early neo death rate
0
50
100
150
2008 2010 2012 2014
04_Maternal Mort ratio
20
40
60
80
100
2008 2010 2012 2014 2016
04_Postnatal mother <6d
10
15
20
2006 2008 2010 2012 2014
04_Stillbirth rate
30
40
50
60
70
80
2006 2008 2010 2012 2014
05_ANC 1st visit <20 w rate
70
80
90
100
2008 2010 2012 2014 2016
05_ANC initiate ART rate
0
2
4
6
8
2008 2010 2012 2014
06_Child <5 diar fat rate
0
2
4
6
2008 2010 2012 2014 2016
06_Child <5 pneumo death
0
5
10
15
20
2008 2010 2012 2014 2016
06_Child <5 sev mal fata
2
3
4
5
2010 2012 2014 2016 2018
06_Inpat death <5 rate
District value Provincial average ZA (national) average
Section B: National and District Profiles
591
Section B: Profile Western Cape Province
591
Annual indicators for district: Overberg (DC3)
Annual indicators for district: Overberg: DC3
Valu
e
0
20
40
60
80
2010 2012 2014 2016 2018
06_School G1 screen cov yy
30
40
50
60
2006 2008 2010 2012 2014
06_VitA 12−59 mm cov yy
75
80
85
90
2006 2008 2010 2012 2014
07_Imm cov <1 yy
60
70
80
90
2008 2010 2012 2014
07_Measles 2nd cov yy
40
50
60
2006 2008 2010 2012 2014
08_Cerv cancer screen cov yy
30
40
50
60
2006 2008 2010 2012 2014
08_Couple year protect rate
3
4
5
6
7
8
9
2008 2010 2012 2014 2016
09_New pulmonary TB LTF rate
3
4
5
6
7
2010 2012 2014 2016
09_RIF resistance rate
65
70
75
80
85
90
2006 2008 2010 2012 2014
09_TB cure rate new sm+
4
6
8
2008 2010 2012 2014 2016
09_TB deaths all TB
500
600
700
800
900
1000
1100
2006 2008 2010 2012 2014
09_TB inc all TB
70
75
80
85
90
2006 2008 2010 2012 2014
09_TB success all TB
10
20
30
40
2010 2012 2014 2016 2018
10_HIV test cov inc ANC
10
20
30
40
50
60
2006 2008 2010 2012 2014
10_Male cond dist cov yy
50
60
70
80
90
2008 2010 2012 2014 2016
10_TB known HIV status
30
40
50
60
70
80
2010 2012 2014 2016
10_TB/HIV on ART
1.0
1.2
1.4
1.6
1.8
2.0
2010 2012 2014 2016 2018
11_Diabetes incidence yy
10
15
20
2010 2012 2014 2016
11_Hypertension inci yy
30
35
40
45
50
55
2008 2010 2012 2014 2016
11_Hypertension prevalence
12
14
16
18
20
22
2008 2010 2012 2014
13_Garbage codes
District value Provincial average ZA (national) average
592
Section B: National and District Profiles
592
Section B: Profile Western Cape Province
Annual indicators for district: Overberg (DC3)
Section B: National and District Profiles
593
Section B: Profile Western Cape Province
593
Eden District Municipality (DC4)
Eden District in the Western Cape Province has a population of 605 380 people, with a population density of 25.9 people per km2. The district incorporates seven sub-districts, namely George, Mossel Bay, Knysna, Bitou (Plettenberg Bay), Oudtshoorn, Hessequa and Kannaland, and falls into socio-economic Quintile 4, among the second-wealthiest districts. Estimated medical scheme coverage is 17.2%. Eden is one of the 11 National Health Insurance (NHI) pilot districts.
Number of facilities by level, 2015/16
Clin
ic
CH
C
Dis
tric
t Hos
pita
l
Reg
iona
l H
ospi
tal
Cen
tral
/Ter
tiary
H
ospi
tals
Oth
er H
ospi
tals
34 0 6 1 0 7
Headcount and deaths, 2013/14 – 2015/16
Data element 2013/14 2014/15 2015/16PHC headcount under 5 years 225 025 228 043 227 434PHC headcount 5 years and older 1 452 401 1 442 283 1 427 978Patient day equivalent 333 684 330 399 340 030Deaths – total 1 887 1 828 2 071Still births 179 159 192Early neonatal deaths 62 67 64Late neonatal deaths 5 2 4Child under 5 years with diarrhoea death 2 2 Child under 5 years with pneumonia death 1 1 6Child under 5 years with severe acute malnutrition death 6 1 1
Burden of disease profile
For the percentage of deaths by broad cause, deaths are classified into four groups, namely: (i) injuries; (ii) non-communicable diseases; (iii) HIV and TB; and (iv) communicable diseases together with maternal, perinatal and nutritional conditions. Data are given by gender and age group for the period 2009–2014. The second part of the graph shows the 10 leading single causes of death within each age group (both genders) for 2009–2014 combined.
Broad age.. Female Male
<5 years
5-14
15-24
25-64
65+
Total 10%
7%
6%
10%
18%
68%
16%
2%
30%
44%
11%
10%
68%
88%
57%
19%
26%
17%
6%
3%
7%
27%
46%
5%
8%
6%
5%
3%
12%
68%
18%
4%
28%
18%
7%
7%
60%
86%
49%
13%
24%
17%
14%
3%
17%
65%
57%
8%
WC, Eden: DC4, 2009-14
Rank.. 2009-14
<5 y
ears
12345678910
5-14
12345678910
15-2
4
12345678910
25-6
4
12345678910
65+
12345678910
Congenital heart anomalies (3.9%)Sepsis/other newborn infectious (4.2%)
Birth asphyxia (6.4%)
Protein-energy malnutrition (2.4%)
Other respiratory (2.9%)
Preterm birth complications (21.0%)
Diarrhoeal diseases (12.2%)Lower respiratory infections (17.5%)
HIV/AIDS (5.8%)
Tuberculosis (2.7%)
Other neurological conditions (3.4%)
Drowning (27.0%)
Epilepsy (2.4%)
Fires, hot substances (8.3%)
Cardiomyopathy (4.0%)
Endocrine nutritional,blood, immune (3.0%)
Meningitis/encephalitis (3.5%)
Road injuries (19.1%)
HIV/AIDS (5.0%)Tuberculosis (5.0%)
Self-inflicted injuries (4.7%)Drowning (5.5%)
Epilepsy (2.0%)
Fires, hot substances (2.8%)
Interpersonal violence (16.1%)
Accidental threats to breathing (6.5%)Road injuries (12.4%)
Lower respiratory infections (2.7%)
HIV/AIDS (14.1%)
Tuberculosis (16.6%)
Trachea/bronchi/lung (4.8%)
Interpersonal violence (3.3%)Road injuries (3.5%)
COPD (4.7%)
Diabetes mellitus (2.6%)
Ischaemic heart disease (7.3%)Cerebrovascular disease (5.9%)
Lower respiratory infections (2.8%)
HIV/AIDS (13.5%)Tuberculosis (15.3%)
Prostate (3.5%)
Trachea/bronchi/lung (5.0%)COPD (6.8%)
Nephritis/nephrosis (3.6%)Diabetes mellitus (3.6%)
Hypertensive heart disease (4.7%)
Ischaemic heart disease (16.6%)Cerebrovascular disease (14.5%)
Lower respiratory infections (4.4%)
Tuberculosis (2.7%)
Percentage of deaths by broad cause and leading causes, 2009-2014Prov, DistrictWC, Eden: DC4
Show History
BroadcauseInjury
NCD
HIV and TB
Comm_mat_peri_nut
594
Section B: National and District Profiles
594
Section B: Profile Western Cape Province
Percentage of deaths by broad cause and leading causes, 2009–2014: Eden (DC4)
Section B: National and District Profiles
595
Section B: Profile Western Cape Province
595
Indicator performance: Eden (DC4)
District value
District ranking
Provincial average
National average
National target
Category Indicator 2013/14 2014/15 2015/16 2015/16 2015/16 2015/16 2015/16Management PHC
Percentage ideal clinics [Percentage] 0.0 35 0.0 9.2
Percentage of fixed PHC facilities with patients that have access to a medical practitioner [Percentage]
0.0 47 0.0 18.1
Management Inpatients
Average length of stay (district hospitals) [Days] 3.5 3.6 3.2 39 3.3 4.5
Expenditure per patient day equivalent (district hospitals) [Rand (real 2015/16 prices)]
1 702.7 1 857.3 1 826.9 40 2 059.6 2 342.2
Inpatient bed utilisation rate (district hospitals) [Percentage] 83.4 83.1 86.0 3 87.5 65.3 78.6
Inpatient crude death rate [Percentage] 3.7 3.6 3.3 7 2.9 5.0
OPD new client not referred rate (district hospitals) [Percentage] 35.9 29.1 22.0 6 21.2 58.3
Delivery Delivery by caesarean section rate (district hospitals) [Percentage] 22.6 22.1 22.8 28.1 24.1
Delivery in facility under 18 years rate [Percentage] 7.9 7.4 6.8 17 5.5 7.1
Inpatient early neonatal death rate [per 1 000 live births] 6.5 7.0 7.0 6 7.3 10.5 10.0
Maternal mortality in facility ratio [per 100 000 live births] 105.4 62.9 76.5 13 69.6 119.1 120.0
Mother postnatal visit within 6 days rate [Percentage] 29.0 40.4 47.8 48 67.8 68.5 85.0
Stillbirth in facility rate [per 1 000 births] 18.5 16.4 20.5 23 17.5 21.1
PMTCT Antenatal 1st visit before 20 weeks rate [Percentage] 75.3 76.1 76.9 2 67.7 61.2 60.0
Antenatal client initiated on ART rate [Percentage] 83.1 74.7 65.6 51 77.5 93.0 88.0
Percentage of PCR tests positive at birth [Percentage] 1.5 37 2.4 1.1
Child Health Child under 5 years diarrhoea case fatality rate [Percentage] 0.2 0.2 0.0 1 0.1 2.2 3.2
Child under 5 years pneumonia case fatality rate [Percentage] 0.1 0.1 0.8 10 0.3 2.3 3.0
Child under 5 years severe acute malnutrition case fatality rate [Percentage]
4.7 0.4 0.3 3 0.9 8.9 10.0
Inpatient death under 5 year rate [Percentage] 1.6 1.4 1.1 2 1.3 4.7
School Grade 1 screening coverage (annualised) [Percentage] - 70.7 77.4 3 52.1 28.9 25.0
Vitamin A dose 12-59 months coverage (annualised) [Percentage] 67.0 69.2 69.4 8 47.3 57.0
Immunisation Immunisation coverage under 1 year [Percentage] 82.7 85.8 84.9 26 89.3 89.2 90.0
Measles 2nd dose coverage (annualised) [Percentage] 76.6 82.0 91.0 13 86.2 84.8 83.0
Reproductive health
Cervical cancer screening coverage (annualised) [Percentage of women 30+ /10]
79.5 78.4 76.0 8 54.0 56.6 60.0
Couple year protection rate (annualised) [Percentage] 64.4 59.1 63.3 6 58.6 48.2 60.0
HIV HIV testing coverage (including ANC) [Percentage] 11.3 35.9 36.8 22 35.3 34.5
Male condom distribution coverage [Condoms per male 15+] 49.4 49.7 51.9 20 49.9 44.4
Non-communicable diseases
Diabetes incidence (annualised) [per 1 000 population] 1.1 0.8 0.8 1.0 1.7
Hypertension incidence (annualised) [per 1 000 population 40+] 10.3 9.0 8.7 6.9 16.8
Human Resources
Percentage of fixed PHC facilities with performance management agreement for all staff [Percentage]
0.0 46 0.0 16.3
Percentage of fixed PHC facilities with staffing in line with WISN [Percentage]
0.0 23 0.0 1.5
District value
District ranking
Provincial average
National average
National target
Category Indicator 20122013 & 2013/14
2014 & 2014/15 2015 2015* 2015* 2015* 2015*
TB case finding Incidence (diagnosed cases) of TB (ETR.net) [Cases per 100 000 population]
832.0 813.2 808.6 43 681.4 519.8
TB Rifampicin resistance confirmed client rate [Percentage]
4.0 3.2 3.6 2 5.0 6.1
TB treatment outcomes
TB cure rate (new sm+) [Percentage] 83.5 79.8 72.7 39 78.7 77.4
TB treatment success rate (ETR.net) [Percentage] 82.5 79.1 77.8 24 81.8 77.2 83.0
TB death rate (ETR.net) [Percentage] 4.6 4.9 4.6 8 3.6 6.7
New smear positive pulmonary TB loss to follow up rate [Percentage]
7.7 8.6 11.9 50 8.8 5.6
TB MDR treatment success rate (EDRWeb) [Percentage]
44.3 31 43.5 47.2 55.0
HIV Percentage of TB cases with known HIV status (ETR.net) [Percentage]
92.2 94.4 93.7 40 96.1 94.8
TB/HIV co-infected client on ART rate (ETR.Net) [Percentage]
61.0 67.2 74.6 44 75.7 84.5
NCDs Hypertension prevalence rate (crude) [Percentage] 42.2 37.8 40 35.6 28.2
596
Section B: National and District Profiles
596
Section B: Profile Western Cape Province
District value
District ranking
Provincial average
National average
National target
Category Indicator 20122013 & 2013/14
2014 & 2014/15 2015 2015* 2015* 2015* 2015*
Burden of disease
Percentage of YLLs due to non-communicable diseases [Percentage]
51.6 53.7 54.9 50 50.7 38.2
Percentage of YLLs due to HIV and TB [Percentage] 24.5 21.8 20.3 5 19.6 27.0
Percentage of YLLs due to communicable, maternal, perinatal, nutrition causes [Percentage]
11.2 11.7 11.6 8 10.7 21.2
Percentage of deaths garbage codes [Percentage] 11.3 11.2 10.7 11 12.2 14.6
Percentage of YLLs due to injuries [Percentage] 12.7 12.9 13.2 28 19.0 13.6
Percentage of deaths ill-defined [Percentage] 5.6 4.5 3.6 1 6.9 13.8
* – value for most recent year which ranges from 2013 to 2015
Value in red – improvement strategies are urgently needed
Value highlighted in yellow – performance is ranked among the 10 best in the country
Value highlighted in red – performance is ranked among the 10 worst in the country
Annual indicators for district: Eden: DC4Va
lue
1000
1200
1400
1600
2006 2008 2010 2012 2014
01_DHS exp per capita
500
600
700
800
900
1000
2006 2008 2010 2012 2014
01_PHC exp per capita
150
200
250
300
350
2006 2008 2010 2012 2014
01_PHC exp per headcount
2.5
3.0
3.5
4.0
4.5
2006 2008 2010 2012 2014
03_Avg length of stay (DH)
3.0
3.5
4.0
4.5
5.0
5.5
2010 2012 2014 2016
03_Crude death rate
1000
1500
2000
2006 2008 2010 2012 2014
03_Expenditure per PDE (DH)
20
30
40
50
60
2010 2012 2014 2016 2018
03_OPD new not ref rate (DH)
65
70
75
80
85
90
2006 2008 2010 2012 2014
03_Usable bed util (DH)
15
20
25
2006 2008 2010 2012 2014
04_Caesarean sect (DH)
6
7
8
9
2006 2008 2010 2012 2014
04_Deliv in fac <18
5
6
7
8
9
10
2006 2008 2010 2012 2014
04_IP early neo death rate
50
100
150
2008 2010 2012 2014
04_Maternal Mort ratio
20
40
60
80
100
2008 2010 2012 2014 2016
04_Postnatal mother <6d
18
20
22
24
2006 2008 2010 2012 2014
04_Stillbirth rate
30
40
50
60
70
2006 2008 2010 2012 2014
05_ANC 1st visit <20 w rate
70
80
90
100
2008 2010 2012 2014 2016
05_ANC initiate ART rate
0
2
4
6
8
2008 2010 2012 2014
06_Child <5 diar fat rate
0
2
4
6
2008 2010 2012 2014 2016
06_Child <5 pneumo death
0
5
10
15
20
2008 2010 2012 2014 2016
06_Child <5 sev mal fata
1
2
3
4
5
2010 2012 2014 2016 2018
06_Inpat death <5 rate
District value Provincial average ZA (national) average
Section B: National and District Profiles
597
Section B: Profile Western Cape Province
597
Annual indicators for district: Eden (DC4)
Annual indicators for district: Eden: DC4
Valu
e
0
20
40
60
80
2010 2012 2014 2016 2018
06_School G1 screen cov yy
30
40
50
60
70
2006 2008 2010 2012 2014
06_VitA 12−59 mm cov yy
80
90
100
110
2006 2008 2010 2012 2014
07_Imm cov <1 yy
70
75
80
85
90
2008 2010 2012 2014
07_Measles 2nd cov yy
30
40
50
60
70
80
90
2006 2008 2010 2012 2014
08_Cerv cancer screen cov yy
30
40
50
60
2006 2008 2010 2012 2014
08_Couple year protect rate
6
8
10
12
2008 2010 2012 2014 2016
09_New pulmonary TB LTF rate
3
4
5
6
7
2010 2012 2014 2016
09_RIF resistance rate
60
65
70
75
80
85
2006 2008 2010 2012 2014
09_TB cure rate new sm+
4
5
6
7
8
2008 2010 2012 2014 2016
09_TB deaths all TB
600
800
1000
1200
2006 2008 2010 2012 2014
09_TB inc all TB
70
75
80
85
2006 2008 2010 2012 2014
09_TB success all TB
10
15
20
25
30
35
2010 2012 2014 2016 2018
10_HIV test cov inc ANC
10
20
30
40
50
60
2006 2008 2010 2012 2014
10_Male cond dist cov yy
50
60
70
80
90
2008 2010 2012 2014 2016
10_TB known HIV status
30
40
50
60
70
80
2010 2012 2014 2016
10_TB/HIV on ART
0.8
1.0
1.2
1.4
1.6
1.8
2.0
2010 2012 2014 2016 2018
11_Diabetes incidence yy
10
15
20
2010 2012 2014 2016
11_Hypertension inci yy
30
35
40
45
2008 2010 2012 2014 2016
11_Hypertension prevalence
11
12
13
14
15
16
2008 2010 2012 2014
13_Garbage codes
District value Provincial average ZA (national) average
598
Section B: National and District Profiles
598
Section B: Profile Western Cape Province
Annual indicators for district: Eden (DC4)
Section B: National and District Profiles
599
Section B: Profile Western Cape Province
599
Central Karoo District Municipality (DC5)
The Central Karoo District in the Western Cape Province comprises three sub-districts, namely Laingsburg, Prince Albert and Beaufort West. The district has a population of 73 336 (the smallest in the country by a large margin), with a very low population density of 1.9 people per km2. It falls into socio-economic Quintile 4 and is therefore among the second-wealthiest districts and has an estimated medical scheme coverage of 12.7%.
Number of facilities by level, 2015/16
Clin
ic
CH
C
Dis
tric
t Hos
pita
l
Reg
iona
l H
ospi
tal
Cen
tral
/Ter
tiary
H
ospi
tals
Oth
er H
ospi
tals
8 0 4 0 0 1
Headcount and deaths, 2013/14 – 2015/16
Data element 2013/14 2014/15 2015/16PHC headcount under 5 years 32 459 32 602 30 629PHC headcount 5 years and older 195 138 189 889 190 933Patient day equivalent 74 515 72 922 71 454Deaths – total 257 275 312Still births 22 22 24Early neonatal deaths 7 16 9Late neonatal deaths 2 0 2Child under 5 years with diarrhoea death 0 2 2Child under 5 years with pneumonia death 32 459 32 602 30 629Child under 5 years with severe acute malnutrition death 195 138 189 889 190 933
Burden of disease profile
For the percentage of deaths by broad cause, deaths are classified into four groups, namely: (i) injuries; (ii) non-communicable diseases; (iii) HIV and TB; and (iv) communicable diseases together with maternal, perinatal and nutritional conditions. Data are given by gender and age group for the period 2009–2014. The second part of the graph shows the 1 leading single causes of death within each age group (both genders) for 2009–2014 combined.
Broad age.. Female Male
<5 years
5-14
15-24
25-64
65+
Total 11%
7%
5%
12%
5%
69%
18%
2%
31%
31%
13%
5%
60%
88%
51%
12%
12%
11%
11%
3%
13%
44%
70%
15%
7%
7%
4%
1%
3%
57%
19%
6%
27%
14%
14%
10%
53%
85%
45%
8%
5%
21%
21%
3%
25%
77%
77%
11%
WC, Central Karoo: DC5, 2009-14
Rank.. 2009-14
<5 y
ears
12345678910
5-14
12345678910
15-2
4
12345678910
25-6
4
12345678910
65+
12345678910
Congenital heart anomalies (5.3%)
Other perinatal conditions (2.5%)
Birth asphyxia (5.7%)
Protein-energy malnutrition (3.4%)Other respiratory (3.6%)
Preterm birth complications (27.2%)
Road injuries (11.2%)
Diarrhoeal diseases (14.1%)Lower respiratory infections (13.5%)
HIV/AIDS (6.1%)
Drowning (8.7%)Interpersonal violence (6.5%)
Road injuries (71.7%)HIV/AIDS (13.1%)
Self-inflicted injuries (2.9%)Epilepsy (2.9%)
Fires, hot substances (2.5%)
Interpersonal violence (25.0%)
Accidental threats to breathing (3.0%)
Road injuries (37.4%)
Lower respiratory infections (2.6%)
HIV/AIDS (7.8%)Tuberculosis (15.8%)
Trachea/bronchi/lung (4.2%)
Interpersonal violence (4.4%)
Road injuries (12.0%)COPD (7.2%)
Hypertensive heart disease (3.0%)
Ischaemic heart disease (6.2%)
Cerebrovascular disease (4.3%)
Lower respiratory infections (2.1%)
HIV/AIDS (13.2%)Tuberculosis (16.1%)
Prostate (4.5%)
Trachea/bronchi/lung (5.9%)
COPD (10.5%)
Nephritis/nephrosis (3.4%)Diabetes mellitus (3.2%)
Hypertensive heart disease (10.0%)
Ischaemic heart disease (13.6%)Cerebrovascular disease (15.4%)
Lower respiratory infections (4.7%)
Tuberculosis (3.5%)
Percentage of deaths by broad cause and leading causes, 2009-2014Prov, DistrictWC, Central Karoo: DC5
Show History
BroadcauseInjury
NCD
HIV and TB
Comm_mat_peri_nut
600
Section B: National and District Profiles
600
Section B: Profile Western Cape Province
Percentage of deaths by broad cause and leading causes, 2009–2014: Central Karoo (DC5)
Section B: National and District Profiles
601
Section B: Profile Western Cape Province
601
Indicator performance: Central Karoo (DC5)
District value
District ranking
Provincial average
National average
National target
Category Indicator 2013/14 2014/15 2015/16 2015/16 2015/16 2015/16 2015/16Management PHC
Percentage ideal clinics [Percentage] 0.0 35 0.0 9.2
Percentage of fixed PHC facilities with patients that have access to a medical practitioner [Percentage]
0.0 47 0.0 18.1
Management Inpatients
Average length of stay (district hospitals) [Days] 3.6 3.5 3.3 35 3.3 4.5
Expenditure per patient day equivalent (district hospitals) [Rand (real 2015/16 prices)]
1 774.6 1 926.9 2 008.8 33 2 059.6 2 342.2
Inpatient bed utilisation rate (district hospitals) [Percentage] 72.6 70.6 73.6 14 87.5 65.3 78.6
Inpatient crude death rate [Percentage] 2.9 3.1 3.1 6 2.9 5.0
OPD new client not referred rate (district hospitals) [Percentage] 65.6 4.6 3.0 1 21.2 58.3
Delivery Delivery by caesarean section rate (district hospitals) [Percentage] 22.4 22.0 17.5 28.1 24.1
Delivery in facility under 18 years rate [Percentage] 7.6 9.2 9.8 43 5.5 7.1
Inpatient early neonatal death rate [per 1 000 live births] 6.5 14.8 9.2 20 7.3 10.5 10.0
Maternal mortality in facility ratio [per 100 000 live births] 0.0 371.1 0.0 3 69.6 119.1 120.0
Mother postnatal visit within 6 days rate [Percentage] 22.8 19.5 26.0 52 67.8 68.5 85.0
Stillbirth in facility rate [per 1 000 births] 19.9 20.0 23.9 35 17.5 21.1
PMTCT Antenatal 1st visit before 20 weeks rate [Percentage] 67.4 69.1 73.3 6 67.7 61.2 60.0
Antenatal client initiated on ART rate [Percentage] 79.7 64.2 46.3 52 77.5 93.0 88.0
Percentage of PCR tests positive at birth [Percentage] 1.8 44 2.4 1.1
Child Health Child under 5 years diarrhoea case fatality rate [Percentage] 0.0 1.2 1.1 14 0.1 2.2 3.2
Child under 5 years pneumonia case fatality rate [Percentage] 0.0 0.0 0.0 1 0.3 2.3 3.0
Child under 5 years severe acute malnutrition case fatality rate [Percentage]
0.0 0.0 0.0 1 0.9 8.9 10.0
Inpatient death under 5 year rate [Percentage] 1.2 1.7 1.2 3 1.3 4.7
School Grade 1 screening coverage (annualised) [Percentage] 0.0 113.8 7.6 51 52.1 28.9 25.0
Vitamin A dose 12-59 months coverage (annualised) [Percentage] 66.0 50.0 54.9 29 47.3 57.0
Immunisation Immunisation coverage under 1 year [Percentage] 63.3 78.7 76.9 43 89.3 89.2 90.0
Measles 2nd dose coverage (annualised) [Percentage] 74.8 76.7 92.5 10 86.2 84.8 83.0
Reproductive health
Cervical cancer screening coverage (annualised) [Percentage of women 30+ /10]
71.0 48.3 48.7 35 54.0 56.6 60.0
Couple year protection rate (annualised) [Percentage] 46.1 59.7 67.7 3 58.6 48.2 60.0
HIV HIV testing coverage (including ANC) [Percentage] 11.8 42.5 62.2 2 35.3 34.5
Male condom distribution coverage [Condoms per male 15+] 34.7 60.6 73.7 5 49.9 44.4
Non-communicable diseases
Diabetes incidence (annualised) [per 1 000 population] 0.8 2.0 1.6 1.0 1.7
Hypertension incidence (annualised) [per 1 000 population 40+] 14.8 17.7 16.4 6.9 16.8
Human Resources
Percentage of fixed PHC facilities with performance management agreement for all staff [Percentage]
0.0 46 0.0 16.3
Percentage of fixed PHC facilities with staffing in line with WISN [Percentage]
0.0 23 0.0 1.5
District value
District ranking
Provincial average
National average
National target
Category Indicator 20122013 & 2013/14
2014 & 2014/15 2015 2015* 2015* 2015* 2015*
TB case finding Incidence (diagnosed cases) of TB (ETR.net) [Cases per 100 000 population]
817.1 844.1 814.1 45 681.4 519.8
TB Rifampicin resistance confirmed client rate [Percentage]
3.9 3.6 2.6 1 5.0 6.1
TB treatment outcomes
TB cure rate (new sm+) [Percentage] 83.1 74.5 74.4 35 78.7 77.4
TB treatment success rate (ETR.net) [Percentage] 79.9 79.2 79.0 21 81.8 77.2 83.0
TB death rate (ETR.net) [Percentage] 6.3 4.3 5.2 12 3.6 6.7
New smear positive pulmonary TB loss to follow up rate [Percentage]
5.8 10.2 13.6 51 8.8 5.6
TB MDR treatment success rate (EDRWeb) [Percentage]
47.6 27 43.5 47.2 55.0
HIV Percentage of TB cases with known HIV status (ETR.net) [Percentage]
96.6 97.4 96.5 12 96.1 94.8
TB/HIV co-infected client on ART rate (ETR.Net) [Percentage]
53.0 66.7 59.1 51 75.7 84.5
NCDs Hypertension prevalence rate (crude) [Percentage] 57.6 48.6 51 35.6 28.2
602
Section B: National and District Profiles
602
Section B: Profile Western Cape Province
District value
District ranking
Provincial average
National average
National target
Category Indicator 20122013 & 2013/14
2014 & 2014/15 2015 2015* 2015* 2015* 2015*
Burden of disease
Percentage of YLLs due to non-communicable diseases [Percentage]
48.4 48.8 48.2 46 50.7 38.2
Percentage of YLLs due to HIV and TB [Percentage] 24.9 22.3 22.0 9 19.6 27.0
Percentage of YLLs due to communicable, maternal, perinatal, nutrition causes [Percentage]
9.7 9.6 11.0 4 10.7 21.2
Percentage of deaths garbage codes [Percentage] 10.9 13.9 11.1 13 12.2 14.6
Percentage of YLLs due to injuries [Percentage] 17.0 19.4 18.8 49 19.0 13.6
Percentage of deaths ill-defined [Percentage] 6.0 4.9 5.4 3 6.9 13.8
* – value for most recent year which ranges from 2013 to 2015
Value in red – improvement strategies are urgently needed
Value highlighted in yellow – performance is ranked among the 10 best in the country
Value highlighted in red – performance is ranked among the 10 worst in the country
Annual indicators for district: Central Karoo: DC5Va
lue
1000
1500
2000
2500
3000
2006 2008 2010 2012 2014
01_DHS exp per capita
600
800
1000
1200
1400
2006 2008 2010 2012 2014
01_PHC exp per capita
100
200
300
400
500
2006 2008 2010 2012 2014
01_PHC exp per headcount
2.5
3.0
3.5
4.0
4.5
2006 2008 2010 2012 2014
03_Avg length of stay (DH)
3.0
3.5
4.0
4.5
5.0
5.5
2010 2012 2014 2016
03_Crude death rate
1000
1500
2000
2006 2008 2010 2012 2014
03_Expenditure per PDE (DH)
20
40
60
2010 2012 2014 2016 2018
03_OPD new not ref rate (DH)
65
70
75
80
85
90
2006 2008 2010 2012 2014
03_Usable bed util (DH)
15
20
25
2006 2008 2010 2012 2014
04_Caesarean sect (DH)
6
7
8
9
10
2006 2008 2010 2012 2014
04_Deliv in fac <18
5
10
15
20
2006 2008 2010 2012 2014
04_IP early neo death rate
0
100
200
300
2008 2010 2012 2014
04_Maternal Mort ratio
20
40
60
80
100
2008 2010 2012 2014 2016
04_Postnatal mother <6d
15
20
25
30
2006 2008 2010 2012 2014
04_Stillbirth rate
30
40
50
60
70
2006 2008 2010 2012 2014
05_ANC 1st visit <20 w rate
50
60
70
80
90
100
2008 2010 2012 2014 2016
05_ANC initiate ART rate
0
2
4
6
8
2008 2010 2012 2014
06_Child <5 diar fat rate
0
2
4
6
2008 2010 2012 2014 2016
06_Child <5 pneumo death
0
5
10
15
20
2008 2010 2012 2014 2016
06_Child <5 sev mal fata
1
2
3
4
5
2010 2012 2014 2016 2018
06_Inpat death <5 rate
District value Provincial average ZA (national) average
Section B: National and District Profiles
603
Section B: Profile Western Cape Province
603
Annual indicators for district: Central Karoo (DC5)
Annual indicators for district: Central Karoo: DC5
Valu
e
0
20
40
60
80
100
2010 2012 2014 2016 2018
06_School G1 screen cov yy
30
40
50
60
2006 2008 2010 2012 2014
06_VitA 12−59 mm cov yy
60
80
100
120
140
160
2006 2008 2010 2012 2014
07_Imm cov <1 yy
70
80
90
100
2008 2010 2012 2014
07_Measles 2nd cov yy
30
40
50
60
70
2006 2008 2010 2012 2014
08_Cerv cancer screen cov yy
30
40
50
60
2006 2008 2010 2012 2014
08_Couple year protect rate
6
8
10
12
2008 2010 2012 2014 2016
09_New pulmonary TB LTF rate
0
2
4
6
2010 2012 2014 2016
09_RIF resistance rate
65
70
75
80
2006 2008 2010 2012 2014
09_TB cure rate new sm+
4
5
6
7
8
2008 2010 2012 2014 2016
09_TB deaths all TB
500
600
700
800
900
1000
2006 2008 2010 2012 2014
09_TB inc all TB
70
75
80
2006 2008 2010 2012 2014
09_TB success all TB
10
20
30
40
50
60
2010 2012 2014 2016 2018
10_HIV test cov inc ANC
20
40
60
2006 2008 2010 2012 2014
10_Male cond dist cov yy
50
60
70
80
90
2008 2010 2012 2014 2016
10_TB known HIV status
30
40
50
60
70
80
2010 2012 2014 2016
10_TB/HIV on ART
0.8
1.0
1.2
1.4
1.6
1.8
2.0
2010 2012 2014 2016 2018
11_Diabetes incidence yy
10
15
20
2010 2012 2014 2016
11_Hypertension inci yy
30
35
40
45
50
55
2008 2010 2012 2014 2016
11_Hypertension prevalence
11
12
13
14
15
16
2008 2010 2012 2014
13_Garbage codes
District value Provincial average ZA (national) average
604
Section B: National and District Profiles
604
Section B: Profile Western Cape Province
Annual indicators for district: Central Karoo (DC5)
