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10 Eastern Cape Province SectionSection B:B: ProfileNational Eastern and DistrictCape Province Profiles 10 Eastern Cape Province Buffalo City Metropolitan Municipality (BUF) The Buffalo City Metropolitan Municipalitya is a Category A municipality situated on the east coast of the Eastern Cape Province. The boundaries of the newly established municipality now make up a large area characterised by very different features. Two former municipalities, Transitional Local Councils – that of East London and King William’s Town – have merged into one. Other areas that were previously not included in either of them are now part of Buffalo City. Cities/Towns: Beacon Bay, Berlin, Bisho, Breidbach, Dimbaza, East London, Kidd’s Beach, King William’s Town, Mdantsane, Phakamisa, Potsdam, Zwelitsha Area: 2 750km² Population (2019)b: 866 514 DistrictDistrict % percentagepopulation by ag populatione-gender group cbyom page-genderared to South A fgrouprica compared to South Africa EC, Buffalo City MM (BUF) 2000/01 2010/11 2020/21 South Africa % of total population [Male | Female] - lines South Africa % of total population [Male | Female] - lines South Africa % of total population [Male | Female] - lines AgeGrp 8% 6% 4% 2% 0% 2% 4% 6% 8% 8% 6% 4% 2% 0% 2% 4% 6% 8% 8% 6% 4% 2% 0% 2% 4% 6% 8% 65+ 1.9% 3.2% 2.0% 3.5% 2.9% 5.4% 60-64 years 1.6% 1.3% 1.7% 1.7% 2.7% 55-59 years 1.4% 1.8% 1.9% 2.6% 2.0% 3.0% 50-54 years 1.9% 2.1% 2.3% 3.2% 2.4% 3.2% 45-49 years 2.6% 3.3% 2.6% 3.5% 3.1% 3.4% 40-44 years 2.9% 3.9% 2.9% 3.6% 3.6% 3.6% 35-39 years 3.2% 4.1% 3.7% 3.9% 4.2% 4.0% 30-34 years 3.4% 4.2% 4.0% 4.1% 4.2% 4.0% 25-29 years 4.0% 4.4% 4.6% 4.3% 3.6% 3.4% 20-24 years 4.2% 4.7% 4.7% 4.7% 3.2% 3.0% 15-19 years 5.4% 5.4% 4.5% 4.5% 3.8% 3.7% 10-14 years 5.6% 5.5% 4.2% 4.0% 4.7% 4.6% 05-09 years 5.0% 5.0% 4.1% 4.0% 4.6% 4.4% 00-04 years 4.1% 4.0% 5.0% 4.9% 3.9% 3.8% 8% 6% 4% 2% 0% 2% 4% 6% 8% 8% 6% 4% 2% 0% 2% 4% 6% 8% 8% 6% 4% 2% 0% 2% 4% 6% 8% District % of total population [Male | Female] - bars District % of total population [Male | Female] - bars District % of total population [Male | Female] - bars Sex Gender (ZA) female female (ZA) male male (ZA) 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 2012–2017. The second part of the graph shows the 10 leading single causes of death within each age group and by gender for 2012–2017. a Available from: https://municipalities.co.za/overview/7/buffalo-city-metropolitan-municipality. b Mid-year Population Estimates 2019, Stats SA. 297 Section B: NationalProfile Eastern and District Cape ProvinceProfiles Percentage of deaths by broad cause and leading causes, 2012–2017 EC, Buffalo City MM: BUF, 2012 - 2017 Percentage of AgeGrp Female Male deaths by broad <5 years 58% 7% 23% 12% 59% 7% 22% 12% causes and 5-14 18% 19% 34% 29% 16% 12% 22% 50% single leading 15-24 11% 45% 22% 22% 4%9% 14% 74% causes 25-64 8% 35% 51% 6% 6% 30% 45% 19% 65+ 7%5% 84% 3% 7% 8% 81% 4% Total 10% 21% 63% 6% 8% 21% 53% 18% Broadcause Injury NCD Rank Female Male 1 Lower respiratory infections (18.9%) Lower respiratory infections (21.1%) HIV and TB 2 Diarrhoeal diseases (11.8%) Diarrhoeal diseases (10.1%) Comm_mat_peri_nut 3 Preterm birth complications (9.2%) Preterm birth complications (8.9%) s 4 Protein-energy malnutrition (5.7%) HIV/AIDS (5.2%) r Prov, District a 5 Birth asphyxia (4.8%) Birth asphyxia (5.0%) EC, Buffalo City MM: BUF e y 6 HIV/AIDS (4.5%) Protein-energy malnutrition (4.7%) Show history 5 < 7 Congenital heart anomalies (3.7%) Sepsis/other newborn infectious (3.6%) 8 Accidental threats to breathing (3.2%) Congenital heart anomalies (3.4%) Percentages are shown 9 Other congenital abnormalities (2.9%) Drowning (3.2%) according to all the deaths 10 Fires, hot substances (2.8%) Other congenital abnormalities (2.9%) within the age/gender 1 Tuberculosis (13.0%) Drowning (27.1%) category of each box, 2 HIV/AIDS (10.8%) Road injuries (8.9%) although only the leading 3 Road injuries (9.5%) HIV/AIDS (7.2%) 10 causes are displayed. 4 Fires, hot substances (8.3%) Tuberculosis (6.4%) 4 5 Drowning (7.2%) Other unintentional injuries (5.7%) 1 - 5 6 Accidental threats to breathing (6.5%) Accidental threats to breathing (5.1%) 7 Meningitis/encephalitis (6.5%) Lower respiratory infections (4.5%) 8 Lower respiratory infections (5.4%) Meningitis/encephalitis (4.5%) 9 Leukaemia (5.4%) Fires, hot substances (3.0%) 10 Diarrhoeal diseases (5.3%) Adverse effects medical/surgical (2.7%) 1 HIV/AIDS (27.2%) Interpersonal violence (36.8%) 2 Tuberculosis (20.2%) Accidental threats to breathing (11.8%) 3 Accidental threats to breathing (5.8%) Mechanical forces (9.8%) 4 Road injuries (4.1%) Fires, hot substances (5.3%) 4 2 5 Fires, hot substances (3.8%) Tuberculosis (4.8%) - 5 1 6 Interpersonal violence (2.8%) HIV/AIDS (4.6%) 7 Lower respiratory infections (2.6%) Road injuries (4.5%) 8 Cardiomyopathy (2.3%) Drowning (3.4%) 9 Asthma (2.1%) Other unintentional injuries (2.0%) 10 Hypertension in pregnancy (1.8%) Adverse effects medical/surgical (1.8%) 1 HIV/AIDS (20.7%) Tuberculosis (16.0%) 2 Tuberculosis (14.3%) HIV/AIDS (14.3%) 3 Cerebrovascular disease (5.5%) Interpersonal violence (6.6%) 4 Diabetes mellitus (4.8%) Cerebrovascular disease (4.2%) 4 6 5 Hypertensive heart disease (4.1%) Ischaemic heart disease (4.0%) - 5 2 6 Cervix (2.9%) COPD (3.9%) 7 Breast (2.8%) Accidental threats to breathing (3.2%) 8 Lower respiratory infections (2.7%) Mechanical forces (2.9%) 9 Ischaemic heart disease (2.6%) Hypertensive heart disease (2.9%) 10 Asthma (2.5%) Trachea/bronchi/lung (2.9%) 1 Cerebrovascular disease (15.0%) Cerebrovascular disease (10.4%) 2 Hypertensive heart disease (12.1%) COPD (9.1%) 3 Ischaemic heart disease (7.2%) Ischaemic heart disease (8.3%) 4 Diabetes mellitus (6.6%) Tuberculosis (7.3%) + 5 COPD (6.3%) Hypertensive heart disease (7.2%) 5 6 6 Tuberculosis (4.3%) Prostate (5.3%) 7 Oesophagus (3.9%) Diabetes mellitus (4.6%) 8 Lower respiratory infections (3.9%) Oesophagus (4.0%) 9 Cardiomyopathy (2.9%) Lower respiratory infections (3.8%) 10 Asthma (2.7%) Trachea/bronchi/lung (3.8%) Rank Maternal conditions All other causes 1 Hypertension in pregnancy (33.5%) n=34 HIV/AIDS (30.5%) n=2 281 2 Indirect maternal (29.1%) n=30 Tuberculosis (19.6%) n=1 467 3 Other maternal (19.4%) n=20 Lower respiratory infections (2.9%) n=220 4 Abortion (10.5%) n=11 Asthma (2.8%) n=209 e l 9 a 4 5 Maternal haemorrhage (7.5%) n=8 Endocrine nutritional,blood, immune (2.5%) n=183 - m 5 e 1 6 Cerebrovascular disease (2.2%) n=164 F 7 Cervix (2.2%) n=163 8 Diabetes mellitus (1.9%) n=145 9 Accidental threats to breathing (1.9%) n=143 10 Breast (1.9%) n=142 298 SectionSection B:B: ProfileNational Eastern and DistrictCape Province Profiles Annual trends, 2015/16–2019/20 Buffalo City: BUF Buffalo City: BUF s g e n l i i 51 13 f n 80 80 o n r a P l p 23 15 15 y l TB DS client lost to i Couple year 25 m follow up rate [both a protection rate [ | 60 28 60 F sexes all ages | _ DHIS] 41 10 10 1 ETR/Tier.Net] _ 1 40 40 32 18 49 5 22 5 e r a 10 c 13 7 7 y 10 r e 20 v i l TB DS death rate e Antenatal 1st visit d 80 80 12 [both sexes all d coverage [female | n ages | 6 6 a DHIS] ETR/Tier.Net] y c n a 43 40 12 n 44 g 60 60 10 e r 5 5 P 90 90 _ 2 _ 80 39 80 1 15 15 70 42 70 TB symptom 5 60 42 60 years and older Delivery in 10 to 19 50 50 years in facility rate 9 screened in facility rate [both sexes | 40 40 [female | DHIS] 10 10 6 DHIS] 30 30 20 40 20 10 10 3 43 200 200 80 37 80 50 TB symptom child under 5 years Maternal mortality 45 in facility ratio 150 45 150 screened in facility 60 60 [female | DHIS] 38 rate [both sexes | 41 DHIS] 40 40 100 32 100 47 t n 18 18 e 50 11 m t 90 90 48 a e r t Adult with viral 16 42 16 V Neonatal death in I load suppressed H rate 12 months 88 30 28 88 facility rate [both _ 35 2 [both sexes 15+ sexes | DHIS] _ 14 14 2 36 years | DHIS] 39 86 86 12 12 n o i 12 t a s i 80 80 70 70 n u Child with viral 33 21 m Immunisation load suppressed 30 m i under 1 year 37 rate 12 months 65 65 d 30 l i coverage [both 40 [both sexes 0-14 h sexes | DHIS] 70 70 C years | DHIS] _ 60 60 3 47 _ 1 39 47 t n e 6 6 m t a 27 e r t Death in facility Clients remaining 60 60 d l 47 i 16 on ART rate [both 44 h years rate under 5 4 4 C [both sexes | 14 sexes all ages | _ 4 DHIS] DHIS] 43 _ 1 8 8 50 50 2 8 2 43 6 C 8 4 4 U Pneumonia case 25 25 3 3 Antiretroviral 20 fatality under 5 effective coverage years rate [both 21 34 [both sexes 0-14 sexes <5 years | 2 2 years | DHIS-Tier] 20 21 DHIS] 20 20 1 11 11 1 43 8 t n e 10 m 85 85 t a e 40 40 r t Antiretroviral 30 TB DS treatment 23 12 35 B effective coverage 35 T success rate [both 80 80 _ [both sexes 15+ 1 sexes all ages | 20 _ years | DHIS-Tier] 35 35 2 ETR/Tier.Net] 75 75 52 30 30 70 70 5 6 7 8 9 0 1 1 1 1 1 2 0 0 0 0 0 0 2 2 2 2 2 2 40 40 Y Y Y Y Y Y F F F F F F 30 Antiretroviral 35 effective coverage 35 Measure Names Rank [both sexes all 35 19 35 Prov av 1 52 ages | DHIS-Tier] ZA av Ind Value 30 30 5 6 7 8 9 0 1 1 1 1 1 2 0 0 0 0 0 0 2 2 2 2 2 2 Y Y Y Y Y Y F F F F F F 299 Section B: NationalProfile Eastern and District Cape ProvinceProfiles Buffalo City: BUF Buffalo City: BUF e 9 c C 82 82 3200 3200 n U a n Age-standardised i 30 F Expenditure per prevalence of 80 80 _ 3000 3000 5 patient day non-raised blood 31 _ 4 equivalent (district pressure (index) 78 33 78 hospitals) [ | BAS [both
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