Section B, Chapter 15
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SectionSection B:B: ProfileNational Mpumalanga and District Province Profiles 15 Mpumalanga Province Gert Sibande District Municipality (DC30) The Gert Sibande District Municipalitya is a Category C municipality located in the Mpumalanga Province and borders eSwatini. It comprises seven local municipalities: Govan Mbeki, Chief Albert Luthuli, Msukaligwa, Dipaleseng, Mkhondo, Lekwa and Dr Pixley Ka Seme. Cities/Towns: Amersfoort, Amsterdam, Balfour, Bethal, Breyten, Carolina, Charl Cilliers, Chrissiesmeer, Davel, Ekulindeni, Embalenhle, Empuluzi, Ermelo, Evander, Greylingstad, Grootvlei, Kinross, Leandra, Lothair, Morgenzon, Perdekop, Secunda, Standerton, Trichardt, Volksrust, Wakkerstroom, eManzana, eMkhondo (Piet Retief) Area: 31 841km² Population (2019)b: 1 215 273 DistrictDistrict % percentagepopulation by ag epopulation-gender group cbyom page-genderared to South Af rgroupica compared to South Africa MP, G Sibande DM (DC30) 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+ 1.6% 2.6% 1.8% 2.8% 2.2% 3.3% 60-64 years 1.3% 1.5% 55-59 years 1.4% 1.5% 1.7% 1.5% 1.9% 50-54 years 1.6% 1.9% 1.8% 2.2% 1.8% 2.2% 45-49 years 2.3% 2.5% 2.2% 2.5% 2.3% 2.5% 40-44 years 2.7% 3.1% 2.5% 2.8% 3.0% 2.9% 35-39 years 3.2% 3.6% 3.1% 3.2% 4.5% 3.9% 30-34 years 3.3% 3.7% 3.7% 3.6% 5.4% 4.6% 25-29 years 3.6% 4.1% 5.1% 4.6% 4.9% 4.4% 20-24 years 3.5% 4.0% 5.6% 5.2% 4.2% 4.1% 15-19 years 5.6% 5.7% 5.0% 5.1% 4.3% 4.3% 10-14 years 6.6% 6.5% 4.9% 4.9% 5.0% 5.0% 05-09 years 6.1% 6.1% 5.2% 5.2% 4.7% 4.7% 00-04 years 5.7% 5.8% 5.8% 5.8% 4.8% 4.8% 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/132/gert-sibande-district-municipality. b Mid-year Population Estimates 2019, Stats SA. 433 Section B: NationalProfile Mpumalanga and District ProvinceProfiles Percentage of deaths by broad cause and leading causes, 2012–2017 MP, G Sibande DM: DC30, 2012 - 2017 Percentage of AgeGrp Female Male deaths by broad <5 years 75% 10% 9% 6% 74% 10% 9% 7% causes and 5-14 30% 25% 17% 28% 25% 24% 18% 33% single leading 15-24 22% 45% 17% 16% 9% 18% 13% 60% causes 25-64 17% 40% 38% 6% 14% 39% 29% 18% 65+ 15% 5% 77% 2% 17% 10% 69% 4% Total 22% 26% 46% 6% 20% 28% 35% 16% Broadcause Injury NCD Rank Female Male 1 Diarrhoeal diseases (21.4%) Diarrhoeal diseases (21.3%) HIV and TB 2 Lower respiratory infections (18.0%) Preterm birth complications (14.9%) Comm_mat_peri_nut 3 Preterm birth complications (14.1%) Lower respiratory infections (14.7%) s 4 HIV/AIDS (8.5%) Birth asphyxia (9.2%) r Prov, District a 5 Birth asphyxia (7.6%) HIV/AIDS (8.6%) MP, G Sibande DM: DC30 e y 6 Protein-energy malnutrition (6.4%) Protein-energy malnutrition (5.3%) Show history 5 < 7 Other perinatal conditions (3.9%) Other perinatal conditions (4.5%) 8 Poisonings (including herbal) (2.7%) Poisonings (including herbal) (2.2%) Percentages are shown 9 Sepsis/other newborn infectious (2.0%) Endocrine nutritional,blood, immune (1.8%) according to all the deaths 10 Endocrine nutritional,blood, immune (1.9%) Sepsis/other newborn infectious (1.7%) within the age/gender 1 HIV/AIDS (19.6%) HIV/AIDS (17.8%) category of each box, 2 Road injuries (16.6%) Lower respiratory infections (11.7%) although only the leading 3 Diarrhoeal diseases (13.1%) Road injuries (11.2%) 10 causes are displayed. 4 Lower respiratory infections (10.2%) Drowning (9.2%) 4 5 Tuberculosis (8.5%) Diarrhoeal diseases (9.0%) 1 - 5 6 Meningitis/encephalitis (4.9%) Tuberculosis (8.9%) 7 Fires, hot substances (4.1%) Accidental threats to breathing (6.7%) 8 Endocrine nutritional,blood, immune (3.8%) Fires, hot substances (3.7%) 9 Epilepsy (3.1%) Epilepsy (3.1%) 10 Accidental threats to breathing (3.1%) Meningitis/encephalitis (3.0%) 1 HIV/AIDS (30.6%) Interpersonal violence (18.7%) 2 Tuberculosis (15.9%) Accidental threats to breathing (14.2%) 3 Lower respiratory infections (8.9%) Road injuries (13.5%) 4 Road injuries (6.5%) HIV/AIDS (12.9%) 4 2 5 Diarrhoeal diseases (5.9%) Mechanical forces (5.5%) - 5 1 6 Endocrine nutritional,blood, immune (3.8%) Tuberculosis (5.4%) 7 Accidental threats to breathing (3.7%) Lower respiratory infections (4.3%) 8 Meningitis/encephalitis (2.8%) Drowning (3.7%) 9 Interpersonal violence (2.6%) Epilepsy (2.8%) 10 Diabetes mellitus (1.8%) Self-inflicted injuries (2.6%) 1 HIV/AIDS (27.1%) HIV/AIDS (23.8%) 2 Tuberculosis (12.7%) Tuberculosis (15.1%) 3 Lower respiratory infections (8.2%) Lower respiratory infections (8.1%) 4 Hypertensive heart disease (5.2%) Road injuries (5.9%) 4 6 5 Cerebrovascular disease (5.1%) Diarrhoeal diseases (3.5%) - 5 2 6 Diarrhoeal diseases (4.6%) Accidental threats to breathing (3.5%) 7 Diabetes mellitus (4.3%) Cerebrovascular disease (3.4%) 8 Endocrine nutritional,blood, immune (3.5%) Interpersonal violence (3.0%) 9 Cervix (3.2%) Hypertensive heart disease (3.0%) 10 Road injuries (2.0%) Ischaemic heart disease (2.8%) 1 Hypertensive heart disease (18.6%) Hypertensive heart disease (12.0%) 2 Cerebrovascular disease (16.3%) Cerebrovascular disease (10.8%) 3 Diabetes mellitus (10.9%) Lower respiratory infections (10.4%) 4 Lower respiratory infections (8.5%) Ischaemic heart disease (7.6%) + 5 Ischaemic heart disease (6.2%) Diabetes mellitus (6.4%) 5 6 6 Diarrhoeal diseases (4.6%) Tuberculosis (6.1%) 7 HIV/AIDS (3.0%) COPD (5.5%) 8 Nephritis/nephrosis (2.8%) Prostate (4.4%) 9 Endocrine nutritional,blood, immune (2.7%) HIV/AIDS (4.2%) 10 Tuberculosis (2.5%) Diarrhoeal diseases (3.6%) Rank Maternal conditions All other causes 1 Indirect maternal (28.0%) n=40 HIV/AIDS (34.2%) n=3 500 2 Hypertension in pregnancy (20.1%) n=29 Tuberculosis (16.0%) n=1 634 3 Other maternal (19.7%) n=28 Lower respiratory infections (9.0%) n=923 4 Abortion (14.1%) n=20 Diarrhoeal diseases (5.3%) n=538 e l 9 a 4 5 Maternal haemorrhage (12.7%) n=18 Endocrine nutritional,blood, immune (3.8%) n=384 - m 5 e 1 6 Maternal sepsis (5.5%) n=8 Road injuries (3.1%) n=314 F 7 Cerebrovascular disease (2.2%) n=229 8 Meningitis/encephalitis (2.2%) n=229 9 Cervix (2.2%) n=221 10 Hypertensive heart disease (2.1%) n=214 434 SectionSection B:B: ProfileNational Mpumalanga and District Province Profiles Annual trends, 2015/16–2019/20 G Sibande: DC30 G Sibande: DC30 s g e n l i i 70 70 f n o 10 26 10 n 16 r a 31 l P p y l TB DS client lost to i Couple year 29 34 m follow up rate [both a protection rate [ | 60 60 8 8 F sexes all ages | _ DHIS] 32 1 ETR/Tier.Net] _ 38 35 1 50 44 50 6 26 6 e r a 6 36 c 28 y r e 16 17 v i l 18 TB DS death rate 8 8 e Antenatal 1st visit d 80 80 [both sexes all 30 d coverage [female | n ages | 25 a DHIS] 27 ETR/Tier.Net] y c n 7 7 a n 60 60 g 44 e r P 90 90 _ 2 34 34 _ 80 34 80 1 16 16 70 70 29 TB symptom 5 34 60 60 years and older Delivery in 10 to 19 50 50 years in facility rate screened in facility [female | DHIS] rate [both sexes | 40 40 14 26 14 DHIS] 30 30 20 41 20 10 10 28 TB symptom child 80 28 80 27 Maternal mortality 100 28 28 100 under 5 years 20 in facility ratio screened in facility [female | DHIS] rate [both sexes | DHIS] 60 60 3 50 14 50 35 t n 42 e 14 m 92 92 t 16 14 14 a 17 e 42 r 34 t Adult with viral V I 13 Neonatal death in 13 13 load suppressed 90 90 H rate 12 months facility rate [both _ 2 [both sexes 15+ sexes | DHIS] _ 12 34 12 2 years | DHIS] 88 88 22 11 11 86 86 n 75 75 o i 8 t 5 a s 12 i 5 11 n u Child with viral 70 70 m Immunisation 80 80 17 31 load suppressed m i under 1 year 36 rate 12 months d l i coverage [both [both sexes 0-14 h sexes | DHIS] C years | DHIS] 65 65 _ 3 60 60 25 _ 1 51 t n e 8 8 m t 70 70 a e r t Death in facility 7 7 Clients remaining 34 d l i 27 on ART rate [both h under 5 years rate 40 C [both sexes | sexes all ages | _ 6 32 6 60 60 4 DHIS] 32 DHIS] _ 34 30 1 24 5 5 41 40 6 C U 25 25 38 Pneumonia case Antiretroviral 4 4 33 fatality under 5 effective coverage 26 years rate [both 39 [both sexes 0-14 20 20 sexes <5 years | years | DHIS-Tier] DHIS] 34 33 2 2 23 14 15 41 15 16 t n e 82 82 50 50 m t 16 a e r 18 t Antiretroviral TB DS treatment 29 B 80 80 effective coverage T success rate [both 22 25 _ [both sexes 15+ 1 sexes all ages | 40 40 _ 40 22 years | DHIS-Tier] 2 ETR/Tier.Net] 78 78 27 30 30 76 76 5 6 7 8 9 0 50 50 1 1 1 1 1 2 0 0 0 0 0 0 2 2 2 2 2 2 16 Y Y Y Y Y Y F F F F F F Antiretroviral 21 effective coverage 24 Measure Names Rank [both sexes all 40 40 Prov av 1 51 ages | DHIS-Tier] ZA av Ind Value 27 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 435 Section B: NationalProfile Mpumalanga and District ProvinceProfiles G Sibande: DC30 G Sibande: DC30 e 9 c 3200 3200 C 6 n U 86 4 86 a n Age-standardised 85 4 85 i 4 F Expenditure per 3000 3000 prevalence