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8 Eastern Cape Province SectionSection B: Profile B: EasternDistrict HealthCape Province Profiles 8 Eastern Cape Province Buffalo City Metropolitan Municipality (BUF) Overview of the district The Buffalo City Metropolitan Municipalitya is a Category A municipality situated on the east coast of the Eastern Cape Province. The boundaries of the municipality now include 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. The municipality was established as a local municipality in 2000 after South Africa’s reorganisation of municipal areas and is named after the Buffalo River, at whose mouth lies the only river port in South Africa. On 18 May 2011 it was separated from the Amathole District Municipality and converted into a metropolitan municipality. The area has a well-developed manufacturing base, with the auto industry playing a major role. The climate is mild, with year-round sunshine. Area: 2 750km² Population (2016)b: 836 931 Population density (2016): 304.3 persons per km2 Estimated medical scheme coverage: 17.4% Cities/Towns: Beacon Bay, Berlin, Bisho, Breidbach, Dimbaza, East London, Kidd’s Beach, King William’s Town, Mdantsane, Phakamisa, Potsdam, Zwelitsha. Main Economic Sectors: Community services (25%), finance (24%), manufacturing (24%), trade (12%), transport (12%). Population distribution and health facility locations Source: Mid-Year Population Estimates 2016, Stats SA. a The Local Government Handbook South Africa 2017. A complete guide to municipalities in South Africa. Seventh edition. Accessible at: www. municipalities.co.za. b Mid-Year Population Estimates 2016, Stats SA. 111 Section B: DistrictProfile EasternHealth ProfilesCape Province DistrictBuffalo population City MM pyramid (BUF) and comparison with the national pyramid Year AgeGrp 2006 2016 65+ 11 027 20 569 11 803 22 568 60-64 years 8 464 10 701 10 771 15 326 55-59 years 11 670 13 262 13 605 19 066 50-54 years 15 681 19 401 16 194 20 497 45-49 years 18 265 22 864 20 067 23 175 40-44 years 20 440 24 040 24 148 25 830 35-39 years 24 024 27 178 29 839 31 766 30-34 years 27 017 29 745 34 273 36 105 25-29 years 31 137 34 864 39 576 39 509 20-24 years 34 771 37 646 35 534 35 838 15-19 years 39 610 39 721 30 867 30 329 10-14 years 35 768 35 305 42 868 42 121 05-09 years 30 807 29 676 48 534 47 266 00-04 years 43 520 42 548 45 321 44 135 500 000 0 500 000 500 000 0 500 000 Population Population 2006 2016 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% 65+ 1.5% 2.8% 2.7% 60-64 years 1.4% 1.8% 55-59 years 1.6% 1.8% 1.6% 2.3% 50-54 years 2.1% 2.6% 1.9% 2.4% 45-49 years 2.5% 3.1% 2.4% 2.8% 40-44 years 2.8% 3.2% 2.9% 3.1% 35-39 years 3.2% 3.7% 3.6% 3.8% 30-34 years 3.7% 4.0% 4.1% 4.3% 25-29 years 4.2% 4.7% 4.7% 4.7% 20-24 years 4.7% 5.1% 4.2% 4.3% 15-19 years 5.4% 5.4% 3.7% 3.6% 10-14 years 4.8% 4.8% 5.1% 5.0% 05-09 years 4.2% 4.0% 5.8% 5.6% 00-04 years 5.9% 5.8% 5.4% 5.3% 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 Gender male female Source: Mid-Year Population Estimates 2016, Stats SA. Graph 1: District population pyramid 2006 and 2016 Graph 2: District % population by age-gender group in 2006 and 2016 compared to South Africa Buffalo City MM (BUF) Show history 112 SectionSection B: Profile B: EasternDistrict HealthCape Province Profiles Social determinants of health Source: Stats SA (Local Government Handbook), 2014 Blue Drop Report. 113 Section B: DistrictProfile EasternHealth ProfilesCape Province EC, Buffalo City: BUF Burden of disease – leading causes of death in district Percentage of deaths by broad causes and single leading causes Show history EC, Buffalo City: BUF Broadcause Injury AgeGroup.. 2006-2010 2011-2015 NCD <5 years 67% 13% 12% 8% 61% 8% 21% 10% HIV and TB 5-14 22% 19% 25% 34% 17% 16% 26% 41% Comm_mat_peri_nut 15-24 12% 28% 14% 45% 8% 24% 17% 51% 25-64 12% 36% 39% 12% 8% 34% 45% 13% 65+ 8% 7% 81% 3% 7%7% 82% 4% Total 15% 25% 49% 11% 10% 23% 55% 12% Rank_.. 2006-2010 2011-2015 Percentages are shown 1 Diarrhoeal diseases (25.0%) Lower respiratory infections (20.8%) 2 Lower respiratory infections (23.4%) Diarrhoeal diseases (14.2%) according to all the 3 HIV/AIDS (9.2%) Preterm birth complications (8.6%) deaths within the 4 Preterm birth complications (5.3%) HIV/AIDS (5.6%) age/period category of 5 Tuberculosis (4.4%) Protein-energy malnutrition (4.4%) each box, although only 6 Protein-energy malnutrition (3.4%) Birth asphyxia (4.0%) the leading 10 causes are <5 years <5 7 Accidental threats to breathing (2.9%) Congenital heart anomalies (3.1%) displayed. 8 Birth asphyxia (2.4%) Tuberculosis (2.9%) 9 Meningitis/encephalitis (1.9%) Sepsis/other newborn infectious (2.7%) 10 Septicaemia (1.9%) Meningitis/encephalitis (2.5%) 1 Tuberculosis (13.4%) Drowning (17.6%) 2 Drowning (12.7%) Road injuries (10.7%) 3 Road injuries (7.3%) Tuberculosis (9.8%) 4 HIV/AIDS (6.8%) HIV/AIDS (7.3%) 5 Diarrhoeal diseases (6.4%) Meningitis/encephalitis (5.3%) 5-14 6 Lower respiratory infections (4.6%) Accidental threats to breathing (4.9%) 7 Accidental threats to breathing (4.1%) Fires, hot substances (4.1%) 8 Interpersonal violence (3.7%) Lower respiratory infections (3.2%) 9 Fires, hot substances (3.4%) Epilepsy (3.1%) 10 Meningitis/encephalitis (2.7%) Diarrhoeal diseases (2.9%) 1 Interpersonal violence (24.7%) Interpersonal violence (21.3%) 2 Tuberculosis (21.0%) Tuberculosis (12.4%) 3 HIV/AIDS (7.8%) HIV/AIDS (12.3%) 4 Accidental threats to breathing (6.5%) Accidental threats to breathing (8.3%) 5 Mechanical forces (4.5%) Mechanical forces (6.1%) 6 Road injuries (3.9%) Road injuries (5.7%) 15-24 7 Lower respiratory infections (3.5%) Fires, hot substances (4.2%) 8 Fires, hot substances (3.2%) Drowning (2.6%) 9 Diarrhoeal diseases (3.0%) Lower respiratory infections (2.0%) 10 Meningitis/encephalitis (2.4%) Epilepsy (1.7%) 1 Tuberculosis (26.1%) Tuberculosis (18.4%) 2 HIV/AIDS (10.3%) HIV/AIDS (16.0%) 3 Interpersonal violence (4.8%) Cerebrovascular disease (4.7%) 4 Lower respiratory infections (4.7%) Interpersonal violence (3.5%) 5 Cerebrovascular disease (4.3%) Ischaemic heart disease (3.3%) 6 Diarrhoeal diseases (3.6%) Diabetes mellitus (3.0%) 25-64 7 COPD (2.9%) COPD (3.0%) 8 Diabetes mellitus (2.5%) Lower respiratory infections (3.0%) 9 Ischaemic heart disease (2.4%) Nephritis/nephrosis (2.8%) 10 Cardiomyopathy (2.4%) Road injuries (2.5%) 1 Cerebrovascular disease (14.2%) Cerebrovascular disease (14.7%) 2 Ischaemic heart disease (9.0%) Ischaemic heart disease (8.9%) 3 COPD (6.9%) COPD (6.9%) 4 Tuberculosis (6.8%) Hypertensive heart disease (6.5%) 5 Hypertensive heart disease (6.4%) Diabetes mellitus (5.7%) 65+ 6 Diabetes mellitus (4.7%) Tuberculosis (5.7%) 7 Oesophagus (4.6%) Oesophagus (4.3%) 8 Lower respiratory infections (4.4%) Lower respiratory infections (3.9%) 9 Cardiomyopathy (3.8%) Nephritis/nephrosis (3.2%) 10 Nephritis/nephrosis (2.6%) Cardiomyopathy (2.8%) Maternal conditions Rank.. 2006-2010 2011-2015 1 Indirect maternal (42.8%) n=23 Indirect maternal (35.9%) n=40 2 Hypertension in pregnancy (20.4%) n=11 Hypertension in pregnancy (31.5%) n=35 3 Other maternal (18.5%) n=10 Other maternal (18.6%) n=21 4 Maternal haemorrhage (12.3%) n=7 Abortion (8.2%) n=9 15-49 Female 5 Abortion (6.1%) n=3 Maternal haemorrhage (5.9%) n=7 6 114 SectionSection B: Profile B: EasternDistrict HealthCape Province Profiles Women and maternal health Source: DHIS. Value highlighted in green – performance is ranked among the 10 best in the country Value highlighted in red – performance is ranked among the 10 worst in the country. 115 Section B: DistrictProfile EasternHealth ProfilesCape Province Child and school health Source: DHIS. Value highlighted in green – performance is ranked among the 10 best in the country Value highlighted in red – performance is ranked among the 10 worst in the country. 116 SectionSection B: Profile B: EasternDistrict HealthCape Province Profiles HIV Source: DHIS. Value highlighted in red – performance is ranked among the 10 worst in the country Value highlighted in orange – performance of the local municipality is possibly below the performance of the district. 117 Section B: DistrictProfile EasternHealth ProfilesCape Province Tuberculosis Source: DHIS, ETR.Net, EDRWeb. Value highlighted in green – performance is ranked among the 10 best in the country Value highlighted in red – performance is ranked among the 10 worst in the country. 118 SectionSection B: Profile B: EasternDistrict HealthCape Province Profiles Non-communicable diseases Source: DHIS.
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