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Section B, Chapter 13 SectionSection B: B:Profile National KwaZulu-Natal and District Province Profiles 13 KwaZulu-Natal Province Ugu District Municipality (DC21) The Ugu District Municipalitya is a Category C municipality situated in the far south of KwaZulu-Natal. The district is made up of four local municipalities: uMdoni, uMzumbe, Ray Nkonyeni and uMuziwabantu. Cities/Towns: Harding, Hibberdene, Margate, Pennington, Port Edward, Port Shepstone, Scottburgh/Umzinto North, Southbroom Area: 4 791km² Population (2019)b: 796 446 DistrictDistrict % ppercentageopulation by ag epopulation-gender group cbyom page-genderared to South Af rgroupica compared to South Africa KZ, Ugu DM (DC21) 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+ 2.1% 4.2% 1.8% 4.0% 3.5% 60-64 years 1.6% 1.7% 1.6% 55-59 years 1.8% 1.9% 1.9% 50-54 years 1.5% 2.3% 2.2% 1.9% 45-49 years 1.6% 2.3% 1.3% 2.5% 1.5% 2.2% 40-44 years 1.8% 2.8% 1.5% 2.5% 2.1% 2.6% 35-39 years 2.2% 3.4% 2.1% 2.8% 3.6% 3.7% 30-34 years 2.3% 3.2% 2.7% 3.1% 4.8% 4.5% 25-29 years 3.0% 3.8% 4.2% 4.3% 5.0% 4.6% 20-24 years 3.4% 3.9% 5.6% 5.5% 4.3% 4.1% 15-19 years 6.0% 6.2% 6.1% 6.0% 4.8% 4.7% 10-14 years 6.9% 7.0% 5.3% 5.3% 5.9% 5.8% 05-09 years 6.8% 6.8% 5.5% 5.5% 6.1% 5.8% 00-04 years 5.4% 5.4% 6.8% 6.7% 5.9% 5.7% 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/119/ugu-district-municipality. b Mid-year Population Estimates 2019, Stats SA. 369 Section B: NationalProfile KwaZulu-Natal and District Profiles Province Percentage of deaths by broad cause and leading causes, 2012–2017 KZ, Ugu DM: DC21, 2012 - 2017 Percentage of AgeGrp Female Male deaths by broad <5 years 68% 10% 13% 9% 67% 11% 12% 10% causes and 5-14 31% 26% 20% 23% 26% 23% 21% 30% single leading 15-24 14% 52% 17% 17% 9% 21% 12% 58% causes 25-64 11% 42% 41% 6% 10% 41% 31% 18% 65+ 12% 5% 80% 3% 10% 9% 76% 5% Total 15% 24% 55% 6% 14% 29% 41% 17% Broadcause Injury NCD Rank Female Male 1 Diarrhoeal diseases (17.2%) Diarrhoeal diseases (16.9%) HIV and TB 2 Lower respiratory infections (14.8%) Lower respiratory infections (14.7%) Comm_mat_peri_nut 3 Preterm birth complications (13.0%) Preterm birth complications (10.0%) s 4 Birth asphyxia (7.3%) HIV/AIDS (8.1%) r Prov, District a 5 HIV/AIDS (6.5%) Birth asphyxia (7.5%) KZ, Ugu DM: DC21 e y 6 Protein-energy malnutrition (5.0%) Sepsis/other newborn infectious (5.4%) Show history 5 < 7 Other perinatal conditions (4.0%) Protein-energy malnutrition (5.1%) 8 Tuberculosis (3.8%) Other perinatal conditions (4.0%) Percentages are shown 9 Sepsis/other newborn infectious (3.8%) Tuberculosis (3.0%) according to all the deaths 10 Poisonings (including herbal) (2.7%) Poisonings (including herbal) (2.5%) within the age/gender 1 Diarrhoeal diseases (15.0%) HIV/AIDS (13.3%) category of each box, 2 Tuberculosis (14.7%) Drowning (11.4%) although only the leading 3 HIV/AIDS (12.9%) Tuberculosis (11.3%) 10 causes are displayed. 4 Lower respiratory infections (5.8%) Diarrhoeal diseases (10.3%) 4 5 Drowning (5.6%) Lower respiratory infections (8.0%) 1 - 5 6 Epilepsy (4.6%) Road injuries (7.0%) 7 Meningitis/encephalitis (4.4%) Asthma (4.2%) 8 Road injuries (4.2%) Accidental threats to breathing (3.8%) 9 Fires, hot substances (3.6%) Epilepsy (3.7%) 10 Accidental threats to breathing (3.5%) Meningitis/encephalitis (3.5%) 1 HIV/AIDS (31.9%) Interpersonal violence (20.7%) 2 Tuberculosis (21.8%) Accidental threats to breathing (16.1%) 3 Accidental threats to breathing (5.5%) Tuberculosis (11.8%) 4 Lower respiratory infections (5.3%) HIV/AIDS (9.6%) 4 2 5 Endocrine nutritional,blood, immune (3.1%) Road injuries (6.7%) - 5 1 6 Interpersonal violence (2.6%) Mechanical forces (6.6%) 7 Diarrhoeal diseases (2.6%) Lower respiratory infections (3.8%) 8 Meningitis/encephalitis (2.6%) Drowning (3.2%) 9 Road injuries (2.4%) Epilepsy (2.4%) 10 Epilepsy (1.9%) Diarrhoeal diseases (2.3%) 1 HIV/AIDS (25.5%) Tuberculosis (21.9%) 2 Tuberculosis (16.6%) HIV/AIDS (18.9%) 3 Cerebrovascular disease (7.0%) Lower respiratory infections (4.8%) 4 Diabetes mellitus (5.6%) Cerebrovascular disease (4.7%) 4 6 5 Lower respiratory infections (4.5%) Interpersonal violence (4.6%) - 5 2 6 Hypertensive heart disease (4.2%) Accidental threats to breathing (3.7%) 7 Cervix (3.3%) Mechanical forces (3.6%) 8 Diarrhoeal diseases (3.1%) Ischaemic heart disease (2.8%) 9 Endocrine nutritional,blood, immune (2.2%) Diarrhoeal diseases (2.7%) 10 Ischaemic heart disease (2.2%) Hypertensive heart disease (2.7%) 1 Cerebrovascular disease (23.6%) Cerebrovascular disease (14.8%) 2 Hypertensive heart disease (14.0%) Ischaemic heart disease (10.0%) 3 Diabetes mellitus (9.9%) Hypertensive heart disease (8.7%) 4 Lower respiratory infections (6.5%) Tuberculosis (7.6%) + 5 Ischaemic heart disease (6.5%) Diabetes mellitus (7.5%) 5 6 6 Tuberculosis (3.8%) Lower respiratory infections (6.7%) 7 Diarrhoeal diseases (2.7%) COPD (4.5%) 8 Nephritis/nephrosis (2.6%) Prostate (3.4%) 9 COPD (2.4%) Asthma (3.0%) 10 Asthma (2.0%) Nephritis/nephrosis (2.3%) Rank Maternal conditions All other causes 1 Indirect maternal (26.5%) n=23 HIV/AIDS (34.2%) n=2 834 2 Hypertension in pregnancy (24.8%) n=22 Tuberculosis (21.8%) n=1 804 3 Abortion (18.2%) n=16 Lower respiratory infections (5.0%) n=412 4 Other maternal (16.5%) n=15 Diarrhoeal diseases (3.6%) n=299 e l 9 a 4 5 Maternal haemorrhage (8.8%) n=8 Endocrine nutritional,blood, immune (2.5%) n=208 - m 5 e 1 6 Maternal sepsis (5.1%) n=4 Cerebrovascular disease (2.5%) n=204 F 7 Cervix (2.4%) n=196 8 Accidental threats to breathing (1.9%) n=160 9 Meningitis/encephalitis (1.9%) n=158 10 Diabetes mellitus (1.8%) n=146 370 SectionSection B: B:Profile National KwaZulu-Natal and District Province Profiles Annual trends, 2015/16–2019/20 Ugu: DC21 Ugu: DC21 s g e n l i i f 28 n 80 80 10 10 o n r a l P 9 9 p 24 y 19 34 l TB DS client lost to 8 8 i Couple year 23 m 60 60 follow up rate [both 7 7 a protection rate [ | 36 22 F sexes all ages | _ DHIS] 6 6 1 ETR/Tier.Net] _ 5 5 1 40 40 4 12 4 51 3 6 3 e r a 42 c y 80 80 10 10 r e v i l TB DS death rate e Antenatal 1st visit 36 d [both sexes all d coverage [female | 70 70 8 8 n ages | 26 a DHIS] ETR/Tier.Net] y c 45 n 41 45 a 43 n 60 60 6 15 6 g 43 14 e r P _ 100 10 12 100 2 43 42 _ 9 1 18 18 5 TB symptom 5 35 Delivery in 10 to 19 years and older years in facility rate 16 16 screened in facility 50 50 [female | DHIS] rate [both sexes | DHIS] 14 14 0 0 100 100 130 130 9 12 37 120 120 7 110 21 110 TB symptom child 90 90 100 100 under 5 years Maternal mortality 25 29 in facility ratio 90 90 screened in facility 80 80 [female | DHIS] 80 23 80 rate [both sexes | DHIS] 70 70 60 60 70 70 50 16 50 t n e 94 3 94 m t 10 8 14 14 a e r t Adult with viral 92 92 V Neonatal death in I load suppressed 13 38 13 H rate 12 months facility rate [both _ 9 2 [both sexes 15+ 90 90 sexes | DHIS] 31 _ 25 35 2 12 27 12 years | DHIS] 88 88 11 11 n o i 7 t 90 90 a 75 75 s i 9 n u Child with viral 11 m Immunisation 26 28 load suppressed m 80 80 i under 1 year rate 12 months 70 70 d l i coverage [both [both sexes 0-14 h sexes | DHIS] 42 34 C years | DHIS] 21 _ 3 70 70 _ 65 65 1 36 40 t n 6 6 e m 70 23 21 70 t a e r t 23 Death in facility Clients remaining d l 5 5 i on ART rate [both 65 22 65 h years rate under 5 15 20 C [both sexes | sexes all ages | 16 _ 4 DHIS] DHIS] _ 60 60 1 4 14 4 15 12 55 55 6 35 35 3.0 3.0 C 4 U 29 5 Pneumonia case 2.5 2.5 30 30 34 Antiretroviral fatality under 5 effective coverage years rate [both 19 [both sexes 0-14 25 25 sexes <5 years | 2.0 20 2.0 years | DHIS-Tier] 13 DHIS] 16 1.5 17 1.5 20 20 16 t n 3 e 9 6 m t 85 85 a e r t 50 11 50 TB DS treatment Antiretroviral B effective coverage 3 T success rate [both 26 _ 80 80 [both sexes 15+ 1 sexes all ages | _ years | DHIS-Tier] 2 ETR/Tier.Net] 30 40 40 75 44 75 5 6 7 8 9 0 2 1 1 1 1 1 2 0 0 0 0 0 0 6 2 2 2 2 2 2 Y Y Y Y Y Y 50 50 F F F F F F Antiretroviral 10 effective coverage 7 Measure Names Rank [both sexes all Prov av 1 51 ages | DHIS-Tier] 40 40 ZA av Ind Value 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 371 Section B: NationalProfile KwaZulu-Natal and District Profiles Province Ugu: DC21 Ugu: DC21 e 9 c C 82 82 n U 81 81 a n Age-standardised i 80 80 F Expenditure per 3000 3000 prevalence of _ 79 79 5 patient day non-raised blood _ 38 4 equivalent (district pressure (index) 78 78 39 hospitals) [ | BAS [both sexes 15+ 77 77 39 real 2019/20 years | NiDS 76 76 38 prices] modelled] 75 38 75 2500 2500 74 37 74 t s n e t e 48 2600 2600 e m b 50 e 20 20 a 2500 2500 i Provincial & LG g 51 a D District Health 2400 2400 n 50 _ Diabetes a 2 49 Services _ 2300
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