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%) Prov, District 5 HIV/AIDS (6.5%) Birth asphyxia (7.5%) KZ, Ugu DM: DC21 y e a r 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%) 5 Drowning (5.6%) Lower respiratory infections (8.0%) 1 4

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%)

2 4 5 Endocrine nutritional,blood, immune (3.1%) Road injuries (6.7%)

1 5 - 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%)

6 4 5 Lower respiratory infections (4.5%) Interpersonal violence (4.6%)

2 5 - 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%)

6 5 + 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 a l 4 9 5 Maternal haemorrhage (8.8%) n=8 Endocrine nutritional,blood, immune (2.5%) n=208

1 5 - 6 Maternal sepsis (5.1%) n=4 Cerebrovascular disease (2.5%) n=204 F e m 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 e s n g l 80 80 i 10 28 10 o f a n i P r 9 9

p l 24

y 19 34 l TB DS client lost to 8 8 i Couple year 60 23 60 36 follow up rate [both 7 7 protection rate [ | sexes all ages | 22 DHIS] 6 6 ETR/Tier.Net] 5 5 1 _ F a m 40 40 4 12 4 51 3 6 3 e 42 c a r

y 80 80 10 10 v e r i TB DS death rate Antenatal 1st visit 36 d e l [both sexes all coverage [female | 8 8 70 70 ages | 26 a n d DHIS] ETR/Tier.Net] 45 45 41 43 60 60 6 15 6 43 14 e g n a c y 100 100 43 42 10 12 9 1 _ 2 P r 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

e n t 94 3 94 m 14 14 10 8 e a t r t Adult with viral 92 92 V Neonatal death in I load suppressed 13 38 13 facility rate [both rate 12 months 90 9 90 sexes | DHIS] 31 [both sexes 15+

25 35 2 _ H 12 27 12 years | DHIS] 88 88 11 11 o n

i 7 90 90 75 75 s a t 9

u n i Child with viral 11 m Immunisation 26 28 load suppressed

m 80 80 i under 1 year rate 12 months 70 70 d l coverage [both [both sexes 0-14 h i 34 sexes | DHIS] 42 years | DHIS] 21 70 70 65 65 1 _ 3 C 36 40 6 6 e n t

m 70 23 21 70 e a t r

t 23 Death in facility Clients remaining d l 5 5 on ART rate [both 65 22 65

h i years rate under 5 15 20 [both sexes | sexes all ages | 16 DHIS] DHIS] 60 60 1 _ 4 C 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 3 e n t 9 6 m 85 85 e a t r

t 50 11 50 TB DS treatment Antiretroviral 26 effective coverage 3 success rate [both 80 80 sexes all ages | [both sexes 15+ years | DHIS-Tier] 2 _ 1 T B ETR/Tier.Net] 30 40 40

75 44 75

2 6 2 0 1 5 2 0 1 6 2 0 1 7 2 0 1 8 2 0 1 9 2 0 50 50 F Y F Y F Y F Y F Y F Y Antiretroviral 10 effective coverage 7 Measure Names Rank [both sexes all Prov av 1 51 ages | DHIS-Tier] 40 40 ZA av Ind Value 2 0 1 5 2 0 1 6 2 0 1 7 2 0 1 8 2 0 1 9 2 0 F Y F Y F Y F Y F Y F Y

371 Section B: NationalProfile KwaZulu-Natal and District Profiles Province

Ugu: DC21 Ugu: DC21 9

C 82 82

U 81 81 Age-standardised n a c e Expenditure per prevalence of 80 80 3000 3000 non-raised blood 79 79 patient day 38 4 _ 5 F i 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 e s e n t 48 2600 2600 20 50 20

a b e t 2500 2500 i 51 Provincial & LG 50 District Health 2400 2400 Diabetes a n g e m 49 Services 2300 2300 m prevalence [both 48 3 _ 2 D expenditure per sexes 15+ years | 15 15 2200 2200 capita (uninsured) [ NiDS modelled] 2100 2100 | BAS real 2019/20 2000 2000 prices] 10 10 1900 1900 1800 1800

1 0 40 40 1600 1600 C U Provincial & LG Diabetes treatment PHC expenditure 1400 1400 coverage [both 35 35 per capita sexes 15+ years | (uninsured) [ | BAS NiDS modelled] real 2019/20 prices] 1200 1200 41 38 34 30 30 46 44 30

o n 600 600 i 70 5 70 e c t Provincial & LG

d e t 9 Cervical cancer PHC expenditure 60 8 60 500 500 screening per PHC 5 a n c e r coverage [female | headcount [ | BAS DHIS] 50 16 27 50 real 2019/20 prices] 3 _ C 400 400 40 40

1 2 88 88 16 16 C U s e a d i

Tobacco 86 86 Percentage of non-smoking o f prevalence (index) deaths garbage

20 d e n codes [both sexes 14 14 [both sexes 15+ 20 84 21 84 all ages | vital years | NiDS 21 B u r 21 registration] modelled] 20 31 82 82 30 12 28 12 25 25 e n t i 16 35 16 15 a c e s n p a t i y

t 32

i Hospital beds per Percentage of l 20 20 10 000 target 21 deaths ill-defined 19 14 33 14 population [ | DHIS 21 [both sexes all 2000-2030 public ages | vital

4 _ 1 F a c i sector] 15 15 registration] 26 12 12 44 y t

18 18

d e n s i Percentage of Medical YLLs due to k e r practitioners per communicable, o r 35 35 16 16

w 100 000 population maternal, perinatal, h t [both sexes | public 15 19 nutrition causes 16

e a l sector] [both sexes | vital 14 21 14 registration] 20 30 20 30 12 4 _ 2 H 12 12 41 24 11 22 11 47 Percentage of 30 30 Pharmacists per 24 YLLs due to HIV 47 100 000 population 24 and TB [both [both sexes | public 10 10 sexes | vital sector] registration] 25 25 9 9

170 170 18 17 16 18 42 Professional Percentage of 16 32 16 nurses per 100 160 160 000 population YLLs due to 33 injuries [both sexes [both sexes | public | vital registration] sector] 150 150 15 15 n e s a n d

70 70

c i 45 45 C 60 20 25 31 60 e d i Percentage of P H m 50 50 YLLs due to Percentage Ideal non-communicable 40 40 18 17 clinics [ | IC status] 30 21 30 diseases [both | vital 40 40 20 20 sexes registration] 4 _ 3 A c e s 10 19 10 0 11 0 20 2 0 1 5 2 0 1 6 2 0 1 7 2 0 1 8 2 0 1 9 2 0 2 0 1 5 2 0 1 6 2 0 1 7 2 0 1 8 2 0 1 9 2 0 F Y F Y F Y F Y F Y F Y F Y F Y F Y F Y F Y F Y

372 SectionSection B: B:Profile National KwaZulu-Natal and District Province Profiles uMgungundlovu District Municipality (DC22)

The uMgungundlovu District Municipalityc is a Category C municipality located in the KwaZulu-Natal Midlands. The district comprises the following seven local municipalities: Impendle, Mkhambathini, Mpofana, Msunduzi, Richmond, uMngeni, and uMshwathi. Cities/Towns: Ashburton, Camperdown, Cool Air, Dalton, Hilton, Howick, Impendle, Mooi River, New Hanover, Pietermaritzburg, Richmond, Wartburg Area: 9 602km² Population (2019)d: 1 184 320

DistrictDistrict % percentagepopulation by ag epopulation-gender group cbyom page-genderared to South Af rgroupica compared to South Africa

KZ, uMgungundlovu DM (DC22)

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+ 1.8% 3.4% 1.6% 3.2% 1.5% 3.5%

60-64 years 1.4% 1.7% 1.7%

55-59 years 1.7% 1.4% 2.2% 2.1%

50-54 years 1.8% 2.4% 1.6% 2.4% 1.6% 2.3%

45-49 years 2.2% 2.9% 2.0% 2.8% 2.4% 2.9%

40-44 years 2.4% 3.1% 2.4% 3.0% 2.9% 3.3%

35-39 years 3.0% 3.7% 3.3% 3.6% 4.0% 4.1%

30-34 years 3.3% 3.8% 3.8% 3.9% 4.9% 4.8%

25-29 years 4.5% 4.7% 4.7% 4.6% 4.8% 4.8%

20-24 years 4.3% 4.5% 5.5% 5.3% 4.3% 4.3%

15-19 years 5.3% 5.3% 5.3% 5.2% 4.1% 4.1%

10-14 years 5.9% 5.7% 4.7% 4.7% 4.7% 4.8%

05-09 years 5.6% 5.5% 4.6% 4.6% 5.0% 4.9%

00-04 years 4.9% 4.8% 5.3% 5.3% 5.1% 5.0%

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.

c Available from: https://municipalities.co.za/overview/120/umgungundlovu-district-municipality. d Mid-year Population Estimates 2019, Stats SA.

373 Section B: NationalProfile KwaZulu-Natal and District Profiles Province

Percentage of deaths by broad cause and leading causes, 2012–2017 KZ, uMgungundlovu DM: DC22, 2012 - 2017 Percentage of AgeGrp Female Male deaths by broad <5 years 64% 9% 19% 9% 63% 7% 20% 9% causes and 5-14 27% 22% 26% 25% 22% 23% 20% 35% single leading 15-24 20% 40% 21% 19% 8% 17% 14% 60% causes 25-64 12% 33% 50% 6% 10% 33% 38% 18% 65+ 9%3% 86% 3% 8% 6% 81% 4% Total 14% 19% 62% 6% 13% 24% 47% 17% Broadcause Injury NCD Rank Female Male 1 Diarrhoeal diseases (14.7%) Diarrhoeal diseases (16.7%) HIV and TB 2 Preterm birth complications (13.6%) Preterm birth complications (13.6%) Comm_mat_peri_nut 3 Lower respiratory infections (11.7%) Lower respiratory infections (9.3%)

s 4 HIV/AIDS (5.8%) Sepsis/other newborn infectious (6.1%) Prov, District 5 Sepsis/other newborn infectious (5.5%) HIV/AIDS (5.5%) KZ, uMgungundlovu DM: DC22 y e a r 6 Other perinatal conditions (5.1%) Birth asphyxia (5.1%) Show history 5

< 7 Birth asphyxia (5.1%) Other perinatal conditions (5.0%) 8 Fires, hot substances (4.5%) Other congenital abnormalities (3.7%) Percentages are shown 9 Tuberculosis (3.6%) Congenital heart anomalies (3.5%) according to all the deaths 10 Other congenital abnormalities (3.4%) Fires, hot substances (3.1%) within the age/gender 1 HIV/AIDS (17.3%) HIV/AIDS (14.5%) category of each box, 2 Lower respiratory infections (8.9%) Tuberculosis (10.5%) although only the leading 3 Tuberculosis (8.5%) Drowning (9.8%) 10 causes are displayed. 4 Fires, hot substances (8.4%) Accidental threats to breathing (8.8%) 5 Diarrhoeal diseases (6.1%) Diarrhoeal diseases (8.6%) 1 4

5 - 6 Meningitis/encephalitis (5.2%) Road injuries (5.8%) 7 Interpersonal violence (4.3%) Lower respiratory infections (4.1%) 8 Accidental threats to breathing (4.1%) Fires, hot substances (3.4%) 9 Road injuries (3.8%) Epilepsy (2.7%) 10 Endocrine nutritional,blood, immune (3.7%) Leukaemia (2.7%) 1 HIV/AIDS (27.3%) Interpersonal violence (23.5%) 2 Tuberculosis (14.6%) Accidental threats to breathing (11.7%) 3 Diarrhoeal diseases (5.3%) Mechanical forces (10.6%) 4 Accidental threats to breathing (5.0%) HIV/AIDS (10.5%)

2 4 5 Lower respiratory infections (4.7%) Tuberculosis (7.3%)

1 5 - 6 Interpersonal violence (3.2%) Road injuries (5.4%) 7 Meningitis/encephalitis (3.1%) Self-inflicted injuries (4.5%) 8 Endocrine nutritional,blood, immune (2.8%) Lower respiratory infections (2.7%) 9 Self-inflicted injuries (2.3%) Diarrhoeal diseases (2.0%) 10 Road injuries (2.2%) Epilepsy (1.9%) 1 HIV/AIDS (21.8%) HIV/AIDS (18.7%) 2 Tuberculosis (10.9%) Tuberculosis (14.8%) 3 Diabetes mellitus (6.3%) Cerebrovascular disease (4.7%) 4 Hypertensive heart disease (6.1%) Interpersonal violence (4.6%)

6 4 5 Cerebrovascular disease (6.0%) Lower respiratory infections (4.5%)

2 5 - 6 Lower respiratory infections (4.1%) Ischaemic heart disease (4.3%) 7 Cervix (3.7%) Mechanical forces (4.1%) 8 Diarrhoeal diseases (3.6%) Diarrhoeal diseases (3.4%) 9 Ischaemic heart disease (3.0%) Hypertensive heart disease (3.1%) 10 Endocrine nutritional,blood, immune (2.3%) Diabetes mellitus (2.9%) 1 Cerebrovascular disease (18.0%) Cerebrovascular disease (12.1%) 2 Hypertensive heart disease (15.1%) Ischaemic heart disease (12.1%) 3 Diabetes mellitus (11.8%) Hypertensive heart disease (9.1%) 4 Ischaemic heart disease (9.8%) Diabetes mellitus (7.0%) 5 Lower respiratory infections (4.3%) Lower respiratory infections (5.0%)

6 5 + 6 Nephritis/nephrosis (2.6%) Tuberculosis (4.3%) 7 Diarrhoeal diseases (2.6%) Prostate (4.3%) 8 Tuberculosis (1.8%) COPD (3.9%) 9 Endocrine nutritional,blood, immune (1.8%) Trachea/bronchi/lung (3.7%) 10 Breast (1.7%) Nephritis/nephrosis (2.8%)

Rank Maternal conditions All other causes 1 Indirect maternal (30.5%) n=50 HIV/AIDS (30.5%) n=3 003 2 Abortion (20.5%) n=33 Tuberculosis (14.8%) n=1 459 3 Hypertension in pregnancy (19.5%) n=32 Lower respiratory infections (4.8%) n=470 4 Other maternal (17.1%) n=28 Diarrhoeal diseases (4.6%) n=452 e a l 4 9 5 Maternal haemorrhage (6.5%) n=11 Cervix (3.0%) n=300

1 5 - 6 Maternal sepsis (5.9%) n=10 Cerebrovascular disease (2.8%) n=281 F e m 7 Endocrine nutritional,blood, immune (2.5%) n=250 8 Hypertensive heart disease (2.2%) n=219 9 Diabetes mellitus (2.1%) n=209 10 Meningitis/encephalitis (1.9%) n=186

374 SectionSection B: B:Profile National KwaZulu-Natal and District Province Profiles

Annual trends, 2015/16–2019/20

uMgungundlovu: DC22 uMgungundlovu: DC22 e s n g l 1 i 52 o f a n i P r 15 15 p l 200 200 y

l TB DS client lost to i Couple year follow up rate [both protection rate [ | sexes all ages | 10 10 DHIS] ETR/Tier.Net]

1 _ F a m 100 5 100 15 6 5 18 9 5 38 35 10 e c a r

y 80 80 7 7 v e r i TB DS death rate Antenatal 1st visit d e l 39 [both sexes all coverage [female | 44 6 6 70 70 ages | a n d DHIS] 12 ETR/Tier.Net] 12 43 8 41 41 5 5 42 8 e g n a c y 60 60 18 18 7 8 100 3 100 1 _ 2 P r TB symptom 5 6 16 16 Delivery in 10 to 19 27 years and older years in facility rate screened in facility 30 50 1 50 [female | DHIS] 25 rate [both sexes | 14 14 DHIS]

0 0 200 49 200 100 9 100 39 10 48 47 5 47 TB symptom child 90 90 under 5 years Maternal mortality 150 150 screened in facility in facility ratio 80 80 [female | DHIS] rate [both sexes | 37 DHIS] 100 100 70 70

39 e n t m 13 12

e a t 92 92 r 14 14 14 t Adult with viral V Neonatal death in I load suppressed rate 12 months facility rate [both 33 90 90 sexes | DHIS] [both sexes 15+ 12 12 2 _ H years | DHIS] 22 88 24 88 25 23 o n i

s a t 20 22 70 70

u n i Child with viral 80 20 80 m Immunisation load suppressed m i under 1 year rate 12 months 29 d l coverage [both [both sexes 0-14 25 24 h i sexes | DHIS] 49 46 years | DHIS] 65 65 60 60 1 _ 3 C 50 24 14 e n t 29 m 21 e a t 35 70 70 r t Death in facility 6 6 Clients remaining d l 27 on ART rate [both

h i under 5 years rate sexes all ages | 23 [both sexes | 25 DHIS] DHIS]

1 _ 4 C 5 5 60 22 60 22 20 6

3 3 C 25 25 U 24 24 27 23 23 Pneumonia case Antiretroviral 22 23 22 fatality under 5 18 22 22 effective coverage years rate [both 2 2 [both sexes 0-14 21 21 sexes <5 years | years | DHIS-Tier] 20 27 20 DHIS] 19 19 42 19 18 18 28 11 17 17 1 1 50 50 90 90 e n t 1 17

m 17 4 45 45 e a t r

t Antiretroviral 20 TB DS treatment 85 85 effective coverage success rate [both [both sexes 15+ 40 40 sexes all ages | 80 80 years | DHIS-Tier] 2 _ 1 T B ETR/Tier.Net] 19 13 39 35 35 75 75

18 17 2 0 1 5 2 0 1 6 2 0 1 7 2 0 1 8 2 0 1 9 2 0 45 45 F Y F Y F Y F Y F Y F Y Antiretroviral 20 effective coverage 40 40 Measure Names Rank [both sexes all Prov av ages | DHIS-Tier] 1 50 14 ZA av 35 35 Ind Value 2 0 1 5 2 0 1 6 2 0 1 7 2 0 1 8 2 0 1 9 2 0 F Y F Y F Y F Y F Y F Y

375 Section B: NationalProfile KwaZulu-Natal and District Profiles Province

uMgungundlovu: DC22 uMgungundlovu: DC22 9

C 82 82 U

Age-standardised 27 n a c e Expenditure per prevalence of 27 3000 3000 non-raised blood 80 80 patient day 28 4 _ 5 F i equivalent (district pressure (index) hospitals) [ | BAS [both sexes 15+ 28 real 2019/20 years | NiDS 78 78 29 prices] modelled] 2500 2500 31 76 76 e s e n t a b e t

i 30 Provincial & LG 2200 2200 12 12 District Health Diabetes 32 a n g e m Services

m prevalence [both 3 _ 2 D 29 expenditure per sexes 15+ years | 28 capita (uninsured) [ NiDS modelled] 2000 2000 29 | BAS real 2019/20 10 29 10 prices]

1800 1800

1 0 40 40 C U Provincial & LG 1400 1400 Diabetes treatment 35 35 PHC expenditure coverage [both per capita sexes 15+ years | (uninsured) [ | BAS NiDS modelled] real 2019/20 30 47 30 1200 1200 47 46 prices] 46 43 44 o n i 70 6 70 e c t Provincial & LG d e t

10 Cervical cancer 60 60 PHC expenditure 500 500 screening per PHC

a n c e r coverage [female | 9 headcount [ | BAS 12 19 17 DHIS] 50 50 real 2019/20 prices] 3 _ C 400 400 40 40

1 2 88 88 16 16 C 87 87 U s e a d i

Tobacco 86 86 Percentage of non-smoking 85 85 o f 15 15 deaths garbage prevalence (index) 84 84

d e n codes [both sexes [both sexes 15+ 83 83 all ages | vital years | NiDS B u r 82 82 registration] 14 39 14 modelled] 81 26 25 81 43 39 27 27 80 33 31 80 35 35 e n t

i 3 3 3 2 3

a c e s 14 14 n p a t

i 4 y

t 30 30

i Hospital beds per Percentage of l 10 000 target deaths ill-defined population [ | DHIS [both sexes all 12 12 25 25 2000-2030 public ages | vital

4 _ 1 F a c i sector] registration] 10 10 20 20 22 15 12 8 8 y t 70 70 2 18 18

d e n s i 3 Percentage of 60 3 60 Medical 3 YLLs due to k e r practitioners per communicable, o r 50 50 w 100 000 population maternal, perinatal, 16 16 h

t [both sexes | public nutrition causes

e a l sector] 40 40 [both sexes | vital 15 registration] 14 14 18 18

4 _ 2 H 30 30

23 11 11 28 28 22 Percentage of Pharmacists per YLLs due to HIV 100 000 population 20 and TB [both 26 26 [both sexes | public 10 24 23 10 sexes | vital sector] registration] 24 25 24 9 9 22 21 22

2 1 2 2 250 250 36 Professional Percentage of 16 16 nurses per 100 000 population YLLs due to 32 200 200 injuries [both sexes [both sexes | public | vital registration] sector] 15 15 30 150 150 n e s a n d 100 1 100 38

c i 4

C 11 35

e d i Percentage of P H

m 45 45 YLLs due to 39 Percentage Ideal 32 non-communicable clinics [ | IC status] 50 50 diseases [both sexes | vital registration] 40 40 4 _ 3 A c e s 2 10

0 0 2 0 1 5 2 0 1 6 2 0 1 7 2 0 1 8 2 0 1 9 2 0 2 0 1 5 2 0 1 6 2 0 1 7 2 0 1 8 2 0 1 9 2 0 F Y F Y F Y F Y F Y F Y F Y F Y F Y F Y F Y F Y

376 SectionSection B: B:Profile National KwaZulu-Natal and District Province Profiles uThukela District Municipality (DC23)

The uThukela District Municipalitye is a Category C municipality and is located on the western boundary of the KwaZulu- Natal Province. It consists of three local municipalities: Okhahlamba, Alfred Duma and Inkosi Langalibalele. Cities/Towns: Bergville, Cathkin Park, Colenso, Estcourt, Ladysmith, Van Reenen, Weenen, Winterton Area: 11 134km² Population (2019)f: 767 592

DistrictDistrict % percentagepopulation by ag epopulation-gender group cbyom page-genderared to South Af rgroupica compared to South Africa

KZ, uThukela DM (DC23)

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+ 1.4% 3.2% 1.5% 3.4% 1.6% 4.0%

60-64 years 1.3% 1.7% 1.7%

55-59 years 1.6% 2.0% 2.0%

50-54 years 1.4% 2.2% 2.2% 2.1%

45-49 years 1.7% 2.4% 1.5% 2.5% 1.6% 2.4%

40-44 years 1.8% 2.8% 1.7% 2.6% 2.1% 2.5%

35-39 years 2.2% 3.3% 2.2% 2.9% 3.1% 3.2%

30-34 years 2.4% 3.3% 2.7% 3.1% 3.9% 3.8%

25-29 years 3.1% 3.8% 3.8% 3.9% 4.0% 4.0%

20-24 years 3.7% 4.2% 5.0% 5.0% 4.2% 4.3%

15-19 years 6.0% 6.1% 6.0% 6.0% 5.1% 4.9%

10-14 years 7.0% 6.9% 6.0% 6.0% 6.2% 6.0%

05-09 years 6.8% 6.9% 5.9% 5.8% 6.3% 6.0%

00-04 years 6.2% 6.3% 6.7% 6.5% 6.2% 5.9%

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.

e Available from: https://municipalities.co.za/overview/123/uthukela-district-municipality. f Mid-year Population Estimates 2019, Stats SA.

377 Section B: NationalProfile KwaZulu-Natal and District Profiles Province

Percentage of deaths by broad cause and leading causes, 2012–2017 KZ, uThukela DM: DC23, 2012 - 2017 Percentage of AgeGrp Female Male deaths by broad <5 years 74% 8% 11% 7% 77% 7% 9% 7% causes and 5-14 39% 21% 19% 21% 34% 15% 16% 35% single leading 15-24 21% 47% 16% 16% 10% 17% 14% 59% causes 25-64 17% 39% 38% 6% 14% 39% 30% 17% 65+ 14% 4% 79% 2% 14% 8% 73% 5% Total 21% 23% 51% 5% 19% 28% 37% 16% Broadcause Injury NCD Rank Female Male 1 Diarrhoeal diseases (26.3%) Diarrhoeal diseases (25.4%) HIV and TB 2 Lower respiratory infections (16.6%) Lower respiratory infections (16.5%) Comm_mat_peri_nut 3 Preterm birth complications (12.1%) Preterm birth complications (13.3%)

s 4 Protein-energy malnutrition (6.3%) Birth asphyxia (6.9%) Prov, District 5 Birth asphyxia (5.4%) Protein-energy malnutrition (6.0%) KZ, uThukela DM: DC23 y e a r 6 HIV/AIDS (4.9%) HIV/AIDS (4.6%) Show history 5

< 7 Tuberculosis (3.6%) Other perinatal conditions (3.6%) 8 Sepsis/other newborn infectious (2.6%) Sepsis/other newborn infectious (2.5%) Percentages are shown 9 Poisonings (including herbal) (2.5%) Tuberculosis (2.0%) according to all the deaths 10 Other perinatal conditions (2.2%) Septicaemia (1.8%) within the age/gender 1 Lower respiratory infections (14.6%) Diarrhoeal diseases (12.4%) category of each box, 2 Diarrhoeal diseases (13.9%) Lower respiratory infections (11.0%) although only the leading 3 HIV/AIDS (12.0%) HIV/AIDS (10.6%) 10 causes are displayed. 4 Tuberculosis (11.7%) Drowning (10.1%) 5 Road injuries (9.1%) Road injuries (9.7%) 1 4

5 - 6 Meningitis/encephalitis (6.7%) Tuberculosis (6.2%) 7 Accidental threats to breathing (3.8%) Meningitis/encephalitis (5.4%) 8 Epilepsy (3.2%) Accidental threats to breathing (5.3%) 9 Drowning (2.9%) Exposure to natural forces (4.8%) 10 Exposure to natural forces (2.4%) Epilepsy (2.9%) 1 HIV/AIDS (27.8%) Mechanical forces (15.4%) 2 Tuberculosis (21.2%) Interpersonal violence (14.0%) 3 Lower respiratory infections (6.7%) Accidental threats to breathing (12.1%) 4 Diarrhoeal diseases (6.3%) Road injuries (10.4%)

2 4 5 Accidental threats to breathing (4.2%) HIV/AIDS (10.2%)

1 5 - 6 Meningitis/encephalitis (3.6%) Tuberculosis (7.9%) 7 Road injuries (3.1%) Self-inflicted injuries (4.1%) 8 Epilepsy (2.4%) Lower respiratory infections (3.5%) 9 Cerebrovascular disease (2.1%) Epilepsy (3.2%) 10 Interpersonal violence (2.0%) Meningitis/encephalitis (3.0%) 1 HIV/AIDS (24.3%) HIV/AIDS (20.4%) 2 Tuberculosis (15.3%) Tuberculosis (18.9%) 3 Lower respiratory infections (6.6%) Lower respiratory infections (6.5%) 4 Cerebrovascular disease (6.3%) Mechanical forces (5.0%)

6 4 5 Diarrhoeal diseases (6.1%) Cerebrovascular disease (4.6%)

2 5 - 6 Diabetes mellitus (4.5%) Diarrhoeal diseases (4.0%) 7 Hypertensive heart disease (4.3%) Ischaemic heart disease (3.9%) 8 Cervix (3.2%) Road injuries (3.7%) 9 Ischaemic heart disease (3.1%) Interpersonal violence (2.8%) 10 Meningitis/encephalitis (2.3%) Accidental threats to breathing (2.5%) 1 Cerebrovascular disease (21.2%) Cerebrovascular disease (13.8%) 2 Hypertensive heart disease (16.2%) Ischaemic heart disease (11.4%) 3 Ischaemic heart disease (10.5%) Hypertensive heart disease (9.7%) 4 Diabetes mellitus (9.2%) Lower respiratory infections (8.2%) 5 Lower respiratory infections (6.6%) Diabetes mellitus (7.1%)

6 5 + 6 Diarrhoeal diseases (5.2%) Tuberculosis (6.1%) 7 Nephritis/nephrosis (2.7%) Prostate (4.1%) 8 Tuberculosis (2.6%) Nephritis/nephrosis (4.0%) 9 Other circulatory diseases (1.9%) Diarrhoeal diseases (3.8%) 10 HIV/AIDS (1.8%) COPD (3.3%)

Rank Maternal conditions All other causes 1 Indirect maternal (29.3%) n=30 HIV/AIDS (31.8%) n=2 176 2 Other maternal (23.9%) n=25 Tuberculosis (19.6%) n=1 341 3 Hypertension in pregnancy (18.8%) n=19 Lower respiratory infections (7.3%) n=499 4 Abortion (12.7%) n=13 Diarrhoeal diseases (6.6%) n=449 e a l 4 9 5 Maternal haemorrhage (10.5%) n=11 Meningitis/encephalitis (3.2%) n=218

1 5 - 6 Maternal sepsis (4.7%) n=5 Cerebrovascular disease (2.7%) n=185 F e m 7 Cervix (2.4%) n=168 8 Road injuries (2.3%) n=160 9 Endocrine nutritional,blood, immune (1.9%) n=129 10 Nephritis/nephrosis (1.7%) n=115

378 SectionSection B: B:Profile National KwaZulu-Natal and District Province Profiles

Annual trends, 2015/16–2019/20

uThukela: DC23 uThukela: DC23 e s n g l 4 i 10 10 o f a n i

80 21 80 P r

p l 19 y

l TB DS client lost to i Couple year 9 11 follow up rate [both protection rate [ | sexes all ages | DHIS] 5 5 60 32 60 ETR/Tier.Net] 8 1 _ F a m 40 2 3 e 10 41 10 c a r 80 80 y v e r i TB DS death rate Antenatal 1st visit 70 70 8 8 d e l [both sexes all coverage [female | ages |

a n d 51 DHIS] ETR/Tier.Net] 60 49 60 17 49 6 6 49 11 49 50 9 e g n a c y 50 50 100 100 44 42 41 28

1 _ 2 P r 27 18 18 13 20 TB symptom 5 Delivery in 10 to 19 years and older years in facility rate 16 16 screened in facility 50 50 [female | DHIS] rate [both sexes | 2 DHIS] 14 14

0 0 100 100 38 14 15 45 150 150 TB symptom child 90 90 42 Maternal mortality under 5 years 12 in facility ratio screened in facility 80 80 rate [both sexes | [female | DHIS] 100 29 100 DHIS] 29 70 70 9 50 50

44 e n t 94 5 5 94 14 14 m e a t r

t Adult with viral 28 92 92

V 19 Neonatal death in I load suppressed 12 28 12 rate 12 months facility rate [both 90 12 90 sexes | DHIS] 26 [both sexes 15+ 2 _ H years | DHIS] 10 10 88 88 12 o n i 90 90 11 s a t 17 21 15

u n i Child with viral

m Immunisation 80 80 load suppressed 70 23 70 m i under 1 year 36 rate 12 months d l coverage [both [both sexes 0-14 h i sexes | DHIS] 70 43 70 years | DHIS] 39 65 22 65 1 _ 3 C 60 45 60 6.0 6.0 80 80

e n t 11

m 20 13 e a t r

t 5.5 29 5.5 Death in facility Clients remaining d l on ART rate [both 70 13 70 h i under 5 years rate 32 [both sexes | sexes all ages | 5.0 23 5.0 DHIS] 21 DHIS] 1 _ 4 C 60 25 60 4.5 4.5 18 6

C 11

34 U

3 34 3 Pneumonia case Antiretroviral 25 25 fatality under 5 32 effective coverage 14 years rate [both [both sexes 0-14 sexes <5 years | 22 30 2 2 years | DHIS-Tier] DHIS] 24 22 20 20 14 5 e n t

m 17 9 80 80 e a t 50 50 r t TB DS treatment Antiretroviral success rate [both effective coverage [both sexes 15+ 18 sexes all ages | 75 41 75 years | DHIS-Tier] 2 _ 1 T B ETR/Tier.Net] 40 40

46 24 70 52 70 5

2 0 1 5 2 0 1 6 2 0 1 7 2 0 1 8 2 0 1 9 2 0 50 9 50

F Y F Y F Y F Y F Y F Y Antiretroviral effective coverage Measure Names Rank [both sexes all 18 Prov av 1 52 ages | DHIS-Tier] 40 40 ZA av Ind Value 23 2 0 1 5 2 0 1 6 2 0 1 7 2 0 1 8 2 0 1 9 2 0 F Y F Y F Y F Y F Y F Y

379 Section B: NationalProfile KwaZulu-Natal and District Profiles Province

uThukela: DC23 uThukela: DC23

9 84 84 C 16 U 3300 3300 Age-standardised 17 n a c e Expenditure per 3200 3200 82 82 prevalence of 18 3100 3100 non-raised blood patient day 4 _ 5 F i equivalent (district 3000 3000 pressure (index) 19 hospitals) [ | BAS 2900 2900 [both sexes 15+ 80 80 19 real 2019/20 years | NiDS 2800 2800 prices] modelled] 19 2700 2700 78 78 2600 2600 2500 2500 e s e n t

a b e t 12 12 2200 2200

i Provincial & LG District Health Diabetes a n g e m Services

m prevalence [both 3 _ 2 D 10 10 expenditure per sexes 15+ years | 2000 2000 capita (uninsured) [ NiDS modelled] 8 8 | BAS real 2019/20 prices] 14 13 13 1800 1800 17 18 16 6 6

1 0 40 40 C

U 1400 1400 Provincial & LG Diabetes treatment 26 PHC expenditure coverage [both 26 per capita 1300 1300 sexes 15+ years | 35 27 35 (uninsured) [ | BAS NiDS modelled] 28 real 2019/20 1200 1200 prices] 29 29 1100 1100 o n i 70 5 70

e c t 1 500 500 Provincial & LG d e t

2 Cervical cancer 60 60 PHC expenditure screening per PHC 16 450 450 a n c e r coverage [female | headcount [ | BAS DHIS] 50 25 50 real 2019/20 prices] 400 400 3 _ C 18 40 40

1 2 88 88 16 16

C 13 U 13 15 s e a

15 d i Tobacco 86 16 86 Percentage of non-smoking 16 o f prevalence (index) deaths garbage 14 14

d e n codes [both sexes [both sexes 15+ 84 84 all ages | vital years | NiDS B u r registration] modelled] 12 27 26 12 82 82 22 25 25 e n t

i 15 15 a c e s n p a t i y t

i Hospital beds per Percentage of l 10 000 target 20 20 deaths ill-defined population [ | DHIS [both sexes all 10 10 2000-2030 public ages | vital

4 _ 1 F a c i sector] registration] 15 15 4 4 36 36 35 35 33 29 4 5 5 y t 40 40 23 39 23 22 42 22 d e n s i Percentage of 35 35 Medical YLLs due to 21 21 k e r practitioners per communicable, 20 20

o r 36 w 100 000 population 30 30 maternal, perinatal, 19 19 h t [both sexes | public nutrition causes 18 18

e a l sector] 25 [both sexes | vital 17 17 25 25 registration] 27 16 16 26 25

4 _ 2 H 15 15

11 11 10 10 28 28 Percentage of 23 Pharmacists per 9 9 YLLs due to HIV 37 100 000 population 8 8 and TB [both 26 34 26 [both sexes | public 7 7 sexes | vital sector] 6 48 6 registration] 24 24 5 48 49 5 4 51 4 22 22

Professional 160 160 Percentage of 16 39 33 16 nurses per 100 000 population YLLs due to injuries [both sexes [both sexes | public 37 | vital registration] sector] 140 140 15 15 32 33 34 35 n e s a n d 16 15 80 80 45 45 c i 12 C 70 70

e d i Percentage of P H

m 60 60 11 YLLs due to Percentage Ideal 50 50 non-communicable 40 40 clinics [ | IC status] 40 40 diseases [both 30 8 30 sexes | vital 7 registration] 4 _ 3 A c e s 20 3 20 6 10 10 35 14 35 2 0 1 5 2 0 1 6 2 0 1 7 2 0 1 8 2 0 1 9 2 0 2 0 1 5 2 0 1 6 2 0 1 7 2 0 1 8 2 0 1 9 2 0 F Y F Y F Y F Y F Y F Y F Y F Y F Y F Y F Y F Y

380 SectionSection B: B:Profile National KwaZulu-Natal and District Province Profiles uMzinyathi District Municipality (DC24)

The uMzinyathi District Municipalityg is a Category C municipality located in the north and central areas of the KwaZulu- Natal Province. The district consists of four local municipalities: Endumeni, Nquthu, Msinga and Umvoti. Cities/Towns: Dundee, Glencoe, Greytown, Kranskop, Nquthu, Pomeroy Area: 8 652km² Population (2019)h: 575 533

DistrictDistrict % percentagepopulation by ag populatione-gender group cbyom page-genderared to South A fgrouprica compared to South Africa

KZ, uMzinyathi DM (DC24)

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+ 1.4% 3.9% 1.4% 3.9% 3.7%

60-64 years 1.5% 1.7% 1.4%

55-59 years 1.7% 1.9% 1.8%

50-54 years 2.2% 2.0% 1.8%

45-49 years 1.4% 2.4% 2.3% 2.0%

40-44 years 1.4% 2.5% 2.4% 1.5% 2.4%

35-39 years 1.7% 3.2% 1.5% 2.6% 2.6% 3.4%

30-34 years 1.8% 3.1% 2.0% 3.0% 3.7% 4.5%

25-29 years 2.1% 3.5% 3.1% 4.1% 4.1% 4.9%

20-24 years 3.0% 3.9% 4.8% 5.7% 4.1% 4.8%

15-19 years 6.0% 6.2% 6.5% 6.9% 5.2% 5.3%

10-14 years 7.6% 7.6% 6.4% 6.5% 6.2% 6.2%

05-09 years 7.7% 7.8% 6.4% 6.3% 6.5% 6.4%

00-04 years 6.8% 6.8% 7.2% 7.0% 6.9% 6.7%

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.

g Available from: https://municipalities.co.za/overview/122/umzinyathi-district-municipality. h Mid-year Population Estimates 2019, Stats SA.

381 Section B: NationalProfile KwaZulu-Natal and District Profiles Province

Percentage of deaths by broad cause and leading causes, 2012–2017 KZ, uMzinyathi DM: DC24, 2012 - 2017 Percentage of AgeGrp Female Male deaths by broad <5 years 75% 8% 9% 8% 71% 8% 11% 10% causes and 5-14 37% 22% 17% 24% 34% 17% 11% 38% single leading 15-24 19% 47% 15% 18% 8% 18% 13% 61% causes 25-64 14% 43% 37% 6% 13% 41% 30% 16% 65+ 16% 5% 76% 2% 17% 10% 68% 4% Total 21% 24% 50% 5% 20% 29% 36% 16% Broadcause Injury NCD Rank Female Male 1 Lower respiratory infections (17.3%) Preterm birth complications (19.0%) HIV and TB 2 Diarrhoeal diseases (17.1%) Diarrhoeal diseases (16.6%) Comm_mat_peri_nut 3 Preterm birth complications (15.4%) Lower respiratory infections (12.3%)

s 4 Protein-energy malnutrition (10.4%) Birth asphyxia (10.2%) Prov, District 5 Birth asphyxia (9.5%) HIV/AIDS (6.7%) KZ, uMzinyathi DM: DC24 y e a r 6 HIV/AIDS (5.9%) Protein-energy malnutrition (5.9%) Show history 5

< 7 Poisonings (including herbal) (2.9%) Poisonings (including herbal) (2.9%) 8 Other perinatal conditions (2.6%) Other perinatal conditions (2.8%) Percentages are shown 9 Septicaemia (1.9%) Sepsis/other newborn infectious (2.4%) according to all the deaths 10 Sepsis/other newborn infectious (1.9%) Drowning (2.1%) within the age/gender 1 Lower respiratory infections (17.8%) Drowning (15.0%) category of each box, 2 HIV/AIDS (16.1%) HIV/AIDS (13.6%) although only the leading 3 Diarrhoeal diseases (11.6%) Road injuries (12.5%) 10 causes are displayed. 4 Road injuries (9.7%) Lower respiratory infections (11.0%) 5 Tuberculosis (8.6%) Diarrhoeal diseases (10.9%) 1 4

5 - 6 Drowning (4.5%) Tuberculosis (4.9%) 7 Epilepsy (4.3%) Meningitis/encephalitis (3.4%) 8 Meningitis/encephalitis (3.6%) Accidental threats to breathing (3.3%) 9 Exposure to natural forces (3.5%) Protein-energy malnutrition (2.3%) 10 Accidental threats to breathing (2.3%) Septicaemia (2.3%) 1 HIV/AIDS (31.9%) Mechanical forces (16.4%) 2 Tuberculosis (18.4%) Road injuries (14.1%) 3 Road injuries (6.4%) Interpersonal violence (14.0%) 4 Lower respiratory infections (5.3%) HIV/AIDS (11.6%)

2 4 5 Diarrhoeal diseases (4.9%) Accidental threats to breathing (7.3%)

1 5 - 6 Meningitis/encephalitis (3.3%) Tuberculosis (7.2%) 7 Mechanical forces (3.2%) Self-inflicted injuries (5.4%) 8 Accidental threats to breathing (2.6%) Lower respiratory infections (3.3%) 9 Self-inflicted injuries (2.6%) Drowning (2.8%) 10 Endocrine nutritional,blood, immune (2.5%) Epilepsy (2.7%) 1 HIV/AIDS (27.8%) HIV/AIDS (22.8%) 2 Tuberculosis (16.0%) Tuberculosis (18.4%) 3 Cerebrovascular disease (6.6%) Lower respiratory infections (7.3%) 4 Lower respiratory infections (6.3%) Cerebrovascular disease (4.8%)

6 4 5 Diabetes mellitus (4.2%) Mechanical forces (4.8%)

2 5 - 6 Diarrhoeal diseases (4.0%) Road injuries (4.0%) 7 Cervix (3.9%) Diarrhoeal diseases (2.8%) 8 Hypertensive heart disease (3.9%) Interpersonal violence (2.7%) 9 Endocrine nutritional,blood, immune (2.4%) Hypertensive heart disease (2.7%) 10 Ischaemic heart disease (2.1%) Ischaemic heart disease (2.6%) 1 Cerebrovascular disease (24.1%) Cerebrovascular disease (14.6%) 2 Hypertensive heart disease (12.6%) Lower respiratory infections (10.9%) 3 Diabetes mellitus (9.4%) Hypertensive heart disease (9.0%) 4 Lower respiratory infections (8.2%) Ischaemic heart disease (8.2%) 5 Ischaemic heart disease (7.9%) Diabetes mellitus (7.0%)

6 5 + 6 Diarrhoeal diseases (4.9%) Tuberculosis (6.7%) 7 Tuberculosis (3.6%) COPD (4.1%) 8 Septicaemia (2.8%) Diarrhoeal diseases (3.7%) 9 Nephritis/nephrosis (2.5%) HIV/AIDS (3.6%) 10 Endocrine nutritional,blood, immune (2.4%) Nephritis/nephrosis (3.3%)

Rank Maternal conditions All other causes 1 Other maternal (28.4%) n=17 HIV/AIDS (35.4%) n=1 541 2 Indirect maternal (23.7%) n=14 Tuberculosis (20.3%) n=882 3 Hypertension in pregnancy (22.2%) n=13 Lower respiratory infections (6.5%) n=283 4 Maternal haemorrhage (13.4%) n=8 Diarrhoeal diseases (4.1%) n=177 e a l 4 9 5 Abortion (12.4%) n=7 Road injuries (3.2%) n=141

1 5 - 6 Cervix (3.0%) n=132 F e m 7 Cerebrovascular disease (2.5%) n=107 8 Endocrine nutritional,blood, immune (2.4%) n=106 9 Meningitis/encephalitis (2.2%) n=96 10 Mechanical forces (1.6%) n=70

382 SectionSection B: B:Profile National KwaZulu-Natal and District Province Profiles

Annual trends, 2015/16–2019/20

uMzinyathi: DC24 uMzinyathi: DC24 e s n g l 150 1 150 i 10 10 o f a n i P r

p l 1 y

l TB DS client lost to i Couple year 2 follow up rate [both protection rate [ | 100 100 sexes all ages | 5 5 DHIS] 6 ETR/Tier.Net]

1 _ F a m 9 8 1 1 1 1 50 50 0 0 e 52 c a r y 80 80 v e r i TB DS death rate Antenatal 1st visit d e l [both sexes all 44 coverage [female | 10 42 10 75 35 75 ages | 39

a n d DHIS] 23 23 37 ETR/Tier.Net] 35 43 70 70

e g n a c y 5 5 100 100 48 20 44 45 20 30

1 _ 2 P r 29 19 19 24 TB symptom 5 18 18 18 Delivery in 10 to 19 years and older years in facility rate 17 17 screened in facility 50 50 [female | DHIS] 16 16 rate [both sexes | 15 15 DHIS] 14 14 13 13 0 0 100 100 1 13 14 90 90 100 27 100 TB symptom child Maternal mortality under 5 years 15 screened in facility in facility ratio 14 80 80 [female | DHIS] rate [both sexes | DHIS] 50 5 50 70 70 8 3

37 e n t m 14 14 13

e a t 92 92

r 13 16 t Adult with viral 4 V

I load suppressed Neonatal death in 12 12 rate 12 months 90 90 facility rate [both 18 21 sexes | DHIS] [both sexes 15+ 10 10 2 _ H years | DHIS] 88 88 14 8 6 8

o n 100 100 i 6 4 4 s a t 75 75

u n i Child with viral

m Immunisation 90 3 90 load suppressed m i under 1 year rate 12 months

d 19 l coverage [both [both sexes 0-14 70 70

h i 14 sexes | DHIS] 80 80 years | DHIS] 22 22 35 15 65 65 1 _ 3 C 70 70 6 6 e n t 21 m 31 70 24 22 70 25 e a t r t Death in facility 25 Clients remaining d l on ART rate [both 65 65

h i under 5 years rate [both sexes | 5 5 sexes all ages | 28 DHIS] DHIS] 60 60 1 _ 4 C 28 18 18 4 4 55 55 6 30 30 C 8 5 44 U

Pneumonia case 37 3 3 Antiretroviral 25 25 fatality under 5 effective coverage years rate [both [both sexes 0-14 sexes <5 years | 21 years | DHIS-Tier] 40 DHIS] 20 20 2 2 19 14 18 35 90 90 50 15 50 e n t 3 m 5 e a t

r 25 t 85 85 Antiretroviral TB DS treatment 7 40 40 success rate [both effective coverage [both sexes 15+ sexes all ages | 14 38 80 80 years | DHIS-Tier] 2 _ 1 T B ETR/Tier.Net] 30 30 75 75 41 50 50 13 2 0 1 5 2 0 1 6 2 0 1 7 2 0 1 8 2 0 1 9 2 0 25 F Y F Y F Y F Y F Y F Y Antiretroviral 40 40 effective coverage Measure Names Rank [both sexes all 38 Prov av 1 48 ages | DHIS-Tier] ZA av 30 30 Ind Value 41 2 0 1 5 2 0 1 6 2 0 1 7 2 0 1 8 2 0 1 9 2 0 F Y F Y F Y F Y F Y F Y

383 Section B: NationalProfile KwaZulu-Natal and District Profiles Province

uMzinyathi: DC24 uMzinyathi: DC24 9

C 21 U

Age-standardised 82 82 n a c e 3200 3200 22 Expenditure per prevalence of patient day non-raised blood 23 3000 3000 4 _ 5 F i equivalent (district pressure (index) 80 80 hospitals) [ | BAS [both sexes 15+ 23 real 2019/20 2800 2800 years | NiDS 23 prices] modelled] 78 78 2600 2600 24

e s 3500 3500 e n t

a b e t Provincial & LG i 12 12 District Health 3000 3000 Diabetes a n g e m Services

m prevalence [both 3 _ 2 D expenditure per sexes 15+ years | capita (uninsured) [ 2500 2500 NiDS modelled] 22 10 21 10 | BAS real 2019/20 22 prices] 23 2000 2000 25 23

1 0 40 40 1800 1800 C U Provincial & LG 1600 1600 Diabetes treatment 35 35 PHC expenditure coverage [both per capita sexes 15+ years | (uninsured) [ | BAS 1400 1400 NiDS modelled] 30 30 real 2019/20 prices] 1200 1200 25 51 51 51 50 49 46 25 o n i 120 1 120 600 600 e c t 110 110 Provincial & LG d e t

100 100 Cervical cancer PHC expenditure 90 90 screening per PHC 500 500 a n c e r coverage [female | 80 1 80 headcount [ | BAS DHIS] 70 70 real 2019/20 5 60 9 60 prices] 3 _ C 17 50 10 50 400 400 40 40

1 2 5 5 45 C 5 5 5 5 U

s e a 16 16

d i 42 Tobacco 90 90 Percentage of non-smoking o f deaths garbage prevalence (index)

d e n codes [both sexes [both sexes 15+ all ages | vital 14 14 years | NiDS B u r 85 85 registration] modelled]

12 28 12 e n t

i 24 11 24 10 12

a c e s 12

n p a t 14 i y 14 14 t Percentage of i Hospital beds per

l 22 13 22 32 27 10 000 target deaths ill-defined population [ | DHIS [both sexes all 2000-2030 public 20 20 ages | vital 12 12 4 _ 1 F a c i sector] registration] 18 18 21 y t 40 40 23 42 23

d e n s i Percentage of 22 22

Medical YLLs due to 21 21 k e r practitioners per communicable, 20 20 o r 30 30

w 100 000 population maternal, perinatal, 19 19

h 33 t [both sexes | public nutrition causes 18 18

e a l sector] [both sexes | vital 17 30 17 registration] 20 39 20 16 16 35 39 42

4 _ 2 H 15 15

12 12 39 30 30 10 10 Percentage of Pharmacists per YLLs due to HIV 100 000 population and TB [both 37 [both sexes | public 40 8 41 8 sexes | vital sector] 25 25 46 registration] 6 45 6 46

180 10 13 180 37 40 16 12 Professional 170 170 Percentage of 16 16 nurses per 100 YLLs due to 000 population 160 160 injuries [both sexes [both sexes | public | vital registration] sector] 15 15 150 150 29 n e s a n d 100 1 1 100 3 45 45 c i C

e d i Percentage of P H m 8 YLLs due to 40 13 40 Percentage Ideal non-communicable 11 clinics [ | IC status] 50 50 diseases [both 4 sexes | vital 35 35 registration] 4 _ 3 A c e s 6 4 0 0 30 30 2 0 1 5 2 0 1 6 2 0 1 7 2 0 1 8 2 0 1 9 2 0 2 0 1 5 2 0 1 6 2 0 1 7 2 0 1 8 2 0 1 9 2 0 F Y F Y F Y F Y F Y F Y F Y F Y F Y F Y F Y F Y

384 SectionSection B: B:Profile National KwaZulu-Natal and District Province Profiles

Amajuba District Municipality (DC25)

The Amajuba District Municipalityi is a Category C municipality located in the north-western corner of KwaZulu-Natal. It is one of the smallest districts in the province, making up only 8% of its geographical area. The district comprises three local municipalities: Newcastle, eMadlangeni and Dannhauser. Cities/Towns: Charlestown, Dannhauser, Hattingspruit, Newcastle, Utrecht Area: 7 102km² Population (2019)j: 587 033

DistrictDistrict % percentagepopulation by ag populatione-gender group cbyom page-genderared to South A fgrouprica compared to South Africa

KZ, Amajuba DM (DC25)

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% 3.0% 2.0% 3.5%

60-64 years 1.5% 1.7%

55-59 years 1.5% 1.5% 2.0% 1.9%

50-54 years 1.7% 2.1% 1.7% 2.3% 1.3% 2.1%

45-49 years 2.2% 2.6% 1.8% 2.5% 1.9% 2.4%

40-44 years 2.4% 3.1% 1.9% 2.7% 2.5% 2.8%

35-39 years 2.6% 3.3% 2.6% 3.1% 3.5% 3.6%

30-34 years 2.8% 3.5% 3.3% 3.5% 4.3% 4.3%

25-29 years 3.7% 3.9% 4.4% 4.4% 4.6% 4.5%

20-24 years 4.4% 4.3% 5.4% 5.3% 4.5% 4.5%

15-19 years 5.8% 5.7% 5.8% 5.7% 4.7% 4.6%

10-14 years 6.4% 6.1% 5.6% 5.5% 5.1% 5.1%

05-09 years 6.4% 6.3% 5.3% 5.3% 5.5% 5.3%

00-04 years 5.9% 5.7% 5.7% 5.6% 5.9% 5.8%

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.

i Available from: https://municipalities.co.za/overview/116/amajuba-district-municipality. j Mid-year Population Estimates 2019, Stats SA.

385 Section B: NationalProfile KwaZulu-Natal and District Profiles Province

Percentage of deaths by broad cause and leading causes, 2012–2017 KZ, Amajuba DM: DC25, 2012 - 2017 Percentage of AgeGrp Female Male deaths by broad <5 years 73% 5% 16% 6% 74% 4% 14% 7% causes and 5-14 32% 21% 23% 25% 33% 14% 21% 32% single leading 15-24 25% 36% 21% 18% 11% 11% 15% 63% causes 25-64 18% 36% 41% 5% 16% 33% 33% 18% 65+ 14% 4% 80% 2% 16% 8% 72% 4% Total 21% 22% 52% 5% 21% 23% 39% 16% Broadcause Injury NCD Rank Female Male 1 Lower respiratory infections (19.9%) Lower respiratory infections (19.6%) HIV and TB 2 Preterm birth complications (19.7%) Preterm birth complications (18.5%) Comm_mat_peri_nut 3 Diarrhoeal diseases (16.1%) Diarrhoeal diseases (17.8%)

s 4 Birth asphyxia (6.4%) Birth asphyxia (5.7%) Prov, District 5 Protein-energy malnutrition (3.8%) Other perinatal conditions (4.0%) KZ, Amajuba DM: DC25 y e a r 6 Congenital heart anomalies (3.5%) Sepsis/other newborn infectious (3.6%) Show history 5

< 7 Other perinatal conditions (3.0%) Protein-energy malnutrition (3.5%) 8 HIV/AIDS (2.5%) Other congenital abnormalities (2.8%) Percentages are shown 9 Tuberculosis (2.3%) Tuberculosis (2.5%) according to all the deaths 10 Septicaemia (2.0%) Congenital heart anomalies (2.0%) within the age/gender 1 Lower respiratory infections (18.6%) Lower respiratory infections (17.1%) category of each box, 2 Road injuries (17.5%) Road injuries (14.6%) although only the leading 3 HIV/AIDS (12.1%) Diarrhoeal diseases (11.9%) 10 causes are displayed. 4 Tuberculosis (11.2%) Drowning (11.5%) 5 Diarrhoeal diseases (10.3%) Tuberculosis (8.8%) 1 4

5 - 6 Meningitis/encephalitis (4.7%) HIV/AIDS (8.4%) 7 Epilepsy (4.6%) Accidental threats to breathing (5.5%) 8 Accidental threats to breathing (3.6%) Meningitis/encephalitis (3.6%) 9 Drowning (3.4%) Other respiratory (3.4%) 10 Brain (3.2%) Epilepsy (2.8%) 1 HIV/AIDS (20.7%) Interpersonal violence (21.5%) 2 Tuberculosis (18.3%) Road injuries (18.3%) 3 Lower respiratory infections (13.6%) Accidental threats to breathing (13.2%) 4 Road injuries (7.9%) Tuberculosis (6.4%)

2 4 5 Accidental threats to breathing (4.7%) Mechanical forces (5.7%)

1 5 - 6 Diarrhoeal diseases (3.7%) HIV/AIDS (5.6%) 7 Endocrine nutritional,blood, immune (3.4%) Lower respiratory infections (5.5%) 8 Meningitis/encephalitis (3.0%) Drowning (4.2%) 9 Nephritis/nephrosis (2.8%) Epilepsy (2.8%) 10 Epilepsy (2.5%) Diarrhoeal diseases (2.5%) 1 HIV/AIDS (20.4%) Tuberculosis (17.5%) 2 Tuberculosis (15.9%) HIV/AIDS (16.1%) 3 Lower respiratory infections (9.9%) Lower respiratory infections (10.7%) 4 Cerebrovascular disease (5.6%) Road injuries (6.0%)

6 4 5 Hypertensive heart disease (5.3%) Cerebrovascular disease (4.4%)

2 5 - 6 Diabetes mellitus (4.6%) Interpersonal violence (3.3%) 7 Cervix (4.3%) Diarrhoeal diseases (3.2%) 8 Diarrhoeal diseases (4.0%) Hypertensive heart disease (3.0%) 9 Nephritis/nephrosis (3.0%) Ischaemic heart disease (3.0%) 10 Road injuries (2.2%) Accidental threats to breathing (2.9%) 1 Cerebrovascular disease (19.4%) Cerebrovascular disease (13.5%) 2 Hypertensive heart disease (17.5%) Hypertensive heart disease (11.5%) 3 Diabetes mellitus (10.8%) Lower respiratory infections (10.9%) 4 Lower respiratory infections (8.5%) Diabetes mellitus (7.3%) 5 Ischaemic heart disease (4.8%) Ischaemic heart disease (6.7%)

6 5 + 6 Nephritis/nephrosis (3.8%) Tuberculosis (6.4%) 7 Diarrhoeal diseases (3.4%) COPD (3.9%) 8 Tuberculosis (3.0%) Prostate (3.9%) 9 Cervix (2.3%) Nephritis/nephrosis (3.7%) 10 Endocrine nutritional,blood, immune (1.9%) Diarrhoeal diseases (2.9%)

Rank Maternal conditions All other causes 1 Other maternal (37.0%) n=22 HIV/AIDS (26.6%) n=1 214 2 Indirect maternal (22.0%) n=13 Tuberculosis (20.5%) n=938 3 Hypertension in pregnancy (16.8%) n=10 Lower respiratory infections (12.1%) n=554 4 Abortion (9.4%) n=6 Diarrhoeal diseases (4.4%) n=202 e a l 4 9 5 Maternal haemorrhage (9.0%) n=5 Road injuries (3.5%) n=159

1 5 - 6 Maternal sepsis (5.8%) n=3 Cervix (3.4%) n=154 F e m 7 Meningitis/encephalitis (2.6%) n=119 8 Endocrine nutritional,blood, immune (2.4%) n=111 9 Nephritis/nephrosis (2.2%) n=99 10 Cerebrovascular disease (2.1%) n=97

386 SectionSection B: B:Profile National KwaZulu-Natal and District Province Profiles

Annual trends, 2015/16–2019/20

Amajuba: DC25 Amajuba: DC25 e s n g l 80 80 i o f 10 10 a n i

P r 24

p l 10 y

l 26 TB DS client lost to i 70 70 Couple year 26 21 follow up rate [both 8 8 protection rate [ | sexes all ages | 26 DHIS] 60 60 ETR/Tier.Net] 36 27 22 1 _ F a m 6 23 6 50 50 e 51 c a r 80 80 51 y 49

v e r 46 i TB DS death rate Antenatal 1st visit d e l 70 70 [both sexes all 10 10 coverage [female | 49 ages | a n d DHIS] ETR/Tier.Net] 60 60 48 47 48 51 47 e g n a c y 5 5 39 3 5 18 18

1 _ 2 P r 100 100 TB symptom 5 7 6 33 years and older Delivery in 10 to 19 16 16 years in facility rate 29 screened in facility [female | DHIS] rate [both sexes | 50 50 DHIS] 14 14

0 0 48 2 150 150 31 7 40 TB symptom child 100 100 36 Maternal mortality under 5 years screened in facility in facility ratio 100 100 11 [female | DHIS] rate [both sexes | DHIS] 80 80 11 50 50 6

38 e n t 1 m 95 1 1 95 14 14

38 e a t

r 1

t Adult with viral

35 V Neonatal death in I load suppressed facility rate [both 12 12 rate 12 months sexes | DHIS] [both sexes 15+ 90 90 2 _ H years | DHIS] 10 10 13 10 8 8 o n

i 2 90 90

s a t 13 15 1 4 80 80 u n i Child with viral 5 m Immunisation load suppressed m i under 1 year 80 80 rate 12 months

d 22 l coverage [both [both sexes 0-14 h i sexes | DHIS] years | DHIS] 70 70

1 _ 3 C 70 47 70 48 31 20 e n t 25

m 70 70 6 6 23 e a t

r 16 t Death in facility Clients remaining d l on ART rate [both 65 65

h i under 5 years rate [both sexes | 5 5 sexes all ages | 15 DHIS] DHIS] 60 60 1 _ 4 C 17 15 15 4 17 15 4 55 55 6 27 27 3 3 C 11 U 26 19 26 11 25 25 Pneumonia case Antiretroviral 24 19 24 fatality under 5 2 20 2 effective coverage 23 23 years rate [both [both sexes 0-14 22 22 sexes <5 years | years | DHIS-Tier] DHIS] 15 21 21 15 20 20 1 8 9 12 1 19 19 50 50 16 e n t m 80 80 22 e a t

r 26 t Antiretroviral TB DS treatment 37 40 40 effective coverage success rate [both 75 75 [both sexes 15+ sexes all ages | 49 47 years | DHIS-Tier] 2 _ 1 T B ETR/Tier.Net] 30 30 70 70 43 49 16

2 0 1 5 2 0 1 6 2 0 1 7 2 0 1 8 2 0 1 9 2 0 22 F Y F Y F Y F Y F Y F Y Antiretroviral 40 25 40 effective coverage Measure Names Rank [both sexes all Prov av 1 51 ages | DHIS-Tier] 30 30 ZA av Ind Value 43 2 0 1 5 2 0 1 6 2 0 1 7 2 0 1 8 2 0 1 9 2 0 F Y F Y F Y F Y F Y F Y

387 Section B: NationalProfile KwaZulu-Natal and District Profiles Province

Amajuba: DC25 Amajuba: DC25 9

C 82 82 5K 5K U 26 Age-standardised n a c e Expenditure per prevalence of 26 non-raised blood 80 80 patient day 27 4 _ 5 F i equivalent (district 4K 4K pressure (index) hospitals) [ | BAS [both sexes 15+ 27 real 2019/20 years | NiDS 78 78 28 prices] modelled] 3K 3K 30 76 76 e s e n t a b e t

i Provincial & LG 12 12 District Health 2000 2000 Diabetes a n g e m Services

m prevalence [both 3 _ 2 D expenditure per sexes 15+ years | capita (uninsured) [ NiDS modelled] 10 10 | BAS real 2019/20 1500 1500 prices] 23 21 21 18 19 18 8 8

1 0 40 40 C

U 1400 1400 Provincial & LG Diabetes treatment PHC expenditure coverage [both 35 35 per capita sexes 15+ years | (uninsured) [ | BAS 1200 1200 NiDS modelled] 41 real 2019/20 39 38 prices] 37 33 1000 1000 30 33 30

o n 600 600 i 2 9

e c t 10 60 60 Provincial & LG d e t Cervical cancer PHC expenditure 500 500 screening per PHC

a n c e r coverage [female | 50 24 50 headcount [ | BAS DHIS] real 2019/20 20 prices] 400 400 3 _ C 40 40 28

1 2 88 88 16 16 C U s e a d i

Tobacco 86 86 Percentage of 15 15 non-smoking o f 40 prevalence (index) deaths garbage

d e n codes [both sexes [both sexes 15+ 40 84 84 all ages | vital 14 14 years | NiDS B u r 22 22 registration] modelled] 22 22 22 22 13 13 82 82 34 e n t i 24 24 15 15 13

a c e s 15 n p a t i y t

i Hospital beds per 15 Percentage of

l 22 15 22 10 000 target 14 deaths ill-defined 18 population [ | DHIS [both sexes all 10 10 16 2000-2030 public 20 20 ages | vital

4 _ 1 F a c i sector] registration] 10 18 18 5 3 5 y t 22 22 50 6 50 36

d e n s i Percentage of 6 38 Medical YLLs due to 20 20 k e r practitioners per communicable, o r 8

w 100 000 population maternal, perinatal, 40 10 40 18 30 18 h

t [both sexes | public nutrition causes

e a l sector] [both sexes | vital registration] 16 16

4 _ 2 H 30 30

31 11 11 28 28 Percentage of Pharmacists per YLLs due to HIV 100 000 population and TB [both 26 26 [both sexes | public 10 10 sexes | vital sector] 34 registration] 24 26 24 9 36 9 25 32 31 22 22 8 170 14 170 16 16 Professional 18 20 Percentage of 31 nurses per 100 YLLs due to 23 000 population 160 160 injuries [both sexes [both sexes | public | vital registration] 14 14 sector] 150 150 15 n e s a n d 100 1 1 1 100 3

c i 45 45 C

e d i Percentage of P H m YLLs due to Percentage Ideal non-communicable 22 19 50 50 clinics [ | IC status] diseases [both 4 sexes | vital 40 40 registration] 4 _ 3 A c e s 0 11 0 22 2 0 1 5 2 0 1 6 2 0 1 7 2 0 1 8 2 0 1 9 2 0 2 0 1 5 2 0 1 6 2 0 1 7 2 0 1 8 2 0 1 9 2 0 F Y F Y F Y F Y F Y F Y F Y F Y F Y F Y F Y F Y

388 SectionSection B: B:Profile National KwaZulu-Natal and District Province Profiles

Zululand District Municipality (DC26)

The Zululand District Municipalityk is a Category C municipality situated in the north-eastern part of KwaZulu-Natal. It is the largest district in the province, making up 16% of its geographical area. It comprises five local municipalities: Ulundi, Nongoma, uPhongolo, eDumbe and AbaQulusi. Cities/Towns: Louwsburg, Nongoma, Paulpietersburg, Pongola, Ulundi, Vryheid Area: 14 799km² Population (2019)l: 894 124

DistrictDistrict % percentagepopulation by ag populatione-gender group cbyom page-genderared to South A fgrouprica compared to South Africa

KZ, Zululand DM (DC26)

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+ 1.5% 3.2% 1.9% 3.6% 2.0% 4.1%

60-64 years 1.3% 1.3% 1.6%

55-59 years 1.3% 1.7% 1.9%

50-54 years 1.7% 2.0% 1.9%

45-49 years 1.5% 2.3% 2.3% 2.1%

40-44 years 1.7% 2.5% 1.4% 2.3% 1.7% 2.4%

35-39 years 1.9% 3.1% 1.8% 2.5% 2.7% 3.3%

30-34 years 2.0% 3.0% 2.3% 3.0% 3.7% 4.0%

25-29 years 2.6% 3.4% 3.5% 4.0% 3.8% 4.2%

20-24 years 3.5% 4.1% 5.2% 5.4% 3.9% 4.3%

15-19 years 6.4% 6.6% 6.4% 6.3% 5.4% 5.3%

10-14 years 7.7% 7.8% 6.0% 6.1% 6.4% 6.2%

05-09 years 7.6% 7.4% 6.4% 6.3% 6.4% 6.2%

00-04 years 6.4% 6.6% 7.1% 6.9% 6.5% 6.3%

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.

k Available from: https://municipalities.co.za/overview/125/zululand-district-municipality. l Mid-year Population Estimates 2019, Stats SA.

389 Section B: NationalProfile KwaZulu-Natal and District Profiles Province

Percentage of deaths by broad cause and leading causes, 2012–2017 KZ, Zululand DM: DC26, 2012 - 2017 Percentage of AgeGrp Female Male deaths by broad <5 years 74% 9% 9% 8% 73% 9% 9% 9% causes and 5-14 31% 30% 17% 21% 28% 22% 18% 32% single leading 15-24 19% 49% 17% 15% 9% 21% 12% 58% causes 25-64 13% 46% 36% 5% 12% 45% 27% 16% 65+ 16% 7% 74% 2% 15% 15% 66% 4% Total 21% 28% 46% 5% 19% 32% 33% 15% Broadcause Injury NCD Rank Female Male 1 Diarrhoeal diseases (24.4%) Diarrhoeal diseases (20.9%) HIV and TB 2 Lower respiratory infections (17.8%) Lower respiratory infections (15.5%) Comm_mat_peri_nut 3 Preterm birth complications (11.5%) Preterm birth complications (13.2%)

s 4 Protein-energy malnutrition (7.6%) Birth asphyxia (8.1%) Prov, District 5 Birth asphyxia (6.9%) Protein-energy malnutrition (7.3%) KZ, Zululand DM: DC26 y e a r 6 HIV/AIDS (6.7%) HIV/AIDS (6.3%) Show history 5

< 7 Poisonings (including herbal) (3.3%) Other perinatal conditions (3.5%) 8 Other perinatal conditions (2.5%) Poisonings (including herbal) (3.2%) Percentages are shown 9 Tuberculosis (2.0%) Tuberculosis (3.1%) according to all the deaths 10 Septicaemia (1.6%) Septicaemia (2.3%) within the age/gender 1 Tuberculosis (17.2%) Drowning (15.3%) category of each box, 2 HIV/AIDS (16.7%) HIV/AIDS (14.4%) although only the leading 3 Diarrhoeal diseases (12.7%) Diarrhoeal diseases (9.4%) 10 causes are displayed. 4 Drowning (9.4%) Tuberculosis (9.2%) 5 Lower respiratory infections (8.5%) Lower respiratory infections (8.4%) 1 4

5 - 6 Meningitis/encephalitis (7.3%) Road injuries (7.4%) 7 Road injuries (4.6%) Accidental threats to breathing (5.1%) 8 Epilepsy (3.8%) Epilepsy (4.7%) 9 Accidental threats to breathing (2.2%) Meningitis/encephalitis (4.6%) 10 Fires, hot substances (2.0%) Endocrine nutritional,blood, immune (2.1%) 1 Tuberculosis (25.4%) Interpersonal violence (20.5%) 2 HIV/AIDS (25.2%) Accidental threats to breathing (15.9%) 3 Lower respiratory infections (6.1%) Tuberculosis (12.3%) 4 Accidental threats to breathing (4.7%) HIV/AIDS (9.4%)

2 4 5 Road injuries (4.3%) Road injuries (9.1%)

1 5 - 6 Meningitis/encephalitis (4.0%) Mechanical forces (7.6%) 7 Endocrine nutritional,blood, immune (3.8%) Lower respiratory infections (3.8%) 8 Diarrhoeal diseases (3.1%) Epilepsy (3.0%) 9 Interpersonal violence (2.0%) Meningitis/encephalitis (2.7%) 10 Epilepsy (1.7%) Diarrhoeal diseases (1.8%) 1 HIV/AIDS (24.6%) Tuberculosis (24.3%) 2 Tuberculosis (22.0%) HIV/AIDS (20.7%) 3 Cerebrovascular disease (5.7%) Lower respiratory infections (6.0%) 4 Lower respiratory infections (5.3%) Cerebrovascular disease (3.9%)

6 4 5 Diabetes mellitus (4.6%) Mechanical forces (3.6%)

2 5 - 6 Cervix (4.2%) Road injuries (3.6%) 7 Diarrhoeal diseases (3.9%) Interpersonal violence (3.4%) 8 Hypertensive heart disease (3.7%) Accidental threats to breathing (3.3%) 9 Endocrine nutritional,blood, immune (3.3%) Diarrhoeal diseases (3.1%) 10 Meningitis/encephalitis (1.9%) Ischaemic heart disease (2.4%) 1 Cerebrovascular disease (20.9%) Tuberculosis (12.3%) 2 Hypertensive heart disease (14.3%) Cerebrovascular disease (11.9%) 3 Diabetes mellitus (10.5%) Hypertensive heart disease (10.5%) 4 Lower respiratory infections (8.7%) Lower respiratory infections (9.8%) 5 Tuberculosis (6.0%) Diabetes mellitus (8.1%)

6 5 + 6 Ischaemic heart disease (5.5%) Ischaemic heart disease (7.1%) 7 Diarrhoeal diseases (4.9%) Prostate (4.2%) 8 Endocrine nutritional,blood, immune (2.7%) Diarrhoeal diseases (3.1%) 9 Nephritis/nephrosis (2.2%) Nephritis/nephrosis (2.7%) 10 Cervix (2.1%) HIV/AIDS (2.6%)

Rank Maternal conditions All other causes 1 Indirect maternal (29.1%) n=22 HIV/AIDS (30.3%) n=2 066 2 Hypertension in pregnancy (21.7%) n=17 Tuberculosis (26.7%) n=1 816 3 Maternal haemorrhage (18.5%) n=14 Lower respiratory infections (5.6%) n=382 4 Other maternal (16.4%) n=13 Diarrhoeal diseases (4.0%) n=272 e a l 4 9 5 Abortion (9.4%) n=7 Endocrine nutritional,blood, immune (3.5%) n=242

1 5 - 6 Maternal sepsis (4.8%) n=4 Cervix (3.2%) n=217 F e m 7 Meningitis/encephalitis (2.8%) n=193 8 Cerebrovascular disease (2.0%) n=134 9 Road injuries (1.9%) n=132 10 Accidental threats to breathing (1.6%) n=106

390 SectionSection B: B:Profile National KwaZulu-Natal and District Province Profiles

Annual trends, 2015/16–2019/20

Zululand: DC26 Zululand: DC26 e s n g l 12 i 10 10 80 80 o f a n i

P r 9 9 p l y

l TB DS client lost to 8 8 i Couple year 70 28 70 follow up rate [both 7 7 protection rate [ | sexes all ages | DHIS] 6 6 60 29 60 ETR/Tier.Net] 33 5 5 1 _ F a m 43 4 4 50 40 50 3 4 5 4 2 3 e 9 37 9 c a r y 80 80 31 v e r i TB DS death rate 8 8 Antenatal 1st visit 30 d e l [both sexes all coverage [female | 26 75 36 75 ages | 7 7 a n d DHIS] 41 39 ETR/Tier.Net] 6 6 70 31 70 34 37 e g n a c y 100 100 51 51 25 50 11 20 1 _ 2 P r 10 20 20 TB symptom 5 Delivery in 10 to 19 years and older years in facility rate screened in facility 50 50 [female | DHIS] rate [both sexes | DHIS] 15 15

0 0 100 100

18 23 TB symptom child 90 8 90 100 100 Maternal mortality 25 26 under 5 years in facility ratio 18 screened in facility 80 80 [female | DHIS] 17 rate [both sexes | DHIS] 7 70 70 50 50 13 94 94 e n t 9 9 m 14 14 11 e a t

r 92 92

t Adult with viral V Neonatal death in I load suppressed 7 29 34 36 facility rate [both 12 12 rate 12 months 90 90 sexes | DHIS] 21 [both sexes 15+ 2 _ H years | DHIS] 88 88 10 10 11 o n i 6 8 75 7 75

s a t 90 90 10

u n i Child with viral 14

m Immunisation load suppressed m i under 1 year 14 rate 12 months 70 21 70 d l coverage [both 80 80 [both sexes 0-14 h i 27 sexes | DHIS] years | DHIS] 65 65 1 _ 3 C 23 70 45 70 8 8 e n t 44

m 70 70 35

e a t 7 7 r

t 41 Death in facility Clients remaining d l on ART rate [both 65 65 h i under 5 years rate 40 [both sexes | 6 6 sexes all ages | 38 37 31 DHIS] DHIS] 60 60

1 _ 4 C 26 5 5 40 19 55 55 6

5 5 C 17

43 U 40 8 4 4 Pneumonia case 42 Antiretroviral 25 25 fatality under 5 effective coverage 44 years rate [both 43 41 [both sexes 0-14 22 3 3 sexes <5 years | years | DHIS-Tier] DHIS] 23 20 20 2 2

50 50

e n t 2 20 m 9 e a t 85 85

r 28 t TB DS treatment 17 Antiretroviral 40 40 8 success rate [both effective coverage sexes all ages | 80 80 [both sexes 15+ 39 years | DHIS-Tier] 2 _ 1 T B ETR/Tier.Net] 30 30

75 75 44

19 2 0 1 5 2 0 1 6 2 0 1 7 2 0 1 8 2 0 1 9 2 0 27 F Y F Y F Y F Y F Y F Y Antiretroviral 40 40 effective coverage Measure Names Rank [both sexes all 39 Prov av 1 51 ages | DHIS-Tier] 30 30 ZA av Ind Value 44 2 0 1 5 2 0 1 6 2 0 1 7 2 0 1 8 2 0 1 9 2 0 F Y F Y F Y F Y F Y F Y

391 Section B: NationalProfile KwaZulu-Natal and District Profiles Province

Zululand: DC26 Zululand: DC26

9 82 82 3500 3500 C U

Age-standardised 25 n a c e Expenditure per prevalence of 25 non-raised blood 24 patient day 80 80 4 _ 5 F i equivalent (district pressure (index) 24 3000 3000 hospitals) [ | BAS [both sexes 15+ 21 real 2019/20 years | NiDS 20 prices] modelled] 78 78 2500 2500 e s e n t a b e t

i Provincial & LG 12 12 District Health Diabetes 2500 2500 a n g e m Services

m prevalence [both 3 _ 2 D expenditure per sexes 15+ years | capita (uninsured) [ NiDS modelled] | BAS real 2019/20 10 27 27 25 25 22 21 10 prices] 2000 2000

1 0 40 40 C 39 39 U 38 38 Provincial & LG 1400 1400 Diabetes treatment 37 37 PHC expenditure coverage [both 36 36 per capita sexes 15+ years | 35 35 (uninsured) [ | BAS NiDS modelled] real 2019/20 34 34 1200 1200 prices] 33 27 33 36 32 28 32 42 41 32 o n i 7 60 60 e c t 500 500 Provincial & LG d e t

13 11 Cervical cancer 9 PHC expenditure screening 21 per PHC 450 450 a n c e r coverage [female | 50 50 headcount [ | BAS DHIS] real 2019/20 prices] 400 400 3 _ C 21 40 40

1 2 1 16 16 C 1 1 1

U 2 95 2 95 s e a d i

Tobacco Percentage of non-smoking o f deaths garbage prevalence (index) 90 90

d e n codes [both sexes 14 14 [both sexes 15+ all ages | vital years | NiDS B u r registration] 35 modelled] 85 85 37

12 27 12 20 20 e n t

i 45 a c e s n p a t i y

t 18

i Hospital beds per Percentage of l 10 000 target deaths ill-defined 37 20 20 41 population [ | DHIS [both sexes all 15 15 2000-2030 public ages | vital

4 _ 1 F a c i sector] 22 registration] 25 21 27 24 15 15 y t 40 40 22 38 22

d e n s i Percentage of Medical YLLs due to

k e r 30 30 20 20 practitioners per communicable, o r 33 w 100 000 population maternal, perinatal, 32 h

t [both sexes | public nutrition causes 18 18

e a l sector] 20 20 [both sexes | vital registration] 47 16 16 48 46 47 4 _ 2 H 12 12 43 51 10 10 Percentage of 30 30 Pharmacists per YLLs due to HIV 46 100 000 population and TB [both [both sexes | public 8 8 sexes | vital sector] 47 registration] 25 25 6 49 6 49 50 4 4

170 170 35 Professional Percentage of 16 16 nurses per 100 160 160 000 population YLLs due to injuries [both sexes [both sexes | public 150 150 | vital registration] sector] 15 15

140 31 30 140 28 30 25 19 14 14 n e s a n d 10 13 45 45 c i

C 9

e d i Percentage of P H m 9 YLLs due to 40 40 Percentage Ideal 50 50 non-communicable clinics [ | IC status] diseases [both 2 6 sexes | vital 35 3 35 registration] 4 _ 3 A c e s 7 5 0 0 30 30 2 0 1 5 2 0 1 6 2 0 1 7 2 0 1 8 2 0 1 9 2 0 2 0 1 5 2 0 1 6 2 0 1 7 2 0 1 8 2 0 1 9 2 0 F Y F Y F Y F Y F Y F Y F Y F Y F Y F Y F Y F Y

392 SectionSection B: B:Profile National KwaZulu-Natal and District Province Profiles uMkhanyakude District Municipality (DC27)

The uMkhanyakude District Municipalitym is a Category C municipality located along the coast in the far north of the KwaZulu-Natal Province. It shares its borders with Swaziland and Mozambique, and consists of the following four local municipalities: uMhlabuyalingana, Jozini, Big 5 Hlabisa and Mtubatuba. Cities/Towns: Hlabisa, Hluhluwe, Ingwavuma, Jozini, Mbazwana, Mkuze, Mtubatuba, St Lucia Area: 13 855km² Population (2019)n: 704 651

DistrictDistrict % percentagepopulation by ag populatione-gender group cbyom page-genderared to South A fgrouprica compared to South Africa

KZ, uMkhanyakude DM (DC27)

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+ 1.5% 3.2% 1.5% 3.2% 1.3% 3.1%

60-64 years 1.2% 1.4%

55-59 years 1.4% 1.7%

50-54 years 1.6% 1.9% 2.0%

45-49 years 1.8% 2.2% 2.2%

40-44 years 1.6% 2.6% 1.3% 2.5% 1.7% 2.5%

35-39 years 1.8% 3.0% 1.6% 2.7% 2.8% 3.6%

30-34 years 2.0% 3.4% 2.3% 3.2% 3.8% 4.5%

25-29 years 2.4% 3.6% 3.7% 4.5% 3.9% 4.7%

20-24 years 3.4% 4.2% 5.3% 5.9% 4.0% 4.6%

15-19 years 6.3% 6.5% 6.2% 6.5% 5.0% 5.3%

10-14 years 8.0% 7.9% 5.9% 6.2% 6.0% 6.2%

05-09 years 7.8% 7.8% 6.3% 6.4% 6.4% 6.5%

00-04 years 6.9% 6.9% 7.4% 7.3% 6.7% 6.6%

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.

m Available from: https://municipalities.co.za/overview/121/umkhanyakude-district-municipality. n Mid-year Population Estimates 2019, Stats SA.

393 Section B: NationalProfile KwaZulu-Natal and District Profiles Province

Percentage of deaths by broad cause and leading causes, 2012–2017 KZ, uMkhanyakude DM: DC27, 2012 - 2017 Percentage of AgeGrp Female Male deaths by broad <5 years 65% 13% 12% 10% 66% 13% 11% 10% causes and 5-14 24% 30% 23% 23% 22% 20% 25% 33% single leading 15-24 11% 54% 18% 17% 8% 23% 14% 55% causes 25-64 9% 52% 34% 5% 8% 50% 26% 16% 65+ 14% 7% 76% 3% 11% 16% 69% 4% Total 15% 31% 48% 6% 14% 36% 35% 15% Broadcause Injury NCD Rank Female Male 1 Diarrhoeal diseases (20.7%) Diarrhoeal diseases (20.4%) HIV and TB 2 Lower respiratory infections (11.3%) Birth asphyxia (10.2%) Comm_mat_peri_nut 3 Preterm birth complications (9.5%) HIV/AIDS (9.8%)

s 4 HIV/AIDS (8.9%) Lower respiratory infections (9.7%) Prov, District 5 Birth asphyxia (8.6%) Preterm birth complications (9.3%) KZ, uMkhanyakude DM: DC27 y e a r 6 Protein-energy malnutrition (7.7%) Protein-energy malnutrition (8.1%) Show history 5

< 7 Tuberculosis (4.8%) Other perinatal conditions (4.9%) 8 Poisonings (including herbal) (3.5%) Tuberculosis (3.6%) Percentages are shown 9 Other perinatal conditions (3.4%) Poisonings (including herbal) (2.8%) according to all the deaths 10 Septicaemia (2.5%) Sepsis/other newborn infectious (2.2%) within the age/gender 1 Tuberculosis (19.8%) HIV/AIDS (15.0%) category of each box, 2 HIV/AIDS (16.7%) Drowning (14.5%) although only the leading 3 Road injuries (12.6%) Road injuries (9.5%) 10 causes are displayed. 4 Diarrhoeal diseases (8.2%) Diarrhoeal diseases (7.4%) 5 Meningitis/encephalitis (5.2%) Tuberculosis (7.1%) 1 4

5 - 6 Lower respiratory infections (5.1%) Meningitis/encephalitis (4.4%) 7 Epilepsy (5.1%) Accidental threats to breathing (3.9%) 8 Drowning (5.0%) Lower respiratory infections (3.7%) 9 Nephritis/nephrosis (3.8%) Other neurological conditions (3.4%) 10 Rheumatic heart disease (3.1%) Other neoplasms (1.9%) 1 HIV/AIDS (38.8%) HIV/AIDS (15.4%) 2 Tuberculosis (19.3%) Accidental threats to breathing (14.4%) 3 Road injuries (6.0%) Interpersonal violence (13.5%) 4 Accidental threats to breathing (3.3%) Road injuries (13.3%)

2 4 5 Diarrhoeal diseases (2.9%) Tuberculosis (9.1%)

1 5 - 6 Endocrine nutritional,blood, immune (2.8%) Mechanical forces (7.7%) 7 Mechanical forces (2.4%) Drowning (4.6%) 8 Interpersonal violence (2.2%) Meningitis/encephalitis (2.6%) 9 Epilepsy (1.8%) Lower respiratory infections (2.0%) 10 Lower respiratory infections (1.6%) Endocrine nutritional,blood, immune (1.7%) 1 HIV/AIDS (37.2%) HIV/AIDS (32.0%) 2 Tuberculosis (15.3%) Tuberculosis (18.4%) 3 Cerebrovascular disease (5.1%) Road injuries (4.5%) 4 Cervix (4.9%) Mechanical forces (3.3%)

6 4 5 Hypertensive heart disease (3.7%) Interpersonal violence (3.2%)

2 5 - 6 Diabetes mellitus (3.7%) Lower respiratory infections (3.1%) 7 Diarrhoeal diseases (2.7%) Cerebrovascular disease (2.8%) 8 Lower respiratory infections (2.3%) Accidental threats to breathing (2.8%) 9 Endocrine nutritional,blood, immune (2.2%) Diarrhoeal diseases (2.3%) 10 Ischaemic heart disease (1.6%) Hypertensive heart disease (2.3%) 1 Cerebrovascular disease (24.2%) Hypertensive heart disease (14.1%) 2 Hypertensive heart disease (18.3%) Cerebrovascular disease (13.2%) 3 Diabetes mellitus (6.9%) Tuberculosis (9.1%) 4 Lower respiratory infections (5.1%) Prostate (6.9%) 5 Diarrhoeal diseases (4.8%) HIV/AIDS (6.7%)

6 5 + 6 Tuberculosis (4.5%) Lower respiratory infections (6.0%) 7 Ischaemic heart disease (3.6%) Diabetes mellitus (4.9%) 8 HIV/AIDS (2.9%) Ischaemic heart disease (4.4%) 9 Cervix (2.5%) Diarrhoeal diseases (3.0%) 10 Septicaemia (2.5%) Nephritis/nephrosis (2.7%)

Rank Maternal conditions All other causes 1 Indirect maternal (30.9%) n=15 HIV/AIDS (44.6%) n=1 852 2 Other maternal (24.1%) n=11 Tuberculosis (18.4%) n=766 3 Abortion (23.5%) n=11 Cervix (4.0%) n=165 4 Maternal haemorrhage (12.0%) n=6 Diarrhoeal diseases (2.6%) n=109 e a l 4 9 5 Hypertension in pregnancy (9.5%) n=5 Road injuries (2.4%) n=100

1 5 - 6 Endocrine nutritional,blood, immune (2.2%) n=93 F e m 7 Cerebrovascular disease (2.0%) n=82 8 Lower respiratory infections (1.9%) n=78 9 Meningitis/encephalitis (1.8%) n=73 10 Accidental threats to breathing (1.4%) n=58

394 SectionSection B: B:Profile National KwaZulu-Natal and District Province Profiles

Annual trends, 2015/16–2019/20 uMkhanyakude: DC27 uMkhanyakude: DC27 e s n g l 80 80 i 10 10 o f a n i P r p l y

l TB DS client lost to i Couple year 70 70 16 follow up rate [both protection rate [ | 36 sexes all ages | DHIS] 32 5 5 60 60 ETR/Tier.Net] 31 3 1 _ F a m 40 2 50 50 2 47 2 e 9 35 9 c a r 22 y 27 80 80 8 8 v e r i 24 TB DS death rate 28 28 Antenatal 1st visit 29 d e l [both sexes all coverage [female | 19 75 75 ages | 7 7 a n d DHIS] ETR/Tier.Net] 26 6 6 70 70 10 e g n a c y 5 5 100 100 49 49 32 1 _ 2 P r 20 46 20 33 TB symptom 5 16 30 Delivery in 10 to 19 years and older years in facility rate screened in facility 50 50 rate [both sexes | [female | DHIS] 3 DHIS] 15 15

0 0 100 100 18 TB symptom child 90 20 90 100 100 Maternal mortality under 5 years screened in facility 13 in facility ratio 17 19 80 80 [female | DHIS] rate [both sexes | DHIS] 6 10 50 15 50 70 70 6 95 95 e n t 2

14 14 m 94 6 4 94

e a t 93 93 r

t Adult with viral 92 92 V Neonatal death in 12 12 I load suppressed 91 6 91 facility rate [both rate 12 months sexes | DHIS] [both sexes 15+ 90 90 10 11 19 10 2 _ H years | DHIS] 89 89 9 13 88 88 87 87 8 7 8

o n 100 100 i 7 5 75 75 s a t 8

u n i Child with viral 90 90 m Immunisation load suppressed m i under 1 year 10 rate 12 months 70 16 18 18 70 d l coverage [both [both sexes 0-14 h i sexes | DHIS] 80 22 80 years | DHIS] 38 16 65 65 1 _ 3 C 70 70

e n t 8 40 80 8 80 m 34 7 e a t

r 6 6 t Death in facility 29 Clients remaining 8 d l on ART rate [both 70 70 h i under 5 years rate 19 [both sexes | sexes all ages | DHIS] DHIS] 5 23 5 1 _ 4 C 60 60 19 6

C 3

29 U 3 3.0 36 3.0

Pneumonia case 33 Antiretroviral fatality under 5 2.5 2.5 effective coverage 30 30 years rate [both [both sexes 0-14 9 sexes <5 years | years | DHIS-Tier] DHIS] 2.0 2.0 19 31 28 17 20 20 1.5 1.5 4 e n t 3 m 8 4

e a t 11

r 85 85 50 50 t TB DS treatment 4 Antiretroviral 19 success rate [both effective coverage sexes all ages | [both sexes 15+ 80 80 years | DHIS-Tier] 2 _ 1 T B ETR/Tier.Net] 40 40 12 75 75

3 2 0 1 5 2 0 1 6 2 0 1 7 2 0 1 8 2 0 1 9 2 0 50 10 50 F Y F Y F Y F Y F Y F Y Antiretroviral effective coverage 20 Measure Names Rank [both sexes all Prov av 1 49 ages | DHIS-Tier] 40 40 ZA av 11 Ind Value 2 0 1 5 2 0 1 6 2 0 1 7 2 0 1 8 2 0 1 9 2 0 F Y F Y F Y F Y F Y F Y

395 Section B: NationalProfile KwaZulu-Natal and District Profiles Province

uMkhanyakude: DC27 uMkhanyakude: DC27 9

C 12 3500 3500

U 84 84

Age-standardised 10 n a c e 12 Expenditure per prevalence of non-raised blood 82 13 82 patient day

4 _ 5 F i equivalent (district pressure (index) 15 3000 3000 hospitals) [ | BAS [both sexes 15+ 14 80 80 real 2019/20 years | NiDS prices] modelled] 78 78 2500 2500 e s

e n t 13 13 12 12 a b e t

i Provincial & LG 3000 3000 11 11 District Health Diabetes a n g e m 10 10 Services m prevalence [both 3 _ 2 D expenditure per sexes 15+ years | 9 19 9 16 capita (uninsured) [ 2500 2500 NiDS modelled] 8 8 7 16 7 | BAS real 2019/20 14 prices] 6 11 6 2000 2000 13 5 5

1 0 40 40 1800 1800 C U Provincial & LG Diabetes treatment PHC expenditure 1600 1600 coverage [both per capita sexes 15+ years | 30 48 30 (uninsured) [ | BAS 1400 1400 NiDS modelled] 48 real 2019/20 50 51 prices] 51 1200 1200 50 o n i 7 3

e c t 500 500 60 11 60 Provincial & LG d e t Cervical cancer 12 PHC expenditure screening per PHC 18 450 450 a n c e r coverage [female | headcount [ | BAS DHIS] 40 40 real 2019/20 prices]

3 _ C 400 400 41

1 2 1 1 16 16 C 95 2 2 2 2 95 U s e a d i

Tobacco Percentage of 14 14 non-smoking o f prevalence (index) 90 90 deaths garbage

d e n codes [both sexes [both sexes 15+ all ages | vital 12 12 years | NiDS B u r 23 20 registration] modelled] 85 85 10 10 10 e n t

i 24 24 18 41 18 a c e s n p a t i y t

i Hospital beds per Percentage of l 22 22 16 42 34 16 10 000 target deaths ill-defined population [ | DHIS [both sexes all 20 20 20 14 14 2000-2030 public 18 ages | vital

4 _ 1 F a c i sector] registration] 18 18 12 12 21 22 20 20 y t 40 40 18 25 18 d e n s i Percentage of

Medical 30 30 YLLs due to k e r practitioners per communicable, o r

w 100 000 population maternal, perinatal, 16 16 h t [both sexes | public nutrition causes 20 20 21

e a l sector] [both sexes | vital 40 registration] 14 14 49 49 50 15 4 _ 2 H 10 10 12 12 40 52 40

10 10 Percentage of 35 35 Pharmacists per 52 YLLs due to HIV 52 100 000 population and TB [both [both sexes | public 8 8 30 30 sexes | vital sector] 45 46 registration] 6 6 48 25 25 49 17 17 170 170 38 Professional 16 16 Percentage of nurses per 100 160 160 000 population YLLs due to 27 injuries [both sexes [both sexes | public 15 15 | vital registration] sector] 26 150 25 27 150 25 14 23 14 n e s a n d 14

45 45

c i 18 C

e d i 17 Percentage of P H m 10 YLLs due to 40 40 50 50 Percentage Ideal non-communicable 5 clinics [ | IC status] 3 diseases [both 5 sexes | vital 35 35 registration] 4 _ 3 A c e s 30 30 0 11 0 3 2 0 1 5 2 0 1 6 2 0 1 7 2 0 1 8 2 0 1 9 2 0 2 0 1 5 2 0 1 6 2 0 1 7 2 0 1 8 2 0 1 9 2 0 F Y F Y F Y F Y F Y F Y F Y F Y F Y F Y F Y F Y

396 SectionSection B: B:Profile National KwaZulu-Natal and District Province Profiles

King Cetshwayo District Municipality (DC28)

The King Cetshwayo District Municipalityo (previously uThungulu District Municipality) is a Category C municipality and is located in the north-eastern region of the KwaZulu-Natal Province. The district is home to five local municipalities: City of uMhlathuze, uMlalazi, Mthonjaneni, Nkandla and uMfolozi. Cities/Towns: Empangeni, Eshowe, KwaGingindlovu, KwaMbonambi, Melmoth, Mtunzini, Nkandla, Ntambanana, Richards Bay Area: 8 213km² Population (2019)p: 1 008 375

DistrictDistrict % percentagepopulation by ag epopulation-gender group cbyom page-genderared to South Af rgroupica compared to South Africa

KZ, King Cetshwayo DM (DC28)

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+ 1.4% 3.0% 1.5% 3.3% 1.6% 3.8%

60-64 years 1.3% 1.5% 1.7%

55-59 years 1.3% 1.7% 1.9%

50-54 years 1.4% 2.0% 1.4% 2.1% 2.0%

45-49 years 1.7% 2.1% 1.6% 2.4% 1.7% 2.5%

40-44 years 2.0% 2.8% 1.8% 2.5% 2.1% 2.7%

35-39 years 2.4% 3.3% 2.4% 3.1% 3.0% 3.4%

30-34 years 2.6% 3.3% 2.8% 3.3% 3.8% 4.3%

25-29 years 3.5% 4.2% 3.8% 4.1% 4.2% 4.6%

20-24 years 3.9% 4.5% 5.2% 5.4% 4.3% 4.6%

15-19 years 5.8% 6.1% 6.2% 6.1% 4.8% 4.8%

10-14 years 6.8% 6.8% 5.8% 5.8% 5.8% 5.8%

05-09 years 7.0% 6.8% 5.6% 5.5% 6.0% 5.9%

00-04 years 6.2% 6.1% 6.6% 6.4% 5.9% 5.8%

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.

o Available from: https://municipalities.co.za/overview/124/king-cetshwayo-district-municipality. p Mid-year Population Estimates 2019, Stats SA.

397 Section B: NationalProfile KwaZulu-Natal and District Profiles Province

Percentage of deaths by broad cause and leading causes, 2012–2017 KZ, King Cetshwayo DM: DC28, 2012 - 2017 Percentage of AgeGrp Female Male deaths by broad <5 years 71% 9% 13% 7% 70% 7% 14% 9% causes and 5-14 29% 25% 27% 19% 24% 22% 22% 32% single leading 15-24 18% 45% 20% 18% 9% 16% 17% 58% causes 25-64 11% 43% 41% 6% 9% 41% 32% 18% 65+ 12% 6% 79% 3% 11% 12% 72% 6% Total 17% 26% 51% 6% 15% 30% 38% 17% Broadcause Injury NCD Rank Female Male 1 Preterm birth complications (19.2%) Preterm birth complications (20.0%) HIV and TB 2 Lower respiratory infections (12.7%) Diarrhoeal diseases (12.5%) Comm_mat_peri_nut 3 Diarrhoeal diseases (12.5%) Lower respiratory infections (8.6%)

s 4 Sepsis/other newborn infectious (6.7%) Birth asphyxia (8.3%) Prov, District 5 HIV/AIDS (6.6%) Sepsis/other newborn infectious (7.9%) KZ, King Cetshwayo DM: DC28 y e a r 6 Birth asphyxia (6.2%) Protein-energy malnutrition (6.1%) Show history 5

< 7 Protein-energy malnutrition (5.4%) HIV/AIDS (5.3%) 8 Other perinatal conditions (3.6%) Other perinatal conditions (3.8%) Percentages are shown 9 Septicaemia (2.7%) Septicaemia (3.1%) according to all the deaths 10 Other congenital abnormalities (2.4%) Fires, hot substances (2.5%) within the age/gender 1 HIV/AIDS (15.7%) HIV/AIDS (12.0%) category of each box, 2 Tuberculosis (10.9%) Tuberculosis (11.9%) although only the leading 3 Diarrhoeal diseases (9.6%) Road injuries (10.9%) 10 causes are displayed. 4 Road injuries (8.3%) Drowning (9.4%) 5 Lower respiratory infections (7.7%) Diarrhoeal diseases (9.4%) 1 4

5 - 6 Meningitis/encephalitis (6.5%) Meningitis/encephalitis (5.6%) 7 Asthma (4.6%) Epilepsy (5.0%) 8 Drowning (3.7%) Lower respiratory infections (4.5%) 9 Epilepsy (3.2%) Accidental threats to breathing (3.4%) 10 Endocrine nutritional,blood, immune (2.5%) Fires, hot substances (3.2%) 1 HIV/AIDS (29.5%) Interpersonal violence (17.8%) 2 Tuberculosis (16.5%) Road injuries (13.8%) 3 Road injuries (6.1%) Mechanical forces (10.7%) 4 Lower respiratory infections (4.1%) HIV/AIDS (9.5%)

2 4 5 Endocrine nutritional,blood, immune (3.6%) Accidental threats to breathing (8.5%)

1 5 - 6 Accidental threats to breathing (3.5%) Tuberculosis (7.2%) 7 Meningitis/encephalitis (2.7%) Epilepsy (2.6%) 8 Diarrhoeal diseases (2.6%) Drowning (2.6%) 9 Interpersonal violence (2.5%) Meningitis/encephalitis (2.5%) 10 Epilepsy (1.9%) Lower respiratory infections (2.2%) 1 HIV/AIDS (27.3%) HIV/AIDS (23.5%) 2 Tuberculosis (15.4%) Tuberculosis (17.7%) 3 Cerebrovascular disease (5.8%) Road injuries (5.1%) 4 Diabetes mellitus (4.7%) Mechanical forces (4.6%)

6 4 5 Hypertensive heart disease (4.2%) Interpersonal violence (3.9%)

2 5 - 6 Lower respiratory infections (3.9%) Cerebrovascular disease (3.8%) 7 Cervix (3.8%) Lower respiratory infections (3.5%) 8 Diarrhoeal diseases (3.0%) Diabetes mellitus (3.2%) 9 Endocrine nutritional,blood, immune (2.8%) Hypertensive heart disease (2.6%) 10 Nephritis/nephrosis (2.3%) Diarrhoeal diseases (2.4%) 1 Cerebrovascular disease (21.5%) Cerebrovascular disease (13.2%) 2 Hypertensive heart disease (16.7%) Hypertensive heart disease (11.7%) 3 Diabetes mellitus (9.4%) Tuberculosis (8.3%) 4 Lower respiratory infections (5.8%) Diabetes mellitus (7.5%) 5 Tuberculosis (4.3%) Lower respiratory infections (5.9%)

6 5 + 6 Ischaemic heart disease (4.2%) Ischaemic heart disease (5.9%) 7 Diarrhoeal diseases (4.1%) Prostate (4.0%) 8 Nephritis/nephrosis (2.5%) HIV/AIDS (3.7%) 9 Cervix (2.3%) Nephritis/nephrosis (3.2%) 10 HIV/AIDS (1.9%) COPD (2.4%)

Rank Maternal conditions All other causes 1 Indirect maternal (29.4%) n=40 HIV/AIDS (35.7%) n=2 921 2 Other maternal (23.9%) n=32 Tuberculosis (18.8%) n=1 533 3 Hypertension in pregnancy (20.9%) n=29 Lower respiratory infections (3.9%) n=315 4 Abortion (12.4%) n=17 Diarrhoeal diseases (3.2%) n=262 e a l 4 9 5 Maternal haemorrhage (8.2%) n=11 Road injuries (3.0%) n=248

1 5 - 6 Maternal sepsis (5.2%) n=7 Endocrine nutritional,blood, immune (3.0%) n=247 F e m 7 Cervix (2.9%) n=234 8 Cerebrovascular disease (2.1%) n=173 9 Nephritis/nephrosis (2.0%) n=164 10 Meningitis/encephalitis (2.0%) n=160

398 SectionSection B: B:Profile National KwaZulu-Natal and District Province Profiles

Annual trends, 2015/16–2019/20

King Cetshwayo: DC28 King Cetshwayo: DC28 e s n g l i 31

80 80 o f 10 10 a n i P r p l y

l TB DS client lost to i 70 70 8 8 Couple year follow up rate [both 30 protection rate [ | 21 27 sexes all ages | DHIS] 60 37 60 ETR/Tier.Net] 6 6

1 _ F a m 36 42 13 50 46 50 4 12 4

e 28 c a r

y 80 80 8 30 8 v e r i TB DS death rate Antenatal 1st visit 32 d e l [both sexes all 7 7 coverage [female | 37 ages |

a n d DHIS] ETR/Tier.Net] 70 40 70 36 6 6 39 13 38 14 e g n a c y 18 18 100 100 39 19 27

1 _ 2 P r 15 35 35 12 TB symptom 5 Delivery in 10 to 19 16 16 years and older years in facility rate screened in facility 50 50 [female | DHIS] rate [both sexes | DHIS] 14 14

0 0 100 100 46 8 11 200 200 4 TB symptom child 90 90 under 5 years Maternal mortality 43 in facility ratio 150 150 screened in facility 41 rate [both sexes | 80 80 [female | DHIS] 40 40 DHIS] 100 100 70 70 27 95 95 20 49 20 e n t 2 m 94 3 4 94

e a t 93 93 r

t Adult with viral 92 92 V Neonatal death in I load suppressed rate 12 months 91 91 facility rate [both 15 44 15 9 sexes | DHIS] [both sexes 15+ 90 90 34 2 _ H years | DHIS] 89 89 35 88 88 32 87 87

o n 5 i 90 90 75 6 75 s a t Child with viral u n i 19 23 m Immunisation load suppressed 16 m i under 1 year rate 12 months 70 22 70 d

l 18 coverage [both 80 24 80 [both sexes 0-14 h i sexes | DHIS] years | DHIS] 65 65 1 _ 3 C 39 20 70 70 15 e n t 44

m 19 34 39 70 70 e a t 7 7 r t Death in facility Clients remaining d l 34 on ART rate [both 20

h i under 5 years rate sexes all ages | [both sexes | 6 6 DHIS] 19 DHIS] 60 60 1 _ 4 C 5 5 24 21 6

6 6 C 35 4 35 52 U 47 45 5 Pneumonia case Antiretroviral 30 6 30 4 4 fatality under 5 44 effective coverage years rate [both [both sexes 0-14 6 40 sexes <5 years | years | DHIS-Tier] 25 25 DHIS] 2 2 20 20 14 5 5 e n t 14 6 m 16

e a t 50 50 r

t 80 80 Antiretroviral TB DS treatment 27 effective coverage 6 success rate [both [both sexes 15+ sexes all ages | years | DHIS-Tier] 2 _ 1 T B ETR/Tier.Net] 40 40 70 70

50 5 5 6

2 0 1 5 2 0 1 6 2 0 1 7 2 0 1 8 2 0 1 9 2 0 50 50

F Y F Y F Y F Y F Y F Y Antiretroviral effective coverage 6 Measure Names Rank [both sexes all Prov av 1 52 ages | DHIS-Tier] 40 40 ZA av Ind Value 2 0 1 5 2 0 1 6 2 0 1 7 2 0 1 8 2 0 1 9 2 0 F Y F Y F Y F Y F Y F Y

399 Section B: NationalProfile KwaZulu-Natal and District Profiles Province

King Cetshwayo: DC28 King Cetshwayo: DC28 9

C 82 82

U 3200 3200 Age-standardised n a c e Expenditure per 3100 3100 prevalence of 3000 3000 non-raised blood 80 80 patient day 33 4 _ 5 F i equivalent (district pressure (index) 2900 2900 32 hospitals) [ | BAS [both sexes 15+ 2800 2800 30 real 2019/20 years | NiDS 2700 2700 78 29 78 prices] modelled] 31 2600 2600 29 2500 2500 e s e n t 2400 2400 a b e t i 12 12 Provincial & LG District Health Diabetes a n g e m Services

m prevalence [both 2200 2200 3 _ 2 D expenditure per sexes 15+ years | 10 31 10 26 capita (uninsured) [ NiDS modelled] 22 | BAS real 2019/20 2000 2000 19 prices] 17 8 16 8 1800 1800

1 0 40 40 C U Provincial & LG 1400 1400 Diabetes treatment 35 35 PHC expenditure coverage [both per capita sexes 15+ years | (uninsured) [ | BAS NiDS modelled] real 2019/20 30 30 1200 1200 prices] 41 36 48 47 50 49 o n i 4 70 70 e c t 500 500 Provincial & LG d e t 8 Cervical cancer 9 PHC expenditure 60 60 screening 10 per PHC 450 450

a n c e r coverage [female | headcount [ | BAS DHIS] 50 13 50 real 2019/20 14 prices] 400 400 3 _ C

40 40 350 350

1 2 16 16 95 3 3 95 C 3 3 3 3 U s e a d i

Tobacco Percentage of non-smoking 90 90 o f 14 14 prevalence (index) deaths garbage

d e n codes [both sexes [both sexes 15+ all ages | vital years | NiDS B u r registration] 12 12 modelled] 85 85 20 15 16 10 10 e n t

i 24 24 19 45 19 43 18 18 a c e s 16 14 10 10 n p a t i y 16 12

t 17 17

i Hospital beds per Percentage of

l 22 22 10 000 target deaths ill-defined 16 16 population [ | DHIS [both sexes all 15 36 15 2000-2030 public 20 20 ages | vital 14 14

4 _ 1 F a c i sector] registration] 13 13 18 18 12 12 11 11 y t 9 19 26 19 18 18

d e n s i Percentage of Medical 40 40 YLLs due to 17 17 k e r practitioners per 12 communicable, 16 16 o r 11 w 100 000 population 12 maternal, perinatal, 15 15 h t [both sexes | public 35 35 nutrition causes 14 14

e a l sector] [both sexes | vital 13 13 registration] 12 12 11 12 4 _ 2 H 30 30 11 11 12 12 40 30 30 Percentage of Pharmacists per 10 10 42 YLLs due to HIV 100 000 population 43 and TB [both [both sexes | public sexes | vital sector] 40 8 44 8 registration] 25 25 42 44 6 6 10 17 43 17 180 9 180 44 7 9 Professional Percentage of nurses per 100 16 16 000 population YLLs due to injuries [both sexes [both sexes | public 160 160 | vital registration] sector] 15 32 15

20 n e s a n d 70 70 45 45 c i C 60 60 e d i 33 Percentage of P H 26 22 m 50 23 50 YLLs due to Percentage Ideal 16 non-communicable 40 40 40 40 clinics [ | IC status] 30 30 diseases [both | vital 20 12 20 sexes registration] 4 _ 3 A c e s 10 10 0 11 0 35 13 35 2 0 1 5 2 0 1 6 2 0 1 7 2 0 1 8 2 0 1 9 2 0 2 0 1 5 2 0 1 6 2 0 1 7 2 0 1 8 2 0 1 9 2 0 F Y F Y F Y F Y F Y F Y F Y F Y F Y F Y F Y F Y

400 SectionSection B: B:Profile National KwaZulu-Natal and District Province Profiles iLembe District Municipality (DC29)

The iLembe District Municipalityq is a Category C municipality situated on the east coast of KwaZulu-Natal. It is the smallest of the province’s district municipalities, making up a mere 3% of its geographical area. iLembe consists of four local municipalities located between Durban and Richards Bay: Mandeni, KwaDukuza, Maphumulo and Ndwedwe. Cities/Towns: Dolphin Coast/Ballito, Isithebe, KwaDukuza, Mandeni, Ndwedwe, Nkwazi/Zinkwazi Beach Area: 3 269km² Population (2019)r: 715 941

DistrictDistrict % percentagepopulation by ag epopulation-gender group cbyom page-genderared to South Af rgroupica compared to South Africa

KZ, iLembe DM (DC29)

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% 3.3% 2.1% 3.9% 2.5% 4.4%

60-64 years 1.4% 1.7% 1.7%

55-59 years 1.6% 1.9% 2.0%

50-54 years 1.6% 2.3% 1.4% 2.1% 1.5% 2.2%

45-49 years 1.7% 2.3% 1.8% 2.6% 2.1% 2.5%

40-44 years 2.0% 2.7% 2.0% 2.7% 2.4% 2.9%

35-39 years 2.5% 3.4% 2.7% 3.1% 3.4% 3.6%

30-34 years 2.6% 3.3% 3.1% 3.4% 4.2% 4.3%

25-29 years 3.6% 4.0% 4.1% 4.3% 4.4% 4.5%

20-24 years 3.8% 4.3% 5.3% 5.3% 4.3% 4.3%

15-19 years 5.8% 5.8% 5.8% 5.7% 4.3% 4.3%

10-14 years 6.7% 6.6% 5.6% 5.4% 5.3% 5.2%

05-09 years 6.7% 6.5% 5.1% 5.0% 5.4% 5.2%

00-04 years 6.0% 5.8% 5.9% 5.8% 5.6% 5.5%

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.

q Available from: https://municipalities.co.za/overview/117/ilembe-district-municipality. r Mid-year Population Estimates 2019, Stats SA.

401 Section B: NationalProfile KwaZulu-Natal and District Profiles Province

Percentage of deaths by broad cause and leading causes, 2012–2017 KZ, iLembe DM: DC29, 2012 - 2017 Percentage of AgeGrp Female Male deaths by broad <5 years 73% 7% 12% 7% 73% 9% 11% 7% causes and 5-14 47% 20% 13% 20% 40% 18% 14% 28% single leading 15-24 21% 46% 16% 18% 13% 20% 11% 57% causes 25-64 13% 41% 40% 6% 11% 41% 31% 17% 65+ 11% 6% 80% 3% 10% 12% 73% 5% Total 17% 24% 52% 6% 16% 30% 38% 17% Broadcause Injury NCD Rank Female Male 1 Preterm birth complications (16.3%) Preterm birth complications (15.0%) HIV and TB 2 Diarrhoeal diseases (16.1%) Diarrhoeal diseases (14.5%) Comm_mat_peri_nut 3 Lower respiratory infections (13.7%) Birth asphyxia (12.4%)

s 4 Birth asphyxia (9.6%) Lower respiratory infections (11.4%) Prov, District 5 Protein-energy malnutrition (6.0%) Sepsis/other newborn infectious (7.3%) KZ, iLembe DM: DC29 y e a r 6 HIV/AIDS (5.3%) Protein-energy malnutrition (6.4%) Show history 5

< 7 Sepsis/other newborn infectious (4.8%) HIV/AIDS (5.1%) 8 Septicaemia (3.7%) Tuberculosis (3.7%) Percentages are shown 9 Other perinatal conditions (2.5%) Septicaemia (2.8%) according to all the deaths 10 Tuberculosis (2.2%) Other perinatal conditions (2.5%) within the age/gender 1 Diarrhoeal diseases (21.2%) Diarrhoeal diseases (17.7%) category of each box, 2 Tuberculosis (14.4%) Tuberculosis (10.7%) although only the leading 3 Lower respiratory infections (13.0%) HIV/AIDS (8.6%) 10 causes are displayed. 4 Meningitis/encephalitis (10.2%) Lower respiratory infections (8.4%) 5 HIV/AIDS (8.6%) Drowning (8.3%) 1 4

5 - 6 Road injuries (6.3%) Meningitis/encephalitis (7.1%) 7 Accidental threats to breathing (5.0%) Accidental threats to breathing (6.4%) 8 Drowning (3.6%) Road injuries (4.9%) 9 Asthma (2.1%) Mechanical forces (4.6%) 10 Other transport accidents (1.6%) Epilepsy (3.7%) 1 HIV/AIDS (24.8%) Road injuries (15.3%) 2 Tuberculosis (23.2%) Accidental threats to breathing (14.8%) 3 Diarrhoeal diseases (7.1%) Mechanical forces (14.3%) 4 Accidental threats to breathing (7.0%) Tuberculosis (13.8%)

2 4 5 Lower respiratory infections (6.4%) Interpersonal violence (7.1%)

1 5 - 6 Road injuries (3.6%) HIV/AIDS (6.7%) 7 Meningitis/encephalitis (3.3%) Diarrhoeal diseases (5.9%) 8 Endocrine nutritional,blood, immune (2.4%) Meningitis/encephalitis (2.7%) 9 Interpersonal violence (2.0%) Self-inflicted injuries (2.6%) 10 Epilepsy (1.8%) Lower respiratory infections (2.3%) 1 HIV/AIDS (20.8%) Tuberculosis (24.9%) 2 Tuberculosis (20.0%) HIV/AIDS (16.5%) 3 Cerebrovascular disease (6.7%) Cerebrovascular disease (5.0%) 4 Diarrhoeal diseases (4.5%) Ischaemic heart disease (3.9%)

6 4 5 Diabetes mellitus (4.1%) Diarrhoeal diseases (3.8%)

2 5 - 6 Cervix (4.0%) Road injuries (3.8%) 7 Lower respiratory infections (3.6%) Lower respiratory infections (3.7%) 8 Hypertensive heart disease (3.5%) Accidental threats to breathing (3.6%) 9 Ischaemic heart disease (3.4%) Mechanical forces (3.5%) 10 Nephritis/nephrosis (2.5%) Interpersonal violence (2.4%) 1 Cerebrovascular disease (24.9%) Cerebrovascular disease (17.1%) 2 Hypertensive heart disease (11.6%) Ischaemic heart disease (12.5%) 3 Ischaemic heart disease (11.5%) Tuberculosis (10.0%) 4 Diabetes mellitus (9.4%) Hypertensive heart disease (6.8%) 5 Lower respiratory infections (4.9%) Diabetes mellitus (5.5%)

6 5 + 6 Tuberculosis (4.3%) Lower respiratory infections (5.4%) 7 Diarrhoeal diseases (3.7%) Prostate (3.2%) 8 Nephritis/nephrosis (2.8%) COPD (3.0%) 9 Septicaemia (2.1%) Nephritis/nephrosis (3.0%) 10 Endocrine nutritional,blood, immune (1.8%) Asthma (2.7%)

Rank Maternal conditions All other causes 1 Indirect maternal (38.1%) n=15 HIV/AIDS (27.5%) n=1 368 2 Other maternal (28.5%) n=11 Tuberculosis (24.5%) n=1 216 3 Abortion (8.7%) n=3 Diarrhoeal diseases (5.6%) n=279 4 Maternal haemorrhage (8.3%) n=3 Lower respiratory infections (4.3%) n=214 e a l 4 9 5 Hypertension in pregnancy (8.3%) n=3 Cervix (3.4%) n=168

1 5 - 6 Maternal sepsis (8.1%) n=3 Endocrine nutritional,blood, immune (2.4%) n=119 F e m 7 Meningitis/encephalitis (2.3%) n=116 8 Cerebrovascular disease (2.3%) n=113 9 Road injuries (1.8%) n=89 10 Accidental threats to breathing (1.7%) n=84

402 SectionSection B: B:Profile National KwaZulu-Natal and District Province Profiles

Annual trends, 2015/16–2019/20 iLembe: DC29 iLembe: DC29 e s n g l i 49 80 80 15 15 20 11 o f a n i P r p l y

l TB DS client lost to i 70 70 Couple year follow up rate [both protection rate [ | 19 sexes all ages | 10 10 DHIS] 60 27 60 43 36 36 ETR/Tier.Net]

1 _ F a m 40 50 41 50 5 5 e

c a r 7 7 y 17 80 27 80 v e r i TB DS death rate Antenatal 1st visit 33 6 6 d e l 14 32 [both sexes all coverage [female | 75 75 ages | a n d DHIS] ETR/Tier.Net] 11 29 34 5 5 70 70 35 4 6 4 e g n a c y

10 20 46 20 100 10 100 1 _ 2 P r 17 41 TB symptom 5 18 40 18 Delivery in 10 to 19 years and older 19 screened in facility years in facility rate 50 50 [female | DHIS] 16 16 rate [both sexes | DHIS] 14 14 0 0

150 33 150 100 6 8 100 2 TB symptom child 90 90 Maternal mortality 32 under 5 years screened in facility in facility ratio 100 100 [female | DHIS] rate [both sexes | 80 80 DHIS] 16 70 70 14 11 23 50 50

45 e n t 36 44 m

e a t 92 92

14 14 r t Adult with viral 19 20

V 19 Neonatal death in I load suppressed facility rate [both rate 12 months 90 14 90 sexes | DHIS] 35 [both sexes 15+ 12 12 2 _ H years | DHIS] 88 88 27 o n i 3 12 15 100 100

s a t 3 70 70

u n i Child with viral

m Immunisation 90 90 load suppressed m i under 1 year rate 12 months

d 9 23 l coverage [both [both sexes 0-14 h i sexes | DHIS] years | DHIS] 80 26 80 13 65 65 1 _ 3 C 42 35 70 70 17 e n t 36 18 m 70 70 7 37 7

e a t 15 r t Death in facility Clients remaining d l 35 on ART rate [both 65 65 h i under 5 years rate 6 6 [both sexes | sexes all ages | 14 DHIS] DHIS] 60 60 1 _ 4 C 5 25 23 5 24 55 55 6

C 16

43 U 10 12 3 3 Pneumonia case 10 33 Antiretroviral 25 25 fatality under 5 effective coverage years rate [both [both sexes 0-14 sexes <5 years | 2 2 years | DHIS-Tier] DHIS] 17 27 11 20 20 10 1 1 85 85 50 50 e n t 11

m 16 45 45 e a t

r 23 t Antiretroviral TB DS treatment 80 80 effective coverage success rate [both 24 [both sexes 15+ 40 40 sexes all ages | 42 years | DHIS-Tier] 2 _ 1 T B ETR/Tier.Net] 36 75 37 75 35 21 35

15

2 0 1 5 2 0 1 6 2 0 1 7 2 0 1 8 2 0 1 9 2 0 45 45 22 F Y F Y F Y F Y F Y F Y Antiretroviral effective coverage 40 24 40 Measure Names Rank [both sexes all Prov av 1 46 ages | DHIS-Tier] 35 35 ZA av 21 Ind Value 2 0 1 5 2 0 1 6 2 0 1 7 2 0 1 8 2 0 1 9 2 0 F Y F Y F Y F Y F Y F Y

403 Section B: NationalProfile KwaZulu-Natal and District Profiles Province

iLembe: DC29 iLembe: DC29

9 82 82 C U

Age-standardised n a c e Expenditure per prevalence of patient day 4K 4K non-raised blood 80 80 4 _ 5 F i equivalent (district pressure (index) hospitals) [ | BAS [both sexes 15+ real 2019/20 years | NiDS prices] 3K 3K modelled] 78 78 23 27 33 35 38 39 e s e n t

a b e t Provincial & LG i 2200 2200 12 12 District Health Diabetes a n g e m 38 35 33 31 30 28 Services

m prevalence [both 3 _ 2 D expenditure per sexes 15+ years | capita (uninsured) [ 2000 2000 NiDS modelled] | BAS real 2019/20 10 10 prices]

1800 1800

1 0 40 40 C U Provincial & LG 1400 1400 Diabetes treatment PHC expenditure coverage [both 35 35 per capita sexes 15+ years | (uninsured) [ | BAS NiDS modelled] real 2019/20 prices] 1200 1200 45 30 43 44 30 40 39 34

o n 80 80 i 2 e c t 70 4 70 Provincial & LG 500 500 d e t Cervical cancer 3 PHC expenditure screening 8 per PHC 60 7 60 a n c e r coverage [female | headcount [ | BAS DHIS] real 2019/20 50 50 13 prices] 400 400 3 _ C

40 40

1 2 88 88 52

C 20 20 12 U 15 15 13 13 13 s e a

d i 48 Tobacco Percentage of non-smoking 86 86 o f 18 18 deaths garbage prevalence (index) 47 d e n codes [both sexes [both sexes 15+ 84 84 all ages | vital 16 16 years | NiDS B u r registration] modelled] 82 82 14 14

25 25 e n t i

a c e s 14 14 n p a t i y

t Percentage of

i Hospital beds per l 10 000 target 20 20 deaths ill-defined population [ | DHIS [both sexes all 12 12 2000-2030 public ages | vital

4 _ 1 F a c i sector] registration] 10 10 29 15 27 29 29 15 27 15 17 30 8 13 8 y t 40 12 40 28

d e n s i Percentage of Medical YLLs due to 18 18 k e r practitioners per communicable, o r

w 100 000 population 35 35 maternal, perinatal, h t [both sexes | public nutrition causes 27 29 16 e a l sector] [both sexes | vital 16 16 17 16 registration]

4 _ 2 H 30 30 12 12 38 30 30 Percentage of Pharmacists per 10 10 YLLs due to HIV 40 100 000 population and TB [both 39 [both sexes | public 39 sexes | vital sector] 38 8 8 registration] 25 25 39 43 6 6 17 40 17

Professional 160 160 Percentage of nurses per 100 16 16 YLLs due to 37 000 population injuries [both sexes [both sexes | public | vital registration] sector] 27 33 140 27 29 140 15 15 33 n e s a n d 13 14 45 45 c i C

e d i Percentage of P H

m YLLs due to Percentage Ideal 50 50 non-communicable 28 40 14 40 clinics [ | IC status] diseases [both 15 26 sexes | vital 11 registration] 4 _ 3 A c e s 0 11 0 35 15 35 2 0 1 5 2 0 1 6 2 0 1 7 2 0 1 8 2 0 1 9 2 0 2 0 1 5 2 0 1 6 2 0 1 7 2 0 1 8 2 0 1 9 2 0 F Y F Y F Y F Y F Y F Y F Y F Y F Y F Y F Y F Y

404 SectionSection B: B:Profile National KwaZulu-Natal and District Province Profiles

Harry Gwala District Municipality (DC43)

The Harry Gwala District Municipalitys (previously Sisonke District Municipality) is a Category C municipality situated south of KwaZulu-Natal, bordering Lesotho. The district comprises four local municipalities: Dr Nkosazana Dlamini Zuma, uMzimkhulu, Greater Kokstad and Ubuhlebezwe. Cities/Towns: Creighton, Himeville, Ixopo, Kokstad, Underberg, uMzimkhulu Area: 10 386km² Population (2019)t: 520 164

DistrictDistrict % percentagepopulation by ag populatione-gender group cbyom page-genderared to South Af grouprica compared to South Africa

KZ, Harry Gwala DM (DC43)

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% 3.6% 1.7% 3.9% 1.8% 4.3%

60-64 years 1.3% 1.5% 1.6%

55-59 years 1.6% 1.9% 1.8%

50-54 years 1.3% 1.9% 2.0% 1.9%

45-49 years 1.5% 2.4% 1.3% 2.3% 1.3% 2.0%

40-44 years 1.8% 2.6% 1.4% 2.3% 1.7% 2.3%

35-39 years 2.1% 3.1% 1.8% 2.5% 2.8% 3.2%

30-34 years 2.0% 3.1% 2.3% 2.8% 3.9% 4.3%

25-29 years 2.6% 3.3% 3.5% 3.9% 4.0% 4.6%

20-24 years 3.3% 3.7% 5.4% 5.5% 3.9% 4.3%

15-19 years 6.0% 6.1% 6.6% 6.4% 5.0% 5.1%

10-14 years 8.0% 7.6% 6.1% 5.9% 6.1% 6.1%

05-09 years 7.8% 7.5% 6.1% 6.0% 6.3% 6.2%

00-04 years 6.4% 6.1% 6.9% 6.8% 6.3% 6.2%

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.

s Available from: https://municipalities.co.za/overview/118/harry-gwala-district-municipality. t Mid-year Population Estimates 2019, Stats SA.

405 Section B: NationalProfile KwaZulu-Natal and District Profiles Province

Percentage of deaths by broad cause and leading causes, 2012–2017 KZ, Harry Gwala DM: DC43, 2012 - 2017 Percentage of AgeGrp Female Male deaths by broad <5 years 74% 8% 12% 5% 72% 7% 11% 9% causes and 5-14 43% 18% 22% 17% 33% 23% 17% 28% single leading 15-24 16% 51% 17% 16% 10% 21% 13% 56% causes 25-64 13% 43% 40% 4% 11% 43% 32% 14% 65+ 14% 6% 79% 2% 13% 13% 71% 3% Total 18% 26% 52% 4% 17% 31% 38% 14% Broadcause Injury NCD Rank Female Male 1 Diarrhoeal diseases (20.2%) Diarrhoeal diseases (20.3%) HIV and TB 2 Lower respiratory infections (18.5%) Lower respiratory infections (16.0%) Comm_mat_peri_nut 3 Preterm birth complications (15.0%) Preterm birth complications (13.8%)

s 4 Birth asphyxia (6.6%) Birth asphyxia (8.5%) Prov, District 5 HIV/AIDS (5.1%) Protein-energy malnutrition (5.5%) KZ, Harry Gwala DM: DC43 y e a r 6 Protein-energy malnutrition (5.1%) HIV/AIDS (4.6%) Show history 5

< 7 Sepsis/other newborn infectious (4.7%) Sepsis/other newborn infectious (4.4%) 8 Tuberculosis (3.1%) Poisonings (including herbal) (2.9%) Percentages are shown 9 Other perinatal conditions (3.0%) Tuberculosis (2.9%) according to all the deaths 10 Congenital heart anomalies (2.0%) Other perinatal conditions (2.8%) within the age/gender 1 Diarrhoeal diseases (18.7%) Diarrhoeal diseases (20.2%) category of each box, 2 Lower respiratory infections (12.8%) HIV/AIDS (12.6%) although only the leading 3 HIV/AIDS (11.2%) Tuberculosis (11.5%) 10 causes are displayed. 4 Road injuries (9.7%) Road injuries (11.0%) 5 Tuberculosis (8.9%) Drowning (10.4%) 1 4

5 - 6 Meningitis/encephalitis (5.3%) Lower respiratory infections (7.9%) 7 Drowning (5.0%) Meningitis/encephalitis (3.7%) 8 Asthma (3.1%) Asthma (3.0%) 9 Epilepsy (2.6%) Epilepsy (2.9%) 10 Cerebrovascular disease (2.2%) Self-inflicted injuries (2.3%) 1 HIV/AIDS (31.7%) Interpersonal violence (16.3%) 2 Tuberculosis (22.0%) Self-inflicted injuries (14.8%) 3 Lower respiratory infections (5.6%) Tuberculosis (12.7%) 4 Road injuries (5.0%) HIV/AIDS (9.6%)

2 4 5 Self-inflicted injuries (3.6%) Road injuries (8.8%)

1 5 - 6 Meningitis/encephalitis (3.1%) Mechanical forces (5.4%) 7 Interpersonal violence (3.1%) Accidental threats to breathing (4.9%) 8 Diarrhoeal diseases (3.0%) Lower respiratory infections (4.1%) 9 Epilepsy (2.3%) Drowning (3.9%) 10 Asthma (1.8%) Epilepsy (3.2%) 1 HIV/AIDS (25.6%) HIV/AIDS (21.4%) 2 Tuberculosis (17.3%) Tuberculosis (21.4%) 3 Cerebrovascular disease (6.8%) Lower respiratory infections (5.5%) 4 Diabetes mellitus (5.9%) Cerebrovascular disease (4.3%)

6 4 5 Lower respiratory infections (5.2%) Road injuries (3.6%)

2 5 - 6 Hypertensive heart disease (4.7%) Diarrhoeal diseases (3.1%) 7 Diarrhoeal diseases (3.8%) Diabetes mellitus (2.9%) 8 Cervix (3.8%) Interpersonal violence (2.7%) 9 Endocrine nutritional,blood, immune (2.6%) Hypertensive heart disease (2.6%) 10 Nephritis/nephrosis (1.9%) Asthma (2.3%) 1 Cerebrovascular disease (21.4%) Cerebrovascular disease (14.9%) 2 Hypertensive heart disease (17.1%) Hypertensive heart disease (12.0%) 3 Diabetes mellitus (11.9%) Tuberculosis (9.6%) 4 Lower respiratory infections (8.3%) Lower respiratory infections (8.1%) 5 Asthma (4.3%) Diabetes mellitus (8.0%)

6 5 + 6 Tuberculosis (4.3%) Asthma (5.1%) 7 Diarrhoeal diseases (3.3%) Ischaemic heart disease (3.4%) 8 Ischaemic heart disease (3.1%) HIV/AIDS (3.3%) 9 Nephritis/nephrosis (2.6%) Prostate (3.3%) 10 Cervix (2.1%) COPD (3.2%)

Rank Maternal conditions All other causes 1 Other maternal (28.2%) n=19 HIV/AIDS (34.0%) n=1 853 2 Indirect maternal (27.5%) n=18 Tuberculosis (22.2%) n=1 209 3 Hypertension in pregnancy (17.2%) n=11 Lower respiratory infections (4.9%) n=268 4 Maternal haemorrhage (13.5%) n=9 Diarrhoeal diseases (4.0%) n=220 e a l 4 9 5 Abortion (8.3%) n=6 Endocrine nutritional,blood, immune (2.7%) n=147

1 5 - 6 Maternal sepsis (5.2%) n=3 Cervix (2.6%) n=144 F e m 7 Cerebrovascular disease (2.6%) n=144 8 Meningitis/encephalitis (2.4%) n=128 9 Road injuries (2.3%) n=127 10 Hypertensive heart disease (2.0%) n=110

406 SectionSection B: B:Profile National KwaZulu-Natal and District Province Profiles

Annual trends, 2015/16–2019/20 Harry Gwala: DC43 Harry Gwala: DC43 e s n g l 10 i 10 10 7 o f 25 a n i 7 P r p l 80 80 y

l TB DS client lost to

i 8 8 Couple year follow up rate [both protection rate [ | sexes all ages | DHIS] 6 6 60 29 60 ETR/Tier.Net] 1 _ F a m 39 14 15 4 4 48 5 e 38 c a r 36

y 80 80 v e r i TB DS death rate 8 33 8 Antenatal 1st visit d e l [both sexes all 28 coverage [female | 70 47 70 ages | a n d DHIS] ETR/Tier.Net] 46 46 45 6 6 60 46 60 46 e g n a c y 100 100 51 16 15

1 _ 2 P r 50 49 8 16 TB symptom 5 Delivery in 10 to 19 20 20 years and older years in facility rate screened in facility 50 50 [female | DHIS] rate [both sexes | DHIS] 15 15

0 0 100 100 30 10 12 TB symptom child 90 6 90 Maternal mortality under 5 years 100 30 100 screened in facility in facility ratio 24 80 80 [female | DHIS] rate [both sexes | DHIS] 18 70 70 6 18 50 50

46 e n t 15 46 15 m 14 33 14 e a t 92 92

r 17 t Adult with viral 18 13 13 3

V 20 Neonatal death in 12 12 I load suppressed facility rate [both rate 12 months 90 90 11 23 11 sexes | DHIS] [both sexes 15+ 10 10 2 _ H years | DHIS] 9 9 88 88 8 8 7 4 7 75 75 o n i 90 90 11 10 s a t

u n i Child with viral 29 70 70 m Immunisation 80 80 load suppressed m i under 1 year rate 12 months d l coverage [both 36 [both sexes 0-14 h i sexes | DHIS] 70 70 years | DHIS] 65 65 49 40 1 _ 3 C 48 31 33 60 51 60 60 60 7 7 e n t 31

m 70 70 e a t

r 28 t Death in facility 6 6 Clients remaining 30 d l on ART rate [both 65 65 h i under 5 years rate 29 [both sexes | sexes all ages | 30 DHIS] 31 DHIS] 5 25 5 60 60

1 _ 4 C 19 31 4 16 4 55 55 6 30 30 3.0 3.0 C 3 U

18 Pneumonia case 2.5 2.5 Antiretroviral fatality under 5 25 effective coverage 25 25 years rate [both [both sexes 0-14 15 sexes <5 years | 35 years | DHIS-Tier] 2.0 2.0 DHIS] 21 16 20 20 16 24 26 1.5 1.5 8 e n t 18

m 50 50 22 e a t 19 r

t 13 Antiretroviral TB DS treatment 80 80 effective coverage success rate [both 25 26 [both sexes 15+ 40 40 sexes all ages | years | DHIS-Tier] 2 _ 1 T B ETR/Tier.Net]

75 75 30 30 31

8 50 50 2 0 1 5 2 0 1 6 2 0 1 7 2 0 1 8 2 0 1 9 2 0 19 F Y F Y F Y F Y F Y F Y Antiretroviral effective coverage 40 25 40 Measure Names Rank [both sexes all Prov av 1 51 ages | DHIS-Tier] ZA av 30 30 Ind Value 31 2 0 1 5 2 0 1 6 2 0 1 7 2 0 1 8 2 0 1 9 2 0 F Y F Y F Y F Y F Y F Y

407 Section B: NationalProfile KwaZulu-Natal and District Profiles Province

Harry Gwala: DC43 Harry Gwala: DC43

9 84 84 C 15 3500 3500 U

Age-standardised 16 n a c e Expenditure per prevalence of 82 16 82 non-raised blood patient day 17 4 _ 5 F i equivalent (district pressure (index) hospitals) [ | BAS 3000 3000 [both sexes 15+ 80 17 80 real 2019/20 years | NiDS 17 prices] modelled] 78 78 2500 2500 e s e n t 40 a b e t i 15 15 Provincial & LG 36 District Health Diabetes 2500 2500 a n g e m Services

m prevalence [both 3 _ 2 D 33 expenditure per sexes 15+ years | capita (uninsured) [ NiDS modelled] 27 10 10 | BAS real 2019/20 22 prices] 2000 2000 20

1 0 40 40 C 39 39 U 38 38 Provincial & LG 1400 1400 Diabetes treatment 37 37 PHC expenditure coverage [both per capita 36 29 36 sexes 15+ years | 35 31 35 (uninsured) [ | BAS NiDS modelled] 29 real 2019/20 34 34 27 prices] 1200 1200 33 27 33 32 28 32

o n 550 550 i 1 e c t 1 Provincial & LG 500 500 d e t 80 80 Cervical cancer 2 PHC expenditure screening per PHC

a n c e r coverage [female | headcount [ | BAS 450 450 DHIS] 60 60 real 2019/20 8 16 prices] 3 _ C 15 400 400 40 40

1 2 88 88 16 16 C 14 U 14 14 s e a

14 d i

Tobacco 86 15 15 86 Percentage of non-smoking o f 14 14 prevalence (index) deaths garbage

d e n codes [both sexes [both sexes 15+ 34 84 84 all ages | vital years | NiDS B u r 12 12 registration] modelled] 82 82 12 10 12 10 e n t

i 5 30 30 a c e s n p a t i y t

i Hospital beds per Percentage of 14 14 l 10 000 target deaths ill-defined 30 25 25 30 26 population [ | DHIS 12 11 [both sexes all 2000-2030 public 11 12 11 ages | vital

4 _ 1 F a c i sector] registration] 20 20 12 12 y t 40 40 20 30 20

d e n s i Percentage of Medical YLLs due to k e r practitioners per 30 30 communicable,

o r 18 18

w 100 000 population maternal, perinatal, 29 h

t [both sexes | public nutrition causes

e a l sector] [both sexes | vital 20 29 20 registration] 16 26 16 41 42 45 4 _ 2 H

12 12 35 47 35

Percentage of 48 Pharmacists per 10 10 YLLs due to HIV 30 30 100 000 population 35 and TB [both [both sexes | public 45 sexes | vital sector] 8 8 registration] 25 25 40 44 43

18 45 18 170 170 17 17 Professional 16 16 Percentage of 15 15 nurses per 100 160 160 000 population 22 22 YLLs due to 14 14 injuries [both sexes [both sexes | public 13 13 25 | vital registration] sector] 23 150 150 12 7 12 11 11 10 3 10 n e s a n d 70 22 70 45 45 c i

C 27 60 60 e d i Percentage of P H 22 m 50 50 YLLs due to 19 Percentage Ideal 40 40 non-communicable 40 40 clinics [ | IC status] 30 30 diseases [both 9 | vital 11 20 34 20 sexes registration] 4 _ 3 A c e s 10 10 0 11 0 35 16 35 2 0 1 5 2 0 1 6 2 0 1 7 2 0 1 8 2 0 1 9 2 0 2 0 1 5 2 0 1 6 2 0 1 7 2 0 1 8 2 0 1 9 2 0 F Y F Y F Y F Y F Y F Y F Y F Y F Y F Y F Y F Y

408 SectionSection B: B:Profile National KwaZulu-Natal and District Province Profiles eThekwini Metropolitan Municipality (ETH)

The eThekwini Metropolitan Municipalityu is a Category A municipality located in KwaZulu-Natal. eThekwini is the third- largest city in the country and its land area is comparatively larger than that of other South African cities. Cities/Towns: Amalanga, Amanzimtoti, Amaotana, Berea, Blackburn, Bluff, Cato Ridge, Cele/Vumengazi, Chatsworth, Cibane, Clermont, Clifton Canyon, Craigieburn, Dassenhoek, Desainager, Durban, Durban International Airport, Durban North, Durban South, Emalangeni, Embo/Nksa Isimahla, Emona, Ethekwini, Everton, Ezembeni, Folweni, Gcumisa, Genazzano, Gillitts, Glenashley, Golokodo-Ensimbini, Hambanathi, Hammarsdale, Hillcrest, Ilanga, Ilfracombe, Illovo North, Illovo South, Inanda, Inchanga, Iqadi, Isipingo, Isipingo Beach, Kingsburgh, Klaarwater, Kloof, KwaDabeka, KwaMashu, KwaNdengezi, La Mercy, Lotus Park, Luganda, Luthuli/Umnini Trust, Magabeni, Malagazi, Mangangeni/Vumazonke, Maphephetha, Mariannhill, Mawotana, Mawothi, Molweni, Mount Edgecombe, Mount Moreland, Mpolo, Mpumalanga, New Germany, Newlands East, Newlands West, Ngcolosi, Ngqungqulu, Ntuzuma, Oceans, Outer West Durban, Phoenix, Pinetown, Prospecton, Qadi, Qiniselani Manyuswa, Queensburgh, Redcliffe, Roseneath, Sapref, Shallcross, Sobonakhona, Thoyana, Tongaat, Tongaat Beach, Tshelimnyama, Umgogintwini, Umbumbulu, Umdloti, Umgababa, Umhlanga, Umkomaas, Umlazi, Verulam, Waterfall, Westbrook, Westville, Ximba Area: 2 556km² Population (2019)v: 3 811 784

DistrictDistrict % ppercentageopulation by ag epopulation-gender group cbyom page-genderared to South Af rgroupica compared to South Africa

KZ, eThekwini MM (ETH)

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% 2.7% 1.8% 2.8% 2.3% 3.7%

60-64 years 1.2% 1.3% 1.7% 1.4% 1.9%

55-59 years 1.4% 1.8% 1.7% 2.1% 1.8% 2.4%

50-54 years 2.1% 2.5% 2.0% 2.6% 2.1% 2.6%

45-49 years 2.5% 2.8% 2.5% 3.1% 2.9% 3.1%

40-44 years 2.8% 3.4% 2.9% 3.3% 3.4% 3.5%

35-39 years 3.6% 4.2% 3.8% 3.9% 4.5% 4.3%

30-34 years 3.8% 4.2% 4.3% 4.3% 5.2% 4.7%

25-29 years 4.9% 4.8% 5.4% 5.1% 5.1% 4.5%

20-24 years 4.6% 4.8% 5.7% 5.3% 4.5% 4.0%

15-19 years 5.0% 5.0% 4.6% 4.5% 3.7% 3.5%

10-14 years 5.1% 5.0% 4.2% 4.1% 4.0% 3.8%

05-09 years 4.9% 4.8% 4.1% 3.9% 4.1% 3.9%

00-04 years 4.7% 4.6% 4.5% 4.4% 4.6% 4.4%

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.

u Available from: https://municipalities.co.za/overview/5/ethekwini-metropolitan-municipality. v Mid-year Population Estimates 2019, Stats SA.

409 Section B: NationalProfile KwaZulu-Natal and District Profiles Province

Percentage of deaths by broad cause and leading causes, 2012–2017 KZ, eThekwini MM: ETH, 2012 - 2017 Percentage of AgeGrp Female Male deaths by broad <5 years 66% 6% 20% 8% 66% 6% 20% 9% causes and 5-14 27% 18% 29% 25% 22% 18% 25% 36% single leading 15-24 17% 43% 20% 20% 7% 16% 13% 65% causes 25-64 12% 33% 48% 6% 9% 31% 39% 21% 65+ 10%3% 84% 3% 8% 6% 82% 4% Total 14% 20% 60% 6% 12% 22% 47% 19% Broadcause Injury NCD Rank Female Male 1 Preterm birth complications (18.2%) Preterm birth complications (19.1%) HIV and TB 2 Diarrhoeal diseases (12.1%) Diarrhoeal diseases (12.0%) Comm_mat_peri_nut 3 Lower respiratory infections (11.3%) Lower respiratory infections (10.3%)

s 4 Birth asphyxia (6.7%) Birth asphyxia (7.8%) Prov, District 5 Sepsis/other newborn infectious (5.0%) Sepsis/other newborn infectious (5.1%) KZ, eThekwini MM: ETH y e a r 6 Congenital heart anomalies (4.9%) Congenital heart anomalies (3.9%) Show history 5

< 7 HIV/AIDS (4.4%) Other congenital abnormalities (3.7%) 8 Protein-energy malnutrition (4.1%) HIV/AIDS (3.5%) Percentages are shown 9 Other congenital abnormalities (3.3%) Other perinatal conditions (3.4%) according to all the deaths 10 Other perinatal conditions (3.1%) Protein-energy malnutrition (3.2%) within the age/gender 1 HIV/AIDS (10.2%) HIV/AIDS (10.2%) category of each box, 2 Lower respiratory infections (10.0%) Drowning (9.8%) although only the leading 3 Tuberculosis (9.1%) Road injuries (8.4%) 10 causes are displayed. 4 Diarrhoeal diseases (7.5%) Tuberculosis (7.8%) 5 Road injuries (7.2%) Lower respiratory infections (7.1%) 1 4

5 - 6 Accidental threats to breathing (4.5%) Diarrhoeal diseases (5.5%) 7 Other unintentional injuries (4.4%) Accidental threats to breathing (4.9%) 8 Fires, hot substances (4.1%) Other unintentional injuries (4.4%) 9 Meningitis/encephalitis (3.8%) Meningitis/encephalitis (3.9%) 10 Epilepsy (2.6%) Fires, hot substances (3.3%) 1 HIV/AIDS (22.1%) Mechanical forces (19.9%) 2 Tuberculosis (21.8%) Interpersonal violence (18.4%) 3 Accidental threats to breathing (6.6%) Accidental threats to breathing (13.3%) 4 Lower respiratory infections (6.2%) Tuberculosis (8.6%)

2 4 5 Road injuries (3.2%) HIV/AIDS (7.5%)

1 5 - 6 Diarrhoeal diseases (3.2%) Road injuries (5.5%) 7 Mechanical forces (3.0%) Drowning (2.6%) 8 Meningitis/encephalitis (2.8%) Lower respiratory infections (2.5%) 9 Endocrine nutritional,blood, immune (2.6%) Other unintentional injuries (1.9%) 10 Interpersonal violence (2.3%) Meningitis/encephalitis (1.5%) 1 HIV/AIDS (18.6%) Tuberculosis (16.7%) 2 Tuberculosis (14.7%) HIV/AIDS (14.4%) 3 Cerebrovascular disease (6.0%) Mechanical forces (8.4%) 4 Lower respiratory infections (5.0%) Ischaemic heart disease (6.9%)

6 4 5 Ischaemic heart disease (4.9%) Cerebrovascular disease (4.4%)

2 5 - 6 Diabetes mellitus (4.7%) Lower respiratory infections (4.2%) 7 Hypertensive heart disease (3.6%) Interpersonal violence (4.1%) 8 Cervix (3.2%) Accidental threats to breathing (3.8%) 9 Nephritis/nephrosis (2.9%) Diabetes mellitus (2.7%) 10 Breast (2.9%) Nephritis/nephrosis (2.4%) 1 Cerebrovascular disease (17.3%) Ischaemic heart disease (18.6%) 2 Ischaemic heart disease (15.8%) Cerebrovascular disease (11.4%) 3 Hypertensive heart disease (10.0%) Hypertensive heart disease (5.4%) 4 Diabetes mellitus (8.0%) Lower respiratory infections (5.3%) 5 Lower respiratory infections (5.4%) Diabetes mellitus (5.2%)

6 5 + 6 Nephritis/nephrosis (3.5%) Tuberculosis (4.5%) 7 Tuberculosis (2.3%) COPD (4.3%) 8 Breast (2.2%) Trachea/bronchi/lung (3.9%) 9 Septicaemia (2.0%) Nephritis/nephrosis (3.9%) 10 Trachea/bronchi/lung (1.7%) Prostate (3.4%)

Rank Maternal conditions All other causes 1 Indirect maternal (35.3%) n=113 HIV/AIDS (26.2%) n=6 098 2 Other maternal (23.8%) n=76 Tuberculosis (20.5%) n=4 775 3 Hypertension in pregnancy (14.2%) n=45 Lower respiratory infections (5.7%) n=1 328 4 Abortion (10.1%) n=32 Diarrhoeal diseases (2.8%) n=649 e a l 4 9 5 Maternal haemorrhage (9.0%) n=29 Cervix (2.7%) n=627

1 5 - 6 Maternal sepsis (7.5%) n=24 Cerebrovascular disease (2.6%) n=608 F e m 7 Accidental threats to breathing (2.5%) n=584 8 Endocrine nutritional,blood, immune (2.4%) n=555 9 Meningitis/encephalitis (2.4%) n=551 10 Nephritis/nephrosis (2.2%) n=521

410 SectionSection B: B:Profile National KwaZulu-Natal and District Province Profiles

Annual trends, 2015/16–2019/20 eThekwini: ETH eThekwini: ETH e s n g l 80 80 i 13 47 13 o f

a n i 12 12 P r p l 11 11 y

l TB DS client lost to i Couple year 31 35 60 60 follow up rate [both 10 10 protection rate [ | 33 sexes all ages | 9 9 DHIS] 42 ETR/Tier.Net] 8 32 8 51 1 _ F a m 7 7 40 40 35 33 6 6 50 5 5 e 11 7 c a r 14

y 90 90 v e r i 15 TB DS death rate 6 6 Antenatal 1st visit 8 d e l 13 [both sexes all coverage [female | 80 80 ages | a n d DHIS] ETR/Tier.Net] 6 4 4 3 70 70 3 3 e g n a c y

5 7 100 100 1 _ 2 P r 4 16 16 TB symptom 5 9 Delivery in 10 to 19 years and older years in facility rate screened in facility [female | DHIS] 27 rate [both sexes | 50 50 14 21 14 DHIS] 4 14 12 12 0 0 5 5 100 100 120 120 TB symptom child 3 Maternal mortality 31 under 5 years screened in facility in facility ratio 28 33 [female | DHIS] 100 19 100 rate [both sexes | 80 80 35 DHIS] 20 80 80

44 e n t 94 6 3 94

m 6 16 16 e a t r t Adult with viral 92 92 V Neonatal death in I load suppressed 5 14 14 rate 12 months facility rate [both 90 90 sexes | DHIS] 30 [both sexes 15+ 2 _ H years | DHIS] 12 26 12 88 88 28 32

o n 75 75 i 100 2 100 7 1 5 s a t 14 14

u n i Child with viral 11 3 m Immunisation 90 90 load suppressed 70 70 m i under 1 year rate 12 months d l coverage [both 12 [both sexes 0-14 h i sexes | DHIS] 80 80 years | DHIS] 65 65

1 _ 3 C 29 70 70 60 60

e n t 32 16 m 6 6 70 22 70 e a t r t Death in facility 28 Clients remaining d l on ART rate [both h i under 5 years rate 16 22 24 [both sexes | 5 5 sexes all ages | DHIS] 18 DHIS] 60 60 1 _ 4 C 20

4 15 4 6

3 3 C 25 25

32 U 25 27 Pneumonia case Antiretroviral 32 fatality under 5 26 effective coverage 20 27 20 years rate [both [both sexes 0-14 2 34 2 30 sexes <5 years | years | DHIS-Tier] DHIS] 15 15 12 38 1 1 13 e n t 50 12 50 21 m 21 11 19

e a t 80 80 r t TB DS treatment Antiretroviral success rate [both effective coverage [both sexes 15+ sexes all ages | 40 9 40 75 75 years | DHIS-Tier] 2 _ 1 T B ETR/Tier.Net]

70 48 70 50 50 13 12

2 0 1 5 2 0 1 6 2 0 1 7 2 0 1 8 2 0 1 9 2 0 11 45 45 F Y F Y F Y F Y F Y F Y Antiretroviral effective coverage Measure Names Rank [both sexes all 40 40 9 Prov av 1 51 ages | DHIS-Tier] ZA av 35 35 Ind Value 2 0 1 5 2 0 1 6 2 0 1 7 2 0 1 8 2 0 1 9 2 0 F Y F Y F Y F Y F Y F Y

411 Section B: NationalProfile KwaZulu-Natal and District Profiles Province

eThekwini: ETH eThekwini: ETH 9

C 82 82 U

Age-standardised n a c e Expenditure per 3000 3000 prevalence of non-raised blood 80 80 patient day 4 _ 5 F i equivalent (district pressure (index) 34 hospitals) [ | BAS [both sexes 15+ 33 2500 2500 real 2019/20 years | NiDS 32 78 30 78 prices] modelled] 30 28 2000 2000

e s 2300 2300 e n t 38 16 39 16 2200 2200 a b e t

i Provincial & LG 40 2100 2100 District Health Diabetes 41 a n g e m 2000 2000 14 42 14 Services m prevalence [both 3 _ 2 D 42 expenditure per 1900 1900 sexes 15+ years | capita (uninsured) [ 1800 1800 NiDS modelled] 12 12 | BAS real 2019/20 1700 1700 prices] 1600 1600 10 10 1500 1500

1 0 40 40 C 39 39 U 1400 1400 38 38 Provincial & LG Diabetes treatment 37 27 22 21 23 22 20 37 PHC expenditure coverage [both 36 36 per capita 1300 1300 sexes 15+ years | 35 35 (uninsured) [ | BAS NiDS modelled] real 2019/20 34 34 1200 1200 prices] 33 33 32 32 1100 1100 o n i 60 60

e c t 500 500 4 Provincial & LG d e t Cervical cancer 18 PHC expenditure screening per PHC 50 50 a n c e r coverage [female | 17 headcount [ | BAS DHIS] 21 30 real 2019/20 400 400 29 prices] 3 _ C 40 40

1 2 88 88 53 C 53

U 13 14 s e a d i 20 20 Tobacco 16 86 86 Percentage of non-smoking 18 o f 52 18 deaths garbage prevalence (index) 19

d e n codes [both sexes [both sexes 15+ 84 84 all ages | vital years | NiDS B u r registration] modelled] 15 15 82 82 e n t

i 30 7 30 a c e s n p a t

i 14 14 y 8 t

i Hospital beds per Percentage of l 10 000 target 25 25 deaths ill-defined population [ | DHIS 9 [both sexes all 2000-2030 public 16 ages | vital 12 12 16 15 4 _ 1 F a c i sector] registration] 20 20 23 21 10 24 10 y t 5 10 18 18

d e n s i 9 Percentage of

Medical 40 9 40 YLLs due to k e r practitioners per communicable, o r

w 100 000 population maternal, perinatal, 16 16 h t [both sexes | public 35 35 nutrition causes

e a l sector] [both sexes | vital 13 registration] 14 19 14 16

4 _ 2 H 30 30

11 23 11 28 28 21 25 Percentage of Pharmacists per YLLs due to HIV 100 000 population 26 26 and TB [both [both sexes | public 10 28 10 sexes | vital 15 sector] registration] 24 24 9 9 22 22 17 22

13 49 170 17 170 18 18 19 19 44 Professional 48 Percentage of nurses per 100 160 160 000 population YLLs due to injuries [both sexes [both sexes | public 16 16 | vital registration] sector] 150 150 n e s a n d 33 36 70 70 c i C 60 28 60 45 45 e d i Percentage of P H m 50 35 50 YLLs due to 38 Percentage Ideal 40 40 non-communicable clinics [ | IC status] 30 41 30 diseases [both | vital 20 20 sexes 39 registration] 40 40 4 _ 3 A c e s 10 18 10 0 11 0 2 0 1 5 2 0 1 6 2 0 1 7 2 0 1 8 2 0 1 9 2 0 2 0 1 5 2 0 1 6 2 0 1 7 2 0 1 8 2 0 1 9 2 0 F Y F Y F Y F Y F Y F Y F Y F Y F Y F Y F Y F Y

412