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17 Free State Province

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17 Free State Province SectionSection B: NationalB: Profile andFree DistrictState Province Profiles 17 Free State Province Xhariep District Municipality (DC16) Xhariep is the southern-most district in the Free State Province and is divided into four health sub-districts, namely Letsemeng, Kopanong, Naledi and Mohokare. Geographically it is the largest of the five districts in the province, but it has the smallest population, at 135 036, with a population density of only 3.6 people per km2. The district falls into socio- economic Quintile 3. Estimated medical scheme coverage is 12.7%. Social determinants of health Population per selected category a Unemployment rate 26.8% Population category 2017 2018 2019 2020 a Youth unemployment rate (15-34 years) 33.8% under 1 year 1 950 1 985 2 071 2 164 No schooling 10.6% under 5 years 10 773 10 663 10 642 10 683 Matric 26.2% 05-09 years 11 805 11 646 11 428 11 218 Higher education 5.6% 10-14 years 11 386 11 518 11 681 11 779 Households 44 767 15-19 years 11 781 11 452 11 192 11 079 Female-headed households 37.6% 20-24 years 12 417 12 229 12 001 11 718 Formal dwellings 89.1% 25-29 years 13 204 13 079 12 892 12 659 Flush toilet connected to sewerage 79.2% 30-34 years 10 931 11 466 12 008 12 518 Weekly refuse removal 67.7% 35-39 years 9 072 9 337 9 560 9 736 Piped water inside dwellings 34.7% 40-44 years 7 387 7 547 7 747 7 978 Electricity for lighting 94.2% 45-49 years 6 714 6 736 6 740 6 768 Blue Drop water score 65.1% 50-54 years 5 487 5 638 5 791 5 916 55-59 years 4 538 4 550 4 575 4 625 Source: StatsSA. 2014 Blue Drop Report. 60-64 years 4 001 3 995 3 987 3 982 65-69 years 3 264 3 279 3 286 3 283 70-74 years 2 441 2 489 2 532 2 559 75-79 years 11 385 12 014 12 605 13 152 80 years and older 6 479 6 747 7 027 7 320 Total 1 279 035 1 298 412 1 316 391 1 333 124 Estimated pregnant women* 28 655 28 308 27 103 25 316 Source: Mid-Year Population Estimates 2016 StatsSA. * Under 1 year population X 1.07. Population distribution sub-district boundaries and health facility locations a Statistics South Africa. Census 2011 Municipal fact sheet. Report No. 03-01-58. Pretoria: Statistics SA; 2012. 323 Section B: NationalProfile Free and State District Province Profiles Number of facilities by level, 2016/17 Ward based Central/ outreach District Regional Tertiary Other teams Clinic CHC Hospital Hospital Hospitals Hospitals Kopanong SD 8 10 0 1 0 0 0 Letsemeng SD 4 4 1 0 0 0 0 Naledi SD 2 3 0 0 0 0 0 MohokareSD 2 3 0 3 0 0 0 Xhariep 16 20 1 4 0 0 0 Source: DHIS. Human resources – filled posts, 2016 Community Speech Health Nursing Enrolled Professional Medical Dental Occupational Therapy and Workers assistants nurse nurse practitioners Pharmacists practitioners therapy Physiotherapy Audiology Xhariep 194 96 23 88 10 26 2 5 1 0 Source: Persal, DHIS. Management and efficiency indicators for the service delivery platform, 2016/17 PHC Management Output Process & input Provincial and LG Percentage of District Health Provincial Provincial assessed PHC Services and LG PHC and LG PHC facilities with expenditure expenditure expenditure Percentage 90% of tracer per capita per capita per PHC PHC utilisation Ideal clinics medicines (uninsured) (uninsured) headcount rate (No) (%) available (%) (Rand) (Rand) (Rand) 2016/17 2016/17 2016/17 2016/17 2016/17 2016/17 Kopanong SD Indicator 3.7 - - - - - Numerator 168 935 - - - - - Denominator 545 250 - - - - - Letsemeng SD Indicator 3.5 - - - - - Numerator 124 522 - - - - - Denominator 428 502 - - - - - Mohokare SD Indicator 2.5 - - - - - Numerator 78 219 - - - - - Denominator 371 187 - - - - - Naledi SD Indicator 3.5 - - - - - Numerator 76 060 - - - - - Denominator 263 961 - - - - - Xhariep Indicator 3.3 72.2 100.0 2 499 1 679 442 Numerator 447 736 13 17 294 681 809 198 012 537 198 012 537 Denominator 1 608 900 18 17 117 905 117 905 447 736 Free State Indicator 2.2 34.8 78.5 1 665 1 046 403 South Africa Indicator 2.3 29.8 78.4 1 726 1 054 389 Source: DHIS. 324 Hospital District Hospital Regional Hospital Tertiary/Central Hospital Expenditure Expenditure Expenditure Average per patient Inpatient bed OPD new Average per patient Inpatient bed OPD new Average per patient Inpatient bed OPD new length of day utilisation Inpatient client not length of day utilisation Inpatient client not length of day utilisation Inpatient client not stay - total equivalent rate - total crude death referred rate stay - total equivalent rate - total crude death referred rate stay - total equivalent rate - total crude death referred rate (Days) (Rand) (%) rate (%) (%) (Days) (Rand) (%) rate (%) (%) (Days) (Rand) (%) rate (%) (%) Kopanong SD Indicator 2.7 5 094 53.5 7.5 72.0 - - - - - - - - - - Numerator 4 561 32 219 948 4 561 128 3 461 - - - - - - - - - - Denominator 1 697 6 325 - 1 697 4 805 - - - - - - - - - - Mohokare SD Indicator 3.8 2 148 107.0 6.3 49.0 - - - - - - - - - - Numerator 15 631 42 744 983 15 631 255 3 710 - - - - - - - - - - Denominator 4 061 19 900 - 4 061 7 578 - - - - - - - - - - Xhariep Indicator 3.5 2 858 72.8 6.7 57.9 - - - - - - - - - - Numerator 20 191 74 964 931 20 191 383 7 171 - - - - - - - - - - Denominator 5 758 26 226 - 5 758 12 383 - - - - - - - - - - Free State Indicator 3.3 2 538 60.7 6.6 71.2 5.1 2 951 - 6.3 29.1 6.2 5 122 - 3.6 28.3 South Africa Indicator 4.4 2 568 67.4 5.1 59.3 5.3 2 894 78.3 5 37.2 6.9 4 227 84.3 5.4 20.3 Source: DHIS and BAS. Annual trendsAnnual 1_Management 4_Process_input 3_Output 2_Outcome 1_Impact PHC headcount PHC Provi expenditure per expenditure (uninsured) hospitals) (district LG PHC LG capita Provincial and Provincial equivalent expenditure per expenditure day patient (uninsured) Health Services Health capita LG District LG hospitals) (district rate referred not client new OPD per Expenditure Provincial and Provincial hospitals) (district hospitals) (district of stay expenditure per expenditure Ideal clinics Ideal rate utilisation rate death LG PHC LG Percentage bed Inpatient length Average crude Inpatient nc and ial FS, DC16, Xhariep District Municipality, SEQ 3 SEQ Municipality, District Xhariep DC16, FS, 1500 1000 Section B: National and District Profiles 400 100 200 500 100 100 1K 2K 3K 4K 1K 2K 3K 50 50 50 0 0 2 4 6 2 4 6 8 8 Section B: Profile Free State Province 2008 2010 2012 2014 2016 2018 Year Measure Names ZA_av P rov_av IndValue 325 Measure Names Measure ZA_av Prov_av IndValue Deaths and Patient day equivalent 2014/15 –2016/17 326 Section B: NationalProfile Free and State District Province Profiles 2014/15 2015/16 2016/17 Central/ Central/ Central/ Data Element PHC / CHC District Regional tertiary District PHC / CHC District Regional tertiary District PHC / CHC District Regional tertiary District (Number) / MOU* Hospital Hospital Hospital Total / MOU Hospital Hospital Hospital Total / MOU Hospital Hospital hospital Total Maternal deaths -1--1-2--2----- Live births 14 852 -- 866 11 730 -- 741 6 762 -- 768 Still births 1 19 -- 20 1 22 -- 23 - 11 -- 11 Death in facility 0-7days -8--8-2--2-4--4 natal natal Neo- Death in facility 8-28 days -1--1-1--1----- year) Infant Infant (under 1 years) Death in facility 29 days - 11 months -1--1-3--3-1--1 Child (under 5 Death in facility 12 – 59 months -1--1------1--1 Diarrhoea death under 5 years -1--1--------- Pneumonia death under 5 years ------1--1-1--1 Severe acute malnutrition death under 5 years - 5 - - 5 1 - - 1 - 1 - - 1 TB Deaths 412 92 -- 504 324 48 -- 372 ----- Inpatient death total - 356 -- 356 - 356 -- 356 - 383 -- 383 Patient day equivalent - 29 721 - - 29 721 - 23 924 - - 23 924 - 26 226 - - 26 226 Source: DHIS. *MOU – Maternal Obstetric Unit. SectionSection B: NationalB: Profile andFree DistrictState Province Profiles 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 2010–2015. The second part of the graph shows the 10 leading single causes of death within each age group (both genders) for 2010–2015 combined. PercentageFS, Xhariep: of deathsDC16, by2010 broad - 2015 cause and leading causes 2010–2015 Percentage of AgeGroup.. Female Male deaths by broad <5 years 72% 6% 14% 8% 73% 7% 12% 8% causes and 5-14 29% 22% 21% 28% 17% 18% 22% 43% single leading 15-24 18% 42% 20% 20% 9% 17% 14% 59% causes 25-64 19% 32% 42% 6% 17% 33% 35% 16% 65+ 15% 2% 81% 2% 17% 6% 75% 3% Broadcause 22% 20% 52% 6% 20% 23% 42% 14% Total Injury NCD Rank.. Female Male 1 Lower respiratory infections (25.7%) Diarrhoeal diseases (24.3%) HIV and TB 2 Diarrhoeal diseases (21.4%) Lower respiratory infections (16.8%) Comm_mat_peri_nut 3 Protein-energy malnutrition (8.8%) Preterm birth complications (11.0%) 4 Preterm birth complications (8.5%) Protein-energy malnutrition (10.8%) Prov, District 5 HIV/AIDS (4.9%) HIV/AIDS (5.6%) FS, Xhariep: DC16 6 Birth asphyxia (4.4%) Sepsis/other newborn infectious (4.3%) Show history <5 years <5 7 Road injuries (2.5%) Birth asphyxia (4.1%) 8 Sepsis/other newborn infectious (2.3%) Septicaemia (2.7%) Percentages are shown 9 Septicaemia (2.2%) Other congenital abnormalities (2.4%) according to all the deaths 10 Accidental threats to breathing (2.1%) Accidental threats to breathing (2.3%) within the age/gender 1 HIV/AIDS (16.9%) Drowning (26.7%) category of each box, 2 Lower respiratory infections (16.2%) HIV/AIDS (13.3%) although only the leading 3 Tuberculosis (16.0%) Tuberculosis (9.7%) 10 causes are displayed.
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