Section B, Chapter 11- Free State Province
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SectionSection B: NationalB: Profile andFree DistrictState Province Profiles 11 Free State Province Xhariep District Municipality (DC16) The Xhariep District Municipalitya is a Category C municipality situated in the southern part of the Free State. It is the largest district in the province, making up just more than a third of its geographical area. It comprises three local municipalities: Letsemeng, Kopanong and Mohokare. Cities/Towns: Bethulie, Edenburg, Fauresmith, Gariep Dam, Jacobsdal, Jagersfontein, Koffiefontein, Luckhoff, Oppermansgronde, Petrusburg, Philippolis, Reddersburg, Rouxville, Smithfield, Springfontein, Trompsburg, Waterkloof, Zastron Area: 34 250km² Population (2019)b: 155 470 DistrictDistrict % percentagepopulation by ag epopulation-gender group cbyom page-genderared to South Af rgroupica compared to South Africa FS, Xhariep DM (DC16) 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+ 2.2% 3.5% 2.4% 3.7% 2.2% 4.2% 60-64 years 1.4% 1.5% 1.3% 1.8% 1.7% 55-59 years 1.5% 1.7% 1.7% 2.0% 1.5% 1.9% 50-54 years 1.9% 2.5% 1.9% 2.2% 1.9% 2.2% 45-49 years 2.4% 2.6% 2.3% 2.5% 2.3% 2.4% 40-44 years 2.7% 3.1% 2.7% 2.9% 2.7% 2.7% 35-39 years 3.2% 3.4% 3.2% 3.0% 3.6% 3.3% 30-34 years 3.7% 3.8% 3.3% 3.2% 4.2% 3.9% 25-29 years 3.8% 3.7% 4.0% 3.7% 4.1% 3.7% 20-24 years 3.8% 4.0% 4.7% 4.6% 3.7% 3.6% 15-19 years 5.3% 5.2% 5.1% 5.1% 4.7% 4.7% 10-14 years 6.0% 6.3% 4.7% 4.8% 5.7% 5.7% 05-09 years 5.7% 5.8% 5.3% 5.4% 5.7% 5.7% 00-04 years 4.7% 4.8% 6.3% 6.3% 5.3% 5.2% 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. a Available from: https://municipalities.co.za/overview/111/xhariep-district-municipality. b Mid-year Population Estimates 2019, Stats SA. 329 Section B: NationalProfile Free and State District Province Profiles Percentage of deaths by broad cause and leading causes, 2012–2017 FS, Xhariep DM: DC16, 2012 - 2017 Percentage of AgeGrp Female Male deaths by broad <5 years 66% 6% 16% 12% 68% 8% 16% 8% causes and 5-14 22% 19% 25% 34% 15% 8% 23% 55% single leading 15-24 15% 42% 16% 27% 4% 14% 12% 69% causes 25-64 12% 32% 48% 7% 11% 32% 39% 18% 65+ 12%3% 82% 2% 13% 6% 78% 3% Total 16% 19% 58% 7% 15% 23% 46% 16% Broadcause Injury NCD Rank Female Male 1 Lower respiratory infections (23.5%) Diarrhoeal diseases (20.1%) HIV and TB 2 Diarrhoeal diseases (18.7%) Lower respiratory infections (13.7%) Comm_mat_peri_nut 3 Preterm birth complications (10.9%) Preterm birth complications (13.3%) s 4 Protein-energy malnutrition (5.8%) Protein-energy malnutrition (12.5%) r Prov, District a 5 Birth asphyxia (5.6%) HIV/AIDS (7.1%) FS, Xhariep DM: DC16 e y 6 HIV/AIDS (4.9%) Congenital heart anomalies (4.1%) Show history 5 < 7 Road injuries (4.0%) Birth asphyxia (3.9%) 8 Drowning (3.1%) Sepsis/other newborn infectious (3.5%) Percentages are shown 9 Other respiratory (2.4%) Other perinatal conditions (3.4%) according to all the deaths 10 Accidental threats to breathing (2.3%) Drowning (3.2%) within the age/gender 1 HIV/AIDS (18.2%) Road injuries (27.0%) category of each box, 2 Fires, hot substances (17.0%) Drowning (26.2%) although only the leading 3 Lower respiratory infections (16.4%) Other unintentional injuries (15.0%) 10 causes are displayed. 4 Tuberculosis (13.6%) 4 5 Drowning (12.4%) 1 - 5 6 Leukaemia (11.6%) Lower respiratory infections (8.1%) 7 Road injuries (10.8%) Fires, hot substances (7.7%) 8 9 10 1 HIV/AIDS (32.0%) Interpersonal violence (30.5%) 2 Tuberculosis (19.4%) Accidental threats to breathing (15.4%) 3 Interpersonal violence (11.1%) Road injuries (11.0%) 4 Lower respiratory infections (8.2%) Tuberculosis (9.6%) 4 2 5 Road injuries (7.1%) Drowning (8.4%) - 5 1 6 Accidental threats to breathing (4.2%) HIV/AIDS (6.2%) 7 Drowning (3.4%) Fires, hot substances (3.9%) 8 Other neoplasms (2.9%) Mechanical forces (3.9%) 9 Other neurological conditions (2.9%) Lower respiratory infections (2.9%) 10 Endocrine nutritional,blood, immune (2.7%) Epilepsy (2.8%) 1 HIV/AIDS (21.1%) HIV/AIDS (17.6%) 2 Tuberculosis (11.5%) Tuberculosis (15.2%) 3 Lower respiratory infections (7.0%) Lower respiratory infections (7.2%) 4 Cerebrovascular disease (6.9%) Interpersonal violence (5.6%) 4 6 5 Hypertensive heart disease (5.6%) Cerebrovascular disease (5.5%) - 5 2 6 Ischaemic heart disease (3.4%) Ischaemic heart disease (5.2%) 7 Endocrine nutritional,blood, immune (3.1%) Road injuries (3.5%) 8 Diabetes mellitus (3.1%) Accidental threats to breathing (2.9%) 9 Cervix (2.8%) Mechanical forces (2.8%) 10 Diarrhoeal diseases (2.2%) Hypertensive heart disease (2.7%) 1 Cerebrovascular disease (19.0%) Cerebrovascular disease (12.4%) 2 Hypertensive heart disease (16.0%) Ischaemic heart disease (12.0%) 3 Ischaemic heart disease (13.0%) Lower respiratory infections (9.1%) 4 Lower respiratory infections (7.2%) Hypertensive heart disease (8.9%) + 5 Diabetes mellitus (5.7%) COPD (5.7%) 5 6 6 COPD (3.4%) Prostate (5.1%) 7 Diarrhoeal diseases (2.8%) Tuberculosis (4.4%) 8 Tuberculosis (2.2%) Diabetes mellitus (4.0%) 9 Asthma (2.0%) Trachea/bronchi/lung (2.4%) 10 Endocrine nutritional,blood, immune (1.8%) Nephritis/nephrosis (2.4%) Rank Maternal conditions All other causes 1 Indirect maternal (58.4%) n=5 HIV/AIDS (28.1%) n=545 2 Hypertension in pregnancy (41.6%) n=4 Tuberculosis (15.2%) n=296 3 Lower respiratory infections (8.4%) n=163 4 Endocrine nutritional,blood, immune (3.5%) n=69 e l 9 a 4 5 Road injuries (3.4%) n=66 - m 5 e 1 6 Cerebrovascular disease (3.2%) n=63 F 7 Diarrhoeal diseases (2.8%) n=55 8 Cervix (2.7%) n=52 9 Hypertensive heart disease (2.6%) n=51 10 Interpersonal violence (2.6%) n=50 330 SectionSection B: NationalB: Profile andFree DistrictState Province Profiles Annual trends, 2015/16–2019/20 Xhariep: DC16 Xhariep: DC16 s g e n l i i 1 f n 100 100 10 10 o n r a l P p 40 21 y l TB DS client lost to i Couple year 6 m follow up rate [both 8 8 a protection rate [ | 80 12 80 F sexes all ages | _ DHIS] 1 ETR/Tier.Net] _ 27 29 1 25 6 6 60 60 20 24 e r 100 100 a 6 48 c 12 12 y 11 44 49 r e v i 90 90 l 7 11 TB DS death rate e Antenatal 1st visit d 14 10 10 [both sexes all d coverage [female | n 12 ages | 38 a DHIS] 80 80 ETR/Tier.Net] y c 8 8 n a n g e 70 70 r P _ 20 20 2 42 1 _ 1 150 1 150 30 TB symptom 5 Delivery in 10 to 19 15 15 years and older 1 100 100 years in facility rate screened in facility 3 [female | DHIS] rate [both sexes | DHIS] 10 10 50 50 4 50 1 1 200 200 150 150 51 TB symptom child Maternal mortality under 5 years 22 screened in facility in facility ratio 100 31 100 [female | DHIS] rate [both sexes | 100 100 DHIS] 15 0 1 1 0 t n 93 93 e m 92 92 15 15 t a 22 e 91 91 r t Adult with viral 90 90 V I load suppressed Neonatal death in 23 24 10 10 H rate 12 months 89 89 facility rate [both _ 2 [both sexes 15+ 88 88 sexes | DHIS] _ 3 2 2 years | DHIS] 87 87 5 1 5 1 86 86 1 85 33 85 n o i t 2 a 70 70 s i 100 2 100 n u Child with viral m Immunisation load suppressed m i under 1 year 90 90 12 rate 12 months d 6 15 60 60 l i coverage [both [both sexes 0-14 33 h sexes | DHIS] 7 C 80 80 years | DHIS] _ 3 42 _ 48 1 38 70 70 50 50 t n 90 90 3 e 6 6 m t a e 80 80 r t Death in facility Clients remaining d 12 l i 4 4 on ART rate [both h under 5 years rate C sexes all ages | [both sexes | 70 13 70 _ 27 4 DHIS] DHIS] _ 1 2 7 7 2 60 60 6 6 3 3 6 C 11 U 30 30 3 3 7 7 Pneumonia case Antiretroviral fatality under 5 2 2 20 20 27 24 effective coverage years rate [both 13 [both sexes 0-14 sexes <5 years | years | DHIS-Tier] 1 1 DHIS] 10 10 10 51 0 1 1 0 t n e 45 45 m 21 t 80 80 a e r 37 t Antiretroviral TB DS treatment B effective coverage 28 T success rate [both 40 40 _ 42 [both sexes 15+ 1 sexes all ages | _ 75 75 years | DHIS-Tier] 2 ETR/Tier.Net] 17 46 35 37 35 45 70 70 5 6 7 8 9 0 45 45 1 1 1 1 1 2 20 0 0 0 0 0 0 2 2 2 2 2 2 Y Y Y Y Y Y F F F F F F Antiretroviral 40 40 effective coverage 27 Measure Names Rank [both sexes all Prov av 1 51 ages | DHIS-Tier] ZA av 35 20 36 35 Ind Value 5 6 7 8 9 0 1 1 1 1 1 2 0 0 0 0 0 0 2 2 2 2 2 2 Y Y Y Y Y Y F F F F F F 331 Section B: NationalProfile Free and State District Province Profiles Xhariep: DC16 Xhariep: DC16 9 e c C 82 82 n U a n Age-standardised i F Expenditure per 3500 3500 prevalence of 80 80 _ 5 patient day non-raised blood 35 _ 4 equivalent (district pressure (index) 36 78 78 hospitals) [ | BAS [both sexes 15+ 36 3000 3000 real 2019/20 years | NiDS 36 76 76 prices] modelled] 36 35 2500 2500 74 74 t s n e t e 32 e m b e a 34 i Provincial & LG g 3000 3000 a D District Health n _ Diabetes 34 a 2 12 12 Services _ m prevalence [both 32 3 expenditure per sexes 15+ years | 31 2500 2500 capita (uninsured) [ NiDS modelled] 36 | BAS real 2019/20 10 10 prices] 2000 2000 0 1 40 40 C 1900 1900