Section B, Chapter 11- Free State Province

SectionSection B: NationalB: Profile andFree DistrictState Province Profiles

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%) Prov, District 5 Birth asphyxia (5.6%) HIV/AIDS (7.1%) FS, Xhariep DM: DC16 y e a r 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%) 5 Drowning (12.4%) 1 4

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%)

2 4 5 Road injuries (7.1%) Drowning (8.4%)

1 5 - 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%)

6 4 5 Hypertensive heart disease (5.6%) Cerebrovascular disease (5.5%)

2 5 - 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%)

6 5 + 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 a l 4 9 5 Road injuries (3.4%) n=66

1 5 - 6 Cerebrovascular disease (3.2%) n=63 F e m 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 e s n g l 1 i 100 100 10 10 o f a n i P r

p l 40 21 y

l TB DS client lost to i Couple year 6 follow up rate [both 80 80 8 8 protection rate [ | 12 sexes all ages | DHIS] ETR/Tier.Net] 27 29 1 _ F a m 25 6 6 60 60 20 24 e 100 6 100 48

c a r 12 12

y 11 44 49 v e r i 90 7 11 90 TB DS death rate Antenatal 1st visit d e l 14 [both sexes all 10 10 coverage [female | 12 ages | 38 a n d DHIS] 80 80 ETR/Tier.Net] 8 8

e g n a c y 70 70 20 20 42 1

1 _ 2 P r 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

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 93 93 e n t

15 15 m 92 92 22 e a t 91 91 r

t Adult with viral 90 90 V Neonatal death in I load suppressed 23 10 10 89 24 89 facility rate [both rate 12 months sexes | DHIS] [both sexes 15+ 88 88 3 2 2 _ H years | DHIS] 87 87 5 1 5 1 86 86 1 85 33 85 o n i 2 70 70 s a t 100 2 100

u n i Child with viral

m Immunisation load suppressed m i under 1 year 90 12 90 rate 12 months d 6 15 60 60 l coverage [both [both sexes 0-14 33 h i sexes | DHIS] 7 80 80 years | DHIS] 42 48 1 _ 3 C 38 70 70 50 50 90 90 3 e n t 6 6 m

e a t 80 80 r t Death in facility Clients remaining d 12 l 4 4 on ART rate [both

h i under 5 years rate sexes all ages | 70 70 [both sexes | 13 27 DHIS] DHIS] 1 _ 4 C 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

e n t 45 45

m 21 80 80 e a t

r 37 t Antiretroviral TB DS treatment effective coverage 28 success rate [both 40 40 [both sexes 15+ sexes all ages | 42 75 75 years | DHIS-Tier] 2 _ 1 T B ETR/Tier.Net] 17 46 35 37 35 45 70 70 45 45 20 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 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 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

331 Section B: NationalProfile Free and State District Province Profiles

Xhariep: DC16 Xhariep: DC16 9

C 82 82 U

Age-standardised n a c e Expenditure per 3500 3500 prevalence of 80 80 patient day non-raised blood 35 4 _ 5 F i 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 e s e n t 32

a b e t 34

i Provincial & LG 3000 3000 District Health Diabetes 34 a n g e m 12 12 Services m prevalence [both 32 3 _ 2 D expenditure per sexes 15+ years | 31 2500 2500 capita (uninsured) [ NiDS modelled] 36 | BAS real 2019/20 10 10 prices] 2000 2000

1 0 40 40

C 1900 1900 U 25 1800 1800 Provincial & LG 1700 1700 Diabetes treatment 35 35 35 PHC expenditure 1600 1600 coverage [both per capita 39 sexes 15+ years | (uninsured) [ | BAS 1500 1500 30 30 NiDS modelled] 42 real 2019/20 1400 1400 prices] 1300 1300 47 1200 1200 25 25 48 1100 1100 o n i 3 e c t Provincial & LG 600 600 d e t 3 12 60 60 Cervical cancer PHC expenditure screening 7 18 per PHC

a n c e r coverage [female | headcount [ | BAS 500 500 DHIS] real 2019/20 29 40 40 prices] 3 _ C 400 400

1 2 82 82 41 C U

s e a 15 15

80 80 d i

Tobacco 42 Percentage of non-smoking o f deaths garbage 14 14 prevalence (index) 34 78 78 d e n codes [both sexes [both sexes 15+ 36 all ages | vital 40 years | NiDS 38 B u r 13 13 registration] modelled] 76 40 76 40 41 12 12 74 74 20 20 e n t i 18 43 18 a c e s n p a t i y t

i Hospital beds per Percentage of l 15 15 36 10 000 target 36 deaths ill-defined 16 16 population [ | DHIS 41 38 [both sexes all 2000-2030 public ages | vital

4 _ 1 F a c i sector] 10 10 registration] 14 34 14

51 51 50 12 12 y t 20 20

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

w 100 000 population 28 maternal, perinatal, 23 h t [both sexes | public nutrition causes 20 37 36 20 15 15 e a l sector] [both sexes | vital registration] 19 46 11 4 _ 2 H

4 48 20 20 28 28 3 6 Percentage of Pharmacists per 6 YLLs due to HIV 100 000 population 21 and TB [both 26 26 [both sexes | public sexes | vital sector] 15 15 registration] 24 24 22 22 22 16 16 140 140 36

Professional 120 120 Percentage of 15 31 15 nurses per 100 22 000 population YLLs due to injuries [both sexes [both sexes | public 100 100 | vital registration] 14 14 sector] 80 47 47 80 47 48 13 13 n e s a n d 100 1 100 37 47 47 c i C 8 11 46 46

e d i Percentage of P H m 7 YLLs due to 45 45 44 44 Percentage Ideal non-communicable 25 clinics [ | IC status] 50 50 diseases [both 43 43 7 sexes | vital 42 36 42 registration] 41 41 4 _ 3 A c e s 5 40 40 0 0 39 39 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

332 SectionSection B: NationalB: Profile andFree DistrictState Province Profiles

Lejweleputswa District Municipality (DC18)

The Lejweleputswa District Municipalityc is a Category C municipality situated in the north-western part of the Free State. The district makes up almost a third of the province, and consists of the following five local municipalities: Masilonyana, Tokologo, Tswelopele, Matjhabeng and Nala. Cities/Towns: Allanridge, Boshof, Bothaville, Brandfort, Bultfontein, Dealesville, Hennenman, Hertzogville, Hoopstad, Odendaalsrus, Soutpan, Theunissen, Ventersburg, Verkeerdevlei, Virginia, Welkom, Wesselsbron, Winburg Area: 32 287km² Population (2019)d: 677 694

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

FS, Lejweleputswa DM (DC18)

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% 2.3% 2.0% 2.8% 2.7% 3.7%

60-64 years 1.4% 1.6% 1.8% 2.0%

55-59 years 1.4% 1.5% 2.1% 2.1% 2.2% 2.5%

50-54 years 2.0% 2.0% 2.6% 2.7% 2.3% 2.8%

45-49 years 2.9% 2.8% 3.0% 3.1% 2.6% 3.0%

40-44 years 3.6% 3.4% 3.0% 3.4% 3.1% 3.1%

35-39 years 4.2% 4.2% 3.3% 3.6% 4.0% 3.7%

30-34 years 3.9% 4.2% 3.7% 3.6% 4.7% 4.2%

25-29 years 3.8% 4.3% 4.4% 4.0% 4.3% 3.9%

20-24 years 4.0% 4.2% 5.0% 4.7% 4.1% 3.9%

15-19 years 5.1% 5.0% 4.8% 4.6% 4.1% 4.1%

10-14 years 5.9% 5.6% 4.7% 4.6% 4.7% 4.7%

05-09 years 5.1% 4.8% 4.5% 4.5% 4.6% 4.5%

00-04 years 5.1% 4.8% 5.0% 5.0% 4.3% 4.2%

Sex Gender (ZA) female female (ZA) male male (ZA)

c Available from: https://municipalities.co.za/overview/108/lejweleputswa-district-municipality. d Mid-year Population Estimates 2019, Stats SA.

333 Section B: NationalProfile Free and State District Province Profiles

Percentage of deaths by broad cause and leading causes, 2012–2017 FS, Lejweleputswa DM: DC18, 2012 - 2017 Percentage of AgeGrp Female Male deaths by broad <5 years 82% 4%9%5% 82% 5%7%6% causes and 5-14 33% 20% 23% 25% 25% 22% 15% 38% single leading 15-24 27% 36% 18% 19% 11% 15% 14% 61% causes 25-64 21% 30% 44% 5% 19% 30% 35% 17% 65+ 18% 3% 76% 2% 19% 6% 72% 4% Total 26% 18% 51% 5% 24% 21% 40% 15% Broadcause Injury NCD Rank Female Male 1 Lower respiratory infections (24.7%) Lower respiratory infections (21.2%) HIV and TB 2 Diarrhoeal diseases (20.7%) Diarrhoeal diseases (18.7%) Comm_mat_peri_nut 3 Preterm birth complications (10.3%) Preterm birth complications (14.1%)

s 4 Protein-energy malnutrition (9.0%) Protein-energy malnutrition (9.9%) Prov, District 5 Birth asphyxia (8.7%) Birth asphyxia (8.1%) FS, Lejweleputswa DM: DC18 y e a r 6 Sepsis/other newborn infectious (4.0%) Sepsis/other newborn infectious (4.9%) Show history 5

< 7 Other perinatal conditions (4.0%) HIV/AIDS (3.6%) 8 HIV/AIDS (3.1%) Other perinatal conditions (3.3%) Percentages are shown 9 Septicaemia (1.6%) Septicaemia (1.9%) according to all the deaths 10 Tuberculosis (1.5%) Tuberculosis (1.4%) within the age/gender 1 Lower respiratory infections (17.7%) Road injuries (20.7%) category of each box, 2 Tuberculosis (15.5%) HIV/AIDS (15.2%) although only the leading 3 Road injuries (10.7%) Lower respiratory infections (12.7%) 10 causes are displayed. 4 HIV/AIDS (9.4%) Tuberculosis (10.3%) 5 Diarrhoeal diseases (9.0%) Diarrhoeal diseases (8.9%) 1 4

5 - 6 Meningitis/encephalitis (6.8%) Drowning (8.3%) 7 Fires, hot substances (6.3%) Accidental threats to breathing (7.0%) 8 Endocrine nutritional,blood, immune (6.0%) Fires, hot substances (6.0%) 9 Drowning (4.3%) Epilepsy (3.1%) 10 Accidental threats to breathing (4.3%) Meningitis/encephalitis (2.5%) 1 HIV/AIDS (22.7%) Interpersonal violence (32.2%) 2 Lower respiratory infections (16.6%) Road injuries (9.6%) 3 Tuberculosis (15.4%) HIV/AIDS (7.9%) 4 Road injuries (6.3%) Mechanical forces (7.8%)

2 4 5 Interpersonal violence (4.9%) Tuberculosis (7.6%)

1 5 - 6 Endocrine nutritional,blood, immune (4.7%) Accidental threats to breathing (7.0%) 7 Diarrhoeal diseases (4.4%) Lower respiratory infections (5.6%) 8 Accidental threats to breathing (3.0%) Epilepsy (2.6%) 9 Fires, hot substances (2.5%) Endocrine nutritional,blood, immune (2.2%) 10 Meningitis/encephalitis (2.4%) Self-inflicted injuries (1.9%) 1 HIV/AIDS (18.0%) Tuberculosis (15.1%) 2 Lower respiratory infections (13.3%) HIV/AIDS (14.5%) 3 Tuberculosis (11.7%) Lower respiratory infections (13.0%) 4 Hypertensive heart disease (6.4%) Road injuries (4.8%)

6 4 5 Cerebrovascular disease (5.4%) Interpersonal violence (4.6%)

2 5 - 6 Endocrine nutritional,blood, immune (4.7%) Ischaemic heart disease (3.8%) 7 Diabetes mellitus (4.2%) Cerebrovascular disease (3.7%) 8 Diarrhoeal diseases (3.7%) Hypertensive heart disease (3.6%) 9 Ischaemic heart disease (2.9%) Mechanical forces (3.0%) 10 Nephritis/nephrosis (2.8%) Endocrine nutritional,blood, immune (2.8%) 1 Hypertensive heart disease (16.6%) Lower respiratory infections (14.5%) 2 Cerebrovascular disease (15.2%) Ischaemic heart disease (11.8%) 3 Lower respiratory infections (12.6%) Hypertensive heart disease (10.7%) 4 Ischaemic heart disease (9.9%) Cerebrovascular disease (9.9%) 5 Diabetes mellitus (7.5%) COPD (6.9%)

6 5 + 6 Diarrhoeal diseases (3.7%) Diabetes mellitus (4.6%) 7 Cardiomyopathy (2.5%) Prostate (4.4%) 8 COPD (2.4%) Tuberculosis (4.3%) 9 Endocrine nutritional,blood, immune (2.3%) Diarrhoeal diseases (2.5%) 10 Nephritis/nephrosis (2.2%) Nephritis/nephrosis (2.3%)

Rank Maternal conditions All other causes 1 Indirect maternal (26.8%) n=27 HIV/AIDS (23.7%) n=1 604 2 Hypertension in pregnancy (23.9%) n=24 Tuberculosis (15.1%) n=1 020 3 Abortion (22.5%) n=22 Lower respiratory infections (15.1%) n=1 018 4 Other maternal (15.0%) n=15 Endocrine nutritional,blood, immune (5.5%) n=373 e a l 4 9 5 Maternal haemorrhage (11.8%) n=12 Diarrhoeal diseases (4.2%) n=285

1 5 - 6 Road injuries (3.2%) n=213 F e m 7 Hypertensive heart disease (2.8%) n=192 8 Cerebrovascular disease (2.7%) n=180 9 Nephritis/nephrosis (2.5%) n=169 10 Diabetes mellitus (1.9%) n=126

334 SectionSection B: NationalB: Profile andFree DistrictState Province Profiles

Annual trends, 2015/16–2019/20

Lejweleputswa: DC18 Lejweleputswa: DC18 e s n g 80 80 12 12 l i 38 15 o f a n i P r p l 21 10 10 y 13 l 11 TB DS client lost to i Couple year 70 70 42 33 follow up rate [both protection rate [ | sexes all ages | DHIS] ETR/Tier.Net] 8 38 8

1 _ F a m 60 28 60 27 6 6 e

c a r 21 10 10 y 28 29 v e r 80 80 i TB DS death rate Antenatal 1st visit 9 9 d e l [both sexes all 28 coverage [female | ages | 34 32 a n d DHIS] 75 28 75 ETR/Tier.Net] 8 8 28 25 7 7 30

e g n a c y 70 70

17 3 13 13 1 _ 2 P r 100 8 100 TB symptom 5 Delivery in 10 to 19 years and older 12 13 12 28 years in facility rate screened in facility [female | DHIS] rate [both sexes | 50 50 DHIS] 30 11 11

13 0 0 52 3 4 44 200 200 TB symptom child 100 100 Maternal mortality under 5 years in facility ratio 47 screened in facility 42 [female | DHIS] 150 46 150 rate [both sexes | 80 80 DHIS] 17

100 27 100 94 94 52 e n t 9 8 6 52 m

20 52 20 e a t r 92 92 t Adult with viral V

I load suppressed Neonatal death in 49 facility rate [both rate 12 months 90 90 [both sexes 15+ sexes | DHIS] 41 15 15 2 _ H years | DHIS] 21 88 88 o n i 15 s a t 80 23 80 70 70

u n i Child with viral 20 m Immunisation 38 load suppressed m i under 1 year rate 12 months 65 65 d l coverage [both 40 [both sexes 0-14 h i 41 29 sexes | DHIS] 70 70 years | DHIS] 60 60

1 _ 3 C 38 44 31

e n t 48 49 m 70 70

e a t 47 r

t 8 8 27 Death in facility 39 Clients remaining 35 d l on ART rate [both h i under 5 years rate 39 41 [both sexes | sexes all ages | 60 60 DHIS] 38 DHIS] 6 6 1 _ 4 C

50 42 50

6 25 25 C

44 U 48 20 28 20 Pneumonia case 4 4 Antiretroviral fatality under 5 38 effective coverage years rate [both 32 [both sexes 0-14 15 15 sexes <5 years | years | DHIS-Tier] 42 37 DHIS] 2 2 15 10 10 10 50

e n t 45 45 m 80 32 80

e a t 34 r t 32 Antiretroviral 40 40 TB DS treatment 33 success rate [both effective coverage sexes all ages | 75 75 [both sexes 15+ years | DHIS-Tier] 35 35 2 _ 1 T B ETR/Tier.Net] 39 43 30 30 70 47 70 30 45 45 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 Antiretroviral 40 40 effective coverage 33 Measure Names Rank [both sexes all 35 35 Prov av 1 52 ages | DHIS-Tier] 39 ZA av 44 30 30 Ind Value 30 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

335 Section B: NationalProfile Free and State District Province Profiles

Lejweleputswa: DC18 Lejweleputswa: DC18

9 3200 3200 C 82 82 U

Age-standardised n a c e 29 Expenditure per prevalence of 80 29 80 3000 3000 non-raised blood 26 patient day 4 _ 5 F i equivalent (district pressure (index) 26 24 hospitals) [ | BAS [both sexes 15+ 78 21 78 real 2019/20 2800 2800 years | NiDS prices] modelled] 76 76 2600 2600

e s 12 12 e n t 2000 2000 a b e t

i Provincial & LG 10 10 District Health Diabetes a n g e m Services

m prevalence [both 1800 1800 3 _ 2 D expenditure per sexes 15+ years | 8 8 capita (uninsured) [ NiDS modelled] 15 12 | BAS real 2019/20 13 1600 1600 6 11 6 prices] 10 12 1400 1400

1 0 40 18 40 C U 21 Provincial & LG 1200 1200 Diabetes treatment PHC expenditure 35 35 coverage [both 26 per capita sexes 15+ years | (uninsured) [ | BAS 33 1100 1100 NiDS modelled] real 2019/20 prices] 30 36 30 39 1000 1000 o n i 19

e c t 50 50 Provincial & LG

d e t 500 500 Cervical cancer 31 PHC expenditure screening 20 per PHC 28 a n c e r coverage [female | headcount [ | BAS 40 31 40 DHIS] real 2019/20 prices] 400 400 3 _ C 33 30 30 1 2 C U s e a d i

Tobacco 81 81 Percentage of non-smoking o f deaths garbage 12 12 prevalence (index) 21

d e n codes [both sexes [both sexes 15+ all ages | vital

28 B u r years | NiDS 30 80 31 80 registration] modelled] 30 13 30 10 10 30 11 20 20 e n t

i 37 16 16

a c e s 35 n p a t

i 18 18 y t

i Hospital beds per Percentage of l 10 000 target deaths ill-defined population [ | DHIS 16 16 [both sexes all 2000-2030 public ages | vital 14 35 14

4 _ 1 F a c i sector] registration] 14 39 38 36 14 37 37 39 y t 49 30 30 49 d e n s i Percentage of Medical YLLs due to 25 48 25 k e r practitioners per communicable, o r

w 100 000 population maternal, perinatal, h t [both sexes | public 20 20 nutrition causes 20 20 e a l sector] [both sexes | vital 43 43 43 registration] 47 4 _ 2 H

14 14 26 26 Percentage of Pharmacists per 12 12 YLLs due to HIV 100 000 population and TB [both 24 24 [both sexes | public sexes | vital sector] 10 10 registration] 9 22 22 42 18 8 34 33 45 8 10

140 140 15 15 130 130 Professional 120 120 Percentage of nurses per 100 110 110 000 population YLLs due to 18 100 100 injuries [both sexes 14 14 [both sexes | public 17 90 90 | vital registration] sector] 80 80 18 70 70 49 49 49 50 13 13 60 60 n e s a n d 70 25 70 c i 45 45 C 60 27 60

e d i Percentage of P H m 50 50 YLLs due to Percentage Ideal 40 40 non-communicable clinics [ | IC status] 33 diseases [both 30 30 40 15 40 33 sexes | vital 20 20 12 registration] 4 _ 3 A c e s 10 24 10 0 11 0 21 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

336 SectionSection B: NationalB: Profile andFree DistrictState Province Profiles

Thabo Mofutsanyana District Municipality (DC19)

The Thabo Mofutsanyana District Municipalitye is a Category C municipality located in the eastern Free State Province, and borders on Lesotho. It comprises six local municipalities: Setsoto, Dihlabeng, Nketoana, Maluti-A-Phofung, Phumelela and Mantsopa. Cities/Towns: Arlington, Bethlehem, Clarens, Clocolan, Excelsior, Ficksburg, Fouriesburg, Golden Gate Highlands National Park, Harrismith, Hobhouse, Kestell, Ladybrand, Lindley, Marquard, Memel, Paul Roux, Petrus Steyn, Phuthaditjhaba, Reitz, Rosendal, Senekal, Thaba Patchoa, Tweespruit, Vrede, Warden Area: 32 734km² Population (2019)f: 796 990

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

FS, T Mofutsanyana DM (DC19)

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% 3.3% 1.8% 3.5% 1.9% 4.1%

60-64 years 1.7% 1.8%

55-59 years 1.6% 1.3% 2.1% 2.1%

50-54 years 1.6% 2.2% 1.5% 2.3% 1.4% 2.4%

45-49 years 2.0% 2.8% 1.8% 2.6% 2.0% 2.7%

40-44 years 2.2% 3.1% 2.1% 3.0% 2.5% 3.1%

35-39 years 2.7% 3.6% 2.7% 3.3% 3.6% 3.9%

30-34 years 2.9% 3.9% 3.2% 3.7% 4.4% 4.6%

25-29 years 3.5% 4.2% 4.2% 4.6% 4.1% 4.5%

20-24 years 4.0% 4.6% 5.3% 5.4% 3.9% 4.1%

15-19 years 5.9% 6.0% 5.5% 5.5% 4.7% 4.7%

10-14 years 6.7% 6.6% 4.9% 4.9% 5.4% 5.4%

05-09 years 5.9% 5.9% 5.2% 5.1% 5.3% 5.2%

00-04 years 4.9% 4.9% 5.8% 5.8% 5.1% 5.0%

Sex Gender (ZA) female female (ZA) male male (ZA)

e Available from: https://municipalities.co.za/overview/110/thabo-mofutsanyana-district-municipality. f Mid-year Population Estimates 2019, Stats SA.

337 Section B: NationalProfile Free and State District Province Profiles

Percentage of deaths by broad cause and leading causes, 2012–2017 FS, T Mofutsanyana DM: DC19, 2012 - 2017 Percentage of AgeGrp Female Male deaths by broad <5 years 74% 8% 10% 8% 75% 8% 10% 7% causes and 5-14 29% 23% 20% 28% 22% 21% 19% 37% single leading 15-24 21% 44% 19% 16% 11% 19% 18% 51% causes 25-64 16% 37% 42% 5% 15% 36% 34% 14% 65+ 13% 4% 80% 2% 16% 8% 72% 4% Total 20% 22% 53% 5% 21% 26% 40% 13% Broadcause Injury NCD Rank Female Male 1 Diarrhoeal diseases (18.5%) Diarrhoeal diseases (16.5%) HIV and TB 2 Lower respiratory infections (18.4%) Lower respiratory infections (15.7%) Comm_mat_peri_nut 3 Preterm birth complications (11.2%) Preterm birth complications (13.5%)

s 4 Protein-energy malnutrition (8.1%) Protein-energy malnutrition (11.4%) Prov, District 5 Birth asphyxia (7.8%) Birth asphyxia (8.7%) FS, T Mofutsanyana DM: DC19 y e a r 6 HIV/AIDS (7.3%) HIV/AIDS (7.0%) Show history 5

< 7 Other perinatal conditions (5.0%) Other perinatal conditions (4.7%) 8 Accidental threats to breathing (2.7%) Sepsis/other newborn infectious (2.9%) Percentages are shown 9 Sepsis/other newborn infectious (2.6%) Poisonings (including herbal) (2.0%) according to all the deaths 10 Poisonings (including herbal) (2.4%) Accidental threats to breathing (2.0%) within the age/gender 1 HIV/AIDS (17.1%) Drowning (17.7%) category of each box, 2 Lower respiratory infections (13.5%) HIV/AIDS (13.2%) although only the leading 3 Road injuries (10.5%) Road injuries (13.1%) 10 causes are displayed. 4 Tuberculosis (9.3%) Tuberculosis (11.0%) 5 Diarrhoeal diseases (8.9%) Meningitis/encephalitis (6.2%) 1 4

5 - 6 Accidental threats to breathing (7.7%) Lower respiratory infections (5.8%) 7 Drowning (6.2%) Diarrhoeal diseases (5.4%) 8 Epilepsy (4.4%) Fires, hot substances (4.5%) 9 Fires, hot substances (4.1%) Accidental threats to breathing (2.8%) 10 Endocrine nutritional,blood, immune (3.3%) Epilepsy (2.2%) 1 HIV/AIDS (30.7%) Interpersonal violence (20.1%) 2 Tuberculosis (14.4%) HIV/AIDS (12.0%) 3 Lower respiratory infections (8.2%) Road injuries (11.0%) 4 Road injuries (5.8%) Accidental threats to breathing (9.0%)

2 4 5 Diarrhoeal diseases (4.8%) Tuberculosis (8.1%)

1 5 - 6 Endocrine nutritional,blood, immune (3.7%) Lower respiratory infections (4.4%) 7 Accidental threats to breathing (3.4%) Drowning (4.3%) 8 Cardiomyopathy (2.4%) Epilepsy (3.8%) 9 Interpersonal violence (2.3%) Meningitis/encephalitis (3.4%) 10 Meningitis/encephalitis (2.2%) Mechanical forces (3.1%) 1 HIV/AIDS (25.9%) HIV/AIDS (21.8%) 2 Tuberculosis (11.0%) Tuberculosis (14.7%) 3 Lower respiratory infections (8.0%) Lower respiratory infections (9.0%) 4 Hypertensive heart disease (6.3%) Road injuries (4.8%)

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

2 5 - 6 Diabetes mellitus (5.0%) Hypertensive heart disease (4.3%) 7 Diarrhoeal diseases (4.3%) Diarrhoeal diseases (3.2%) 8 Endocrine nutritional,blood, immune (3.2%) Interpersonal violence (3.1%) 9 Cervix (3.0%) Ischaemic heart disease (3.0%) 10 Ischaemic heart disease (2.9%) Diabetes mellitus (2.4%) 1 Hypertensive heart disease (20.3%) Hypertensive heart disease (12.7%) 2 Cerebrovascular disease (17.1%) Cerebrovascular disease (11.4%) 3 Diabetes mellitus (9.1%) Lower respiratory infections (10.0%) 4 Ischaemic heart disease (8.3%) Ischaemic heart disease (8.3%) 5 Lower respiratory infections (7.8%) COPD (5.7%)

6 5 + 6 Diarrhoeal diseases (3.6%) Tuberculosis (5.5%) 7 Tuberculosis (2.5%) Diabetes mellitus (5.4%) 8 HIV/AIDS (1.9%) Prostate (4.6%) 9 COPD (1.9%) Diarrhoeal diseases (3.3%) 10 Endocrine nutritional,blood, immune (1.8%) HIV/AIDS (2.7%)

Rank Maternal conditions All other causes 1 Other maternal (31.9%) n=40 HIV/AIDS (33.5%) n=2 944 2 Indirect maternal (29.0%) n=36 Tuberculosis (14.0%) n=1 228 3 Hypertension in pregnancy (17.7%) n=22 Lower respiratory infections (9.1%) n=797 4 Maternal haemorrhage (12.4%) n=15 Diarrhoeal diseases (4.9%) n=434 e a l 4 9 5 Abortion (9.0%) n=11 Endocrine nutritional,blood, immune (3.4%) n=301

1 5 - 6 Road injuries (3.2%) n=277 F e m 7 Cerebrovascular disease (2.7%) n=241 8 Hypertensive heart disease (2.6%) n=226 9 Cervix (2.1%) n=189 10 Diabetes mellitus (2.0%) n=177

338 SectionSection B: NationalB: Profile andFree DistrictState Province Profiles

Annual trends, 2015/16–2019/20

T Mofutsanyana: DC19 T Mofutsanyana: DC19 e s n g

80 80 l i 10 10 o f

a n i 10 P r p l 70 21 70 y

l 29 TB DS client lost to 8 8 i Couple year 23 follow up rate [both protection rate [ | 60 40 60 sexes all ages | 6 6 DHIS] ETR/Tier.Net] 5

1 _ F a m 50 50 4 7 4 48 11 8 40 40 e 48 c a r 48

y 24 26 12 12 80 80 47

v e r 47 i TB DS death rate Antenatal 1st visit d e l [both sexes all 10 10 coverage [female | 75 75 37 31 ages | a n d DHIS] ETR/Tier.Net] 70 31 70 8 8 37 e g n a c y 65 65 14 22 14 100 18 100 1 _ 2 P r 24 19 TB symptom 5 23 13 13 Delivery in 10 to 19 years and older years in facility rate screened in facility 50 27 50 [female | DHIS] 12 12 rate [both sexes | DHIS] 15 11 11 0 0 45 200 200 49 100 6 100 TB symptom child 15 Maternal mortality under 5 years 150 150 screened in facility in facility ratio 42 rate [both sexes | [female | DHIS] 80 80 DHIS] 31 18 100 28 100 28

e n t 12 10

m 12 92 92

15 15 e a t 43 r t Adult with viral 43 V Neonatal death in I load suppressed 90 90 facility rate [both rate 12 months 17 sexes | DHIS] 19 [both sexes 15+ 14 2 _ H years | DHIS] 10 10 88 88 4 o n i 5 3 s a t 80 80

u n i Child with viral

m Immunisation 70 70 32 load suppressed 25

m 34 i under 1 year 33 rate 12 months d l coverage [both 75 75 [both sexes 0-14 h i sexes | DHIS] 32 years | DHIS] 70 44 70 60 60 1 _ 3 C 30 30 14 e n t 37 m 7 7 70 24 70 e a t r t Death in facility Clients remaining 18 d l on ART rate [both

h i under 5 years rate [both sexes | 6 6 sexes all ages | 32 DHIS] DHIS] 60 60

1 _ 4 C 24 5 23 20 5 22 17 6

C 5

44 U 30 30

Pneumonia case 4 4 Antiretroviral 20 14 fatality under 5 39 effective coverage 25 25 years rate [both [both sexes 0-14 sexes <5 years | years | DHIS-Tier] 22 DHIS] 2 22 2 20 20 12 9 32 60 2 60 e n t 15 m 24 6 e a t

r 9 t 80 80 Antiretroviral TB DS treatment 50 50 effective coverage success rate [both 31 5 31 [both sexes 15+ sexes all ages | years | DHIS-Tier] 2 _ 1 T B ETR/Tier.Net] 75 75 40 40

70 70 2

2 0 1 5 2 0 1 6 2 0 1 7 2 0 1 8 2 0 1 9 2 0 6 50 50 F Y F Y F Y F Y F Y F Y Antiretroviral 9 effective coverage 3 Measure Names Rank [both sexes all Prov av 1 49 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

339 Section B: NationalProfile Free and State District Province Profiles

T Mofutsanyana: DC19 T Mofutsanyana: DC19

9 85 85 3200 3200 C 9 U

Age-standardised 12 n a c e Expenditure per prevalence of 15 3000 3000 patient day non-raised blood 16 4 _ 5 F i equivalent (district pressure (index) 80 18 80 hospitals) [ | BAS 2800 2800 [both sexes 15+ real 2019/20 years | NiDS 18 prices] modelled] 2600 2600 e s e n t 39 16 40 16 a b e t i 42 Provincial & LG 2000 2000 District Health Diabetes 42 a n g e m 14 41 14 Services m prevalence [both 3 _ 2 D expenditure per sexes 15+ years | 41 1900 1900 capita (uninsured) [ NiDS modelled] 12 12 | BAS real 2019/20 prices] 1800 1800 10 10

1 0 40 40 C U Provincial & LG Diabetes treatment 35 35 PHC expenditure 1200 1200 coverage [both 37 per capita sexes 15+ years | 38 (uninsured) [ | BAS NiDS modelled] 40 real 2019/20 30 39 30 prices] 1100 1100 40 41

o n 50 50 i 29 e c t 21 Provincial & LG d e t 500 500 Cervical cancer PHC expenditure screening 40 40 per PHC

a n c e r coverage [female | 39 41 headcount [ | BAS DHIS] real 2019/20 prices]

3 _ C 400 400 30 47 30 44 1 2 C

U 24 s e a

25 d i Tobacco 81 81 Percentage of 13 13

25 o f non-smoking 36 prevalence (index) 26 deaths garbage

d e n codes [both sexes 31 [both sexes 15+ 28 29 all ages | vital years | NiDS B u r 12 12 registration] modelled] 80 80 23 20 20 e n t

i 15 15

a c e s 14 14

n p a t 18 18 i y t

i Hospital beds per Percentage of 13 13 l 10 000 target deaths ill-defined 12 12 population [ | DHIS [both sexes all 16 16 11 11 2000-2030 public ages | vital 10 10 4 _ 1 F a c i sector] registration] 14 33 14 9 17 9 41 41 42 40 42 8 14 11 8 12 12 y t 42

d e n s i Percentage of 30 30 31 Medical YLLs due to 20 20 k e r practitioners per communicable, o r 34 w 100 000 population 25 25 maternal, perinatal, h

t [both sexes | public nutrition causes

e a l sector] [both sexes | vital 20 35 20 18 18 37 38 registration] 39 4 _ 2 H 15 15 35 14 14 30 30 29 44 29 Percentage of Pharmacists per 28 28 YLLs due to HIV 100 000 population 12 12 27 27 and TB [both [both sexes | public 26 26 sexes | vital sector] 25 29 25 registration] 24 24 10 25 32 10 33 23 23 29 22 22 150 150 15 15 Professional Percentage of nurses per 100 14 14 000 population 100 100 YLLs due to injuries [both sexes [both sexes | public | vital registration] sector] 13 13 9 51 51 52 52 12 10 6 12 50 50 100 100 n e s a n d 9

c i 12 45 45 C

e d i 13 Percentage of P H m YLLs due to Percentage Ideal non-communicable 50 14 50 clinics [ | IC status] diseases [both 16 sexes | vital 40 16 40 registration] 4 _ 3 A c e s 16 0 11 0 23 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

340 SectionSection B: NationalB: Profile andFree DistrictState Province Profiles

Fezile Dabi District Municipality (DC20)

The Fezile Dabi District Municipalityg is a Category C municipality. The municipality is the smallest district in the province, making up 16% of its geographical area. It consists of four local municipalities: Moqhaka, Metsimaholo, Ngwathe and Mafube. Cities/Towns: Cornelia, Deneysville, Edenville, Frankfort, Heilbron, Koppies, Kragbron, Kroonstad, Oranjeville, Parys, Renovaal, Sasolburg, Steynsrus, Tweeling, Vierfontein, Viljoenskroon, Villiers, Vredefort Area: 20 668km² Population (2019)h: 507 519

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

FS, Fezile Dabi DM (DC20)

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% 3.3% 2.5% 3.9% 2.9% 4.8%

60-64 years 1.3% 1.5% 1.9% 1.5% 2.0%

55-59 years 1.6% 1.8% 1.9% 2.2% 1.9% 2.2%

50-54 years 2.1% 2.4% 2.2% 2.5% 2.2% 2.5%

45-49 years 2.7% 2.9% 2.6% 2.8% 2.7% 2.9%

40-44 years 3.0% 3.1% 2.9% 3.0% 3.2% 3.1%

35-39 years 3.5% 3.6% 3.5% 3.5% 4.2% 3.8%

30-34 years 3.8% 3.7% 3.8% 3.6% 4.7% 4.3%

25-29 years 4.1% 4.1% 4.5% 4.2% 4.2% 3.9%

20-24 years 4.1% 4.1% 5.0% 4.8% 3.9% 3.8%

15-19 years 5.5% 5.1% 4.7% 4.7% 4.0% 4.0%

10-14 years 5.8% 5.8% 4.5% 4.5% 4.8% 4.8%

05-09 years 5.0% 4.9% 4.4% 4.4% 4.7% 4.6%

00-04 years 4.7% 4.6% 5.0% 5.0% 4.3% 4.2%

Sex Gender (ZA) female female (ZA) male male (ZA)

g Available from: https://municipalities.co.za/overview/107/fezile-dabi-district-municipality. h Mid-year Population Estimates 2019, Stats SA.

341 Section B: NationalProfile Free and State District Province Profiles

Percentage of deaths by broad cause and leading causes, 2012–2017 FS, Fezile Dabi DM: DC20, 2012 - 2017 Percentage of AgeGrp Female Male deaths by broad <5 years 77% 6% 10% 7% 77% 5%11% 8% causes and 5-14 33% 16% 19% 31% 13% 18% 18% 51% single leading 15-24 20% 38% 21% 22% 10% 17% 16% 57% causes 25-64 17% 32% 46% 6% 16% 31% 38% 16% 65+ 13%4% 81% 2% 13% 7% 76% 4% Total 19% 19% 57% 5% 19% 21% 46% 14% Broadcause Injury NCD Rank Female Male 1 Lower respiratory infections (26.3%) Lower respiratory infections (20.3%) HIV and TB 2 Preterm birth complications (15.0%) Preterm birth complications (16.6%) Comm_mat_peri_nut 3 Diarrhoeal diseases (14.2%) Diarrhoeal diseases (15.6%)

s 4 Protein-energy malnutrition (7.6%) Birth asphyxia (9.3%) Prov, District 5 Birth asphyxia (7.1%) Protein-energy malnutrition (6.8%) FS, Fezile Dabi DM: DC20 y e a r 6 HIV/AIDS (5.0%) Sepsis/other newborn infectious (4.3%) Show history 5

< 7 Sepsis/other newborn infectious (3.6%) HIV/AIDS (3.6%) 8 Other perinatal conditions (2.4%) Road injuries (2.9%) Percentages are shown 9 Road injuries (2.2%) Other perinatal conditions (2.8%) according to all the deaths 10 Endocrine nutritional,blood, immune (1.7%) Congenital heart anomalies (1.8%) within the age/gender 1 Lower respiratory infections (14.9%) Road injuries (25.7%) category of each box, 2 Drowning (14.9%) Drowning (18.8%) although only the leading 3 HIV/AIDS (13.3%) Tuberculosis (14.8%) 10 causes are displayed. 4 Road injuries (13.3%) Accidental threats to breathing (9.0%) 5 Diarrhoeal diseases (13.0%) HIV/AIDS (8.1%) 1 4

5 - 6 Tuberculosis (9.0%) Fires, hot substances (6.8%) 7 Meningitis/encephalitis (6.7%) Lower respiratory infections (5.4%) 8 Endocrine nutritional,blood, immune (5.0%) Epilepsy (4.6%) 9 Fires, hot substances (3.9%) Intestinal obstruction, strangulated he (2.3%) 10 Other unintentional injuries (3.0%) Protein-energy malnutrition (2.3%) 1 Tuberculosis (20.1%) Road injuries (18.5%) 2 HIV/AIDS (20.0%) Interpersonal violence (17.3%) 3 Road injuries (13.5%) Accidental threats to breathing (12.5%) 4 Lower respiratory infections (10.4%) Tuberculosis (10.3%)

2 4 5 Endocrine nutritional,blood, immune (5.3%) HIV/AIDS (8.3%)

1 5 - 6 Diarrhoeal diseases (3.1%) Lower respiratory infections (5.3%) 7 Meningitis/encephalitis (3.0%) Drowning (4.9%) 8 Accidental threats to breathing (3.0%) Endocrine nutritional,blood, immune (2.8%) 9 Interpersonal violence (2.8%) Mechanical forces (2.7%) 10 Cardiomyopathy (2.7%) Fires, hot substances (2.1%) 1 HIV/AIDS (18.1%) Tuberculosis (17.4%) 2 Tuberculosis (13.6%) HIV/AIDS (13.7%) 3 Lower respiratory infections (9.8%) Lower respiratory infections (10.8%) 4 Hypertensive heart disease (7.2%) Road injuries (7.1%)

6 4 5 Cerebrovascular disease (5.7%) Hypertensive heart disease (5.0%)

2 5 - 6 Diabetes mellitus (5.3%) Ischaemic heart disease (4.5%) 7 Endocrine nutritional,blood, immune (4.3%) Cerebrovascular disease (4.3%) 8 Diarrhoeal diseases (3.2%) Endocrine nutritional,blood, immune (3.0%) 9 Road injuries (3.2%) Accidental threats to breathing (2.7%) 10 Cervix (3.1%) Diabetes mellitus (2.4%) 1 Hypertensive heart disease (19.0%) Hypertensive heart disease (12.5%) 2 Cerebrovascular disease (14.6%) Ischaemic heart disease (11.0%) 3 Ischaemic heart disease (9.6%) Cerebrovascular disease (10.0%) 4 Diabetes mellitus (8.8%) Lower respiratory infections (8.9%) 5 Lower respiratory infections (7.6%) Diabetes mellitus (5.6%)

6 5 + 6 Nephritis/nephrosis (3.0%) Prostate (5.3%) 7 Diarrhoeal diseases (2.9%) COPD (5.2%) 8 Endocrine nutritional,blood, immune (2.5%) Tuberculosis (4.9%) 9 Tuberculosis (2.4%) Nephritis/nephrosis (3.2%) 10 COPD (2.2%) Diarrhoeal diseases (2.5%)

Rank Maternal conditions All other causes 1 Indirect maternal (38.3%) n=19 HIV/AIDS (24.2%) n=1 046 2 Other maternal (29.8%) n=15 Tuberculosis (17.7%) n=762 3 Hypertension in pregnancy (14.9%) n=8 Lower respiratory infections (11.4%) n=490 4 Abortion (10.5%) n=5 Road injuries (5.2%) n=226 e a l 4 9 5 Maternal sepsis (6.4%) n=3 Endocrine nutritional,blood, immune (5.2%) n=225

1 5 - 6 Diarrhoeal diseases (3.5%) n=149 F e m 7 Hypertensive heart disease (2.9%) n=124 8 Cerebrovascular disease (2.8%) n=122 9 Cervix (2.4%) n=104 10 Diabetes mellitus (2.4%) n=104

342 SectionSection B: NationalB: Profile andFree DistrictState Province Profiles

Annual trends, 2015/16–2019/20 Fezile Dabi: DC20 Fezile Dabi: DC20 e s n g l 4 i 10 10 100 100 o f a n i 2 P r p l y

l TB DS client lost to

i 8 8 Couple year 14 9 follow up rate [both protection rate [ | 80 80 sexes all ages | 10 DHIS] 12 6 6 ETR/Tier.Net] 13 1 _ F a m 22 17 60 60 4 4 10 e 52

c a r 15 52 15 y 51 80 30 80 v e r i TB DS death rate 50 Antenatal 1st visit 32 d e l 31 [both sexes all coverage [female | 75 75 ages | a n d DHIS] ETR/Tier.Net] 10 10 32 28

70 33 70 e g n a c y 14 14 20 4 4

1 _ 2 P r 100 100 17 13 13 TB symptom 5 20 Delivery in 10 to 19 19 years and older years in facility rate screened in facility 12 12 [female | DHIS] rate [both sexes | 50 29 50 DHIS] 11 11 0 0 47 2 4 200 50 200 TB symptom child 100 100 Maternal mortality under 5 years 150 150 screened in facility in facility ratio 43 [female | DHIS] rate [both sexes | 80 80 32 DHIS] 16 100 100 34 14

51 e n t m 92 13 92 18 18 14 15 e a t r

46 t Adult with viral

V 8 I load suppressed Neonatal death in 16 16 90 90 facility rate [both rate 12 months sexes | DHIS] 44 [both sexes 15+ 14 38 14 2 _ H years | DHIS] 38 88 88 12 12 80 80 o n

i 6

s a t 24 80 31 80

u n i Child with viral 75 75

m Immunisation 30 23 load suppressed m i under 1 year rate 12 months 13 d l coverage [both 75 75 [both sexes 0-14 70 70 h i sexes | DHIS] years | DHIS] 19 19 70 70 1 _ 3 C 46 65 65 29

e n t 44 6 m 80 80

e a t 7 7 6 r 13 t Death in facility 26 Clients remaining d 37 l 38 on ART rate [both h i under 5 years rate 40 70 70 [both sexes | 6 30 6 sexes all ages | DHIS] DHIS] 12 1 _ 4 C 5 5 60 60 6

C 24 24

52 U

48 22 Pneumonia case 6 6 Antiretroviral 22 22 fatality under 5 50 effective coverage 34 19 years rate [both [both sexes 0-14 sexes <5 years | 4 46 4 years | DHIS-Tier] 20 20 42 28 DHIS] 33 18 18 2 2

e n t 45 45 m 19 80 31 80 e a t r

t 28 TB DS treatment Antiretroviral 27 38 success rate [both effective coverage 40 40 [both sexes 15+ sexes all ages | 33 75 75 years | DHIS-Tier] 14 2 _ 1 T B ETR/Tier.Net] 41 35 35

45 45

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 40 28 40 effective coverage Measure Names Rank [both sexes all 33 Prov av 1 52 ages | DHIS-Tier] 13 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

343 Section B: NationalProfile Free and State District Province Profiles

Fezile Dabi: DC20 Fezile Dabi: DC20

9 3200 3200 C U

Age-standardised n a c e 80 80 Expenditure per prevalence of non-raised blood patient day 3000 3000 4 _ 5 F i equivalent (district pressure (index) hospitals) [ | BAS [both sexes 15+ 41 real 2019/20 years | NiDS 41 75 41 75 prices] 2800 2800 modelled] 41 42 41

e s 25 25 e n t 51 a b e t

i Provincial & LG 2000 2000 20 48 20 District Health Diabetes a n g e m Services

m prevalence [both 1900 1900 3 _ 2 D 47 expenditure per sexes 15+ years | 15 15 capita (uninsured) [ NiDS modelled] 40 | BAS real 2019/20 1800 1800 32 prices] 10 10 26 1700 1700

1 0 40 40 C U Provincial & LG 1200 1200 Diabetes treatment 38 38 PHC expenditure coverage [both per capita sexes 15+ years | (uninsured) [ | BAS 1100 1100 NiDS modelled] real 2019/20 36 36 prices] 24 24 23 32 33 25 1000 1000

o n 600 600 i 50 24 25 50 e c t Provincial & LG d e t Cervical cancer PHC expenditure screening per PHC 500 500

a n c e r 40 40 coverage [female | 33 34 headcount [ | BAS DHIS] real 2019/20 34 prices] 3 _ C 400 400 30 39 30 1 2

C 24 U 24 s e a d i

Tobacco 37 81 25 81 Percentage of non-smoking o f 13 39 13 26 deaths garbage prevalence (index) 26

d e n codes [both sexes [both sexes 15+ 27 all ages | vital years | NiDS B u r registration] modelled] 80 80 12 25 12 e n t

i 15 15

a c e s 14 14 n p a t i

y 18 18 t

i Hospital beds per Percentage of 13 13 l 10 000 target deaths ill-defined 12 12 population [ | DHIS [both sexes all 16 16 11 11 2000-2030 public ages | vital 10 18 10 4 _ 1 F a c i sector] registration] 9 9 14 31 14 16 40 39 40 38 38 8 9 8 y t 33

d e n s i Percentage of 30 30 39 Medical YLLs due to 20 20 k e r practitioners per communicable, o r

w 100 000 population maternal, perinatal, 31 h

t [both sexes | public 25 25 nutrition causes 27

e a l sector] 27 [both sexes | vital 18 18 34 registration] 20 31 20 4 _ 2 H 28 28 14 14 24

Percentage of 26 26 Pharmacists per 30 YLLs due to HIV 100 000 population 12 12 and TB [both [both sexes | public 19 sexes | vital 24 24 sector] 27 registration] 10 26 10 26 22 15 22 150 150 15 15 Professional Percentage of nurses per 100 000 population 100 100 YLLs due to 14 14 injuries [both sexes [both sexes | public | vital registration] sector] 14 14 13 13 52 52 51 51 14 50 50 46 46 n e s a n d

70 70 c i

C 30 60 26 60

e d i Percentage of

P H 44 44 m 50 50 YLLs due to Percentage Ideal 40 39 40 non-communicable 42 21 42 clinics [ | IC status] 30 37 30 diseases [both | vital 20 36 20 sexes registration] 4 _ 3 A c e s 10 10 40 40 0 11 31 0 29 38 38 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

344 SectionSection B: NationalB: Profile andFree DistrictState Province Profiles

Mangaung Metropolitan Municipality (MAN)

The Mangaung Metropolitan Municipalityi is a Category A municipality, and comprises four health sub-districts, namely: Bloemfontein, Botshabelo, Naledi and Thaba N’chu. Cities/Towns: Bloemfontein, Botshabelo, Dewetsdorp, Mangaung, Soutpan, Thaba Nchu, Van Stadensrus, Wepener Area: 9 886km² Population (2019)j: 787 012

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

FS, Mangaung MM (MAN)

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+ 1.9% 3.2% 2.1% 3.5% 2.5% 4.4%

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

55-59 years 1.5% 1.8% 1.6% 2.2% 1.6% 2.3%

50-54 years 1.8% 2.3% 2.0% 2.5% 2.0% 2.7%

45-49 years 2.4% 3.0% 2.3% 3.0% 2.5% 2.9%

40-44 years 2.8% 3.4% 2.8% 3.4% 2.9% 3.2%

35-39 years 3.3% 4.0% 3.4% 3.7% 3.9% 4.0%

30-34 years 4.0% 4.4% 3.7% 3.9% 4.6% 4.5%

25-29 years 4.3% 4.6% 4.6% 4.6% 4.4% 4.3%

20-24 years 4.2% 4.6% 5.3% 5.2% 4.1% 4.0%

15-19 years 5.2% 5.2% 4.9% 4.7% 4.2% 4.1%

10-14 years 5.5% 5.3% 4.3% 4.1% 4.8% 4.6%

05-09 years 5.3% 5.1% 4.6% 4.4% 4.8% 4.6%

00-04 years 4.4% 4.2% 5.3% 5.1% 4.5% 4.3%

Sex Gender (ZA) female female (ZA) male male (ZA)

i Available from: https://municipalities.co.za/overview/8/mangaung-metropolitan-municipality. j Mid-year Population Estimates 2019, Stats SA.

345 Section B: NationalProfile Free and State District Province Profiles

Percentage of deaths by broad cause and leading causes, 2012–2017 FS, Mangaung MM: MAN, 2012 - 2017 Percentage of AgeGrp Female Male deaths by broad <5 years 65% 6% 24% 5% 66% 6% 22% 6% causes and 5-14 19% 16% 35% 30% 25% 16% 28% 32% single leading 15-24 15% 42% 23% 20% 7% 16% 15% 62% causes 25-64 12% 33% 49% 5% 11% 32% 41% 16% 65+ 13% 3% 81% 3% 12% 6% 79% 4% Total 16% 20% 59% 5% 15% 22% 49% 14% Broadcause Injury NCD Rank Female Male 1 Preterm birth complications (13.6%) Preterm birth complications (16.1%) HIV and TB 2 Lower respiratory infections (9.9%) Lower respiratory infections (10.0%) Comm_mat_peri_nut 3 Diarrhoeal diseases (9.0%) Diarrhoeal diseases (9.1%)

s 4 Protein-energy malnutrition (8.8%) Protein-energy malnutrition (8.4%) Prov, District 5 Birth asphyxia (7.3%) Birth asphyxia (6.6%) FS, Mangaung MM: MAN y e a r 6 Sepsis/other newborn infectious (6.9%) Sepsis/other newborn infectious (6.0%) Show history 5

< 7 Congenital heart anomalies (5.4%) Congenital heart anomalies (5.8%) 8 Septicaemia (4.9%) Septicaemia (4.7%) Percentages are shown 9 HIV/AIDS (4.3%) HIV/AIDS (4.5%) according to all the deaths 10 Other congenital abnormalities (3.7%) Other perinatal conditions (3.7%) within the age/gender 1 HIV/AIDS (12.5%) HIV/AIDS (11.5%) category of each box, 2 Fires, hot substances (9.6%) Drowning (10.2%) although only the leading 3 Tuberculosis (6.3%) Accidental threats to breathing (8.9%) 10 causes are displayed. 4 Lower respiratory infections (6.2%) Lower respiratory infections (6.7%) 5 Road injuries (6.1%) Road injuries (6.4%) 1 4

5 - 6 Leukaemia (4.3%) Tuberculosis (5.8%) 7 Diarrhoeal diseases (4.0%) Fires, hot substances (5.7%) 8 Accidental threats to breathing (4.0%) Diarrhoeal diseases (4.1%) 9 Other neurological conditions (3.5%) Meningitis/encephalitis (3.6%) 10 Endocrine nutritional,blood, immune (3.2%) Epilepsy (3.3%) 1 HIV/AIDS (27.6%) Interpersonal violence (29.7%) 2 Tuberculosis (16.1%) Accidental threats to breathing (10.8%) 3 Lower respiratory infections (5.8%) HIV/AIDS (9.5%) 4 Accidental threats to breathing (5.3%) Mechanical forces (9.1%)

2 4 5 Mechanical forces (3.6%) Tuberculosis (7.6%)

1 5 - 6 Interpersonal violence (3.5%) Road injuries (5.5%) 7 Endocrine nutritional,blood, immune (3.0%) Fires, hot substances (5.1%) 8 Road injuries (2.6%) Lower respiratory infections (2.8%) 9 Fires, hot substances (2.2%) Drowning (2.4%) 10 Cardiomyopathy (1.9%) Meningitis/encephalitis (1.8%) 1 HIV/AIDS (22.4%) HIV/AIDS (19.1%) 2 Tuberculosis (11.0%) Tuberculosis (13.1%) 3 Lower respiratory infections (6.0%) Lower respiratory infections (6.7%) 4 Cerebrovascular disease (5.8%) Cerebrovascular disease (5.1%)

6 4 5 Hypertensive heart disease (4.1%) Interpersonal violence (4.7%)

2 5 - 6 Endocrine nutritional,blood, immune (3.9%) Ischaemic heart disease (3.0%) 7 Cervix (3.8%) Mechanical forces (3.0%) 8 Diabetes mellitus (3.7%) Hypertensive heart disease (2.9%) 9 Breast (3.3%) Endocrine nutritional,blood, immune (2.9%) 10 Nephritis/nephrosis (2.8%) Road injuries (2.6%) 1 Hypertensive heart disease (14.8%) Cerebrovascular disease (10.5%) 2 Cerebrovascular disease (14.6%) Ischaemic heart disease (10.1%) 3 Lower respiratory infections (7.9%) Hypertensive heart disease (8.5%) 4 Diabetes mellitus (6.8%) Lower respiratory infections (7.7%) 5 Ischaemic heart disease (6.3%) COPD (6.6%)

6 5 + 6 Nephritis/nephrosis (3.7%) Prostate (5.2%) 7 COPD (3.4%) Diabetes mellitus (4.6%) 8 Breast (2.6%) Nephritis/nephrosis (3.6%) 9 Septicaemia (2.5%) Tuberculosis (3.5%) 10 Endocrine nutritional,blood, immune (2.3%) Trachea/bronchi/lung (3.5%)

Rank Maternal conditions All other causes 1 Indirect maternal (37.8%) n=53 HIV/AIDS (30.5%) n=2 472 2 Other maternal (23.8%) n=33 Tuberculosis (14.9%) n=1 205 3 Hypertension in pregnancy (22.1%) n=31 Lower respiratory infections (6.3%) n=514 4 Abortion (7.3%) n=10 Endocrine nutritional,blood, immune (4.4%) n=360 e a l 4 9 5 Maternal haemorrhage (4.6%) n=6 Cervix (2.9%) n=234

1 5 - 6 Maternal sepsis (4.3%) n=6 Cerebrovascular disease (2.6%) n=214 F e m 7 Breast (2.4%) n=194 8 Nephritis/nephrosis (2.4%) n=192 9 Diarrhoeal diseases (2.3%) n=183 10 Hypertensive heart disease (1.8%) n=146

346 SectionSection B: NationalB: Profile andFree DistrictState Province Profiles

Annual trends, 2015/16–2019/20

Mangaung: MAN Mangaung: MAN e s n g

100 100 l 3 i 36 o f a n i P r

p l 10 10 y

l 10 TB DS client lost to i 80 7 80 Couple year follow up rate [both protection rate [ | sexes all ages | 8 8 DHIS] 18 ETR/Tier.Net] 38 1 _ F a m 28 60 60 32 6 6 48 15 e

c a r 24 10 10 y

v e r 80 80

i 40 TB DS death rate Antenatal 1st visit 9 9 d e l [both sexes all 34 coverage [female | 34 ages | 36 a n d DHIS] 75 34 75 ETR/Tier.Net] 8 8 24 25 29 29 7 7

e g n a c y 70 70 6 6 100 100

1 _ 2 P r 6 12 12 TB symptom 5 Delivery in 10 to 19 years and older years in facility rate screened in facility 23 50 50 [female | DHIS] 7 rate [both sexes | 10 8 10 DHIS]

8 0 0 48 3

200 50 200 TB symptom child 100 7 100 Maternal mortality under 5 years in facility ratio screened in facility [female | DHIS] 150 150 rate [both sexes | 39 45 80 14 80 39 41 DHIS]

100 100 94 94 46 e n t 8 7 5 m e a t

47 r t Adult with viral 92 92 16 16 2 45 V Neonatal death in I load suppressed rate 12 months facility rate [both 90 90 sexes | DHIS] 43 [both sexes 15+

14 14 2 _ H 40 years | DHIS] 88 88

12 12 o n i 90 4 90 18 s a t 80 80

u n i Child with viral

m Immunisation load suppressed 80 5 80 m

i 29 under 1 year 37 rate 12 months 4 d l coverage [both 75 75 [both sexes 0-14 h i sexes | DHIS] years | DHIS] 9 38 70 70

1 _ 3 C 70 25 36 70

11 e n t

m 6 6 32 25 e a t

r 27 t Death in facility Clients remaining 70 24 70 d 12 l 5 5 on ART rate [both

h i under 5 years rate 24 [both sexes | sexes all ages | DHIS] DHIS] 4 14 4

1 _ 4 C 60 60 30 3 11 3 6

C 10 U 30 30 3 3 10 Pneumonia case Antiretroviral fatality under 5 effective coverage 25 25 years rate [both 22 [both sexes 0-14 2 2 21 sexes <5 years | years | DHIS-Tier] DHIS] 24 13 15 19 20 20 13 27 1 1 14 e n t 19

m 25 80 80 45 45

e a t 29

r 24 t Antiretroviral TB DS treatment effective coverage success rate [both [both sexes 15+ 40 40 sexes all ages | years | DHIS-Tier] 2 _ 1 T B ETR/Tier.Net] 70 70 35 18 35 40 51 12 45 45 2 0 1 5 2 0 1 6 2 0 1 7 2 0 1 8 2 0 1 9 2 0 23 F Y F Y F Y F Y F Y F Y Antiretroviral effective coverage 40 40 Measure Names Rank [both sexes all Prov av 1 51 ages | DHIS-Tier] ZA av 35 18 35 Ind Value 40 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

347 Section B: NationalProfile Free and State District Province Profiles

Mangaung: MAN Mangaung: MAN

9 3200 3200 C U

Age-standardised n a c e 80 80 Expenditure per prevalence of non-raised blood patient day 3000 3000 4 _ 5 F i equivalent (district pressure (index) hospitals) [ | BAS [both sexes 15+ 40 real 2019/20 years | NiDS 40 75 40 75 prices] 2800 2800 modelled] 40 40 40 e s e n t 11 11 a b e t i 10 10 Provincial & LG 2000 2000 District Health Diabetes 9 9 a n g e m Services

m prevalence [both 8 22 8 3 _ 2 D expenditure per sexes 15+ years | 20 1900 1900 7 7 capita (uninsured) [ NiDS modelled] 6 12 6 | BAS real 2019/20 5 8 5 prices] 1800 1800 6 4 5 4

1 0 5 C

U 50 5 50 6 Provincial & LG 6 Diabetes treatment 7 PHC expenditure 1200 1200 coverage [both 45 9 45 per capita sexes 15+ years | (uninsured) [ | BAS NiDS modelled] real 2019/20 40 40 prices] 1100 1100 35 35

o n 600 600 i e c t Provincial & LG d e t Cervical cancer 40 26 39 40 PHC expenditure 500 500 screening 40 46 per PHC a n c e r coverage [female | 41 headcount [ | BAS DHIS] real 2019/20 30 30 prices] 3 _ C 47 400 400 1 2 C U 81 81 s e a d i

Tobacco Percentage of 13 13 non-smoking o f prevalence (index) 80 80 deaths garbage

d e n codes [both sexes 34 [both sexes 15+ all ages | vital 31 years | NiDS 79 79 B u r registration] modelled] 36 34 12 12 35 35 78 35 35 78 24 e n t

i 1 47 1 1 1 46 1 1 20 20 a c e s n p a t i y t

i Hospital beds per Percentage of l 45 10 000 target 30 30 deaths ill-defined population [ | DHIS [both sexes all 2000-2030 public ages | vital

4 _ 1 F a c i sector] registration] 15 15 20 20 y t 6 21 21 20 20

d e n s i Percentage of 8 19 19 Medical 40 10 40 YLLs due to k e r practitioners per communicable, 18 18

o r 16

w 100 000 population maternal, perinatal, 17 17 h t [both sexes | public nutrition causes 16 20 16

e a l sector] [both sexes | vital 23 30 30 15 15 registration] 14 14 17

4 _ 2 H 13 13 16 16 12 28 27 28 12 Percentage of Pharmacists per 26 26 14 14 YLLs due to HIV 100 000 population 15 and TB [both [both sexes | public sexes | vital sector] 16 registration] 24 24 12 12 24 20 22 22 24 26 140 30 140 15 15 Professional 32 Percentage of nurses per 100 000 population 120 120 YLLs due to 14 14 injuries [both sexes 18 [both sexes | public | vital registration] sector] 100 100 13 16 13 11 n e s a n d 50 42 50 70 70 43 c i C 60 24 30 60

e d i Percentage of P H m 50 50 YLLs due to Percentage Ideal 40 30 40 non-communicable 45 45 clinics [ | IC status] 30 30 diseases [both | vital 37 20 31 20 sexes registration] 4 _ 3 A c e s 10 10 40 40 0 11 32 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

348