Section B, Chapter 17

SectionSection B: B: National Profile North and District West Province Profiles

17 North West Province

Bojanala District Municipality (DC37)

The Bojanala Platinum District Municipalitya is a Category C municipality situated in the North West Province. It comprises five local municipalities: Kgetlengrivier, Madibeng, Moses Kotane, Moretele and Rustenburg. Cities/Towns: Brits, Derby, Hartbeesfontein-A, Hartbeespoort, Koster, Madikwe, Marikana, Mooinooi, Phatsima, Rustenburg, Swartruggens, Tlhabane Area: 18 333km² Population (2019)b: 1 753 848

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

NW, Bojanala Platinum DM (DC37)

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+ 2.0% 3.1% 2.1% 3.0% 2.3% 3.2%

60-64 years 1.3%1.3% 1.7% 1.5%

55-59 years 1.6% 1.6% 1.9% 1.7% 2.1% 1.9%

50-54 years 2.0% 1.9% 2.6% 2.2% 2.5% 2.2%

45-49 years 2.9% 2.5% 3.2% 2.6% 3.3% 2.7%

40-44 years 3.8% 3.1% 3.5% 3.0% 4.2% 3.1%

35-39 years 4.4% 3.6% 4.4% 3.5% 5.3% 3.8%

30-34 years 4.3% 3.8% 5.1% 3.8% 5.9% 4.4%

25-29 years 4.7% 4.3% 5.8% 4.3% 5.0% 3.9%

20-24 years 4.5% 3.9% 5.3% 4.5% 3.8% 3.3%

15-19 years 4.8% 4.5% 4.2% 4.0% 3.5% 3.4%

10-14 years 5.6% 5.5% 3.9% 3.7% 4.4% 4.2%

05-09 years 5.1% 5.0% 4.3% 4.2% 4.6% 4.4%

00-04 years 4.7% 4.5% 5.4% 5.3% 4.6% 4.6%

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.

a Available from: https://municipalities.co.za/overview/139/bojanala-platinum-district-municipality. b Mid-year Population Estimates 2019, Stats SA.

465 Section B: NationalProfile North and WestDistrict Province Profiles

Percentage of deaths by broad cause and leading causes, 2012–2017 NW, Bojanala Platinum DM: DC37, 2012 - 2017 Percentage of AgeGrp Female Male deaths by broad <5 years 74% 8% 11% 7% 75% 7% 12% 6% causes and 5-14 33% 24% 21% 22% 28% 16% 22% 34% single leading 15-24 22% 36% 21% 21% 13% 12% 17% 58% causes 25-64 18% 31% 45% 6% 14% 31% 36% 18% 65+ 10%4% 85% 2% 11% 8% 77% 4% Total 20% 19% 57% 5% 18% 22% 45% 15% Broadcause Injury NCD Rank Female Male 1 Diarrhoeal diseases (22.6%) Diarrhoeal diseases (21.9%) HIV and TB 2 Lower respiratory infections (17.8%) Lower respiratory infections (16.0%) Comm_mat_peri_nut 3 Preterm birth complications (11.1%) Preterm birth complications (13.2%)

s 4 Birth asphyxia (6.3%) Birth asphyxia (6.8%) Prov, District 5 HIV/AIDS (5.8%) Protein-energy malnutrition (5.6%) NW, Bojanala Platinum DM: D.. y e a r 6 Protein-energy malnutrition (5.2%) HIV/AIDS (5.6%) Show history 5

< 7 Other perinatal conditions (4.3%) Sepsis/other newborn infectious (4.6%) 8 Sepsis/other newborn infectious (4.1%) Other perinatal conditions (4.0%) Percentages are shown 9 Septicaemia (2.0%) Other respiratory (2.6%) according to all the deaths 10 Tuberculosis (1.9%) Poisonings (including herbal) (1.8%) within the age/gender 1 Lower respiratory infections (15.0%) Drowning (13.6%) category of each box, 2 Tuberculosis (13.7%) Lower respiratory infections (12.1%) although only the leading 3 HIV/AIDS (13.2%) Road injuries (11.1%) 10 causes are displayed. 4 Diarrhoeal diseases (12.7%) Diarrhoeal diseases (10.8%) 5 Road injuries (9.5%) Tuberculosis (9.0%) 1 4

5 - 6 Accidental threats to breathing (6.3%) HIV/AIDS (8.4%) 7 Endocrine nutritional,blood, immune (3.4%) Accidental threats to breathing (4.8%) 8 Meningitis/encephalitis (3.3%) Other respiratory (3.4%) 9 Fires, hot substances (3.0%) Endocrine nutritional,blood, immune (3.1%) 10 Drowning (2.8%) Fires, hot substances (2.8%) 1 HIV/AIDS (23.2%) Interpersonal violence (15.5%) 2 Tuberculosis (14.5%) Accidental threats to breathing (15.2%) 3 Lower respiratory infections (9.0%) Road injuries (14.2%) 4 Road injuries (7.2%) Lower respiratory infections (6.9%)

2 4 5 Accidental threats to breathing (6.0%) HIV/AIDS (6.8%)

1 5 - 6 Diarrhoeal diseases (4.0%) Mechanical forces (6.0%) 7 Interpersonal violence (4.0%) Tuberculosis (5.2%) 8 Endocrine nutritional,blood, immune (3.6%) Fires, hot substances (3.6%) 9 Septicaemia (3.1%) Epilepsy (2.7%) 10 Epilepsy (2.0%) Drowning (2.7%) 1 HIV/AIDS (18.9%) HIV/AIDS (15.9%) 2 Tuberculosis (12.6%) Tuberculosis (15.0%) 3 Lower respiratory infections (9.2%) Lower respiratory infections (8.3%) 4 Hypertensive heart disease (8.3%) Road injuries (4.8%)

6 4 5 Diabetes mellitus (5.2%) Hypertensive heart disease (4.7%)

2 5 - 6 Cerebrovascular disease (4.3%) Accidental threats to breathing (4.3%) 7 Endocrine nutritional,blood, immune (3.8%) Mechanical forces (3.7%) 8 Diarrhoeal diseases (3.2%) Cerebrovascular disease (3.7%) 9 Cervix (2.7%) Ischaemic heart disease (3.5%) 10 Septicaemia (2.5%) Interpersonal violence (3.2%) 1 Hypertensive heart disease (28.3%) Hypertensive heart disease (14.9%) 2 Cerebrovascular disease (14.4%) Cerebrovascular disease (14.7%) 3 Diabetes mellitus (10.9%) Diabetes mellitus (7.3%) 4 Lower respiratory infections (5.5%) Lower respiratory infections (6.8%) 5 Ischaemic heart disease (3.9%) Tuberculosis (5.7%)

6 5 + 6 Cardiomyopathy (2.8%) Ischaemic heart disease (5.7%) 7 Diarrhoeal diseases (2.7%) COPD (5.0%) 8 COPD (2.7%) Prostate (3.8%) 9 Nephritis/nephrosis (2.2%) Cardiomyopathy (2.3%) 10 Tuberculosis (2.1%) Nephritis/nephrosis (2.3%)

Rank Maternal conditions All other causes 1 Other maternal (24.6%) n=49 HIV/AIDS (24.8%) n=2 752 2 Hypertension in pregnancy (24.4%) n=49 Tuberculosis (15.8%) n=1 760 3 Indirect maternal (23.2%) n=46 Lower respiratory infections (11.2%) n=1 241 4 Maternal haemorrhage (12.5%) n=25 Endocrine nutritional,blood, immune (4.2%) n=463 e a l 4 9 5 Abortion (11.0%) n=22 Hypertensive heart disease (3.8%) n=418

1 5 - 6 Maternal sepsis (4.3%) n=9 Diarrhoeal diseases (3.6%) n=401 F e m 7 Road injuries (2.8%) n=309 8 Septicaemia (2.6%) n=294 9 Cervix (2.2%) n=244 10 Diabetes mellitus (2.2%) n=242

466 SectionSection B: B: National Profile North and District West Province Profiles

Annual trends, 2015/16–2019/20 Bojanala Platinum: DC37 Bojanala Platinum: DC37 e s n g 70 70 l i 32 o f a n i

P r 10 10 p l 60 23 60

y 41 l TB DS client lost to i Couple year 39 37 follow up rate [both protection rate [ | 50 50 sexes all ages | 40 DHIS] 8 8 46 ETR/Tier.Net] 1 _ F a m 40 40 37 51 6 19 6 e 8 10 10 c a r 39 y 85 85 40 v e r i TB DS death rate 9 9 Antenatal 1st visit 38 d e l [both sexes all coverage [female | 25 80 20 80 ages | 8 8 a n d 31 DHIS] 13 ETR/Tier.Net] 30 29 75 75 7 7 e g n a c y 90 90 13 13 80 80 1 _ 2 P r 37 43 70 70 TB symptom 5 60 38 60 years and older Delivery in 10 to 19 50 50 years in facility rate 12 12 12 screened in facility 12 31 [female | DHIS] rate [both sexes | 40 40 DHIS] 30 30 20 20 11 11 14 10 10

35 47 150 150 80 80 TB symptom child under 5 years 45 Maternal mortality 43 in facility ratio screened in facility [female | DHIS] rate [both sexes | 100 100 DHIS] 60 60 22 21 17 26 40 92 92 e n t 18

13 13 m 20 21 e a t r

t Adult with viral 90 90

12 12 V Neonatal death in I load suppressed facility rate [both rate 12 months sexes | DHIS] 11 18 26 11 [both sexes 15+ 88 88 15 17 24 2 _ H years | DHIS] 28 10 10 86 86 o n

i 13

s a t 80 80 23 70 70

u n i Child with viral 20 m Immunisation 27 load suppressed 28 m i under 1 year 44 18 39 rate 12 months d l coverage [both 70 70 [both sexes 0-14 26 h i 65 65 sexes | DHIS] years | DHIS] 1 _ 3 C 60 52 60

e n t 50 52 m 10 10 43 51 50

e a t 44 r 60 60 t Death in facility Clients remaining d l 8 8 on ART rate [both 47 h i under 5 years rate 44 [both sexes | sexes all ages | DHIS] DHIS] 50 49 50 1 _ 4 C 6 6 49 6

6 6 C

46 U 43 50 Pneumonia case Antiretroviral fatality under 5 4 4 20 20 effective coverage 29 years rate [both 43 [both sexes 0-14 sexes <5 years | years | DHIS-Tier] 45 DHIS] 34 2 2 19 20 15 40 15

e n t 26

m 80 16 80 40 40 e a t

r 33 32 t 46 Antiretroviral 34 TB DS treatment 75 75 effective coverage success rate [both 35 35 [both sexes 15+ sexes all ages | years | DHIS-Tier] 2 _ 1 T B ETR/Tier.Net] 70 70 30 29 30

65 50 65

40 26 40 2 0 1 5 2 0 1 6 2 0 1 7 2 0 1 8 2 0 1 9 2 0 32 F Y F Y F Y F Y F Y F Y Antiretroviral 34 effective coverage 35 35 Measure Names Rank [both sexes all Prov av 1 52 ages | DHIS-Tier] 30 30 ZA av 29 Ind Value 25 25 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

467 Section B: NationalProfile North and WestDistrict Province Profiles

Bojanala Platinum: DC37 Bojanala Platinum: DC37

9 4000 4000 C 10 U 84 84 Age-standardised 9 n a c e Expenditure per prevalence of 9 non-raised blood 10 patient day 3500 3500 82 82 4 _ 5 F i equivalent (district pressure (index) 13 hospitals) [ | BAS [both sexes 15+ 11 real 2019/20 years | NiDS 80 80 prices] 3000 3000 modelled]

78 78 e s e n t 10 10 2000 2000 a b e t

i Provincial & LG District Health Diabetes 8 8 a n g e m Services 1800 1800 m prevalence [both 3 _ 2 D expenditure per sexes 15+ years | 6 6 capita (uninsured) [ NiDS modelled] | BAS real 2019/20 1600 1600 8 6 7 prices] 4 5 5 4 3 1400 1400

1 0 7 C U 45 9 45 Provincial & LG 1200 1200 Diabetes treatment PHC expenditure coverage [both 10 per capita sexes 15+ years | (uninsured) [ | BAS 1100 1100 40 12 40 NiDS modelled] real 2019/20 20 prices] 1000 1000 35 22 35 o n i 55 55 19 550 550 e c t Provincial & LG d e t

23 Cervical cancer 50 50 PHC expenditure 500 500 screening per PHC

a n c e r coverage [female | headcount [ | BAS DHIS] 45 19 25 45 real 2019/20 450 450 23 prices]

3 _ C 25 40 40 400 400

1 2 81.5 81.5

C 13.5 13.5 U s e a d i

Tobacco Percentage of non-smoking 81.0 81.0 o f 36 prevalence (index) deaths garbage 13.0 13.0

d e n codes [both sexes [both sexes 15+ 27 27 all ages | vital 36 years | NiDS B u r 80.5 28 80.5 registration] 33 modelled] 28 12.5 12.5 29 30 80.0 80.0

e n t 18 18 i a c e s n p a t i

y 15 15 t

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

4 _ 1 F a c i sector] registration] 37 30 52 5 52 52 52 52 52 5 14 14 y t 41 22 22 d e n s i 30 30 Percentage of Medical YLLs due to k e r practitioners per communicable, 41

o r 40

w 100 000 population maternal, perinatal, 20 20 h

t [both sexes | public nutrition causes 20 20

e a l sector] 40 [both sexes | vital 41 42 registration] 18 18 47 4 _ 2 H 12 12 29 29 28 28 10 10 Percentage of 27 27 Pharmacists per YLLs due to HIV 26 26 100 000 population 19 8 8 and TB [both 25 25 [both sexes | public sexes | vital 24 24 sector] 6 47 6 registration] 23 23 48 22 22 50 51 21 11 17 21 4 4

140 140 23 Professional Percentage of 14 14 nurses per 100 120 120 22 16 000 population YLLs due to injuries [both sexes [both sexes | public | vital registration] sector] 100 43 100 44 12 12 44 45 80 80 n e s a n d

c i 45 29 45 C 28 e d i Percentage of P H 40 40 m 40 YLLs due to Percentage Ideal 42 non-communicable clinics [ | IC status] 46 diseases [both 20 20 40 40 41 sexes | vital registration] 4 _ 3 A c e s 28 0 11 35 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

468 SectionSection B: B: National Profile North and District West Province Profiles

Ngaka Modiri Molema District Municipality (DC38)

The Ngaka Modiri Molema District Municipalityc is a Category C municipality in the North West Province and borders Botswana. It consists of five local municipalities: Mahikeng, Ratlou, Ramotshere Moiloa, Ditsobotla and Tswaing. Cities/Towns: Biesiesvlei, Coligny, Delareyville, Disaneng, Groot Marico, Kraaipan, Lichtenburg, Madibogo, Mahikeng, Mmabatho, Ottosdal, Ottoshoop, Sannieshof, Setlagole, Zeerust Area: 28 114km² Population (2019)d: 968 781

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

NW, NM Molema DM (DC38)

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% 3.1% 2.1% 3.3% 2.1% 4.1%

60-64 years 1.5% 1.7%

55-59 years 1.4% 1.7% 1.4% 1.8% 1.6% 2.0%

50-54 years 1.7% 1.9% 1.9% 2.2% 1.9% 2.2%

45-49 years 2.0% 2.4% 2.2% 2.5% 2.2% 2.6%

40-44 years 2.7% 2.8% 2.6% 2.8% 2.8% 2.9%

35-39 years 3.1% 3.3% 2.9% 3.2% 3.6% 3.5%

30-34 years 3.4% 3.6% 3.4% 3.4% 4.3% 4.1%

25-29 years 3.6% 4.0% 4.2% 4.0% 4.2% 4.0%

20-24 years 4.2% 4.2% 4.9% 4.8% 4.0% 3.9%

15-19 years 5.6% 5.4% 5.3% 5.2% 4.6% 4.6%

10-14 years 6.4% 6.2% 5.1% 4.9% 5.5% 5.5%

05-09 years 6.2% 6.0% 5.4% 5.3% 5.5% 5.4%

00-04 years 5.5% 5.2% 6.2% 6.3% 5.0% 5.0%

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

c Available from: https://municipalities.co.za/overview/142/ngaka-modiri-molema-district-municipality. d Mid-year Population Estimates 2019, Stats SA.

469 Section B: NationalProfile North and WestDistrict Province Profiles

Percentage of deaths by broad cause and leading causes, 2012–2017 NW, NM Molema DM: DC38, 2012 - 2017 Percentage of AgeGrp Female Male deaths by broad <5 years 78% 6% 11%5% 80% 6%10%4% causes and 5-14 34% 15% 26% 24% 24% 23% 21% 32% single leading 15-24 26% 36% 22% 16% 16% 17% 16% 51% causes 25-64 21% 31% 44% 4% 17% 33% 38% 12% 65+ 11%3% 84% 2% 12% 8% 77% 3% Total 24% 19% 53% 4% 22% 23% 45% 10% Broadcause Injury NCD Rank Female Male 1 Diarrhoeal diseases (20.3%) Diarrhoeal diseases (21.2%) HIV and TB 2 Lower respiratory infections (16.6%) Lower respiratory infections (15.1%) Comm_mat_peri_nut 3 Preterm birth complications (13.9%) Preterm birth complications (14.9%)

s 4 Protein-energy malnutrition (8.7%) Birth asphyxia (8.2%) Prov, District 5 Birth asphyxia (7.0%) Protein-energy malnutrition (8.2%) NW, NM Molema DM: DC38 y e a r 6 Sepsis/other newborn infectious (4.7%) Sepsis/other newborn infectious (5.2%) Show history 5

< 7 Septicaemia (3.7%) Septicaemia (3.5%) 8 HIV/AIDS (3.2%) Tuberculosis (2.9%) Percentages are shown 9 Other perinatal conditions (2.8%) HIV/AIDS (2.8%) according to all the deaths 10 Congenital heart anomalies (2.7%) Other perinatal conditions (2.6%) within the age/gender 1 Road injuries (17.5%) Tuberculosis (16.2%) category of each box, 2 Diarrhoeal diseases (12.9%) Road injuries (15.2%) although only the leading 3 Tuberculosis (10.6%) Drowning (9.7%) 10 causes are displayed. 4 Lower respiratory infections (9.1%) Lower respiratory infections (9.1%) 5 HIV/AIDS (6.8%) HIV/AIDS (8.9%) 1 4

5 - 6 Endocrine nutritional,blood, immune (5.5%) Diarrhoeal diseases (8.4%) 7 Meningitis/encephalitis (4.7%) Epilepsy (3.7%) 8 Protein-energy malnutrition (3.5%) Meningitis/encephalitis (3.3%) 9 Drowning (3.4%) Accidental threats to breathing (2.9%) 10 Nephritis/nephrosis (2.7%) Fires, hot substances (2.8%) 1 Tuberculosis (19.4%) Road injuries (18.2%) 2 HIV/AIDS (18.0%) Interpersonal violence (15.1%) 3 Lower respiratory infections (14.2%) Tuberculosis (11.4%) 4 Road injuries (7.5%) Lower respiratory infections (8.6%)

2 4 5 Endocrine nutritional,blood, immune (5.4%) Accidental threats to breathing (7.8%)

1 5 - 6 Diarrhoeal diseases (4.3%) HIV/AIDS (6.4%) 7 Interpersonal violence (3.3%) Meningitis/encephalitis (3.7%) 8 Epilepsy (2.2%) Self-inflicted injuries (3.3%) 9 Accidental threats to breathing (2.0%) Epilepsy (3.2%) 10 Meningitis/encephalitis (1.8%) Drowning (2.5%) 1 HIV/AIDS (17.7%) Tuberculosis (17.9%) 2 Tuberculosis (13.2%) HIV/AIDS (15.4%) 3 Lower respiratory infections (13.1%) Lower respiratory infections (11.8%) 4 Hypertensive heart disease (8.3%) Hypertensive heart disease (6.2%)

6 4 5 Endocrine nutritional,blood, immune (5.6%) Road injuries (4.8%)

2 5 - 6 Diabetes mellitus (4.9%) Cerebrovascular disease (4.4%) 7 Cerebrovascular disease (4.6%) Endocrine nutritional,blood, immune (3.7%) 8 Diarrhoeal diseases (3.3%) Ischaemic heart disease (2.6%) 9 Cervix (2.6%) Diabetes mellitus (2.6%) 10 Ischaemic heart disease (2.2%) Diarrhoeal diseases (2.5%) 1 Hypertensive heart disease (31.0%) Hypertensive heart disease (22.1%) 2 Cerebrovascular disease (16.4%) Cerebrovascular disease (11.3%) 3 Diabetes mellitus (8.9%) Lower respiratory infections (8.2%) 4 Lower respiratory infections (6.0%) Tuberculosis (6.3%) 5 Ischaemic heart disease (4.5%) Diabetes mellitus (5.4%)

6 5 + 6 Diarrhoeal diseases (2.9%) Ischaemic heart disease (5.0%) 7 Asthma (2.4%) COPD (4.4%) 8 Tuberculosis (2.3%) Asthma (3.3%) 9 Nephritis/nephrosis (1.9%) Prostate (3.2%) 10 Breast (1.5%) Nephritis/nephrosis (2.9%)

Rank Maternal conditions All other causes 1 Hypertension in pregnancy (30.1%) n=47 HIV/AIDS (22.2%) n=1 988 2 Indirect maternal (23.1%) n=36 Tuberculosis (17.5%) n=1 565 3 Other maternal (20.9%) n=33 Lower respiratory infections (15.6%) n=1 402 4 Maternal haemorrhage (16.8%) n=26 Endocrine nutritional,blood, immune (6.7%) n=598 e a l 4 9 5 Abortion (6.8%) n=11 Hypertensive heart disease (3.8%) n=340

1 5 - 6 Maternal sepsis (2.4%) n=4 Diarrhoeal diseases (3.4%) n=307 F e m 7 Road injuries (3.0%) n=272 8 Cerebrovascular disease (2.3%) n=205 9 Diabetes mellitus (2.2%) n=193 10 Meningitis/encephalitis (1.9%) n=166

470 SectionSection B: B: National Profile North and District West Province Profiles

Annual trends, 2015/16–2019/20

NM Molema: DC38 NM Molema: DC38 e s n g l

70 70 i 15 14 o f

a n i 10 10 P r p l y

l TB DS client lost to i Couple year 60 39 31 60 follow up rate [both 18 protection rate [ | sexes all ages | 8 31 8 DHIS] ETR/Tier.Net] 40 1 _ F a m 50 50 30 47 6 24 6 e 10 10 c a r y v e r i 80 80 TB DS death rate 9 9 Antenatal 1st visit 37 d e l 30 [both sexes all coverage [female | 25 ages | 8 35 8 a n d DHIS] ETR/Tier.Net] 75 34 75 24 36 7 18 7 26 24 e g n a c y 90 90 25 80 36 37 80 1 _ 2 P r 70 70 14 14 TB symptom 5 35 21 60 60 years and older Delivery in 10 to 19 50 50 years in facility rate screened in facility 40 40 [female | DHIS] rate [both sexes | 32 12 12 DHIS] 30 30 20 20 10 10 12 10 10 90 90 51 200 200 48 80 80 TB symptom child under 5 years Maternal mortality 70 46 70 150 34 150 screened in facility 44 in facility ratio 40 44 [female | DHIS] rate [both sexes | DHIS] 60 60 39 100 100 50 36 50

15 15 e n t 34 90 90 37 m

e a t 38 r

t Adult with viral

27 V 85 85 I load suppressed Neonatal death in 22 10 10 rate 12 months 42 facility rate [both 46 sexes | DHIS] [both sexes 15+ 2 _ H years | DHIS] 80 80

5 5 48 2 75 75 o n i 21 s a t 80 80 25 Child with viral 38 u n i 28

m Immunisation load suppressed 60 60 m i under 1 year rate 12 months d l coverage [both [both sexes 0-14 48 h i 70 70 sexes | DHIS] 28 years | DHIS] 42 48 50 50 1 _ 3 C 50 47 60 60

e n t 49

m 41 48 41 45 e a t 8 8 60 60 r t Death in facility Clients remaining d l on ART rate [both

h i under 5 years rate 41 [both sexes | sexes all ages | DHIS] 50 50 DHIS] 6 6 45 1 _ 4 C 30 22 52 40 40

4 4 6

5 5 C 25 12 25 44 U

Pneumonia case 4 4 Antiretroviral 36 20 41 20 fatality under 5 effective coverage years rate [both [both sexes 0-14 3 33 3 36 sexes <5 years | 37 33 years | DHIS-Tier] DHIS] 32 15 15 2 2 44 1 1 85 85 e n t 16 8 29 m 5 40 28 40 e a t r

t 80 80 Antiretroviral TB DS treatment 33 effective coverage success rate [both [both sexes 15+ 44 sexes all ages | 30 30 75 75 years | DHIS-Tier] 2 _ 1 T B ETR/Tier.Net]

49 70 70 20 20

40 29 28 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 Antiretroviral effective coverage Measure Names Rank [both sexes all 30 45 30 Prov av 1 51 ages | DHIS-Tier] ZA av Ind Value 50 20 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

471 Section B: NationalProfile North and WestDistrict Province Profiles

NM Molema: DC38 NM Molema: DC38 9 C

U 4000 4000 Age-standardised 82 82 n a c e Expenditure per prevalence of non-raised blood patient day 80 31 80 4 _ 5 F i equivalent (district 3500 3500 pressure (index) 30 hospitals) [ | BAS [both sexes 15+ 31 78 78 real 2019/20 years | NiDS 32 prices] 3000 3000 modelled] 32 76 33 76 e s e n t 10 10

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

m prevalence [both 3 _ 2 D expenditure per sexes 15+ years | 8 17 8 capita (uninsured) [ NiDS modelled] 17 | BAS real 2019/20 1800 1800 19 prices] 15 6 6

1 0 44 44

C 1400 1400 U 42 42 Provincial & LG Diabetes treatment PHC expenditure 1300 1300 coverage [both per capita 13 13 sexes 15+ years | 12 11 (uninsured) [ | BAS 40 15 13 40 NiDS modelled] real 2019/20 1200 1200 prices] 38 38 1100 1100 o n i 14 600 600 e c t Provincial & LG d e t Cervical cancer 20 PHC expenditure screening 50 50 per PHC 500 500 a n c e r coverage [female | 20 headcount [ | BAS DHIS] 16 real 2019/20 19 prices] 3 _ C 40 32 40 400 400

1 2 17 44 C 86 17 17 17 86

U 17 17 s e a 14 14 d i

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

d e n codes [both sexes [both sexes 15+ all ages | vital 13 13 years | NiDS B u r registration] 33 modelled] 82 82 28 12 12

e n t 21 21 i 49 19 25 49 25 20 20 a c e s n p a t i

y 19 19 t

i Hospital beds per Percentage of l 48 10 000 target 18 18 deaths ill-defined population [ | DHIS 17 17 [both sexes all 20 20 2000-2030 public 16 16 ages | vital

4 _ 1 F a c i sector] 15 30 32 28 25 15 registration] 14 39 14 15 15 13 13 y t 45 49 25 25

d e n s i Percentage of 47 Medical 30 30 YLLs due to k e r practitioners per communicable, o r

w 100 000 population 26 maternal, perinatal, h t [both sexes | public 25 25 nutrition causes 20 20 26

e a l sector] [both sexes | vital 30 registration] 28 4 _ 2 H 20 20 12 12 30 30 25 29 Percentage of Pharmacists per 10 10 YLLs due to HIV 100 000 population 25 25 32 and TB [both [both sexes | public sexes | vital 23 sector] registration] 8 33 32 8 20 12 20

150 28 150 14 14 Professional 27 28 Percentage of nurses per 100 140 28 140 000 population YLLs due to injuries [both sexes 12 12 [both sexes | public | vital registration] sector] 130 130 2 10 2 10 1

33 n e s a n d 32

c i 45 45 C 38 e d i Percentage of P H 40 40 m YLLs due to 34 23 Percentage Ideal non-communicable clinics [ | IC status] 32 diseases [both 20 20 sexes | vital 40 40 registration] 4 _ 3 A c e s 24 0 11 35 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

472 SectionSection B: B: National Profile North and District West Province Profiles

Ruth Segomotsi Mompati District Municipality (DC39)

The Dr Ruth Segomotsi Mompati District Municipalitye is a Category C municipality located in the North West Province. It is the largest district in the province, making up almost half of its geographical area. The district comprises five local municipalities: Naledi, Greater Taung, Kagisano-Molopo, Mamusa and Lekwa-Teemane. Cities/Towns: Amalia, Bloemhof, Christiana, Piet Plessis, Pomfret, Pudimoe, Reivilo, Schweizer-Reneke, Stella, Taung, Vryburg Area: 43 764km² Population (2019)f: 480 942

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

NW, RS Mompati DM (DC39)

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+ 2.3% 3.3% 2.4% 3.8% 2.6% 4.7%

60-64 years 1.6% 1.7%

55-59 years 1.5% 1.8% 1.4% 1.9% 1.4% 1.9%

50-54 years 1.7% 1.9% 1.7% 2.1% 1.6% 2.0%

45-49 years 2.0% 2.4% 1.9% 2.3% 1.8% 2.3%

40-44 years 2.4% 2.6% 2.1% 2.5% 2.2% 2.6%

35-39 years 2.7% 3.1% 2.4% 2.8% 2.8% 3.1%

30-34 years 3.0% 3.1% 2.7% 3.1% 3.4% 3.8%

25-29 years 3.2% 3.6% 3.5% 3.7% 3.7% 3.8%

20-24 years 3.9% 4.1% 4.6% 4.8% 3.8% 3.9%

15-19 years 5.8% 5.4% 5.8% 5.6% 4.9% 5.1%

10-14 years 6.8% 6.6% 5.5% 5.3% 6.2% 6.3%

05-09 years 6.8% 6.4% 5.7% 5.8% 5.9% 5.8%

00-04 years 5.7% 5.4% 6.8% 6.9% 5.9% 5.8%

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

e Available from: https://municipalities.co.za/overview/141/dr-ruth-segomotsi-mompati-district-municipality. f Mid-year Population Estimates 2019, Stats SA.

473 Section B: NationalProfile North and WestDistrict Province Profiles

Percentage of deaths by broad cause and leading causes, 2012–2017 NW, RS Mompati DM: DC39, 2012 - 2017 Percentage of AgeGrp Female Male deaths by broad <5 years 79% 9% 8%4% 79% 8% 9%4% causes and 5-14 21% 29% 25% 25% 25% 18% 16% 41% single leading 15-24 22% 46% 18% 15% 11% 22% 14% 53% causes 25-64 16% 45% 36% 4% 15% 41% 32% 12% 65+ 11%5% 83% 1% 14% 10% 74% 3% Total 22% 26% 49% 3% 22% 27% 40% 10% Broadcause Injury NCD Rank Female Male 1 Diarrhoeal diseases (21.0%) Diarrhoeal diseases (19.1%) HIV and TB 2 Lower respiratory infections (15.7%) Preterm birth complications (17.1%) Comm_mat_peri_nut 3 Preterm birth complications (14.5%) Lower respiratory infections (14.0%)

s 4 Protein-energy malnutrition (13.5%) Protein-energy malnutrition (12.3%) Prov, District 5 Birth asphyxia (6.9%) Birth asphyxia (8.2%) NW, RS Mompati DM: DC39 y e a r 6 HIV/AIDS (6.8%) HIV/AIDS (6.6%) Show history 5

< 7 Other perinatal conditions (3.0%) Other perinatal conditions (3.1%) 8 Sepsis/other newborn infectious (2.6%) Other respiratory (2.7%) Percentages are shown 9 Tuberculosis (2.3%) Sepsis/other newborn infectious (2.7%) according to all the deaths 10 Endocrine nutritional,blood, immune (2.0%) Septicaemia (1.8%) within the age/gender 1 HIV/AIDS (18.0%) Drowning (27.2%) category of each box, 2 Tuberculosis (17.2%) Tuberculosis (10.8%) although only the leading 3 Epilepsy (8.0%) HIV/AIDS (10.8%) 10 causes are displayed. 4 Road injuries (7.4%) Lower respiratory infections (10.8%) 5 Lower respiratory infections (7.0%) Diarrhoeal diseases (8.0%) 1 4

5 - 6 Fires, hot substances (6.7%) Accidental threats to breathing (4.8%) 7 Meningitis/encephalitis (6.6%) Fires, hot substances (4.2%) 8 Drowning (5.3%) Meningitis/encephalitis (3.9%) 9 Diarrhoeal diseases (4.7%) Road injuries (3.2%) 10 Accidental threats to breathing (4.6%) Other unintentional injuries (3.1%) 1 HIV/AIDS (30.7%) Interpersonal violence (25.9%) 2 Tuberculosis (17.1%) Accidental threats to breathing (18.2%) 3 Lower respiratory infections (14.0%) Tuberculosis (12.2%) 4 Endocrine nutritional,blood, immune (6.0%) HIV/AIDS (11.5%)

2 4 5 Interpersonal violence (4.3%) Lower respiratory infections (6.4%)

1 5 - 6 Accidental threats to breathing (3.7%) Epilepsy (4.5%) 7 Mechanical forces (2.0%) Drowning (3.8%) 8 Diarrhoeal diseases (2.0%) Fires, hot substances (2.6%) 9 Meningitis/encephalitis (1.9%) Mechanical forces (2.2%) 10 Septicaemia (1.5%) Endocrine nutritional,blood, immune (2.1%) 1 HIV/AIDS (31.6%) HIV/AIDS (24.2%) 2 Tuberculosis (13.2%) Tuberculosis (17.0%) 3 Lower respiratory infections (9.7%) Lower respiratory infections (11.0%) 4 Hypertensive heart disease (6.0%) Hypertensive heart disease (5.0%)

6 4 5 Endocrine nutritional,blood, immune (5.2%) Accidental threats to breathing (4.3%)

2 5 - 6 Cerebrovascular disease (3.6%) Cerebrovascular disease (3.3%) 7 Cervix (3.0%) Endocrine nutritional,blood, immune (3.3%) 8 Diabetes mellitus (3.0%) Ischaemic heart disease (2.9%) 9 Diarrhoeal diseases (2.8%) Interpersonal violence (2.8%) 10 Ischaemic heart disease (2.4%) Diarrhoeal diseases (1.9%) 1 Hypertensive heart disease (31.1%) Hypertensive heart disease (18.9%) 2 Cerebrovascular disease (15.3%) Cerebrovascular disease (11.0%) 3 Diabetes mellitus (7.2%) Lower respiratory infections (9.2%) 4 Ischaemic heart disease (6.9%) Ischaemic heart disease (8.4%) 5 Lower respiratory infections (5.9%) Tuberculosis (6.8%)

6 5 + 6 Diarrhoeal diseases (3.2%) Prostate (5.2%) 7 Endocrine nutritional,blood, immune (2.7%) Diabetes mellitus (4.0%) 8 Tuberculosis (2.6%) COPD (3.9%) 9 HIV/AIDS (2.2%) HIV/AIDS (2.8%) 10 Cervix (2.0%) Asthma (2.5%)

Rank Maternal conditions All other causes 1 Hypertension in pregnancy (24.1%) n=17 HIV/AIDS (38.6%) n=1 979 2 Maternal haemorrhage (24.1%) n=16 Tuberculosis (16.3%) n=834 3 Indirect maternal (22.5%) n=15 Lower respiratory infections (11.5%) n=589 4 Abortion (15.0%) n=10 Endocrine nutritional,blood, immune (5.8%) n=296 e a l 4 9 5 Other maternal (14.4%) n=10 Diarrhoeal diseases (3.0%) n=154

1 5 - 6 Cervix (1.9%) n=98 F e m 7 Hypertensive heart disease (1.8%) n=92 8 Interpersonal violence (1.6%) n=83 9 Cerebrovascular disease (1.5%) n=75 10 Meningitis/encephalitis (1.4%) n=72

474 SectionSection B: B: National Profile North and District West Province Profiles

Annual trends, 2015/16–2019/20 RS Mompati: DC39 RS Mompati: DC39 e s n g 70 70 l i

24 o f 10 27 10 a n i 19 P r p l y

l TB DS client lost to i Couple year 60 60 26 follow up rate [both 8 8 protection rate [ | sexes all ages | DHIS] ETR/Tier.Net] 46

1 _ F a m 44 50 50 6 26 15 6 45 19 e 5 43

c a r 46 y 90 90 10 40 10

v e r 16 43 i TB DS death rate Antenatal 1st visit d e l [both sexes all coverage [female | 80 26 80 ages |

a n d DHIS] ETR/Tier.Net] 8 8 33 24 70 34 70 e g n a c y 90 90 26 26 80 80 1 _ 2 P r 70 70 TB symptom 5 60 60 14 14 years and older 49 Delivery in 10 to 19 50 51 50 screened in facility 50 years in facility rate 20 [female | DHIS] rate [both sexes | 40 40 DHIS] 30 30 12 12 38 20 20 10 10

150 150 80 80 TB symptom child 26 Maternal mortality under 5 years 34 60 60 in facility ratio screened in facility [female | DHIS] 100 100 rate [both sexes | 49 51 DHIS] 10 40 40 10 8 19 49 50 50

14 41 14 e n t 25 31 m 90 90

28 e a t r t Adult with viral 26 V

I load suppressed Neonatal death in 12 12 88 88 facility rate [both rate 12 months 29 sexes | DHIS] [both sexes 15+ 2 _ H years | DHIS] 10 13 10 86 86 16 34 o n

i 100 1 100

s a t 80 80

u n i 33 28 Child with viral m Immunisation load suppressed

m 35 80 80 i under 1 year rate 12 months d l coverage [both 70 35 70 [both sexes 0-14

h i 26 sexes | DHIS] years | DHIS] 27 60 39 60 1 _ 3 C 51 45 60 60

e n t 49 51 m 36 42 e a t r t Death in facility 8 45 8 Clients remaining 60 32 60 d l on ART rate [both

h i under 5 years rate sexes all ages | [both sexes | 30 37 34 DHIS] DHIS] 6 39 6 1 _ 4 C 50 50 6 C

49 U 6 6 20 20 Pneumonia case Antiretroviral 33 35 fatality under 5 effective coverage years rate [both 4 4 [both sexes 0-14 40 10 10 sexes <5 years | 28 34 39 years | DHIS-Tier] 49 DHIS] 2 2 49 10

e n t 23 10 m 80 80 40 40 e a t r

t Antiretroviral TB DS treatment effective coverage success rate [both 38 [both sexes 15+ sexes all ages | 75 75 years | DHIS-Tier] 2 _ 1 T B ETR/Tier.Net] 30 42 30 50 42 47 70 70 42

40 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 Antiretroviral effective coverage 35 35 Measure Names Rank [both sexes all Prov av 1 51 ages | DHIS-Tier] 30 30 43 ZA av 50 42 Ind Value 25 42 25 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

475 Section B: NationalProfile North and WestDistrict Province Profiles

RS Mompati: DC39 RS Mompati: DC39 9 C U

Age-standardised 82 82 n a c e Expenditure per prevalence of 3500 3500 non-raised blood patient day 80 80 4 _ 5 F i equivalent (district pressure (index) hospitals) [ | BAS [both sexes 15+ 36 3000 3000 35 real 2019/20 years | NiDS 78 34 78 prices] modelled] 34 34 76 32 76 2500 2500 e s e n t 13 31 13 2500 2500

a b e t 12 12

i Provincial & LG 11 26 11 District Health Diabetes a n g e m 10 10 Services m prevalence [both 3 _ 2 D 21 expenditure per sexes 15+ years | 9 9 capita (uninsured) [ NiDS modelled] 8 19 8 2000 2000 7 7 | BAS real 2019/20 15 prices] 6 6 14 5 5

1 0 60 3 60 1600 1600 C 3 U 3 3 4 Provincial & LG Diabetes treatment 5 PHC expenditure 1400 1400 coverage [both 50 50 per capita sexes 15+ years | (uninsured) [ | BAS NiDS modelled] real 2019/20 prices] 1200 1200 40 40 o n i 55 15 55 600 600

e c t 13 10 Provincial & LG

d e t 11 Cervical cancer 50 50 PHC expenditure 25 28 screening per PHC 500 500 a n c e r coverage [female | headcount [ | BAS DHIS] 45 45 real 2019/20 prices] 3 _ C 40 40 400 400 1 2 C U 80 80 s e a d i

Tobacco Percentage of non-smoking 35 o f 13 38 13 prevalence (index) 37 deaths garbage

d e n codes [both sexes [both sexes 15+ 39 33 all ages | vital years | NiDS B u r 75 39 75 registration] modelled] 40 12 12 40 25 e n t

i 18 18 39 a c e s n p a t i y

t 15 15

i Hospital beds per Percentage of l 16 16 10 000 target deaths ill-defined 33 population [ | DHIS 42 43 [both sexes all 2000-2030 public 48 47 45 ages | vital 10 10 4 _ 1 F a c i sector] registration] 14 14

51 28 12 12 y t 47 25 48 25

d e n s i 30 30 Percentage of 47 Medical YLLs due to k e r practitioners per communicable, o r

w 100 000 population 29 maternal, perinatal, h

t [both sexes | public nutrition causes 20 20 20 20

e a l sector] [both sexes | vital 44 44 registration] 44 4 _ 2 H

12 22 12 44

Percentage of 30 30 Pharmacists per YLLs due to HIV 49 100 000 population 10 10 and TB [both [both sexes | public 31 sexes | vital 35 sector] registration] 25 25 8 8 35 38

180 11 180 14 14 Professional 15 Percentage of nurses per 100 160 160 YLLs due to 000 population 24 injuries [both sexes 12 12 [both sexes | public 26 | vital registration] sector] 140 140 10 4 10 1 2 120 120 80 80 n e s a n d 24 45 45 c i C 60 30 60

e d i Percentage of P H m 26 YLLs due to Percentage Ideal 40 40 non-communicable 40 40 clinics [ | IC status] 22 diseases [both 10 | vital 4 20 20 sexes registration] 35 35 4 _ 3 A c e s 17 0 11 0 9 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

476 SectionSection B: B: National Profile North and District West Province Profiles

Dr Kenneth Kaunda District Municipality (DC40)

The Dr Kenneth Kaunda District Municipalityg is a Category C municipality in the North West Province. It is the smallest district in the province, making up 14% of its geographical area. The district consists of three local municipalities: JB Marks, City of Matlosana and Maquassi Hills. Cities/Towns: Hartbeesfontein, Klerksdorp, Leeudoringstad, Makwassie, Orkney, Potchefstroom, Stilfontein, Ventersdorp, Witpoort, Wolmaransstad Area: 14 671km² Population (2019)h: 772 320

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

NW, Dr K Kaunda DM (DC40)

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+ 2.0% 2.7% 1.8% 2.7% 2.0% 3.3%

60-64 years 1.4% 1.5% 1.6% 1.8%

55-59 years 1.7% 1.8% 1.9% 2.0% 2.0% 2.2%

50-54 years 2.2% 2.2% 2.5% 2.5% 2.3% 2.6%

45-49 years 2.9% 2.9% 3.1% 3.0% 2.7% 3.0%

40-44 years 3.9% 3.5% 3.3% 3.3% 3.2% 3.3%

35-39 years 4.4% 4.1% 3.7% 3.7% 4.1% 4.0%

30-34 years 4.4% 4.2% 4.0% 3.9% 4.6% 4.5%

25-29 years 4.4% 4.4% 4.7% 4.4% 4.2% 4.0%

20-24 years 4.3% 4.4% 4.8% 4.9% 3.8% 3.9%

15-19 years 4.9% 4.8% 4.3% 4.3% 4.1% 4.2%

10-14 years 5.0% 5.1% 4.1% 4.1% 4.8% 4.8%

05-09 years 4.5% 4.4% 4.6% 4.6% 4.8% 4.7%

00-04 years 4.4% 4.4% 5.3% 5.3% 4.9% 4.8%

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

g Available from: https://municipalities.co.za/overview/140/dr-kenneth-kaunda-district-municipality. h Mid-year Population Estimates 2019, Stats SA.

477 Section B: NationalProfile North and WestDistrict Province Profiles

Percentage of deaths by broad cause and leading causes, 2012–2017 NW, Dr K Kaunda DM: DC40, 2012 - 2017 Percentage of AgeGrp Female Male deaths by broad <5 years 70% 8% 14% 8% 73% 9% 11% 6% causes and 5-14 30% 27% 21% 22% 27% 22% 18% 33% single leading 15-24 14% 46% 19% 21% 7% 21% 15% 58% causes 25-64 10% 41% 44% 5% 8% 40% 37% 14% 65+ 11%5% 82% 3% 10% 7% 79% 4% Total 15% 26% 54% 5% 14% 27% 46% 13% Broadcause Injury NCD Rank Female Male 1 Diarrhoeal diseases (16.4%) Preterm birth complications (15.9%) HIV and TB 2 Lower respiratory infections (14.5%) Diarrhoeal diseases (14.5%) Comm_mat_peri_nut 3 Preterm birth complications (11.6%) Lower respiratory infections (13.0%)

s 4 Protein-energy malnutrition (8.4%) Protein-energy malnutrition (8.5%) Prov, District 5 Birth asphyxia (6.5%) Birth asphyxia (7.8%) NW, Dr K Kaunda DM: DC40 y e a r 6 Sepsis/other newborn infectious (6.5%) Sepsis/other newborn infectious (6.6%) Show history 5

< 7 HIV/AIDS (5.5%) HIV/AIDS (5.8%) 8 Septicaemia (3.0%) Tuberculosis (3.2%) Percentages are shown 9 Other perinatal conditions (2.7%) Other perinatal conditions (3.0%) according to all the deaths 10 Tuberculosis (2.5%) Septicaemia (3.0%) within the age/gender 1 HIV/AIDS (21.3%) HIV/AIDS (16.7%) category of each box, 2 Tuberculosis (11.9%) Drowning (13.9%) although only the leading 3 Lower respiratory infections (7.6%) Lower respiratory infections (13.7%) 10 causes are displayed. 4 Diarrhoeal diseases (7.3%) Accidental threats to breathing (9.2%) 5 Drowning (7.1%) Tuberculosis (7.9%) 1 4

5 - 6 Accidental threats to breathing (6.7%) Fires, hot substances (5.5%) 7 Meningitis/encephalitis (5.8%) Septicaemia (4.3%) 8 Fires, hot substances (5.7%) Diarrhoeal diseases (4.1%) 9 Protein-energy malnutrition (3.2%) Other unintentional injuries (3.5%) 10 Road injuries (2.5%) Meningitis/encephalitis (2.5%) 1 HIV/AIDS (27.9%) Interpersonal violence (21.8%) 2 Tuberculosis (21.2%) Accidental threats to breathing (19.5%) 3 Accidental threats to breathing (6.5%) Tuberculosis (11.7%) 4 Fires, hot substances (5.8%) HIV/AIDS (10.2%)

2 4 5 Interpersonal violence (5.5%) Mechanical forces (5.9%)

1 5 - 6 Lower respiratory infections (3.7%) Fires, hot substances (4.6%) 7 Endocrine nutritional,blood, immune (2.5%) Drowning (3.6%) 8 Indirect maternal (2.0%) Road injuries (2.1%) 9 Diarrhoeal diseases (1.9%) Lower respiratory infections (1.9%) 10 Diabetes mellitus (1.9%) Epilepsy (1.9%) 1 HIV/AIDS (25.3%) HIV/AIDS (21.4%) 2 Tuberculosis (15.8%) Tuberculosis (18.3%) 3 Hypertensive heart disease (4.5%) Lower respiratory infections (4.8%) 4 Lower respiratory infections (4.5%) Accidental threats to breathing (4.0%)

6 4 5 Cerebrovascular disease (4.2%) Cerebrovascular disease (3.6%)

2 5 - 6 Cervix (3.8%) Interpersonal violence (3.4%) 7 Diabetes mellitus (3.2%) Ischaemic heart disease (3.0%) 8 Breast (3.1%) Hypertensive heart disease (2.9%) 9 Endocrine nutritional,blood, immune (2.7%) COPD (2.5%) 10 Nephritis/nephrosis (1.8%) Mechanical forces (2.1%) 1 Hypertensive heart disease (13.8%) Cerebrovascular disease (9.6%) 2 Cerebrovascular disease (13.0%) Ischaemic heart disease (9.5%) 3 Ischaemic heart disease (7.9%) Hypertensive heart disease (8.0%) 4 Lower respiratory infections (6.1%) COPD (6.9%) 5 Diabetes mellitus (5.4%) Prostate (6.3%)

6 5 + 6 COPD (4.2%) Lower respiratory infections (6.2%) 7 Tuberculosis (3.3%) Tuberculosis (5.0%) 8 Breast (3.0%) Diabetes mellitus (4.3%) 9 Nephritis/nephrosis (2.9%) Trachea/bronchi/lung (4.1%) 10 Trachea/bronchi/lung (2.4%) Nephritis/nephrosis (3.2%)

Rank Maternal conditions All other causes 1 Indirect maternal (32.4%) n=48 HIV/AIDS (33.9%) n=2 337 2 Hypertension in pregnancy (25.0%) n=37 Tuberculosis (20.4%) n=1 407 3 Other maternal (22.5%) n=34 Lower respiratory infections (5.2%) n=360 4 Maternal sepsis (8.4%) n=13 Cervix (2.7%) n=187 e a l 4 9 5 Abortion (6.6%) n=10 Endocrine nutritional,blood, immune (2.6%) n=179

1 5 - 6 Maternal haemorrhage (5.2%) n=8 Fires, hot substances (2.3%) n=156 F e m 7 Cerebrovascular disease (2.3%) n=156 8 Diarrhoeal diseases (2.1%) n=146 9 Breast (2.1%) n=144 10 Accidental threats to breathing (1.9%) n=134

478 SectionSection B: B: National Profile North and District West Province Profiles

Annual trends, 2015/16–2019/20 Dr K Kaunda: DC40 Dr K Kaunda: DC40 e s n g l 70 13 70 i 47 32 o f a n i P r 12 12 p l 21 y

l 28 TB DS client lost to i 20 Couple year 60 34 60 follow up rate [both 10 10 protection rate [ | sexes all ages | DHIS] ETR/Tier.Net]

1 _ F a m 8 8 50 50 39 37 29 6 6 e 14 14 51 14

c a r 90 90 y 50

v e r 12 12 i TB DS death rate 46 Antenatal 1st visit 80 80 d e l [both sexes all coverage [female | ages | 10 10

a n d DHIS] 39 38 ETR/Tier.Net] 70 70 27 8 8 39 40 41 e g n a c y 60 60 100 100 15 18 1 _ 2 P r 13 TB symptom 5 15 26 12 13 12 Delivery in 10 to 19 years and older years in facility rate screened in facility 50 50 [female | DHIS] rate [both sexes | DHIS] 10 10 9 0 0 90 90 49 51 24 35 80 80 200 200 TB symptom child under 5 years Maternal mortality 48 70 70 in facility ratio screened in facility 44 45 rate [both sexes | [female | DHIS] 150 150 26 DHIS] 60 60 43 100 100 50 50 e n t

13 13 m 90 90 e a t r

t Adult with viral 12 24 32 12 26 V 88 88 Neonatal death in I load suppressed facility rate [both rate 12 months 40 20 27 sexes | DHIS] 11 11 [both sexes 15+ 34 2 _ H years | DHIS] 86 86 32 10 10 84 34 84 o n i

s a t 80 80 30 32

u n i Child with viral 60 60 m Immunisation 41 34 load suppressed m i under 1 year rate 12 months d l coverage [both 70 42 70 [both sexes 0-14 h i sexes | DHIS] years | DHIS] 47 43 47 50 50

1 _ 3 C 41 60 44 60 8 8 e n t m e a t r

t 7 7 60 60 Death in facility Clients remaining d l on ART rate [both 50 h i under 5 years rate 23 36 [both sexes | 6 6 sexes all ages | 51 DHIS] DHIS]

1 _ 4 C 27 32 48 5 5 50 50 19 17 46 6

C 9 4 4 U 30 30 13 Pneumonia case Antiretroviral fatality under 5 effective coverage 20 20 years rate [both [both sexes 0-14 2 2 sexes <5 years | 17 years | DHIS-Tier] 12 39 DHIS] 13 14 10 10 5 7 48 0 0

e n t 80 80 m 40 40 31 e a t r t TB DS treatment 48 45 Antiretroviral success rate [both effective coverage 41 43 45 sexes all ages | 70 70 [both sexes 15+ 30 30 years | DHIS-Tier] 2 _ 1 T B ETR/Tier.Net]

52 50 60 60 20 20

40 40 2 0 1 5 2 0 1 6 2 0 1 7 2 0 1 8 2 0 1 9 2 0 31 F Y F Y F Y F Y F Y F Y Antiretroviral effective coverage Measure Names Rank 43 41 [both sexes all 30 30 Prov av 1 52 ages | DHIS-Tier] ZA av Ind Value 48 20 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

479 Section B: NationalProfile North and WestDistrict Province Profiles

Dr K Kaunda: DC40 Dr K Kaunda: DC40 9

C 4 U

Age-standardised 5 n a c e 85 85 Expenditure per 3500 3500 prevalence of 5 non-raised blood patient day 6 4 _ 5 F i equivalent (district pressure (index) hospitals) [ | BAS [both sexes 15+ 9 real 2019/20 3000 3000 years | NiDS 15 prices] modelled] 80 80 e s e n t 49 2000 2000 a b e t i 15 15 Provincial & LG 44 District Health Diabetes a n g e m Services 1800 1800

m prevalence [both 3 _ 2 D 31 expenditure per sexes 15+ years | 10 10 capita (uninsured) [ NiDS modelled] 1600 1600 20 | BAS real 2019/20 15 prices] 11 5 5 1400 1400 1 0 C U Provincial & LG Diabetes treatment 40 40 PHC expenditure 1200 1200 coverage [both per capita sexes 15+ years | (uninsured) [ | BAS NiDS modelled] real 2019/20 35 35 prices] 1100 1100 33 34 31 26 26 26 o n i 6 600 600

e c t 60 60 12 Provincial & LG d e t Cervical cancer PHC expenditure 15 18 screening per PHC 500 500 a n c e r coverage [female | 50 14 50 headcount [ | BAS DHIS] 14 real 2019/20 prices] 3 _ C 40 40 400 400 1 2 C U 81 26 81 s e a d i

Tobacco Percentage of 13 13 non-smoking 27 o f prevalence (index) deaths garbage

30 d e n codes [both sexes [both sexes 15+ 80 80 30 all ages | vital years | NiDS 31 B u r 12 12 registration] modelled] 32 18 79 33 79 22

e n t 18 18 i 4 4 4 4 3 a c e s 30 4 30 n p a t i y t

i Hospital beds per Percentage of l 16 16 10 000 target deaths ill-defined population [ | DHIS [both sexes all 2000-2030 public ages | vital 20 20 14 14 4 _ 1 F a c i sector] registration] 25 28 12 27 12 y t 60 60 4 5

d e n s i 4 Percentage of 50 50 Medical YLLs due to 20 20 k e r practitioners per communicable, o r 9

w 100 000 population 40 40 maternal, perinatal, h

t [both sexes | public nutrition causes 22

e a l sector] 30 30 [both sexes | vital 24 registration] 15 15 22 4 _ 2 H 20 20

19 21 46 12 19 12 20 Percentage of Pharmacists per 30 46 30 YLLs due to HIV 50 100 000 population and TB [both [both sexes | public 10 10 sexes | vital sector] registration] 25 25 8 8

200 4 200 190 6 190 Professional 180 180 Percentage of 14 14 nurses per 100 170 12 170 000 population YLLs due to 160 20 160 injuries [both sexes [both sexes | public | vital registration] 12 sector] 150 150 8 140 140 12 9 12 130 130

100 100 n e s a n d 10

c i 5 45 45 C 11 27

e d i Percentage of P H m YLLs due to Percentage Ideal 50 50 non-communicable 21 clinics [ | IC status] diseases [both sexes | vital 40 40 registration] 4 _ 3 A c e s 27 0 11 35 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

480