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16 Western Cape Province Section B: DistrictProfile WesternHealth Profiles Cape Province 16 Western Cape Province Cape Town Metropolitan Municipality (CPT) Overview of the district The City of Cape Town Metropolitan Municipalitya is a Category A municipality and is situated on the southern peninsula of the Western Cape Province. It has a coastline of 294km. It stretches from Gordon’s Bay to Atlantis and includes the suburbs of Khayelitsha and Mitchells Plain. The municipalities adjacent to it are Swartland and West Coast to the north; Drakenstein, Cape Winelands and Stellenbosch to the north-east; and Theewaterskloof, Overberg and Overstrand to the south-east. It is also bound by the Atlantic Ocean to the south and west. The City of Cape Town Metropolitan Municipality is South Africa’s second-largest economic centre and second most populous city after Johannesburg. It is the provincial capital and primary city of the Western Cape, as well as the legislative capital of South Africa, where the National Parliament and many government offices are located. ‘The Mother City’ as it is affectionately known because it is the oldest city in South Africa, is famous for its harbour, as well as its natural setting in the Cape Floral Kingdom, including such well-known landmarks as Table Mountain and Cape Point. It is hailed as one of the most beautiful cities in the world according to Forbes Magazine. It is also Africa’s most popular tourist destination. The City of Cape Town Metropolitan Municipality incorporates eight health sub-districts; namely, Cape Town Eastern, Cape Town Northern, Cape Town Southern, Cape Town Western, Khayelitsha, Klipfontein, Mitchells Plain and Tygerberg Area: 2 446km² Population (2016)b: 4 027 060 Population density (2016): 1 646.4 persons per km2 Estimated medical scheme coverage: 23.9% Cities/Towns: Athlone, Atlantis, Belhar, Bellville, Blackheath, Blouberg, Blue Downs, Brackenfell, Cape Point, Cape Town, Delft, Durbanville, Elsies River, Fish Hoek, Goodwood, Gordon’s Bay, Grassy Park, Gugulethu, Hout Bay, Khayelitsha, Kommetjie, Kraaifontein, Kuils River, Langa, Macassar, Matroosfontein, Melkbosstrand, Milnerton, Mitchells Plain, Muizenberg, Noordhoek, Nyanga, Parow, Philadelphia, Philippi, Robben Island, Scarborough, Simon›s Town, Sir Lowry’s Pass, Somerset West, Southern Suburbs, Strand, Table View. Main Economic Sectors: Finance and business services (36.1%), manufacturing (16.1%), community services (15.6%), trade and hospitality (15.6%), transport, storage and communication (11.2%), agriculture (9.7%), construction (4.1%). a The Local Government Handbook South Africa 2017. A complete guide to municipalities in South Africa. Seventh edition. Accessible at: www. municipalities.co.za. b Mid-Year Population Estimates 2016, Stats SA. 620 Section B:Section Profile B: Western District HealthCape Province Profiles Population distribution, sub-district boundaries and health facility locations Source: Mid-Year Population Estimates 2016, Stats SA. 621 Section B: DistrictProfile WesternHealth Profiles Cape Province DistrictCape Town population MM pyramid (CPT) and comparison with the national pyramid Year AgeGrp 2006 2016 65+ 69 804 96 850 115 341 152 988 60-64 years 47 619 55 805 66 092 77 128 55-59 years 62 833 71 051 86 800 98 896 50-54 years 78 460 86 859 108 044 114 942 45-49 years 98 855 108 608 128 200 134 742 40-44 years 118 766 123 320 144 783 147 705 35-39 years 137 179 142 836 159 742 167 175 30-34 years 148 780 153 320 164 945 170 659 25-29 years 153 676 167 198 185 610 179 113 20-24 years 146 925 160 398 169 095 166 630 15-19 years 159 974 160 107 158 963 153 843 10-14 years 155 440 153 552 154 668 151 331 05-09 years 159 381 151 756 168 238 163 454 00-04 years 154 770 150 595 171 904 166 029 500 000 0 500 000 500 000 0 500 000 Population Population 2006 2016 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% 65+ 2.0% 2.8% 2.9% 3.8% 60-64 years 1.6% 1.6% 1.9% 55-59 years 1.8% 2.0% 2.2% 2.5% 50-54 years 2.3% 2.5% 2.7% 2.9% 45-49 years 2.8% 3.1% 3.2% 3.3% 40-44 years 3.4% 3.5% 3.6% 3.7% 35-39 years 3.9% 4.1% 4.0% 4.2% 30-34 years 4.3% 4.4% 4.1% 4.2% 25-29 years 4.4% 4.8% 4.6% 4.4% 20-24 years 4.2% 4.6% 4.2% 4.1% 15-19 years 4.6% 4.6% 3.9% 3.8% 10-14 years 4.5% 4.4% 3.8% 3.8% 05-09 years 4.6% 4.4% 4.2% 4.1% 00-04 years 4.5% 4.3% 4.3% 4.1% 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 Gender male female Source: Mid-Year Population Estimates 2016, Stats SA. Graph 1: District population pyramid 2006 and 2016 Graph 2: District % population by age-gender group in 2006 and 2016 compared to South Africa Cape Town MM (CPT) Show history 622 Section B:Section Profile B: Western District HealthCape Province Profiles Social determinants of health Source: Stats SA (Local Government Handbook), 2014 Blue Drop Report. 623 Section B: DistrictProfile WesternHealth Profiles Cape Province Burden of disease – leading causes of death in district WC, Cape Town: CPT Percentage of deaths by broad causes and single leading causes Show history WC, Cape Town: CPT Broadcause Injury AgeGroup.. 2006-2010 2011-2015 NCD <5 years 66% 9% 17% 8% 63% 5% 25% 7% HIV and TB 5-14 15% 14% 29% 42% 21% 8% 30% 41% Comm_mat_peri_nut 15-24 6% 24% 12% 58% 5% 17% 13% 65% 25-64 6% 30% 48% 15% 5% 26% 52% 17% 65+ 6%3% 89% 3% 6%2% 88% 3% Total 10% 19% 58% 13% 9% 15% 62% 14% Rank_.. 2006-2010 2011-2015 Percentages are shown 1 Diarrhoeal diseases (18.1%) Preterm birth complications (17.5%) 2 Preterm birth complications (15.9%) Lower respiratory infections (11.6%) according to all the 3 Lower respiratory infections (11.3%) Diarrhoeal diseases (10.4%) deaths within the 4 HIV/AIDS (7.4%) Birth asphyxia (6.2%) age/period category of 5 Birth asphyxia (5.7%) Sepsis/other newborn infectious (6.0%) each box, although only 6 Sepsis/other newborn infectious (4.8%) Congenital heart anomalies (5.0%) the leading 10 causes are <5 years <5 7 Other perinatal conditions (4.0%) Congenital heart anomalies (4.1%) displayed. 8 Septicaemia (2.7%) Other respiratory (3.9%) 9 Protein-energy malnutrition (2.6%) Other congenital abnormalities (3.5%) 10 Other congenital abnormalities (2.3%) HIV/AIDS (3.5%) 1 Road injuries (17.6%) Road injuries (10.2%) 2 HIV/AIDS (8.2%) Fires, hot substances (8.5%) 3 Fires, hot substances (7.0%) Drowning (7.0%) 4 Tuberculosis (6.0%) HIV/AIDS (5.5%) 5 Interpersonal violence (4.9%) Mechanical forces (4.9%) 5-14 6 Accidental threats to breathing (4.4%) Accidental threats to breathing (4.6%) 7 Drowning (4.4%) Interpersonal violence (3.6%) 8 Lower respiratory infections (3.6%) Meningitis/encephalitis (3.1%) 9 Leukaemia (3.4%) Other malignant neoplasms (2.8%) 10 Meningitis/encephalitis (2.5%) Leukaemia (2.8%) 1 Interpersonal violence (29.6%) Interpersonal violence (26.3%) 2 Tuberculosis (13.8%) Mechanical forces (24.4%) 3 Mechanical forces (11.8%) HIV/AIDS (9.2%) 4 HIV/AIDS (10.8%) Tuberculosis (8.0%) 5 Road injuries (7.2%) Accidental threats to breathing (5.0%) 6 Accidental threats to breathing (4.1%) Road injuries (3.6%) 15-24 7 Fires, hot substances (2.7%) Fires, hot substances (2.7%) 8 Lower respiratory infections (1.6%) Lower respiratory infections (1.4%) 9 Nephritis/nephrosis (1.1%) Drowning (1.0%) 10 Epilepsy (1.1%) Leukaemia (0.9%) 1 Tuberculosis (16.5%) HIV/AIDS (15.6%) 2 HIV/AIDS (14.0%) Tuberculosis (10.3%) 3 Ischaemic heart disease (7.2%) Ischaemic heart disease (6.9%) 4 Interpersonal violence (5.7%) Cerebrovascular disease (5.4%) 5 Cerebrovascular disease (4.7%) Mechanical forces (5.1%) 6 Trachea/bronchi/lung (4.1%) Trachea/bronchi/lung (4.9%) 25-64 7 Road injuries (3.1%) Interpersonal violence (4.7%) 8 Diabetes mellitus (2.9%) Diabetes mellitus (3.2%) 9 Mechanical forces (2.8%) COPD (3.1%) 10 COPD (2.7%) Nephritis/nephrosis (2.8%) 1 Ischaemic heart disease (19.1%) Ischaemic heart disease (16.6%) 2 Cerebrovascular disease (12.4%) Cerebrovascular disease (11.8%) 3 Trachea/bronchi/lung (5.5%) Trachea/bronchi/lung (6.0%) 4 Diabetes mellitus (5.1%) COPD (5.6%) 5 COPD (5.1%) Diabetes mellitus (5.3%) 65+ 6 Hypertensive heart disease (4.0%) Nephritis/nephrosis (4.7%) 7 Nephritis/nephrosis (3.9%) Lower respiratory infections (3.5%) 8 Lower respiratory infections (3.6%) Hypertensive heart disease (3.5%) 9 Alzheimer’s and other dementias (3.3%) Alzheimer’s and other dementias (3.2%) 10 Colo-rectal (2.7%) Colo-rectal (2.8%) Maternal conditions Rank.. 2006-2010 2011-2015 1 Indirect maternal (41.2%) n=29 Indirect maternal (32.3%) n=73 2 Other maternal (28.6%) n=20 Other maternal (30.6%) n=69 3 Hypertension in pregnancy (17.4%) n=12 Hypertension in pregnancy (17.6%) n=40 4 Abortion (8.1%) n=6 Abortion (11.9%) n=27 15-49 Female 5 Maternal haemorrhage (4.8%) n=3 Maternal haemorrhage (5.5%) n=12 6 Maternal sepsis (2.0%) n=5 624 Section B:Section Profile B: Western District HealthCape Province Profiles Women and maternal health Source: DHIS.
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