14 Northern Cape Province
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Section B:Section Profile B:Northern District HealthCape Province Profiles 14 Northern Cape Province John Taolo Gaetsewe District Municipality (DC45) Overview of the district The John Taolo Gaetsewe District Municipalitya (previously Kgalagadi) is a Category C municipality located in the north of the Northern Cape Province, bordering Botswana in the west. It comprises the three local municipalities of Gamagara, Ga- Segonyana and Joe Morolong, and 186 towns and settlements, of which the majority (80%) are villages. The boundaries of this district were demarcated in 2006 to include the once north-western part of Joe Morolong and Olifantshoek, along with its surrounds, into the Gamagara Local Municipality. It has an established rail network from Sishen South and between Black Rock and Dibeng. It is characterised by a mixture of land uses, of which agriculture and mining are dominant. The district holds potential as a viable tourist destination and has numerous growth opportunities in the industrial sector. Area: 27 322km² Population (2016)b: 238 306 Population density (2016): 8.7 persons per km2 Estimated medical scheme coverage: 14.5% Cities/Towns: Bankhara-Bodulong, Deben, Hotazel, Kathu, Kuruman, Mothibistad, Olifantshoek, Santoy, Van Zylsrus. Main Economic Sectors: Agriculture, mining, retail. Population distribution, local municipality boundaries and health facility locations Source: Mid-Year Population Estimates 2016, Stats SA. 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. 521521 Section B: DistrictProfile NorthernHealth Profiles Cape Province DistrictJT Gaetsewe population DM pyramid (DC45) and comparison with the national pyramid Year AgeGrp 2006 2016 65+ 2 990 5 216 3 496 6 382 60-64 years 2 155 2 601 2 401 3 067 55-59 years 2 606 3 146 3 326 3 800 50-54 years 3 484 3 961 3 646 4 223 45-49 years 4 345 4 699 4 493 4 827 40-44 years 4 430 5 152 5 639 5 775 35-39 years 5 251 5 896 8 069 7 766 30-34 years 5 961 6 864 10 075 9 650 25-29 years 7 692 8 541 12 607 12 215 20-24 years 9 308 9 980 12 072 12 217 15-19 years 13 151 13 238 12 024 12 352 10-14 years 13 389 13 271 12 885 13 282 05-09 years 12 409 12 523 13 417 13 465 00-04 years 13 246 13 250 12 715 12 420 500 000 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+ 2.5% 1.5% 2.7% 60-64 years 55-59 years 1.5% 1.6% 50-54 years 1.7% 1.9% 1.5% 1.8% 45-49 years 2.1% 2.3% 1.9% 2.0% 40-44 years 2.1% 2.5% 2.4% 2.4% 35-39 years 2.5% 2.8% 3.4% 3.3% 30-34 years 2.9% 3.3% 4.2% 4.0% 25-29 years 3.7% 4.1% 5.3% 5.1% 20-24 years 4.5% 4.8% 5.1% 5.1% 15-19 years 6.3% 6.3% 5.0% 5.2% 10-14 years 6.4% 6.4% 5.4% 5.6% 05-09 years 5.9% 6.0% 5.6% 5.7% 00-04 years 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% 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 JT Gaetsewe DM (DC45) Show history 522 Section B:Section Profile B:Northern District HealthCape Province Profiles Social determinants of health Source: Stats SA (Local Government Handbook), 2014 Blue Drop Report. 523523 Section B: DistrictProfile NorthernHealth Profiles Cape Province NC, JT Gaetsewe: DC45 BurdenPercentage of disease of deaths – leading by causes broad ofcauses death inand district single leading causes Show history NC, JT Gaetsewe: DC45 Broadcause Injury AgeGroup.. 2006-2010 2011-2015 NCD <5 years 86% 4%8%2% 79% 12% 6%3% HIV and TB 5-14 35% 18% 25% 22% 35% 24% 17% 24% Comm_mat_peri_nut 15-24 35% 19% 19% 26% 18% 28% 13% 40% 25-64 37% 25% 32% 6% 20% 42% 28% 10% 65+ 22% 4% 72% 2% 19% 6% 73% 2% Total 41% 17% 36% 5% 28% 28% 36% 9% Rank_.. 2006-2010 2011-2015 1 Diarrhoeal diseases (37.2%) Diarrhoeal diseases (25.7%) Percentages are shown 2 Lower respiratory infections (19.6%) Lower respiratory infections (17.4%) according to all the 3 Preterm birth complications (11.8%) Preterm birth complications (14.6%) deaths within the 4 Birth asphyxia (8.0%) HIV/AIDS (10.0%) age/period category of 5 Protein-energy malnutrition (6.6%) Birth asphyxia (9.0%) each box, although only 6 Other respiratory (5.2%) Protein-energy malnutrition (5.6%) the leading 10 causes are <5 years <5 7 HIV/AIDS (2.2%) Sepsis/other newborn infectious (3.2%) displayed. 8 Tuberculosis (1.6%) Other perinatal conditions (3.0%) 9 Other perinatal conditions (1.5%) Tuberculosis (1.8%) 10 Sepsis/other newborn infectious (1.5%) Drowning (1.3%) 1 Tuberculosis (18.9%) HIV/AIDS (20.4%) 2 Lower respiratory infections (16.6%) Lower respiratory infections (15.1%) 3 Diarrhoeal diseases (15.3%) Diarrhoeal diseases (13.3%) 4 Road injuries (12.3%) Tuberculosis (12.6%) 5 Drowning (7.6%) Drowning (11.5%) 5-14 6 Other respiratory (6.2%) Road injuries (8.1%) 7 Meningitis/encephalitis (5.4%) Meningitis/encephalitis (6.5%) 8 HIV/AIDS (4.8%) Epilepsy (4.1%) 9 Nephritis/nephrosis (3.8%) Other transport accidents (3.0%) 10 Accidental threats to breathing (3.3%) Protein-energy malnutrition (2.9%) 1 Lower respiratory infections (19.8%) HIV/AIDS (19.0%) 2 Tuberculosis (11.3%) Road injuries (15.4%) 3 Interpersonal violence (10.0%) Interpersonal violence (14.8%) 4 Diarrhoeal diseases (9.8%) Tuberculosis (11.3%) 5 HIV/AIDS (9.0%) Lower respiratory infections (10.0%) 6 Accidental threats to breathing (7.0%) Accidental threats to breathing (5.1%) 15-24 7 Road injuries (6.9%) Self-inflicted injuries (4.4%) 8 Other respiratory (5.2%) Meningitis/encephalitis (4.1%) 9 Endocrine nutritional,blood, immune (5.1%) Diarrhoeal diseases (2.7%) 10 Meningitis/encephalitis (2.7%) Epilepsy (1.9%) 1 Lower respiratory infections (24.1%) HIV/AIDS (28.9%) 2 Tuberculosis (15.5%) Lower respiratory infections (13.6%) 3 HIV/AIDS (10.1%) Tuberculosis (13.6%) 4 Diarrhoeal diseases (8.6%) Road injuries (4.1%) 5 Other respiratory (5.9%) Diarrhoeal diseases (3.8%) 6 Cerebrovascular disease (3.1%) Cerebrovascular disease (3.7%) 25-64 7 Meningitis/encephalitis (2.4%) Ischaemic heart disease (3.2%) 8 Ischaemic heart disease (2.1%) Diabetes mellitus (2.6%) 9 Road injuries (2.0%) Hypertensive heart disease (2.4%) 10 Endocrine nutritional,blood, immune (2.0%) Interpersonal violence (2.2%) 1 Cerebrovascular disease (17.9%) Cerebrovascular disease (17.5%) 2 Lower respiratory infections (14.1%) Lower respiratory infections (13.2%) 3 Ischaemic heart disease (10.7%) Hypertensive heart disease (11.2%) 4 Diarrhoeal diseases (6.4%) Ischaemic heart disease (10.4%) 5 Hypertensive heart disease (5.6%) Diabetes mellitus (5.4%) 65+ 6 Other respiratory (5.5%) Diarrhoeal diseases (4.5%) 7 Cardiomyopathy (5.2%) Tuberculosis (3.7%) 8 Diabetes mellitus (4.4%) COPD (2.9%) 9 Tuberculosis (3.6%) Cardiomyopathy (2.5%) 10 COPD (2.3%) Nephritis/nephrosis (2.5%) Maternal conditions Rank.. 2006-2010 2011-2015 1 Maternal haemorrhage (50.4%) n=3 Maternal haemorrhage (34.8%) n=5 2 Indirect maternal (49.6%) n=3 Hypertension in pregnancy (34.5%) n=5 3 Indirect maternal (30.7%) n=4 4 15-49 Female 5 6 524 Section B:Section Profile B:Northern District HealthCape Province Profiles Women and maternal health Source: DHIS. Value highlighted in green – performance is ranked among the 10 best in the country Value highlighted in red – performance is ranked among the 10 worst in the country Value highlighted in orange – performance of the local municipality is possibly below the performance of the district. 525525 Section B: DistrictProfile NorthernHealth Profiles Cape Province Child and school health Source: DHIS. Value highlighted in green – performance is ranked among the 10 best in the country Value highlighted in red – performance is ranked among the 10 worst in the country Value highlighted in orange – performance of the local municipality is possibly below the performance of the district. 526 Section B:Section Profile B:Northern District HealthCape Province Profiles HIV Source: DHIS. Value highlighted in green – performance is ranked among the 10 best in the country Value highlighted in red – performance is ranked among the 10 worst in the country Value highlighted in orange – performance of the local municipality is possibly below the performance of the district. 527527 Section B: DistrictProfile NorthernHealth Profiles Cape Province Tuberculosis Source: DHIS, ETR.Net, EDRWeb. Value highlighted in green – performance is ranked among the 10 best in the country Value highlighted in red – performance is ranked among the 10 worst in the country. 528 Section B:Section Profile B:Northern District HealthCape Province Profiles Non-communicable diseases Source: DHIS.