SectionSection B: National B: Profile and Gauteng District Province Profiles 12 Gauteng Province Sedibeng District Municipality (DC42) The Sedibeng District Municipalitya is a Category C municipality situated on the southern tip of the Gauteng Province and it comprises the Emfuleni, Lesedi and Midvaal Local Municipalities. Cities/Towns: De Deur/Walkerville, Devon, Eikenhof, Evaton, Heidelberg, Meyerton, Nigel, Sebokeng, Vaal Marina, Vaal Oewer, Vanderbijlpark, Vereeniging, Vischkuil Area: 4 173km² Population (2019)b: 995 666 DistrictDistrict % percentagepopulation by ag populatione-gender group cbyom page-genderared to South A fgrouprica compared to South Africa GP, Sedibeng DM (DC42) 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+ 1.7% 2.6% 2.4% 3.5% 3.5% 4.7% 60-64 years 1.6% 1.8% 1.9% 2.2% 55-59 years 1.5% 1.7% 2.1% 2.4% 2.1% 2.4% 50-54 years 2.2% 2.4% 2.5% 2.8% 2.3% 2.4% 45-49 years 2.8% 3.2% 2.8% 3.0% 2.8% 2.5% 40-44 years 3.4% 3.8% 2.9% 3.0% 3.3% 2.8% 35-39 years 3.8% 4.3% 3.7% 3.2% 4.2% 3.4% 30-34 years 4.1% 4.3% 4.3% 3.6% 5.2% 4.3% 25-29 years 5.0% 4.7% 5.3% 4.7% 5.3% 4.5% 20-24 years 5.2% 4.9% 5.9% 5.6% 4.7% 4.2% 15-19 years 4.9% 4.8% 4.7% 4.5% 3.9% 3.6% 10-14 years 4.8% 5.0% 3.5% 3.5% 4.2% 3.9% 05-09 years 4.4% 4.4% 3.8% 3.7% 4.2% 3.9% 00-04 years 3.9% 4.0% 4.7% 4.5% 4.0% 3.9% 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/114/sedibeng-district-municipality. b Mid-year Population Estimates 2019, Stats SA. 349 Section B: NationalProfile Gauteng and District Province Profiles Percentage of deaths by broad cause and leading causes, 2012–2017 GP, Sedibeng DM: DC42, 2012 - 2017 Percentage of AgeGrp Female Male deaths by broad <5 years 75% 5% 12% 8% 75% 4% 13% 8% causes and 5-14 30% 16% 21% 33% 23% 15% 17% 45% single leading 15-24 27% 29% 22% 22% 13% 13% 17% 57% causes 25-64 22% 24% 49% 6% 17% 25% 38% 19% 65+ 15% 3% 79% 3% 14% 5% 76% 5% Total 23% 14% 57% 6% 20% 18% 46% 17% Broadcause Injury NCD Rank Female Male 1 Lower respiratory infections (19.3%) Lower respiratory infections (19.1%) HIV and TB 2 Preterm birth complications (16.1%) Preterm birth complications (16.0%) Comm_mat_peri_nut 3 Diarrhoeal diseases (14.4%) Diarrhoeal diseases (11.5%) s 4 Sepsis/other newborn infectious (9.6%) Sepsis/other newborn infectious (10.2%) r Prov, District a 5 Birth asphyxia (6.1%) Birth asphyxia (7.9%) GP, Sedibeng DM: DC42 e y 6 HIV/AIDS (4.0%) Protein-energy malnutrition (3.4%) Show history 5 < 7 Protein-energy malnutrition (3.4%) Other perinatal conditions (3.3%) 8 Other perinatal conditions (2.6%) HIV/AIDS (2.9%) Percentages are shown 9 Congenital heart anomalies (2.6%) Congenital heart anomalies (2.8%) according to all the deaths 10 Septicaemia (2.4%) Fires, hot substances (2.7%) within the age/gender 1 Accidental threats to breathing (17.6%) Drowning (19.6%) category of each box, 2 Lower respiratory infections (14.9%) Other unintentional injuries (10.3%) although only the leading 3 HIV/AIDS (10.6%) Lower respiratory infections (9.6%) 10 causes are displayed. 4 Tuberculosis (6.8%) HIV/AIDS (9.2%) 4 5 Fires, hot substances (6.3%) Tuberculosis (7.2%) 1 - 5 6 Drowning (6.2%) Accidental threats to breathing (6.6%) 7 Diarrhoeal diseases (6.1%) Fires, hot substances (5.9%) 8 Epilepsy (3.9%) Diarrhoeal diseases (3.7%) 9 Other unintentional injuries (3.5%) Meningitis/encephalitis (3.1%) 10 Septicaemia (2.7%) Mechanical forces (3.0%) 1 Tuberculosis (15.1%) Interpersonal violence (22.6%) 2 HIV/AIDS (14.7%) Accidental threats to breathing (12.1%) 3 Lower respiratory infections (13.7%) Mechanical forces (11.5%) 4 Accidental threats to breathing (8.2%) Tuberculosis (8.3%) 4 2 5 Interpersonal violence (4.7%) Lower respiratory infections (7.9%) - 5 1 6 Diarrhoeal diseases (4.6%) HIV/AIDS (4.9%) 7 Endocrine nutritional,blood, immune (3.7%) Fires, hot substances (4.2%) 8 Meningitis/encephalitis (3.3%) Drowning (2.9%) 9 Mechanical forces (3.3%) Epilepsy (2.7%) 10 Fires, hot substances (2.0%) Meningitis/encephalitis (2.2%) 1 Lower respiratory infections (12.4%) Tuberculosis (15.0%) 2 HIV/AIDS (12.1%) Lower respiratory infections (10.8%) 3 Tuberculosis (11.8%) HIV/AIDS (10.4%) 4 Hypertensive heart disease (6.5%) Mechanical forces (6.2%) 4 6 5 Cerebrovascular disease (5.5%) Ischaemic heart disease (4.8%) - 5 2 6 Diabetes mellitus (4.7%) Interpersonal violence (4.5%) 7 Ischaemic heart disease (3.9%) Cerebrovascular disease (4.2%) 8 Diarrhoeal diseases (3.7%) Accidental threats to breathing (4.1%) 9 Endocrine nutritional,blood, immune (3.6%) Hypertensive heart disease (3.7%) 10 Cervix (3.1%) Diabetes mellitus (2.6%) 1 Hypertensive heart disease (19.1%) Hypertensive heart disease (11.2%) 2 Cerebrovascular disease (11.6%) Ischaemic heart disease (10.8%) 3 Lower respiratory infections (9.4%) Lower respiratory infections (9.5%) 4 Ischaemic heart disease (9.1%) Cerebrovascular disease (8.7%) + 5 Diabetes mellitus (7.0%) COPD (6.0%) 5 6 6 COPD (3.5%) Diabetes mellitus (5.2%) 7 Nephritis/nephrosis (2.8%) Prostate (4.6%) 8 Diarrhoeal diseases (2.8%) Tuberculosis (4.2%) 9 Septicaemia (2.5%) Nephritis/nephrosis (3.2%) 10 Breast (2.0%) Trachea/bronchi/lung (2.8%) Rank Maternal conditions All other causes 1 Indirect maternal (24.4%) n=33 HIV/AIDS (16.9%) n=1 484 2 Other maternal (20.3%) n=28 Lower respiratory infections (15.4%) n=1 349 3 Maternal haemorrhage (20.3%) n=28 Tuberculosis (15.3%) n=1 341 4 Abortion (14.1%) n=19 Diarrhoeal diseases (4.5%) n=390 e l 9 a 4 5 Hypertension in pregnancy (13.1%) n=18 Endocrine nutritional,blood, immune (4.1%) n=361 - m 5 e 1 6 Maternal sepsis (7.8%) n=11 Meningitis/encephalitis (3.6%) n=315 F 7 Cerebrovascular disease (3.1%) n=270 8 Hypertensive heart disease (2.8%) n=244 9 Nephritis/nephrosis (2.7%) n=233 10 Cervix (2.4%) n=214 350 SectionSection B: National B: Profile and Gauteng District Province Profiles Annual trends, 2015/16–2019/20 Sedibeng: DC42 Sedibeng: DC42 s g e n l i i 35 3 f n o n r a l 100 100 P p 10 10 y l TB DS client lost to i Couple year 11 m follow up rate [both a protection rate [ | 80 80 34 F 16 sexes all ages | _ DHIS] 8 8 1 ETR/Tier.Net] _ 22 17 41 1 60 60 34 40 6 6 40 40 e r a 42 c 39 y r 90 90 9 9 e v i 28 l TB DS death rate 32 e Antenatal 1st visit d 8 8 24 [both sexes all d coverage [female | n 80 80 ages | a DHIS] ETR/Tier.Net] y 7 7 c n 41 a 28 n 39 g 70 33 36 70 6 6 e r P _ 100 2 100 2 13 13 _ 1 12 12 12 10 TB symptom 5 Delivery in 10 to 19 9 years and older years in facility rate 10 11 10 screened in facility 50 50 [female | DHIS] rate [both sexes | DHIS] 8 8 0 0 19 90 90 23 120 44 120 TB symptom child 23 Maternal mortality 35 under 5 years in facility ratio screened in facility 80 80 [female | DHIS] rate [both sexes | 28 DHIS] 100 100 20 29 70 70 23 t n e 14 41 90 31 90 14 14 m t a e r t Adult with viral 39 V Neonatal death in I load suppressed 80 80 H rate 12 months facility rate [both _ 12 12 2 [both sexes 15+ sexes | DHIS] _ 51 2 19 years | DHIS] 16 70 70 17 51 10 10 n o 70 70 i 26 t a s i 90 90 n u Child with viral 26 m Immunisation load suppressed 60 60 m i under 1 year 17 24 15 rate 12 months d l i coverage [both [both sexes 0-14 50 h sexes | DHIS] 80 80 C years | DHIS] 50 50 _ 3 14 32 _ 25 1 50 70 70 t n 15 15 e 51 m t a e 60 60 r t Death in facility 47 51 Clients remaining d l i 10 10 on ART rate [both h under 5 years rate 50 C [both sexes | sexes all ages | _ 50 50 4 DHIS] DHIS] 52 _ 43 1 36 52 51 52 5 5 40 40 6 6 6 C 25 25 51 U 23 Pneumonia case 48 Antiretroviral 20 20 fatality under 5 4 4 effective coverage 25 years rate [both [both sexes 0-14 29 38 sexes <5 years | 30 years | DHIS-Tier] 15 15 DHIS] 2 2 14 46 9 10 10 t n 85 85 e m 27 t 40 40 a e 36 37 r t Antiretroviral TB DS treatment B effective coverage T success rate [both 26 _ 80 30 80 [both sexes 15+ 1 sexes all ages | 24 _ years | DHIS-Tier] 30 30 2 ETR/Tier.Net] 33 47 75 75 5 6 7 8 9 0 1 1 1 1 1 2 0 0 0 0 0 0 40 27 40 2 2 2 2 2 2 Y Y Y Y Y Y 36 36 F F F F F F Antiretroviral effective coverage Measure Names Rank [both sexes all 30 30 Prov av 1 51 ages | DHIS-Tier] ZA av Ind Value 47 20 20 5 6 7 8 9 0 1 1 1 1 1 2 0 0 0 0 0 0 2 2 2 2 2 2 Y Y Y Y Y Y F F F F F F 351 Section B: NationalProfile Gauteng and District Province Profiles Sedibeng: DC42 Sedibeng: DC42 e 9 95 95 c C 1 n U 1 a n 4000 4000 Age-standardised 1 i 1 F Expenditure per prevalence of 90 1 90 _ 5 patient day non-raised blood 1 _ 4 equivalent (district pressure (index) 3500 3500 hospitals) [ | BAS [both sexes 15+ 85 85 real 2019/20 years | NiDS prices] modelled] 3000 3000 80 80 t s n e t e e 10 10 m b e a i Provincial & LG g a D District Health n _ Diabetes a 2 8