Section B: DistrictProfile MpumalangaHealth Profiles Province 13 Mpumalanga Province Gert Sibande District Municipality (DC30) Overview of the district The Gert Sibande District Municipalitya is a Category C municipality located in the Mpumalanga Province. It is bordered by the Ehlanzeni and Nkangala District Municipalities to the north, KwaZulu-Natal and the Free State to the south, Swaziland to the east, and Gauteng to the west. The district is the largest of the three districts in the province, making up almost half of its geographical area. It is comprised of seven local municipalities: Govan Mbeki, Chief Albert Luthuli, Msukaligwa, Dipaleseng, Mkhondo, Lekwa and Pixley Ka Seme. Highways that pass through Gert Sibande District Municipality include the N11, which goes through to the N2 in KwaZulu-Natal, the N17 from Gauteng passing through to Swaziland, and the N3 from Gauteng to KwaZulu-Natal. Area: 31 841km² Population (2016)b: 1 158 573 Population density (2016): 36.4 persons per km2 Estimated medical scheme coverage: 13.5% Cities/Towns: Amersfoort, Amsterdam, Balfour, Bethal, Breyten, Carolina, Charl Cilliers, Chrissiesmeer, Davel, Ekulindeni, Embalenhle, Empuluzi, Ermelo, Evander, Greylingstad, Grootvlei, Kinross, Leandra, Lothair, Morgenzon, Perdekop, Secunda, Standerton, Trichardt, Volksrust, Wakkerstroom, eManzana, eMkhondo (Piet Retief). Main Economic Sectors: Manufacturing (57.4%), agriculture (41.4%), trade (25.8%), transport (24.5%), finance (21.2%), mining (14.1%), community services (12.3%), construction (2.1%). 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. 488 SectionSection B: Profile B: MpumalangaDistrict Health Province Profiles DistrictG Sibande population DM (DC30) pyramid and comparison with the national pyramid Year AgeGrp 2006 2016 65+ 14 473 23 014 22 366 32 589 60-64 years 9 662 11 347 13 937 15 382 55-59 years 13 385 14 773 17 968 19 603 50-54 years 17 959 18 690 21 968 23 551 45-49 years 21 900 23 035 25 880 27 389 40-44 years 25 777 26 986 31 292 32 136 35-39 years 29 102 31 118 40 612 39 735 30-34 years 32 627 35 217 52 615 50 133 25-29 years 38 426 40 925 64 100 59 145 20-24 years 46 469 48 845 57 379 56 944 15-19 years 56 986 57 464 54 616 55 525 10-14 years 54 728 56 459 56 508 55 736 05-09 years 53 960 54 809 59 562 58 549 00-04 years 55 619 54 454 57 113 56 240 500 000 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+ 1.5% 2.4% 1.9% 2.8% 60-64 years 55-59 years 1.5% 1.6% 1.7% 50-54 years 1.9% 1.9% 1.9% 2.0% 45-49 years 2.3% 2.4% 2.2% 2.4% 40-44 years 2.7% 2.8% 2.7% 2.8% 35-39 years 3.0% 3.2% 3.5% 3.4% 30-34 years 3.4% 3.6% 4.5% 4.3% 25-29 years 4.0% 4.2% 5.5% 5.1% 20-24 years 4.8% 5.0% 5.0% 4.9% 15-19 years 5.9% 5.9% 4.7% 4.8% 10-14 years 5.7% 5.8% 4.9% 4.8% 05-09 years 5.6% 5.7% 5.1% 5.1% 00-04 years 5.7% 5.6% 4.9% 4.9% 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 G Sibande DM (DC30) Show history 489 Section B: DistrictProfile MpumalangaHealth Profiles Province Social determinants of health Source: Stats SA (Local Government Handbook), 2014 Blue Drop Report. 490 SectionSection B: Profile B: MpumalangaDistrict Health Province Profiles MP, G Sibande: DC30 BurdenPercentage of disease of deaths – leading by causes broad ofcauses death inand district single leading causes Show history MP, G Sibande: DC30 Broadcause Injury AgeGroup.. 2006-2010 2011-2015 NCD <5 years 82% 9% 5%3% 76% 11% 7%6% HIV and TB 5-14 39% 24% 14% 23% 29% 25% 18% 29% Comm_mat_peri_nut 15-24 31% 33% 12% 25% 20% 32% 13% 35% 25-64 30% 36% 26% 8% 19% 40% 30% 11% 65+ 20% 6% 71% 3% 17% 7% 73% 3% Total 35% 27% 30% 8% 24% 29% 37% 10% Rank_.. 2006-2010 2011-2015 1 Diarrhoeal diseases (32.3%) Diarrhoeal diseases (24.4%) Percentages are shown 2 Lower respiratory infections (23.4%) Lower respiratory infections (17.4%) according to all the 3 Preterm birth complications (10.3%) Preterm birth complications (13.2%) deaths within the 4 HIV/AIDS (6.9%) HIV/AIDS (9.2%) age/period category of 5 Birth asphyxia (6.1%) Birth asphyxia (8.4%) each box, although only 6 Protein-energy malnutrition (3.6%) Protein-energy malnutrition (5.9%) the leading 10 causes are <5 years <5 7 Tuberculosis (2.5%) Other perinatal conditions (3.5%) displayed. 8 Other perinatal conditions (1.8%) Poisonings (including herbal) (1.9%) 9 Sepsis/other newborn infectious (1.4%) Sepsis/other newborn infectious (1.6%) 10 Meningitis/encephalitis (1.1%) Tuberculosis (1.5%) 1 Lower respiratory infections (15.3%) HIV/AIDS (15.8%) 2 Tuberculosis (13.4%) Road injuries (12.8%) 3 Diarrhoeal diseases (11.9%) Lower respiratory infections (12.6%) 4 HIV/AIDS (11.0%) Diarrhoeal diseases (10.8%) 5 Road injuries (8.5%) Tuberculosis (9.9%) 5-14 6 Meningitis/encephalitis (6.4%) Drowning (6.0%) 7 Drowning (4.8%) Fires, hot substances (3.6%) 8 Accidental threats to breathing (2.8%) Epilepsy (3.4%) 9 Epilepsy (2.3%) Meningitis/encephalitis (3.1%) 10 Exposure to natural forces (1.8%) Accidental threats to breathing (2.8%) 1 Tuberculosis (18.2%) HIV/AIDS (20.2%) 2 HIV/AIDS (14.8%) Tuberculosis (11.9%) 3 Lower respiratory infections (13.0%) Road injuries (9.3%) 4 Diarrhoeal diseases (9.5%) Interpersonal violence (8.8%) 5 Road injuries (6.3%) Lower respiratory infections (8.0%) 6 Interpersonal violence (5.5%) Accidental threats to breathing (7.8%) 15-24 7 Meningitis/encephalitis (4.6%) Diarrhoeal diseases (5.1%) 8 Accidental threats to breathing (3.6%) Meningitis/encephalitis (3.6%) 9 Mechanical forces (3.0%) Mechanical forces (3.3%) 10 Self-inflicted injuries (1.9%) Epilepsy (1.9%) 1 Tuberculosis (20.0%) HIV/AIDS (24.4%) 2 HIV/AIDS (16.5%) Tuberculosis (15.8%) 3 Lower respiratory infections (15.2%) Lower respiratory infections (9.9%) 4 Diarrhoeal diseases (9.3%) Diarrhoeal diseases (5.2%) 5 Cerebrovascular disease (3.6%) Cerebrovascular disease (4.4%) 6 Meningitis/encephalitis (2.9%) Road injuries (4.0%) 25-64 7 Road injuries (2.6%) Diabetes mellitus (3.2%) 8 Ischaemic heart disease (2.4%) Ischaemic heart disease (2.7%) 9 Diabetes mellitus (2.3%) Hypertensive heart disease (2.4%) 10 Other interstitial lung disease (1.8%) Accidental threats to breathing (2.0%) 1 Cerebrovascular disease (15.9%) Cerebrovascular disease (16.9%) 2 Lower respiratory infections (11.6%) Hypertensive heart disease (11.1%) 3 Hypertensive heart disease (11.1%) Lower respiratory infections (10.2%) 4 Ischaemic heart disease (8.8%) Diabetes mellitus (8.7%) 5 Diabetes mellitus (7.6%) Ischaemic heart disease (8.1%) 65+ 6 Diarrhoeal diseases (5.7%) Diarrhoeal diseases (4.7%) 7 Tuberculosis (4.1%) Tuberculosis (4.1%) 8 COPD (3.5%) Nephritis/nephrosis (3.8%) 9 Nephritis/nephrosis (2.7%) COPD (3.5%) 10 HIV/AIDS (2.1%) HIV/AIDS (3.3%) Maternal conditions Rank.. 2006-2010 2011-2015 1 Indirect maternal (53.6%) n=39 Indirect maternal (31.6%) n=49 2 Hypertension in pregnancy (17.3%) n=13 Hypertension in pregnancy (21.3%) n=33 3 Maternal haemorrhage (9.4%) n=7 Other maternal (17.6%) n=27 4 Abortion (8.3%) n=6 Abortion (12.7%) n=20 15-49 Female 5 Other maternal (6.3%) n=5 Maternal haemorrhage (11.7%) n=18 6 Maternal sepsis (5.1%) n=4 Maternal sepsis (5.1%) n=8 491 Section B: DistrictProfile MpumalangaHealth Profiles Province 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. 492 SectionSection B: Profile B: MpumalangaDistrict Health Province Profiles 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. 493 Section B: DistrictProfile MpumalangaHealth Profiles Province 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.