Section B: NationalProfile Limpopo and District Province Profiles 20 Limpopo Province Mopani District Municipality (DC33) Mopani is located in the north-eastern quadrant of Limpopo Province and comprises five health sub-districts: Ba- Phalaborwa, Greater Giyani, Greater Letaba, Greater Tzaneen and Maruleng. It has a population of 1 138 063, with a population density of 56.9 persons per km2 and falls in socio-economic Quintile 2. Estimated medical scheme coverage is 6.7%. Social determinants of healtha Population per selected category Unemployment ratea 39.4% Population category 2017 2018 2019 2020 Youth unemployment rate (15-34 years)a 51.4% under 1 year 27 962 27 875 27 195 26 012 No schooling 17.1% under 5 years 137 287 137 200 135 841 133 506 Matric 24.8% 05-09 years 128 595 130 142 131 931 133 933 Higher education 8.1% 10-14 years 119 168 121 295 123 342 125 104 Households 338 427 15-19 years 113 626 111 946 111 872 113 308 Female-headed households 49.2% 20-24 years 122 592 118 219 113 340 108 806 Formal dwellings 90.7% 25-29 years 124 009 124 059 123 035 120 664 Flush toilet connected to sewerage 14.1% 30-34 years 99 610 105 531 111 694 117 599 Weekly refuse removal 15.6% 35-39 years 81 012 83 494 85 532 87 295 Piped water inside dwellings 12.8% 40-44 years 63 687 66 218 68 904 71 636 Electricity for lighting 94.5% 45-49 years 51 503 52 907 54 444 56 182 Blue Drop water score 62.0% 50-54 years 42 753 43 816 44 867 45 919 55-59 years 35 655 36 304 37 086 37 936 Source: StatsSA. 2014 Blue Drop Report. 60-64 years 31 102 31 481 31 693 31 910 65-69 years 22 768 23 921 25 085 26 115 70-74 years 14 742 15 277 15 930 16 729 75-79 years 10 364 10 340 10 316 10 325 80 years and older 9 736 10 054 10 383 10 725 Total 1 208 210 1 222 202 1 235 297 1247 693 Estimated pregnant women* 29 919 29 826 29 099 27 833 Source: Mid-Year Population Estimates 2016 StatsSA. * Under 1 year population X 1.07. Population distribution sub-district boundaries and health facility locations a Statistics South Africa. Census 2011 Municipal fact sheet. Report No. 03-01-58. Pretoria: Statistics SA; 2012. 554 SectionSection B: National B: Profile and Limpopo District Province Profiles Number of facilities by level, 2016/17 Ward based Central/ outreach District Regional Tertiary Other teams Clinic CHC Hospital Hospital Hospitals Hospitals Ba-Phalaborwa SD 20 10 1 1 0 0 0 Greater Giyani SD 32 27 2 1 0 0 2 Greater Letaba SD 29 20 1 1 0 0 0 Greater Tzaneen SD 34 31 4 2 1 0 2 Maruleng SD 14 11 0 1 0 0 0 Mopani 129 99 8 6 1 0 4 Source: DHIS. Human resources – filled posts, 2016 Community Speech Health Nursing Enrolled Professional Medical Dental Occupational Therapy and Workers assistants nurse nurse practitioners Pharmacists practitioners therapy Physiotherapy Audiology Mopani 2 333 1 039 763 1 885 148 76 35 26 31 16 Source: Persal, DHIS. Management and efficiency indicators for the service delivery platform, 2016/17 PHC Management Output Process & input Provincial and LG Percentage of District Health Provincial Provincial assessed PHC Services and LG PHC and LG PHC facilities with expenditure expenditure expenditure Percentage 90% of tracer per capita per capita per PHC PHC utilisation Ideal clinics medicines (uninsured) (uninsured) headcount rate (No) (%) available (%) (Rand) (Rand) (Rand) 2016/17 2016/17 2016/17 2016/17 2016/17 2016/17 Ba-Phalaborwa SD Indicator 2.4 - - - - - Numerator 392 300 - - - - - Denominator 1 922 481 - - - - - Greater Giyani SD Indicator 3.2 - - - - - Numerator 791 651 - - - - - Denominator 3 009 570 - - - - - Greater Letaba SD Indicator 2.8 - - - - - Numerator 605 191 - - - - - Denominator 2 632 677 - - - - - Greater Tzaneen SD Indicator 3.2 - - - - - Numerator 1 303 913 - - - - - Denominator 4 930 128 - - - - - Maruleng SD Indicator 3.4 - - - - - Numerator 337 306 - - - - - Denominator 1 186 938 - - - - - Mopani Indicator 3.0 1.9 35.5 2 103 900 279 Numerator 3 430 361 2 33 2 232 893 864 955 626 479 955 626 479 Denominator 13 681 794 105 93 1 061 534 1 061 534 3 430 361 Limpopo Indicator 2.7 10.6 56.9 2 082 866 301 South Africa Indicator 2.3 29.8 78.4 1 726 1 054 389 Source: DHIS. 555 556 Section B: NationalProfile Limpopo and District Province Profiles Hospital District Hospital Regional Hospital Tertiary/Central Hospital Expenditure Expenditure Expenditure Average per patient Inpatient bed OPD new Average per patient Inpatient bed OPD new Average per patient Inpatient bed OPD new length of day utilisation Inpatient client not length of day utilisation Inpatient client not length of day utilisation Inpatient client not stay - total equivalent rate - total crude death referred rate stay - total equivalent rate - total crude death referred rate stay - total equivalent rate - total crude death referred rate (Days) (Rand) (%) rate (%) (%) (Days) (Rand) (%) rate (%) (%) (Days) (Rand) (%) rate (%) (%) Ba-Phalaborwa SD Indicator 4.5 2 684 89.5 5.5 83.1 - - - - - - - - - - Numerator 33 988 153 201 360 33 988 418 25 081 - - - - - - - - - - Denominator 7 565 57 086 37 964 7 565 30 178 - - - - - - - - - - Greater Giyani SD Indicator 4.2 2 160 79.6 4.6 77.9 - - - - - - - - - - Numerator 71 523 206 156 899 71 523 774 24 103 - - - - - - - - - - Denominator 16 967 95 435 89 800 16 967 30 925 - - - - - - - - - - Greater Letaba SD Indicator 4.7 2 263 76.9 5.8 40.6 - - - - - - - - - - Numerator 49 991 158 651 706 49 991 623 17 563 - - - - - - - - - - Denominator 10 707 70 094 64 977 10 707 43 305 - - - - - - - - - - Greater Tzaneen SD Indicator 4.4 3 207 58.6 6.8 74.4 4.9 3 943 65.0 6.4 46.7 - - - - - Numerator 43 737 276 741 365 43 737 673 41 774 58 569 372 658 821 58 569 768 18 456 - - - - - Denominator 9 893 86 298 74 651 9 893 56 178 12 016 94 509 90 165 12 016 39 546 - - - - - Maruleng SD Indicator 5.2 3 113 59.0 5.3 92.8 - - - - - - - - - - Numerator 28 431 137 839 104 28 431 287 23 040 - - - - - - - - - - Denominator 5 435 44 278 48 185 5 435 24 827 - - - - - - - - - - Mopani Indicator 4.5 2 640 72.1 5.5 71.0 4.9 3 943 65.0 6.4 46.7 - - - - - Numerator 227 668 932 590 433 227 668 2 775 131 561 58 569 372 658 821 58 569 768 18 456 - - - - - Denominator 50 567 353 192 315 577 50 567 185 413 12 016 94 509 90 165 12 016 39 546 - - - - - Limpopo Indicator 4.3 2 993 69.6 5.0 75.3 4.9 3 051 72.3 5.0 60.4 7.3 4 611 75.5 6.1 12.0 South Africa Indicator 4.4 2 568 67.4 5.1 59.3 5.3 2 894 78.3 5.0 37.2 6.9 4 227 84.3 5.4 20.3 Source: DHIS and BAS. delivery platform, 2016/17 serviceefficiency the for indicators trends ManagementAnnual and 1_Management 4_Process_input 3_Output 2_Outcome 1_Impact PHC headcount PHC Provi expenditure per expenditure (uninsured) hospitals) (district LG PHC capita Provincial and Provincial equivalent expenditure per expenditure patient day patient (uninsured) Health Services Health capita LG District hospitals) (district rate referred not client new OPD Expenditure per Expenditure hospitals) (district Provincial and Provincial hospitals) (district stay of expenditure per expenditure Ideal clinics Ideal rate utilisation rate death LG PHC LG Percentage bed Inpatient length Average crude Inpatient LP, DC33, Mopani District Municipality, SEQ 2 (deprived) 2 SEQ Municipality, District Mopani DC33, LP, nc and ial 1500 1000 400 100 200 500 100 100 1K 2K 3K 1K 2K 3K 4K 50 50 50 0 0 2 4 6 2 4 6 8 8 2008 2010 2012 2014 2016 2018 Year Measure Names ZA_av P rov_av IndValue Measure Names Measure Deaths and Patient day equivalent 2014/15 –2016/17 ZA_av Prov_av 2014/15 2015/16 2016/17 IndValue Central/ Central/ Central/ Data Element PHC / CHC District Regional tertiary District PHC / CHC District Regional tertiary District PHC / CHC District Regional tertiary District (Number) / MOU* Hospital Hospital Hospital Total / MOU Hospital Hospital Hospital Total / MOU Hospital Hospital hospital Total Maternal deaths 6 21 8 - 35 1 27 2 - 30 - 23 8 - 31 Live births 7 494 16 016 3 149 - 26 659 6 115 15 750 3 015 - 24 880 4 426 16 143 3 335 - 23 904 Still births 62 423 64 - 549 50 317 62 - 429 36 333 75 - 444 Section B: National and District Profiles Death in facility 0-7days 1 230 44 - 275 - 188 64 - 252 1 181 43 - 225 Section B: Profile Limpopo Province natal natal Neo- Death in facility 8-28 days - 22 11 - 33 - 21 9 - 30 - 50 9 - 59 year) Infant Infant (under 1 years) Death in facility 29 days - 11 months - 121 38 - 159 - 39 13 - 52 - 47 17 - 64 Child (under 5 Death in facility 12 – 59 months - 99 26 - 125 - 68 12 - 80 - 72 12 - 84 Diarrhoea death under 5 years - 71 15 - 86 - 39 6 - 45 - 24 10 - 34 Pneumonia death under 5 years - 50 16 - 66 - 26 8 - 34 - 26 8 - 34 Severe acute malnutrition death under 5 years - 56 14 - 70 - 38 6 - 44 - 36 10 - 46 TB Deaths 1 550 125 180 - 1 855 1 265 285 175 - 1 725 - - - - - Inpatient death total 1 2 906 951 - 3 858 1 3 093 736 - 3 830 16 2 775 768 - 3 559 Patient day equivalent 2 823 373 009 101 044 - 476 876 1 976 356 207 91 533 - 449 716 2 994 353 192 94 509 - 450 695 Source: DHIS.