8 Eastern Cape Province

Transcription

1 Section Section B: Profile B: Eastern District Health Cape Province Profiles 8 Eastern Cape Province Buffalo City Metropolitan Municipality (BUF) Overview of the district The Buffalo City Metropolitan Municipality a is a Category A municipality situated on the east coast of the Eastern Cape Province. The boundaries of the municipality now include a large area characterised by very different features. Two former municipalities, Transitional Local Councils that of East London and King William s Town have merged into one. Other areas that were previously not included in either of them are now part of Buffalo City. The municipality was established as a local municipality in 000 after South Africa s reorganisation of municipal areas and is named after the Buffalo River, at whose mouth lies the only river port in South Africa. On 8 May 0 it was separated from the Amathole District Municipality and converted into a metropolitan municipality. The area has a well-developed manufacturing base, with the auto industry playing a major role. The climate is mild, with year-round sunshine. Area: 70km² Population (0) b : 8 9 Population density (0): 0. persons per km Estimated medical scheme coverage: 7.% Cities/Towns: Beacon Bay, Berlin, Bisho, Breidbach, Dimbaza, East London, Kidd s Beach, King William s Town, Mdantsane, Phakamisa, Potsdam, Zwelitsha. Main Economic Sectors: Community services (%), finance (%), manufacturing (%), trade (%), transport (%). Population distribution and health facility locations Mid-Year Population Estimates 0, Stats SA. a b The Local Government Handbook South Africa 07. A complete guide to municipalities in South Africa. Seventh edition. Accessible at: www. municipalities.co.za. Mid-Year Population Estimates 0, Stats SA.

2 Section B: District Profile Eastern Health Profiles Cape Province District population pyramid and comparison with the national pyramid AgeGrp + 0- years -9 years 0- years -9 years 0- years -9 years 0- years -9 years 0- years -9 years 0- years 0-09 years 00-0 years Year Population Population 00 0 AgeGrp + 0- years -9 years 0- years -9 years 0- years -9 years 0- years -9 years 0- years -9 years 0- years 0-09 years 00-0 years South Africa % of total population [Male Female] - lines 8% % % % 0% % % % 8%.%.8%.%.%.8%.%.%.%.%.8%.%.%.7%.7%.0%.%.7%.7%.%.%.%.8%.8%.%.0%.9%.8% 8% % % % 0% % % % 8% District % of total population [Male Female] - bars South Africa % of total population [Male Female] - lines 8% % % % 0% % % % 8%.7%.8%.%.%.9%.%.%.8%.9%.%.%.8%.%.%.7%.7%.%.%.7%.%.%.0%.8%.%.%.% 8% % % % 0% % % % 8% District % of total population [Male Female] - bars Gender male female Mid-Year Population Estimates 0, Stats SA.

3 Section Section B: Profile B: Eastern District Health Cape Province Profiles Social determinants of health Stats SA (Local Government Handbook), 0 Blue Drop Report.

4 Section B: District Profile Eastern Health Profiles Cape Province Burden of disease leading causes of death in district EC, Buffalo City: BUF AgeGroup < years Total % % % 8% 7% % 7% 9% 8% % % % % 8% % 8% % % % 7% % % % % % 8% % 7% % 9% % 8% % % 8% % 7% 7% 8% 9% % 0% % % 0% % % % Broadcause Injury NCD HIV and TB Comm_mat_peri_nut < years Rank_ Diarrhoeal diseases (.0%) Lower respiratory infections (0.8%) Lower respiratory infections (.%) Diarrhoeal diseases (.%) HIV/AIDS (9.%) Preterm birth complications (8.%) Preterm birth complications (.%) HIV/AIDS (.%) Tuberculosis (.%) Protein-energy malnutrition (.%) Protein-energy malnutrition (.%) Birth asphyxia (.0%) 7 Accidental threats to breathing (.9%) Congenital heart anomalies (.%) 8 Birth asphyxia (.%) Tuberculosis (.9%) 9 Meningitis/encephalitis (.9%) Sepsis/other newborn infectious (.7%) 0 Septicaemia (.9%) Meningitis/encephalitis (.%) Tuberculosis (.%) Drowning (7.%) Drowning (.7%) Road injuries (0.7%) Road injuries (7.%) Tuberculosis (9.8%) HIV/AIDS (.8%) HIV/AIDS (7.%) Diarrhoeal diseases (.%) Meningitis/encephalitis (.%) Lower respiratory infections (.%) Accidental threats to breathing (.9%) 7 Accidental threats to breathing (.%) Fires, hot substances (.%) 8 Interpersonal violence (.7%) Lower respiratory infections (.%) 9 Fires, hot substances (.%) Epilepsy (.%) 0 Meningitis/encephalitis (.7%) Diarrhoeal diseases (.9%) Interpersonal violence (.7%) Interpersonal violence (.%) Tuberculosis (.0%) Tuberculosis (.%) HIV/AIDS (7.8%) HIV/AIDS (.%) Accidental threats to breathing (.%) Accidental threats to breathing (8.%) Mechanical forces (.%) Mechanical forces (.%) Road injuries (.9%) Road injuries (.7%) 7 Lower respiratory infections (.%) Fires, hot substances (.%) 8 Fires, hot substances (.%) Drowning (.%) 9 Diarrhoeal diseases (.0%) Lower respiratory infections (.0%) 0 Meningitis/encephalitis (.%) Epilepsy (.7%) Tuberculosis (.%) Tuberculosis (8.%) HIV/AIDS (0.%) HIV/AIDS (.0%) Interpersonal violence (.8%) Cerebrovascular disease (.7%) Lower respiratory infections (.7%) Interpersonal violence (.%) Cerebrovascular disease (.%) Ischaemic heart disease (.%) Diarrhoeal diseases (.%) Diabetes mellitus (.0%) 7 COPD (.9%) COPD (.0%) 8 Diabetes mellitus (.%) Lower respiratory infections (.0%) 9 Ischaemic heart disease (.%) Nephritis/nephrosis (.8%) 0 Cardiomyopathy (.%) Road injuries (.%) Cerebrovascular disease (.%) Cerebrovascular disease (.7%) Ischaemic heart disease (9.0%) Ischaemic heart disease (8.9%) COPD (.9%) COPD (.9%) Tuberculosis (.8%) Hypertensive heart disease (.%) Hypertensive heart disease (.%) Diabetes mellitus (.7%) Diabetes mellitus (.7%) Tuberculosis (.7%) 7 Oesophagus (.%) Oesophagus (.%) 8 Lower respiratory infections (.%) Lower respiratory infections (.9%) 9 Cardiomyopathy (.8%) Nephritis/nephrosis (.%) 0 Nephritis/nephrosis (.%) Cardiomyopathy (.8%) Percentages are shown according to all the deaths within the age/period category of each box, although only the leading 0 causes are displayed. Female -9 Rank.. Maternal conditions Indirect maternal (.8%) n= Indirect maternal (.9%) n=0 Hypertension in pregnancy (0.%) n= Hypertension in pregnancy (.%) n= Other maternal (8.%) n=0 Other maternal (8.%) n= Maternal haemorrhage (.%) n=7 Abortion (8.%) n=9 Abortion (.%) n= Maternal haemorrhage (.9%) n=7

5 Section Section B: Profile B: Eastern District Health Cape Province Profiles Women and maternal health Value highlighted in green performance is ranked among the 0 best in the country Value highlighted in red performance is ranked among the 0 worst in the country.

6 Section B: District Profile Eastern Health Profiles Cape Province Child and school health Value highlighted in green performance is ranked among the 0 best in the country Value highlighted in red performance is ranked among the 0 worst in the country.

7 Section Section B: Profile B: Eastern District Health Cape Province Profiles HIV Value highlighted in red performance is ranked among the 0 worst in the country Value highlighted in orange performance of the local municipality is possibly below the performance of the district. 7

8 Section B: District Profile Eastern Health Profiles Cape Province Tuberculosis DHIS, ETR.Net, EDRWeb. Value highlighted in green performance is ranked among the 0 best in the country Value highlighted in red performance is ranked among the 0 worst in the country. 8

9 Section Section B: Profile B: Eastern District Health Cape Province Profiles Non-communicable diseases Value highlighted in green performance is ranked among the 0 best in the country Value highlighted in red performance is ranked among the 0 worst in the country. Numbers of deaths in facilities Percentage ideal clinics Ideal Clinic database. 9

10 Section B: District Profile Eastern Health Profiles Cape Province Vital ideal clinic elements in Primary Health Care facilities score (%) Buffalo City Restore the emergency trolley daily or after every time it was used 0 Resuscitation room is equipped with functional basic equipment for resuscitation Cold chain procedure for vaccines is maintained 8 There is at least one functional wall mounted room thermometer in the medicine room/dispensary 9 Oxygen cylinder with pressure a gauge available in resuscitation/ emergency room 9 Ideal Clinic database. Number of facilities by level, 07/8 Human resources filled posts Persal, Ward-based outreach team database. 0

11 Section Section B: Profile B: Eastern District Health Cape Province Profiles District health expenditure and budget, 07/8 07/8 Budget 07/8 Provincial Expenditure Total 07/8 Provincial Transfer to LG LG Provincial Transfer to LG LG Budget Total 07/8 Provincial Expenditure % Overspent (underspent). District Management %. Community Health Clinics %. Community Health Centres (8.%). Community-based Services (7.%). Other Community Services %. HIV/AIDS (.8%).7 Nutrition (7.%).9 District Hospitals (.%) Local government expenditure (.%) Grand Total (.%) BAS, *LG Local Government.

12 Section B: District Profile Eastern Health Profiles Cape Province Sarah Baartman District Municipality (DC0) Overview of the district The Sarah Baartman District Municipality a (previously Cacadu District Municipality) is a Category C municipality situated in the Eastern Cape Province. It stretches from Graaff-Reinet in the north to the Indian Ocean in the south and between the Great Fish River in the east and Bloukrans River in the west. Sarah Baartman is the biggest district in the province, making up approximately a third of its geographical area. It comprises seven local municipalities: Dr Beyers Naudé, Blue Crane Route, Makana, Ndlambe, Sundays River Valley, Kouga and Kou-kamma. The district surrounds one of the largest metropolitan ports in South Africa, Nelson Mandela Bay (Port Elizabeth). Area: 8 km² Population (0) b : Population density (0): 8.7 people per km Estimated medical scheme coverage: 9.0% Cities/Towns: Aberdeen, Addo, Adendorp, Alexandria, Alicedale, Bathurst, Boknes/Cannon Rocks, Bushmans River, Cape St Francis, Clarkson, Cookhouse, Graaff-Reinet, Grahamstown, Hankey, Humansdorp, Jansenville, Jeffreys Bay, Joubertina, Kareedouw, Kendrew, Kenton-on-Sea, Kirkwood, Klipplaat, Krakeel River, Loerie, Louterwater, Misgund, Nieu-Bethesda, Nompumelelo, Oyster Bay, Patensie, Paterson, Pearston, Petersburg, Port Alfred, Riebeek East, Rietbron, Sanddrif, Seafield, Sidbury, Somerset East, St Francis Bay, Steytlerville, Storms River, Thornhill, Waterford, Willowmore, Woodlands. Main Economic Sectors: Agriculture (mohair), tourism. Population distribution, local municipality boundaries and health facility locations Mid-Year Population Estimates 0, Stats SA. a b The Local Government Handbook South Africa 07. A complete guide to municipalities in South Africa. Seventh edition. Accessible at: www. municipalities.co.za. Mid-Year Population Estimates 0, Stats SA.

13 Section Section B: Profile B: Eastern District Health Cape Province Profiles District population pyramid and comparison with the national pyramid Year AgeGrp years years years years years years years years years years years years years Population Population 00 0 AgeGrp + 0- years -9 years 0- years -9 years 0- years -9 years 0- years -9 years 0- years -9 years 0- years 0-09 years 00-0 years South Africa % of total population [Male Female] - lines 8% % % % 0% % % % 8%.%.%.7%.7%.0%.%.%.%.7%.8%.%.%.%.%.7%.8%.0%.%.7%.%.%.8%.7%.%.%.0%.9% 8% % % % 0% % % % 8% District % of total population [Male Female] - bars South Africa % of total population [Male Female] - lines 8% % % % 0% % % % 8%.%.7%.7%.%.9%.0%.%.%.%.9%.8%.%.%.%.0%.0%.%.%.%.8%.8%.%.0%.%.%.%.% 8% % % % 0% % % % 8% District % of total population [Male Female] - bars Gender male female Mid-Year Population Estimates 0, Stats SA.

14 Section B: District Profile Eastern Health Profiles Cape Province Social determinants of health Stats SA (Local Government Handbook), 0 Blue Drop Report.

15 Section Section B: Profile B: Eastern District Health Cape Province Profiles Burden of disease leading causes of death in district EC, S Baartman: DC0 AgeGroup < years < years % - 9% - 9% + 9% % Total % % 8% 0% 7% 7% % 9% 8% 8% 7% % 8% % 7% % % % % % % 7% 8% % 0% % % 8% % 7% 7% % 8% % % 8% % % % 8% Rank_ Lower respiratory infections (.%) Lower respiratory infections (9.%) Diarrhoeal diseases (.7%) Diarrhoeal diseases (.%) Preterm birth complications (.0%) Preterm birth complications (9.8%) HIV/AIDS (0.%) Protein-energy malnutrition (.%) Protein-energy malnutrition (.%) Birth asphyxia (.%) Tuberculosis (.8%) HIV/AIDS (.9%) 7 Birth asphyxia (.%) Tuberculosis (.9%) 8 Drowning (.7%) Congenital heart anomalies (.7%) 9 Sepsis/other newborn infectious (.%) Other perinatal conditions (.%) 0 Other perinatal conditions (.%) Other respiratory (.%) Drowning (.9%) Drowning (.9%) Road injuries (7.9%) Road injuries (8.%) HIV/AIDS (.%) HIV/AIDS (.%) Tuberculosis (.%) Tuberculosis (.9%) Lower respiratory infections (9.7%) Lower respiratory infections (.7%) Other unintentional injuries (.8%) Meningitis/encephalitis (.7%) 7 Diarrhoeal diseases (.%) Accidental threats to breathing (.%) 8 Interpersonal violence (.%) Exposure to natural forces (.%) 9 Epilepsy (.%) Diarrhoeal diseases (.%) 0 Fires, hot substances (.%) Diabetes mellitus (.%) Interpersonal violence (.8%) Interpersonal violence (.%) HIV/AIDS (0.8%) HIV/AIDS (7.%) Tuberculosis (8.7%) Tuberculosis (.%) Road injuries (8.%) Accidental threats to breathing (.%) Lower respiratory infections (.%) Road injuries (.%) Accidental threats to breathing (.8%) Drowning (.%) 7 Drowning (.%) Mechanical forces (.7%) 8 Mechanical forces (.0%) Lower respiratory infections (.%) 9 Fires, hot substances (.8%) Fires, hot substances (.9%) 0 Diarrhoeal diseases (.%) Epilepsy (.%) Tuberculosis (.%) HIV/AIDS (0.0%) HIV/AIDS (8.0%) Tuberculosis (8.%) Lower respiratory infections (.%) Cerebrovascular disease (.%) Ischaemic heart disease (.%) Ischaemic heart disease (.9%) Cerebrovascular disease (.0%) COPD (.7%) Interpersonal violence (.0%) Interpersonal violence (.%) 7 Road injuries (.%) Road injuries (.%) 8 COPD (.%) Lower respiratory infections (.%) 9 Hypertensive heart disease (.%) Diabetes mellitus (.8%) 0 Trachea/bronchi/lung (.%) Trachea/bronchi/lung (.%) Cerebrovascular disease (.%) Cerebrovascular disease (7.7%) Ischaemic heart disease (.%) Ischaemic heart disease (.7%) Hypertensive heart disease (8.0%) COPD (7.0%) Lower respiratory infections (.9%) Hypertensive heart disease (.8%) COPD (.%) Tuberculosis (.%) Tuberculosis (.0%) Diabetes mellitus (.%) 7 Trachea/bronchi/lung (.0%) Lower respiratory infections (.%) 8 Diabetes mellitus (.%) Nephritis/nephrosis (.%) 9 Nephritis/nephrosis (.%) Trachea/bronchi/lung (.%) 0 Prostate (.%) Prostate (.%) % % % Broadcause Injury NCD HIV and TB Comm_mat_peri_nut Percentages are shown according to all the deaths within the age/period category of each box, although only the leading 0 causes are displayed. Female -9 Rank.. Maternal conditions Other maternal (.7%) n=8 Hypertension in pregnancy (.8%) n= Indirect maternal (.%) n= Maternal haemorrhage (9.%) n=

16 Section B: District Profile Eastern Health Profiles Cape Province Women and maternal health Value highlighted in green performance is ranked among the 0 best in the country Value highlighted in red performance is ranked among the 0 worst in the country Value highlighted in orange performance of the local municipality is possibly below the performance of the district.

17 Section Section B: Profile B: Eastern District Health Cape Province Profiles Child and school health Value highlighted in green performance is ranked among the 0 best in the country Value highlighted in red performance is ranked among the 0 worst in the country Value highlighted in orange performance of the local municipality is possibly below the performance of the district. 7

18 Section B: District Profile Eastern Health Profiles Cape Province HIV Value highlighted in green performance is ranked among the 0 best in the country Value highlighted in red performance is ranked among the 0 worst in the country Value highlighted in orange performance of the local municipality is possibly below the performance of the district. 8

19 Section Section B: Profile B: Eastern District Health Cape Province Profiles Tuberculosis DHIS, ETR.Net, EDRWeb. Value highlighted in green performance is ranked among the 0 best in the country Value highlighted in red performance is ranked among the 0 worst in the country. 9

20 Section B: District Profile Eastern Health Profiles Cape Province Non-communicable diseases Value highlighted in green performance is ranked among the 0 best in the country Value highlighted in red performance is ranked among the 0 worst in the country Value highlighted in orange performance of the local municipality is possibly below the performance of the district. Numbers of deaths in facilities Percentage ideal clinics Ideal Clinic database. 0

21 Section Section B: Profile B: Eastern District Health Cape Province Profiles Vital ideal clinic elements in Primary Health Care facilities score (%) Sarah Baartman Blue Crane Route LM Dr Beyers Naudé LM Kou-Kamma LM Kouga LM Makana LM Ndlambe LM Sundays River Valley LM Resuscitation room is equipped with functional basic equipment for resuscitation Restore the emergency trolley daily or after every time it was used Cold chain procedure for vaccines is maintained Oxygen cylinder with pressure a gauge available in resuscitation/ emergency room The temperature of the medicine room/dispensary is recorded daily Ideal Clinic database. Number of facilities by level, 07/8 Human resources filled posts Persal, Ward-based outreach team database.

22 Section B: District Profile Eastern Health Profiles Cape Province District health expenditure and budget, 07/8 07/8 Budget 07/8 Provincial Expenditure Total 07/8 Provincial Transfer to LG LG Provincial Transfer to LG LG Budget Total 07/8 Provincial Expenditure % Overspent (underspent). District Management (.0%). Community Health Clinics %. Community Health Centres (.9%). Community-based Services (.%). Other Community Services (.0%). HIV/AIDS (.%).7 Nutrition (.%).9 District Hospitals (.7%) Local government expenditure (.%) Grand Total (0.%) BAS, *LG Local Government.

23 Section Section B: Profile B: Eastern District Health Cape Province Profiles Amathole District Municipality (DC) Overview of the district The Amathole District Municipality a is a Category C municipality situated in the central part of the Eastern Cape. It stretches along the Sunshine Coast from the Fish River Mouth and along the Eastern Seaboard to just south of Hole in the Wall along the Wild Coast. It is bordered to the north by the Amathole Mountain Range. The municipality is comprised of six local municipalities: Mbhashe, Mnquma, Great Kei, Amahlathi, Ngqushwa and Raymond Mhlaba. Four heritage routes have been developed that are named after Xhosa kings and heroes. They are the Maqoma Route, the Makana Route, the Sandile Route and the Phalo Route. These intertwine with the other tourism routes located within the district, namely the Sunshine Coast Route, the Wild Coast Route, the Amathole Mountain Escape Route and the Friendly N Route. Area: 7km² Population (0) b : 98 Population density (0):. persons per km Estimated medical scheme coverage:.% Cities/Towns: Adelaide, Alice, Amatola Coastal, Bedford, Butterworth, Cathcart, Dutywa, Elliotdale, Fort Beaufort, Hamburg, Hogsback, Kei Mouth, Kei Road, Keiskammahoek, Kentani, Komga, Middeldrift, Morgan Bay, Ngqamakhwe, Peddie, Seymore, Stutterheim, Willowvale. Main Economic Sectors: Community services (%), finance (9%), manufacturing (%), trade (%), transport (%), agriculture (%), construction (%). Population distribution, local municipality boundaries and health facility locations Mid-Year Population Estimates 0, Stats SA. a b The Local Government Handbook South Africa 07. A complete guide to municipalities in South Africa. Seventh edition. Accessible at: www. municipalities.co.za. Mid-Year Population Estimates 0, Stats SA.

24 Section B: District Profile Eastern Health Profiles Cape Province District population pyramid and comparison with the national pyramid AgeGrp + 0- years -9 years 0- years -9 years 0- years -9 years 0- years -9 years 0- years -9 years 0- years 0-09 years 00-0 years Year Population Population 00 0 AgeGrp + 0- years -9 years 0- years -9 years 0- years -9 years 0- years -9 years 0- years -9 years 0- years 0-09 years 00-0 years South Africa % of total population [Male Female] - lines 8% % % % 0% % % % 8%.%.%.%.0%.0%.0% 7.% 7.%.%.%.%.%.%.8%.%.%.%.%.%.%.% 7.%.9%.%.0% 8% % % % 0% % % % 8% District % of total population [Male Female] - bars South Africa % of total population [Male Female] - lines 8% % % % 0% % % % 8%.9%.%.8%.7%.7%.7%.%.%.9%.0%.%.%.7%.%.9%.7%.%.%.%.%.%.% 8% % % % 0% % % % 8% District % of total population [Male Female] - bars Gender male female Mid-Year Population Estimates 0, Stats SA.

25 Section Section B: Profile B: Eastern District Health Cape Province Profiles Social determinants of health Stats SA (Local Government Handbook), 0 Blue Drop Report.

26 Section B: District Profile Eastern Health Profiles Cape Province Burden of disease leading causes of death in district EC, Amathole: DC AgeGroup < years 7% % 0% % 7% 9% % 0% - 0% 9% % 0% 0% % 0% % - 8% % % % % % % 0% - 9% 0% % 9% % 9% 7% % + % 9% 77% % % 9% 7% % Total 9% 7% % 8% % % 0% % < years Rank_ Diarrhoeal diseases (.0%) Diarrhoeal diseases (.%) Lower respiratory infections (7.0%) Lower respiratory infections (9.%) HIV/AIDS (8.%) Protein-energy malnutrition (7.9%) Preterm birth complications (.%) HIV/AIDS (.7%) Protein-energy malnutrition (.7%) Preterm birth complications (.%) Tuberculosis (.%) Birth asphyxia (.%) 7 Birth asphyxia (.%) Drowning (.%) 8 Meningitis/encephalitis (.9%) Tuberculosis (.%) 9 Asthma (.7%) Asthma (.%) 0 Other respiratory (.%) Poisonings (including herbal) (.8%) Diarrhoeal diseases (.%) Drowning (.%) Tuberculosis (.%) Lower respiratory infections (0.%) Road injuries (9.%) HIV/AIDS (9.%) HIV/AIDS (8.%) Road injuries (8.%) Lower respiratory infections (7.8%) Diarrhoeal diseases (8.0%) Drowning (7.%) Epilepsy (.%) 7 Meningitis/encephalitis (.7%) Meningitis/encephalitis (.9%) 8 Epilepsy (.%) Tuberculosis (.%) 9 Asthma (.%) Accidental threats to breathing (.%) 0 Exposure to natural forces (.%) Fires, hot substances (.9%) Interpersonal violence (7.%) Interpersonal violence (0.7%) HIV/AIDS (.8%) HIV/AIDS (.%) Tuberculosis (.%) Accidental threats to breathing (0.8%) Road injuries (.0%) Tuberculosis (0.8%) Lower respiratory infections (.%) Road injuries (7.%) Diarrhoeal diseases (.%) Mechanical forces (.%) 7 Accidental threats to breathing (.%) Lower respiratory infections (.7%) 8 Meningitis/encephalitis (.%) Epilepsy (.%) 9 Mechanical forces (.%) Diarrhoeal diseases (.0%) 0 Epilepsy (.%) Drowning (.7%) Tuberculosis (.9%) HIV/AIDS (0.%) HIV/AIDS (8.%) Tuberculosis (8.%) Lower respiratory infections (7.8%) Lower respiratory infections (.%) Diarrhoeal diseases (.%) Cerebrovascular disease (.0%) Cerebrovascular disease (.8%) Interpersonal violence (.%) Asthma (.%) Diarrhoeal diseases (.%) 7 Meningitis/encephalitis (.9%) Diabetes mellitus (.0%) 8 Interpersonal violence (.%) Asthma (.0%) 9 Diabetes mellitus (.%) Accidental threats to breathing (.%) 0 Road injuries (.%) Road injuries (.%) Cerebrovascular disease (.%) Hypertensive heart disease (9.%) Tuberculosis (8.7%) Asthma (7.%) COPD (7.%) Lower respiratory infections (7.%) Diabetes mellitus (.%) Oesophagus (.9%) Ischaemic heart disease (.9%) Cardiomyopathy (.9%) Cerebrovascular disease (.7%) Hypertensive heart disease (0.%) Tuberculosis (8.%) Lower respiratory infections (7.%) Asthma (.%) COPD (.%) Diabetes mellitus (.7%) Ischaemic heart disease (.%) Oesophagus (.7%) Cardiomyopathy (.%) Broadcause Injury NCD HIV and TB Comm_mat_peri_nut Percentages are shown according to all the deaths within the age/period category of each box, although only the leading 0 causes are displayed. Female -9 Rank.. Maternal conditions Indirect maternal (.%) n= Indirect maternal (.7%) n= Hypertension in pregnancy (.%) n=8 Hypertension in pregnancy (7.0%) n=0 Other maternal (9.%) n=7 Abortion (.%) n= Maternal sepsis (.9%) n= Other maternal (.%) n= Maternal haemorrhage (.7%) n= Maternal haemorrhage (9.%) n=7

27 Section Section B: Profile B: Eastern District Health Cape Province Profiles Women and maternal health Value highlighted in green performance is ranked among the 0 best in the country Value highlighted in red performance is ranked among the 0 worst in the country Value highlighted in orange performance of the local municipality is possibly below the performance of the district 7

28 Section B: District Profile Eastern Health Profiles Cape Province Child and school health Value highlighted in green performance is ranked among the 0 best in the country Value highlighted in red performance is ranked among the 0 worst in the country Value highlighted in orange performance of the local municipality is possibly below the performance of the district 8

29 Section Section B: Profile B: Eastern District Health Cape Province Profiles HIV Value highlighted in green performance is ranked among the 0 best in the country Value highlighted in red performance is ranked among the 0 worst in the country Value highlighted in orange performance of the local municipality is possibly below the performance of the district 9

30 Section B: District Profile Eastern Health Profiles Cape Province Tuberculosis DHIS, ETR.Net, EDRWeb. Value highlighted in green performance is ranked among the 0 best in the country Value highlighted in red performance is ranked among the 0 worst in the country 0

31 Section Section B: Profile B: Eastern District Health Cape Province Profiles Non-communicable diseases Value highlighted in green performance is ranked among the 0 best in the country Value highlighted in red performance is ranked among the 0 worst in the country Value highlighted in orange performance of the local municipality is possibly below the performance of the district Numbers of deaths in facilities Percentage ideal clinics Ideal Clinic database.

32 Section B: District Profile Eastern Health Profiles Cape Province Vital ideal clinic elements in Primary Health Care facilities score (%) Amathole Amahlathi LM Great Kei LM Mbhashe LM Mnquma LM Ngqushwa LM Raymond Mhlaba LM Restore the emergency trolley daily or after every time it was used Resuscitation room is equipped with functional basic equipment for resuscitation 0 Oxygen cylinder with pressure a gauge available in resuscitation/ emergency room Cold chain procedure for vaccines is maintained There is at least one functional wall mounted room thermometer in the medicine room/dispensary Ideal Clinic database. Number of facilities by level, 07/8 Human resources filled posts Persal, Ward-based outreach team database.

33 Section Section B: Profile B: Eastern District Health Cape Province Profiles District health expenditure and budget, 07/8 07/8 Budget 07/8 Provincial Expenditure Total 07/8 Provincial Transfer to LG LG Provincial Transfer to LG LG Budget Total 07/8 Provincial Expenditure % Overspent (underspent). District Management %. Community Health Clinics (0.%). Community Health Centres (.%). Community-based Services (.7%). Other Community Services %. HIV/AIDS %.7 Nutrition (8.%).9 District Hospitals % Local government expenditure (.%) Grand Total % BAS, *LG Local Government.

34 Section B: District Profile Eastern Health Profiles Cape Province Chris Hani District Municipality (DC) Overview of the district The Chris Hani District Municipality a is a Category C municipality situated in the north-eastern part of the Eastern Cape, a linking node to all regions in the province. It is bordered by the Joe Gqabi District to the north, Cacadu and Amathole District to the south, OR Tambo District to the east, and Northern Cape to the west. Chris Hani is the second-largest district in the province, making up almost a third of its geographical area. The municipality comprises six local municipalities: Inxuba Yethemba, Enoch Mgijima, Intsika Yethu, Engcobo, Sakhisizwe and Emalahleni. The area, which is vastly agricultural, provides an ideal investment opportunity for agro-processing, and its proximity to the ports of East London and Port Elizabeth, with links to major routes like the N and N0, is an advantage. Area: 07km² Population (0) b : Population density (0):. persons per km Estimated medical scheme coverage:.7% Cities/Towns: Cacadu (Lady Frere), Cala, Cofimvaba, Cradock, Dordrecht, Engcobo, Hofmeyr, Indwe, Khowa (Elliot), Komani (Queenstown), Middelburg, Molteno, Mount Zebra National Park, Sada, Sterkstroom, Tarkastad, Tsomo, Whittlesea. Main Economic Sectors: Community services (%), trade (%), finance (%), transport (%), agriculture (%), manufacturing (%), electricity (%). Population distribution, local municipality boundaries and health facility locations Mid-Year Population Estimates 0, Stats SA. a b The Local Government Handbook South Africa 07. A complete guide to municipalities in South Africa. Seventh edition. Accessible at: www. municipalities.co.za. Mid-Year Population Estimates 0, Stats SA.

35 Section Section B: Profile B: Eastern District Health Cape Province Profiles District population pyramid and comparison with the national pyramid AgeGrp + 0- years -9 years 0- years -9 years 0- years -9 years 0- years -9 years 0- years -9 years 0- years 0-09 years 00-0 years Year Population Population 00 0 AgeGrp + 0- years -9 years 0- years -9 years 0- years -9 years 0- years -9 years 0- years -9 years 0- years 0-09 years 00-0 years South Africa % of total population [Male Female] - lines 8% % % % 0% % % % 8%.%.%.%.8%.%.0%.%.%.%.%.8%.%.0%.%.9%.%.9%.% 7.% 7.%.9%.8%.%.%.%.0% 8% % % % 0% % % % 8% District % of total population [Male Female] - bars South Africa % of total population [Male Female] - lines 8% % % % 0% % % % 8%.7%.%.%.8%.7%.7%.7%.9%.%.%.9%.0%.%.%.%.%.9%.7%.8%.%.7%.%.8%.7% 8% % % % 0% % % % 8% District % of total population [Male Female] - bars Gender male female Mid-Year Population Estimates 0, Stats SA.

36 Section B: District Profile Eastern Health Profiles Cape Province Social determinants of health Stats SA (Local Government Handbook), 0 Blue Drop Report.

37 Section Section B: Profile B: Eastern District Health Cape Province Profiles Burden of disease leading causes of death in district EC, C Hani: DC AgeGroup < years % % % 7% 0% 9% % + % 9% 9% 9% 7% 9% % % % 7% 8% % % 9% 8% 0% % 8% % % % 8% % 9% % 7% % % 9% 7% Total % % % 8% % % 8% 0% % % 0% Broadcause Injury NCD HIV and TB Comm_mat_peri_nut < years Rank_ Diarrhoeal diseases (.%) Diarrhoeal diseases (.%) Lower respiratory infections (0.0%) Lower respiratory infections (.0%) Preterm birth complications (8.%) Preterm birth complications (9.%) HIV/AIDS (.%) Protein-energy malnutrition (8.0%) Protein-energy malnutrition (.%) HIV/AIDS (.7%) Birth asphyxia (.0%) Birth asphyxia (.%) 7 Tuberculosis (.%) Accidental threats to breathing (.9%) 8 Sepsis/other newborn infectious (.9%) Tuberculosis (.7%) 9 Other respiratory (.7%) Poisonings (including herbal) (.%) 0 Meningitis/encephalitis (.%) Sepsis/other newborn infectious (.%) Tuberculosis (.%) Drowning (7.%) Drowning (.0%) Tuberculosis (.0%) Diarrhoeal diseases (8.8%) Lower respiratory infections (0.%) Lower respiratory infections (8.%) HIV/AIDS (9.%) Road injuries (8.%) Road injuries (7.7%) Exposure to natural forces (.%) Diarrhoeal diseases (.7%) 7 HIV/AIDS (.%) Accidental threats to breathing (.%) 8 Meningitis/encephalitis (.%) Meningitis/encephalitis (.7%) 9 Accidental threats to breathing (.%) Exposure to natural forces (.%) 0 Epilepsy (.7%) Interpersonal violence (.%) Interpersonal violence (9.%) Interpersonal violence (.7%) Tuberculosis (7.0%) HIV/AIDS (.%) HIV/AIDS (.%) Tuberculosis (.%) Lower respiratory infections (7.9%) Accidental threats to breathing (8.%) Diarrhoeal diseases (.%) Road injuries (.%) Accidental threats to breathing (.0%) Lower respiratory infections (.%) 7 Road injuries (.0%) Meningitis/encephalitis (.%) 8 Meningitis/encephalitis (.%) Mechanical forces (.%) 9 Epilepsy (.8%) Epilepsy (.0%) 0 Mechanical forces (.%) Diarrhoeal diseases (.7%) Tuberculosis (.0%) HIV/AIDS (.%) HIV/AIDS (.%) Tuberculosis (8.0%) Lower respiratory infections (.0%) Lower respiratory infections (7.0%) Diarrhoeal diseases (7.%) Cerebrovascular disease (.9%) Cerebrovascular disease (.8%) Interpersonal violence (.%) Asthma (.8%) Diarrhoeal diseases (.%) 7 Interpersonal violence (.8%) Diabetes mellitus (.0%) 8 Meningitis/encephalitis (.%) Ischaemic heart disease (.7%) 9 Epilepsy (.%) Asthma (.%) 0 Road injuries (.0%) Road injuries (.%) Cerebrovascular disease (.%) Cerebrovascular disease (.%) Lower respiratory infections (9.%) Hypertensive heart disease (8.8%) Tuberculosis (8.%) Lower respiratory infections (8.%) Hypertensive heart disease (8.%) Tuberculosis (7.%) Asthma (7.%) Cardiomyopathy (.7%) COPD (.%) Diabetes mellitus (.%) 7 Diabetes mellitus (.9%) Asthma (.0%) 8 Cardiomyopathy (.7%) COPD (.8%) 9 Ischaemic heart disease (.%) Ischaemic heart disease (.9%) 0 Oesophagus (.9%) Oesophagus (.7%) Percentages are shown according to all the deaths within the age/period category of each box, although only the leading 0 causes are displayed. Female -9 Rank.. Maternal conditions Indirect maternal (8.%) n=8 Hypertension in pregnancy (8.%) n= Abortion (.8%) n= Other maternal (0.7%) n= Indirect maternal (7.%) n= Maternal haemorrhage (.%) n= Hypertension in pregnancy (8.%) n= Abortion (.0%) n=0 Other maternal (8.%) n= 7

38 Section B: District Profile Eastern Health Profiles Cape Province Women and maternal health Value highlighted in green performance is ranked among the 0 best in the country Value highlighted in red performance is ranked among the 0 worst in the country Value highlighted in orange performance of the local municipality is possibly below the performance of the district. 8

39 Section Section B: Profile B: Eastern District Health Cape Province Profiles Child and school health Value highlighted in green performance is ranked among the 0 best in the country Value highlighted in red performance is ranked among the 0 worst in the country Value highlighted in orange performance of the local municipality is possibly below the performance of the district. 9

40 Section B: District Profile Eastern Health Profiles Cape Province HIV Value highlighted in green performance is ranked among the 0 best in the country Value highlighted in red performance is ranked among the 0 worst in the country Value highlighted in orange performance of the local municipality is possibly below the performance of the district. 0

41 Section Section B: Profile B: Eastern District Health Cape Province Profiles Tuberculosis DHIS, ETR.Net, EDRWeb. Value highlighted in green performance is ranked among the 0 best in the country Value highlighted in red performance is ranked among the 0 worst in the country.

42 Section B: District Profile Eastern Health Profiles Cape Province Non-communicable diseases Value highlighted in green performance is ranked among the 0 best in the country Value highlighted in red performance is ranked among the 0 worst in the country Value highlighted in orange performance of the local municipality is possibly below the performance of the district. Numbers of deaths in facilities Percentage ideal clinics Ideal Clinic database.

43 Section Section B: Profile B: Eastern District Health Cape Province Profiles Vital ideal clinic elements in Primary Health Care facilities score (%) C Hani Emalahleni LM Engcobo LM Enoch Mgijima LM Intsika Yethu LM Inxuba Yethemba LM Sakhisizwe LM Restore the emergency trolley daily or after every time it was used Resuscitation room is equipped with functional basic equipment for resuscitation The temperature of the medicine room/dispensary is maintained within the safety range The temperature of the medicine room/dispensary is recorded daily % of the tracer medicines are available Ideal Clinic database. Number of facilities by level, 07/8 Human resources filled posts Persal, Ward-based outreach team database.

44 Section B: District Profile Eastern Health Profiles Cape Province District health expenditure and budget, 07/8 07/8 Budget 07/8 Provincial Expenditure Total 07/8 Provincial Transfer to LG LG Provincial Transfer to LG LG Budget Total 07/8 Provincial Expenditure % Overspent (underspent). District Management %. Community Health Clinics %. Community Health Centres %. Community-based Services %. Other Community Services (0.%). HIV/AIDS %.7 Nutrition (.%).9 District Hospitals % Local government expenditure Grand Total % BAS, *LG Local Government.

45 Section Section B: Profile B: Eastern District Health Cape Province Profiles Joe Gqabi District Municipality (DC ) Overview of the district The Joe Gqabi District Municipality a (previously Ukhahlamba District Municipality) is a Category C municipality located within the Eastern Cape. It borders the Free State Province and country of Lesotho to the north. The municipality is located to the north of the OR Tambo and Chris Hani District Municipalities, to the east of the Northern Cape, and to the west of Alfred Nzo. Joe Gqabi lies approximately km north of Komani (Queenstown) and its northern border is formed by the Orange River, which also forms the southern boundary of the Free State. It consists of three local municipalities: Elundini, Walter Sisulu and Senqu. Aliwal North is the main commercial and tourism centre. Area: 7km² Population (0) b : 90 Population density (0):. persons per km Estimated medical scheme coverage:.% Cities/Towns: Aliwal North, Barkly East, Burgersdorp, Jamestown, Lady Grey, Maclear, Mount Fletcher, Oviston, Rhodes, Rossouw, Sterkspruit, Steynsburg, Ugie, Venterstad. Main Economic Sectors: Community services (%), finance (.%), trade (9.7%), manufacturing (9.%), agriculture (.%). Population distribution, local municipality boundaries and health facility locations Mid-Year Population Estimates 0, Stats SA. a b The Local Government Handbook South Africa 07. A complete guide to municipalities in South Africa. Seventh edition. Accessible at: www. municipalities.co.za. Mid-Year Population Estimates 0, Stats SA.

46 Section B: District Profile Eastern Health Profiles Cape Province Joe Gqabi DM (DC) District population pyramid and comparison with the national pyramid AgeGrp + 0- years -9 years 0- years -9 years 0- years -9 years 0- years -9 years 0- years -9 years 0- years 0-09 years 00-0 years Year Population Population 00 0 AgeGrp + 0- years -9 years 0- years -9 years 0- years -9 years 0- years -9 years 0- years -9 years 0- years 0-09 years 00-0 years South Africa % of total population [Male Female] - lines 8% % % % 0% % % % 8%.%.%.%.7%.9%.%.%.%.8%.%.%.%.%.7%.%.% 7.% 7.%.9%.9%.%.%.7%.% 8% % % % 0% % % % 8% District % of total population [Male Female] - bars South Africa % of total population [Male Female] - lines 8% % % % 0% % % % 8%.%.8%.%.%.%.%.7%.9%.7%.9%.%.%.8%.%.%.8%.0%.0%.%.%.8%.7%.8%.7% 8% % % % 0% % % % 8% District % of total population [Male Female] - bars Gender male female Mid-Year Population Estimates 0, Stats SA.

47 Section Section B: Profile B: Eastern District Health Cape Province Profiles Social determinants of health Stats SA (Local Government Handbook), 0 Blue Drop Report. 7

48 Section B: District Profile Eastern Health Profiles Cape Province Burden of disease leading causes of death in district EC, C Hani: DC AgeGroup < years % % % 7% 0% 9% % + % 9% 9% 9% 7% 9% % % % 7% 8% % % 9% 8% 0% % 8% % % % 8% % 9% % 7% % % 9% 7% Total % % % 8% % % 8% 0% % % 0% Broadcause Injury NCD HIV and TB Comm_mat_peri_nut < years Rank_ Diarrhoeal diseases (.%) Diarrhoeal diseases (.%) Lower respiratory infections (0.0%) Lower respiratory infections (.0%) Preterm birth complications (8.%) Preterm birth complications (9.%) HIV/AIDS (.%) Protein-energy malnutrition (8.0%) Protein-energy malnutrition (.%) HIV/AIDS (.7%) Birth asphyxia (.0%) Birth asphyxia (.%) 7 Tuberculosis (.%) Accidental threats to breathing (.9%) 8 Sepsis/other newborn infectious (.9%) Tuberculosis (.7%) 9 Other respiratory (.7%) Poisonings (including herbal) (.%) 0 Meningitis/encephalitis (.%) Sepsis/other newborn infectious (.%) Tuberculosis (.%) Drowning (7.%) Drowning (.0%) Tuberculosis (.0%) Diarrhoeal diseases (8.8%) Lower respiratory infections (0.%) Lower respiratory infections (8.%) HIV/AIDS (9.%) Road injuries (8.%) Road injuries (7.7%) Exposure to natural forces (.%) Diarrhoeal diseases (.7%) 7 HIV/AIDS (.%) Accidental threats to breathing (.%) 8 Meningitis/encephalitis (.%) Meningitis/encephalitis (.7%) 9 Accidental threats to breathing (.%) Exposure to natural forces (.%) 0 Epilepsy (.7%) Interpersonal violence (.%) Interpersonal violence (9.%) Interpersonal violence (.7%) Tuberculosis (7.0%) HIV/AIDS (.%) HIV/AIDS (.%) Tuberculosis (.%) Lower respiratory infections (7.9%) Accidental threats to breathing (8.%) Diarrhoeal diseases (.%) Road injuries (.%) Accidental threats to breathing (.0%) Lower respiratory infections (.%) 7 Road injuries (.0%) Meningitis/encephalitis (.%) 8 Meningitis/encephalitis (.%) Mechanical forces (.%) 9 Epilepsy (.8%) Epilepsy (.0%) 0 Mechanical forces (.%) Diarrhoeal diseases (.7%) Tuberculosis (.0%) HIV/AIDS (.%) HIV/AIDS (.%) Tuberculosis (8.0%) Lower respiratory infections (.0%) Lower respiratory infections (7.0%) Diarrhoeal diseases (7.%) Cerebrovascular disease (.9%) Cerebrovascular disease (.8%) Interpersonal violence (.%) Asthma (.8%) Diarrhoeal diseases (.%) 7 Interpersonal violence (.8%) Diabetes mellitus (.0%) 8 Meningitis/encephalitis (.%) Ischaemic heart disease (.7%) 9 Epilepsy (.%) Asthma (.%) 0 Road injuries (.0%) Road injuries (.%) Cerebrovascular disease (.%) Cerebrovascular disease (.%) Lower respiratory infections (9.%) Hypertensive heart disease (8.8%) Tuberculosis (8.%) Lower respiratory infections (8.%) Hypertensive heart disease (8.%) Tuberculosis (7.%) Asthma (7.%) Cardiomyopathy (.7%) COPD (.%) Diabetes mellitus (.%) 7 Diabetes mellitus (.9%) Asthma (.0%) 8 Cardiomyopathy (.7%) COPD (.8%) 9 Ischaemic heart disease (.%) Ischaemic heart disease (.9%) 0 Oesophagus (.9%) Oesophagus (.7%) Percentages are shown according to all the deaths within the age/period category of each box, although only the leading 0 causes are displayed. Female -9 Rank.. Maternal conditions Indirect maternal (8.%) n=8 Hypertension in pregnancy (8.%) n= Abortion (.8%) n= Other maternal (0.7%) n= Indirect maternal (7.%) n= Maternal haemorrhage (.%) n= Hypertension in pregnancy (8.%) n= Abortion (.0%) n=0 Other maternal (8.%) n= 8

49 Section Section B: Profile B: Eastern District Health Cape Province Profiles Women and maternal health Value highlighted in green performance is ranked among the 0 best in the country Value highlighted in red performance is ranked among the 0 worst in the country Value highlighted in orange performance of the local municipality is possibly below the performance of the district. 9

50 Section B: District Profile Eastern Health Profiles Cape Province Child and school health Value highlighted in green performance is ranked among the 0 best in the country Value highlighted in red performance is ranked among the 0 worst in the country Value highlighted in orange performance of the local municipality is possibly below the performance of the district. 0

51 Section Section B: Profile B: Eastern District Health Cape Province Profiles HIV Value highlighted in green performance is ranked among the 0 best in the country Value highlighted in red performance is ranked among the 0 worst in the country Value highlighted in orange performance of the local municipality is possibly below the performance of the district.

52 Section B: District Profile Eastern Health Profiles Cape Province Tuberculosis DHIS, ETR.Net, EDRWeb. Value highlighted in green performance is ranked among the 0 best in the country Value highlighted in red performance is ranked among the 0 worst in the country.

53 Section Section B: Profile B: Eastern District Health Cape Province Profiles Non-communicable diseases Value highlighted in green performance is ranked among the 0 best in the country Value highlighted in red performance is ranked among the 0 worst in the country Value highlighted in orange performance of the local municipality is possibly below the performance of the district. Numbers of deaths in facilities Percentage ideal clinics Ideal Clinic database.

54 Section B: District Profile Eastern Health Profiles Cape Province Vital ideal clinic elements in Primary Health Care facilities score (%) Joe Gqabi Elundini LM Senqu LM Walter Sisulu LM Restore the emergency trolley daily or after every time it was used 9 8 Resuscitation room is equipped with functional basic equipment for resuscitation % of the tracer medicines are available Oxygen cylinder with pressure a gauge available in resuscitation/ emergency room Cold chain procedure for vaccines is maintained Ideal Clinic database. Number of facilities by level, 07/8 Human resources filled posts Persal, Ward-based outreach team database.

55 Section Section B: Profile B: Eastern District Health Cape Province Profiles District health expenditure and budget, 07/8 07/8 Budget 07/8 Provincial Expenditure Total 07/8 Provincial Transfer to LG LG Provincial Transfer to LG LG Budget Total 07/8 Provincial Expenditure % Overspent (underspent). District Management %. Community Health Clinics %. Community Health Centres (98.%). Community-based Services (.%). Other Community Services %. HIV/AIDS %.7 Nutrition (9.0%).9 District Hospitals % Local government expenditure (0.%) Grand Total % BAS, *LG Local Government.

56 Section B: District Profile Eastern Health Profiles Cape Province OR Tambo District Municipality (DC) Overview of the district The OR Tambo District Municipality a is a Category C municipality located to the east of the Eastern Cape Province, on the coastline. It is bordered by the Alfred Nzo District Municipality to the north, the Joe Gqabi District Municipality to the north-west, the Amathole District Municipality to the south-west, and the Chris Hani District Municipality to the west. The municipality is formed by five local municipalities: King Sabata Dalindyebo, Nyandeni, Mhlontlo, Port St Johns and Ingquza Hill. It covers about 80% of what used to be marginalised homeland in the Transkei, and is one of the four Integrated Sustainable Rural Development Programme (ISRDP) nodes in the province. Area: km² Population (0) b : Population density (0): 0.7 persons per km Estimated medical scheme coverage:.% Cities/Towns: Flagstaff, Libode, Lusikisiki, Mqanduli, Mthatha (previously Umtata), Ngqeleni, Port St Johns, Qumbu, Tsolo. Main Economic Sectors: Community services (%), trade (8.%), finance (.9%), agriculture (.%), transport (.%), manufacturing (.8%), construction (.7%). Population distribution, local municipality boundaries and health facility locations Mid-Year Population Estimates 0, Stats SA. a b The Local Government Handbook South Africa 07. A complete guide to municipalities in South Africa. Seventh edition. Accessible at: www. municipalities.co.za. Mid-Year Population Estimates 0, Stats SA.

57 Section Section B: Profile B: Eastern District Health Cape Province Profiles District population pyramid and comparison with the national pyramid AgeGrp + 0- years -9 years 0- years -9 years 0- years -9 years 0- years -9 years 0- years -9 years 0- years 0-09 years 00-0 years Year Population Population 00 0 AgeGrp + 0- years -9 years 0- years -9 years 0- years -9 years 0- years -9 years 0- years -9 years 0- years 0-09 years 00-0 years South Africa % of total population [Male Female] - lines 8% % % % 0% % % % 8%.7%.%.%.%.0%.%.%.8%.%.9%.%.7%.% 7.% 7.8% 7.9% 8.0%.%.%.%.% 8% % % % 0% % % % 8% District % of total population [Male Female] - bars South Africa % of total population [Male Female] - lines 8% % % % 0% % % % 8%.%.%.%.%.8%.%.%.%.9%.%.%.9%.%.%.%.%.%.7%.%.8%.% 8% % % % 0% % % % 8% District % of total population [Male Female] - bars Gender male female Mid-Year Population Estimates 0, Stats SA. 7

58 Section B: District Profile Eastern Health Profiles Cape Province Social determinants of health Stats SA (Local Government Handbook), 0 Blue Drop Report. 8

59 Section Section B: Profile B: Eastern District Health Cape Province Profiles Burden of disease leading causes of death in district EC, OR Tambo: DC AgeGroup < years - 8% 7% % % % % % 9% 7% % % % 0% % 0% 8% - % 9% % % % 8% 7% % - % % 7% 8% % 7% 0% % + % % 8% % % % 7% % Total % % % 9% % % 0% % < years Rank_ Diarrhoeal diseases (.9%) Diarrhoeal diseases (.%) Lower respiratory infections (.%) Lower respiratory infections (7.0%) HIV/AIDS (.7%) Protein-energy malnutrition (9.%) Protein-energy malnutrition (.%) HIV/AIDS (7.%) Tuberculosis (.%) Tuberculosis (.%) Preterm birth complications (.9%) Preterm birth complications (.%) 7 Meningitis/encephalitis (.7%) Poisonings (including herbal) (.7%) 8 Septicaemia (.9%) Septicaemia (.%) 9 Sepsis/other newborn infectious (.7%) Meningitis/encephalitis (.%) 0 Birth asphyxia (.%) Drowning (.8%) Road injuries (.9%) Tuberculosis (.7%) Tuberculosis (.%) HIV/AIDS (.9%) HIV/AIDS (8.%) Road injuries (9.%) Diarrhoeal diseases (8.%) Drowning (8.7%) Lower respiratory infections (8.%) Diarrhoeal diseases (7.%) Meningitis/encephalitis (.7%) Lower respiratory infections (7.0%) 7 Drowning (.%) Meningitis/encephalitis (.%) 8 Exposure to natural forces (.9%) Accidental threats to breathing (.9%) 9 Nephritis/nephrosis (.9%) Epilepsy (.%) 0 Endocrine nutritional,blood, immune (.7%) Other neurological conditions (.%) Tuberculosis (.0%) HIV/AIDS (.%) HIV/AIDS (.%) Interpersonal violence (.7%) Interpersonal violence (0.%) Tuberculosis (.%) Road injuries (9.%) Road injuries (7.8%) Diarrhoeal diseases (7.%) Accidental threats to breathing (.%) Lower respiratory infections (.%) Mechanical forces (.9%) 7 Meningitis/encephalitis (.%) Lower respiratory infections (.%) 8 Accidental threats to breathing (.%) Diarrhoeal diseases (.7%) 9 Mechanical forces (.8%) Meningitis/encephalitis (.%) 0 Nephritis/nephrosis (.7%) Drowning (.%) Tuberculosis (.%) HIV/AIDS (7.7%) HIV/AIDS (0.%) Tuberculosis (9.%) Lower respiratory infections (7.7%) Lower respiratory infections (.%) Diarrhoeal diseases (7.%) Cerebrovascular disease (.9%) Meningitis/encephalitis (.7%) Diarrhoeal diseases (.%) Cerebrovascular disease (.%) Road injuries (.9%) 7 Road injuries (.0%) Interpersonal violence (.9%) 8 Asthma (.9%) Diabetes mellitus (.%) 9 Diabetes mellitus (.8%) Cardiomyopathy (.%) 0 Interpersonal violence (.8%) Nephritis/nephrosis (.%) Cerebrovascular disease (.%) Cerebrovascular disease (.7%) Tuberculosis (.%) Tuberculosis (.7%) Lower respiratory infections (8.%) Hypertensive heart disease (8.9%) COPD (.%) Lower respiratory infections (.9%) Hypertensive heart disease (.%) Diabetes mellitus (.0%) Diabetes mellitus (.8%) COPD (.9%) 7 Asthma (.%) Oesophagus (.%) 8 Diarrhoeal diseases (.%) Cardiomyopathy (.%) 9 Oesophagus (.7%) Ischaemic heart disease (.%) 0 Cardiomyopathy (.%) Asthma (.%) Broadcause Injury NCD HIV and TB Comm_mat_peri_nut Percentages are shown according to all the deaths within the age/period category of each box, although only the leading 0 causes are displayed. Female -9 Rank.. Maternal conditions Indirect maternal (0.7%) n= Indirect maternal (9.9%) n=09 Hypertension in pregnancy (.%) n= Hypertension in pregnancy (0.%) n=7 Other maternal (.%) n= Other maternal (8.%) n=7 Abortion (0.%) n=0 Maternal haemorrhage (7.0%) n= Maternal sepsis (8.%) n=9 Abortion (8.%) n=0 Maternal haemorrhage (.0%) n= Maternal sepsis (.%) n= 9

60 Section B: District Profile Eastern Health Profiles Cape Province Women and maternal health Value highlighted in green performance is ranked among the 0 best in the country Value highlighted in red performance is ranked among the 0 worst in the country Value highlighted in orange performance of the local municipality is possibly below the performance of the district. 70

61 Section Section B: Profile B: Eastern District Health Cape Province Profiles Child and school health Value highlighted in green performance is ranked among the 0 best in the country Value highlighted in red performance is ranked among the 0 worst in the country Value highlighted in orange performance of the local municipality is possibly below the performance of the district. 7

62 Section B: District Profile Eastern Health Profiles Cape Province HIV Value highlighted in green performance is ranked among the 0 best in the country Value highlighted in red performance is ranked among the 0 worst in the country Value highlighted in orange performance of the local municipality is possibly below the performance of the district. 7

63 Section Section B: Profile B: Eastern District Health Cape Province Profiles Tuberculosis DHIS, ETR.Net, EDRWeb. Value highlighted in green performance is ranked among the 0 best in the country Value highlighted in red performance is ranked among the 0 worst in the country. 7

64 Section B: District Profile Eastern Health Profiles Cape Province Non-communicable diseases Value highlighted in green performance is ranked among the 0 best in the country Value highlighted in red performance is ranked among the 0 worst in the country Value highlighted in orange performance of the local municipality is possibly below the performance of the district. Numbers of deaths in facilities Percentage ideal clinics Ideal Clinic database. 7

65 Section Section B: Profile B: Eastern District Health Cape Province Profiles Vital ideal clinic elements in Primary Health Care facilities score (%) OR Tambo Ingquza Hill LM King Sabata Dalindyebo LM Mhlontlo LM Nyandeni LM Port St Johns LM Restore the emergency trolley daily or after every time it was used Resuscitation room is equipped with functional basic equipment for resuscitation Cold chain procedure for vaccines is maintained % of the tracer medicines are available The temperature of the medicine room/dispensary is maintained within the safety range Ideal Clinic database. Number of facilities by level, 07/8 Human resources filled posts Persal, Ward-based outreach team database. 7

66 Section B: District Profile Eastern Health Profiles Cape Province District health expenditure and budget, 07/8 07/8 Budget 07/8 Provincial Expenditure Total 07/8 Provincial Transfer to LG LG Provincial Transfer to LG LG Budget Total 07/8 Provincial Expenditure % Overspent (underspent). District Management (.7%). Community Health Clinics %. Community Health Centres %. Community-based Services (.%). Other Community Services (8.9%). HIV/AIDS %.7 Nutrition (0.0%).9 District Hospitals % Local government expenditure % Grand Total % BAS, *LG Local Government. 7

67 Section Section B: Profile B: Eastern District Health Cape Province Profiles Alfred Nzo District Municipality (DC) Overview of the district The Alfred Nzo District Municipality a is a Category C municipality located in the north-eastern corner of the Eastern Cape Province. It stretches from the Drakensberg Mountains, bordering Harry Gwala District Municipality to the north, OR Tambo District Municipality in the south and east, and Lesotho in the west. Alfred Nzo is the smallest district in the province, covering only % of the geographical area. The municipality is comprised of the Matatiele, Ntabankulu, Mbizana and Umzimvubu Local Municipalities. Area: 0 7km² Population (0) b : 80 Population density (0): 79. persons per km Estimated medical scheme coverage:.7% Cities/Towns: Bizana, Cedarville, KwaBhaca (Mount Frere), Matatiele, Tabankulu, emaxesibeni (Mount Ayliff). Main Economic Sectors: Community services (8%), wholesale/trade (%), agriculture (%), manufacturing (0%), transport (.%), construction (%). Population distribution, local municipality boundaries and health facility locations Mid-Year Population Estimates 0, Stats SA. a b The Local Government Handbook South Africa 07. A complete guide to municipalities in South Africa. Seventh edition. Accessible at: www. municipalities.co.za. Mid-Year Population Estimates 0, Stats SA. 77

68 Section B: District Profile Eastern Health Profiles Cape Province District population pyramid and comparison with the national pyramid AgeGrp + 0- years -9 years 0- years -9 years 0- years -9 years 0- years -9 years 0- years -9 years 0- years 0-09 years 00-0 years Year Population Population 00 0 AgeGrp + 0- years -9 years 0- years -9 years 0- years -9 years 0- years -9 years 0- years -9 years 0- years 0-09 years 00-0 years South Africa % of total population [Male Female] - lines 8% % % % 0% % % % 8%.7%.8%.%.%.9%.0%.%.%.%.%.%.%.% 7.7% 7.8% 7.9% 7.9%.%.% 7.%.9% 8% % % % 0% % % % 8% District % of total population [Male Female] - bars South Africa % of total population [Male Female] - lines 8% % % % 0% % % % 8%.%.%.%.%.%.%.8%.%.%.9%.0%.7%.8%.%.%.%.%.0%.8%.7%.8%.% 8% % % % 0% % % % 8% District % of total population [Male Female] - bars Gender male female Mid-Year Population Estimates 0, Stats SA. 78

69 Section Section B: Profile B: Eastern District Health Cape Province Profiles Social determinants of health Stats SA (Local Government Handbook), 0 Blue Drop Report. 79

70 Section B: District Profile Eastern Health Profiles Cape Province Burden of disease leading causes of death in district EC, A Nzo: DC AgeGroup < years - % 7% 8% 0% 0% % % 8% % 78% 9% 9% 7% 8% % % - % % % 0% % % % 9% - % 0% 8% % 7% 7% 8% 9% + 7% 0% 70% % 8% % 8% % Total 7% 9% 7% 7% % % 9% 8% < years Rank_ Diarrhoeal diseases (.9%) Diarrhoeal diseases (8.0%) Lower respiratory infections (9.0%) Lower respiratory infections (9.%) Protein-energy malnutrition (8.%) Preterm birth complications (0.8%) HIV/AIDS (.%) Protein-energy malnutrition (0.%) Other respiratory (.%) Birth asphyxia (.%) Preterm birth complications (.%) HIV/AIDS (.%) 7 Tuberculosis (.8%) Tuberculosis (.0%) 8 Birth asphyxia (.%) Poisonings (including herbal) (.0%) 9 Meningitis/encephalitis (.%) Other perinatal conditions (.0%) 0 Other digestive (.%) Other respiratory (.7%) Road injuries (0.%) Diarrhoeal diseases (8.%) Diarrhoeal diseases (0.%) Lower respiratory infections (.8%) HIV/AIDS (0.0%) Tuberculosis (0.%) Meningitis/encephalitis (9.%) HIV/AIDS (9.%) Tuberculosis (8.9%) Road injuries (8.%) Lower respiratory infections (8.7%) Drowning (7.%) 7 Epilepsy (.%) Epilepsy (.%) 8 Drowning (.0%) Accidental threats to breathing (.%) 9 Other respiratory (.%) Meningitis/encephalitis (.%) 0 Accidental threats to breathing (.8%) Other respiratory (.%) Tuberculosis (9.%) HIV/AIDS (8.%) Interpersonal violence (.7%) Tuberculosis (.8%) HIV/AIDS (.%) Interpersonal violence (.7%) Diarrhoeal diseases (8.0%) Accidental threats to breathing (9.%) Lower respiratory infections (.%) Road injuries (.%) Road injuries (.%) Diarrhoeal diseases (.%) 7 Meningitis/encephalitis (.%) Lower respiratory infections (.%) 8 Other respiratory (.%) Meningitis/encephalitis (.7%) 9 Accidental threats to breathing (.0%) Mechanical forces (.%) 0 Mechanical forces (.8%) Epilepsy (.%) Tuberculosis (.9%) HIV/AIDS (.0%) HIV/AIDS (.8%) Tuberculosis (.%) Diarrhoeal diseases (.0%) Lower respiratory infections (7.%) Lower respiratory infections (0.0%) Diarrhoeal diseases (.%) Other respiratory (8.%) Cerebrovascular disease (.7%) Meningitis/encephalitis (.%) Meningitis/encephalitis (.%) 7 Cerebrovascular disease (.7%) Interpersonal violence (.%) 8 Interpersonal violence (.9%) Diabetes mellitus (.%) 9 Road injuries (.%) Road injuries (.0%) 0 Asthma (.%) Ischaemic heart disease (.9%) Other respiratory (.%) Cerebrovascular disease (.%) Tuberculosis (9.%) Lower respiratory infections (9.%) Diarrhoeal diseases (.7%) Hypertensive heart disease (.%) Diabetes mellitus (.0%) Asthma (.%) Ischaemic heart disease (.%) COPD (.%) Cerebrovascular disease (.%) Tuberculosis (9.7%) Hypertensive heart disease (9.%) Lower respiratory infections (9.0%) Diarrhoeal diseases (.0%) Diabetes mellitus (.%) Ischaemic heart disease (.8%) Other respiratory (.%) Asthma (.%) COPD (.%) Broadcause Injury NCD HIV and TB Comm_mat_peri_nut Percentages are shown according to all the deaths within the age/period category of each box, although only the leading 0 causes are displayed. Female -9 Rank.. Maternal conditions Indirect maternal (.%) n= Other maternal (.%) n=7 Maternal sepsis (.8%) n=7 Indirect maternal (.%) n= Maternal sepsis (7.%) n=8 Maternal haemorrhage (.%) n= Abortion (.0%) n= 80

71 Section Section B: Profile B: Eastern District Health Cape Province Profiles Women and maternal health Value highlighted in green performance is ranked among the 0 best in the country Value highlighted in red performance is ranked among the 0 worst in the country Value highlighted in orange performance of the local municipality is possibly below the performance of the district. 8

72 Section B: District Profile Eastern Health Profiles Cape Province Child and school health Value highlighted in green performance is ranked among the 0 best in the country Value highlighted in red performance is ranked among the 0 worst in the country Value highlighted in orange performance of the local municipality is possibly below the performance of the district. 8

73 Section Section B: Profile B: Eastern District Health Cape Province Profiles HIV Value highlighted in green performance is ranked among the 0 best in the country Value highlighted in red performance is ranked among the 0 worst in the country Value highlighted in orange performance of the local municipality is possibly below the performance of the district. 8

74 Section B: District Profile Eastern Health Profiles Cape Province Tuberculosis DHIS, ETR.Net, EDRWeb. Value highlighted in green performance is ranked among the 0 best in the country Value highlighted in red performance is ranked among the 0 worst in the country. 8

75 Section Section B: Profile B: Eastern District Health Cape Province Profiles Non-communicable diseases Value highlighted in green performance is ranked among the 0 best in the country Value highlighted in red performance is ranked among the 0 worst in the country Value highlighted in orange performance of the local municipality is possibly below the performance of the district. Numbers of deaths in facilities Percentage ideal clinics Ideal Clinic database. 8

76 Section B: District Profile Eastern Health Profiles Cape Province Vital ideal clinic elements in Primary Health Care facilities score (%) Alfred Nzo Matatiele LM Mbizana LM Ntabankulu LM Umzimvubu LM Restore the emergency trolley daily or after every time it was used Resuscitation room is equipped with functional basic equipment for resuscitation Cold chain procedure for vaccines is maintained There is at least one functional wall mounted room thermometer in the medicine room/dispensary The temperature of the medicine room/dispensary is maintained within the safety range Ideal Clinic database. Number of facilities by level, 07/8 Human resources filled posts Persal, Ward-based outreach team database. 8

77 Section Section B: Profile B: Eastern District Health Cape Province Profiles District health expenditure and budget, 07/8 07/8 Budget 07/8 Provincial Expenditure Total 07/8 Provincial Transfer to LG LG Provincial Transfer to LG LG Budget Total 07/8 Provincial Expenditure % Overspent (underspent). District Management (.0%). Community Health Clinics %. Community Health Centres (.9%). Community-based Services (.9%). Other Community Services %. HIV/AIDS %.7 Nutrition (.8%).9 District Hospitals % Local government expenditure % Grand Total % BAS, *LG Local Government. 87

78 Section B: District Profile Eastern Health Profiles Cape Province Nelson Mandela Bay Metropolitan (NMA) Overview of the district The Nelson Mandela Bay Metropolitan Municipality a is a Category A municipality, established on December 000. Nelson Mandela Bay was the first city in South Africa to establish a fully integrated democratic local authority and the only city in the world named after Nelson Mandela, who was born and spent his formative years in the Eastern Cape. Nelson Mandela Bay is a major seaport and automotive manufacturing centre located on the south-eastern coast of Africa. It is the economic powerhouse of the Eastern Cape Province and one of eight metropolitan areas in South Africa. Its boundaries are formed by Cassie Mountain View in the north, Cape Recife in the south, Sundays River Mouth in the east, and Van Stadens River Mouth in the west. The city is a holiday hot spot for both national and international tourists. The predominant languages spoken are English, Afrikaans and isixhosa. The Metropolitan Municipality comprises three health sub-districts, namely Nelson Mandela A, Nelson Mandela B and Nelson Mandela C. Area: 97km² Population (0) b : 0 Population density (0):. persons per km Estimated medical scheme coverage: 0.7% Cities/Towns: Bethelsdorp, Bloemendal, Blue Horizon Bay, Clarendon Marine, Despatch, KwaNobuhle, Motherwell, Port Elizabeth, Summerstrand, Swartkops, Uitenhage. Main Economic Sectors: Manufacturing (%), community services (%), finance (%), trade (%), transport (%). Population distribution, sub-district boundaries and health facility locations Mid-Year Population Estimates 0, Stats SA. a b The Local Government Handbook South Africa 07. A complete guide to municipalities in South Africa. Seventh edition. Accessible at: www. municipalities.co.za Mid-Year Population Estimates 0, Stats SA. 88

79 Section Section B: Profile B: Eastern District Health Cape Province Profiles District population pyramid and comparison with the national pyramid AgeGrp + 0- years -9 years 0- years -9 years 0- years -9 years 0- years -9 years 0- years -9 years 0- years 0-09 years 00-0 years Year Population Population 00 0 AgeGrp + 0- years -9 years 0- years -9 years 0- years -9 years 0- years -9 years 0- years -9 years 0- years 0-09 years 00-0 years South Africa % of total population [Male Female] - lines 8% % % % 0% % % % 8%.8%.9%.7%.8%.%.%.7%.7%.%.%.%.%.8%.8%.0%.%.%.%.7%.9%.9%.%.%.0%.0%.7%.% 8% % % % 0% % % % 8% District % of total population [Male Female] - bars South Africa % of total population [Male Female] - lines 8% % % % 0% % % % 8%.9%.%.%.9%.8%.%.%.%.%.9%.0%.%.%.8%.%.%.%.%.%.9%.%.%.9%.8%.%.%.%.% 8% % % % 0% % % % 8% District % of total population [Male Female] - bars Gender male female Mid-Year Population Estimates 0, Stats SA. 89

80 Section B: District Profile Eastern Health Profiles Cape Province Social determinants of health Stats SA (Local Government Handbook), 0 Blue Drop Report. 90

81 Section Section B: Profile B: Eastern District Health Cape Province Profiles Burden of disease leading causes of death in district EC, N Mandela Bay: NMA AgeGroup < years < years % - 0% - 9% + 9% % Total % % 9% 7% 8% 7% % % 8% % 9% % % % % 0% 0% % 0% 7% % 7% % Rank_ Diarrhoeal diseases (8.%) Preterm birth complications (9.7%) Lower respiratory infections (7.9%) Lower respiratory infections (.9%) Preterm birth complications (.8%) Sepsis/other newborn infectious (7.%) HIV/AIDS (9.%) Diarrhoeal diseases (7.%) Sepsis/other newborn infectious (.%) Birth asphyxia (.8%) Birth asphyxia (.%) Congenital heart anomalies (.%) 7 Tuberculosis (.8%) HIV/AIDS (.0%) 8 Protein-energy malnutrition (.%) Other perinatal conditions (.0%) 9 Congenital heart anomalies (.7%) Protein-energy malnutrition (.8%) 0 Asthma (.%) Septicaemia (.7%) Tuberculosis (.%) HIV/AIDS (.9%) Road injuries (.%) Drowning (.9%) HIV/AIDS (.%) Tuberculosis (.0%) Lower respiratory infections (7.8%) Road injuries (7.%) Drowning (.%) Lower respiratory infections (.9%) Diarrhoeal diseases (.8%) Epilepsy (.8%) 7 Meningitis/encephalitis (.9%) Congenital heart anomalies (.%) 8 Epilepsy (.%) Fires, hot substances (.%) 9 Interpersonal violence (.%) Accidental threats to breathing (.%) 0 Fires, hot substances (.%) Endocrine nutritional,blood, immune (.0%) Tuberculosis (.%) HIV/AIDS (.0%) Interpersonal violence (9.%) Tuberculosis (.0%) HIV/AIDS (.7%) Mechanical forces (.%) Road injuries (8.7%) Interpersonal violence (.%) Mechanical forces (7.%) Accidental threats to breathing (.8%) Lower respiratory infections (.7%) Road injuries (.%) 7 Accidental threats to breathing (.%) Fires, hot substances (.%) 8 Diarrhoeal diseases (.8%) Lower respiratory infections (.%) 9 Meningitis/encephalitis (.%) Diarrhoeal diseases (.%) 0 Epilepsy (.%) Epilepsy (.%) Tuberculosis (7.%) HIV/AIDS (9.8%) HIV/AIDS (.7%) Tuberculosis (.8%) Cerebrovascular disease (.%) Cerebrovascular disease (.7%) Ischaemic heart disease (.%) Ischaemic heart disease (.%) Lower respiratory infections (.%) Diabetes mellitus (.%) Interpersonal violence (.%) Nephritis/nephrosis (.%) 7 Diabetes mellitus (.%) Mechanical forces (.8%) 8 Asthma (.0%) Trachea/bronchi/lung (.7%) 9 Road injuries (.9%) Interpersonal violence (.%) 0 Nephritis/nephrosis (.%) Lower respiratory infections (.%) Ischaemic heart disease (.%) Cerebrovascular disease (.%) Cerebrovascular disease (.%) Ischaemic heart disease (.%) Diabetes mellitus (.%) Diabetes mellitus (7.%) Lower respiratory infections (.0%) Nephritis/nephrosis (.%) Hypertensive heart disease (.7%) COPD (.0%) Trachea/bronchi/lung (.%) Hypertensive heart disease (.%) 7 COPD (.%) Lower respiratory infections (.9%) 8 Nephritis/nephrosis (.%) Trachea/bronchi/lung (.%) 9 Tuberculosis (.%) Tuberculosis (.%) 0 Asthma (.%) Asthma (.%) 9% 9% % % % 7% 0% % % 8% 7% 8% 7% 9% % 9% 7% % % 0% Broadcause Injury NCD HIV and TB Comm_mat_peri_nut Percentages are shown according to all the deaths within the age/period category of each box, although only the leading 0 causes are displayed. Female -9 Rank.. Maternal conditions Indirect maternal (.8%) n= Hypertension in pregnancy (.0%) n= Hypertension in pregnancy (.9%) n=7 Other maternal (7.%) n=0 Other maternal (0.0%) n= Indirect maternal (0.%) n= Maternal haemorrhage (.%) n= Maternal haemorrhage (7.8%) n= Abortion (.%) n= Maternal sepsis (.%) n= 9

82 Section B: District Profile Eastern Health Profiles Cape Province Women and maternal health Value highlighted in green performance is ranked among the 0 best in the country Value highlighted in red performance is ranked among the 0 worst in the country Value highlighted in orange performance of the local municipality is possibly below the performance of the district. 9

83 Section Section B: Profile B: Eastern District Health Cape Province Profiles Child and school health Value highlighted in green performance is ranked among the 0 best in the country Value highlighted in red performance is ranked among the 0 worst in the country Value highlighted in orange performance of the local municipality is possibly below the performance of the district. 9

84 Section B: District Profile Eastern Health Profiles Cape Province HIV Value highlighted in green performance is ranked among the 0 best in the country Value highlighted in red performance is ranked among the 0 worst in the country Value highlighted in orange performance of the local municipality is possibly below the performance of the district. 9

85 Section Section B: Profile B: Eastern District Health Cape Province Profiles Tuberculosis DHIS, ETR.Net, EDRWeb. Value highlighted in green performance is ranked among the 0 best in the country Value highlighted in red performance is ranked among the 0 worst in the country. 9

86 Section B: District Profile Eastern Health Profiles Cape Province Non-communicable diseases Value highlighted in green performance is ranked among the 0 best in the country Value highlighted in red performance is ranked among the 0 worst in the country Value highlighted in orange performance of the local municipality is possibly below the performance of the district. Numbers of deaths in facilities Percentage ideal clinics Ideal Clinic database. 9

87 Section Section B: Profile B: Eastern District Health Cape Province Profiles Vital ideal clinic elements in Primary Health Care facilities score (%) Nelson Mandela Bay Nelson Mandela A SD Nelson Mandela B SD Nelson Mandela C SD Restore the emergency trolley daily or after every time it was used 8 Resuscitation room is equipped with functional basic equipment for resuscitation 8 9 Cold chain procedure for vaccines is maintained % of the tracer medicines are available The temperature of the medicine room/dispensary is maintained within the safety range Ideal Clinic database. Number of facilities by level, 07/8 Human resources filled posts Persal, Ward-based outreach team database. 97