19 Mpumalanga Province

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1 Section B: Profile Mpumalanga and Province Profiles Mpumalanga Province Gert Sibande Municipality (DC) Gert Sibande is situated in Mpumalanga Province and has seven sub-districts: Albert Luthuli, Dipaleseng, Govan Mbeki, Lekwa, Mkhondo, Msukaligwa and Pixley Ka Seme. The district has a population of 0, with a population density of. people per km, and falls into socio-economic Quintile. Gert Sibande is one of the Health Insurance (NHI) pilot districts and has an estimated medical scheme coverage of.%. Number of facilities by level, / Clinic CHC Hospital Regional Hospital Central/Tertiary Hospitals Other Hospitals 0 Headcount and deaths, / / Data element / / / PHC headcount under years PHC headcount years and older 0 0 Patient day equivalent Deaths total 0 Still births Early neonatal deaths Late neonatal deaths Child under years with diarrhoea death Child under years with pneumonia death Child under years with severe acute malnutrition death Burden of disease profile For the percentage of deaths by broad cause, deaths are classified into four groups, namely: (i) injuries; (ii) noncommunicable 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 0. The second part of the graph shows the leading single causes of death within each age group (both genders) for 0 combined.

2 Section B: Profile Mpumalanga and Province Profiles Percentage of deaths by broad cause and leading causes, 0 : G Sibande (DC) Broadcause Injury NCD HIV and TB Comm_mat_peri_nut MP, G Sibande: DC, 0- Broad age.. Female Male < years % % % % % - % % % % % % % - % % % % % % % % - % % % % % % % + % % % % % % % Total % % % % % % % % % % % % % % < years Rank.. 0- Diarrhoeal diseases (.0%) Lower respiratory infections (.%) Preterm birth complications (.%) Birth asphyxia (.%) HIV/AIDS (.%) Protein-energy malnutrition (.%) Other perinatal conditions (.%) Tuberculosis (.%) Poisonings (including herbal) (.%) Sepsis/other newborn infectious (.%) Lower respiratory infections (.%) HIV/AIDS (.%) Tuberculosis (.0%) Diarrhoeal diseases (.%) Road injuries (.%) Drowning (.0%) Meningitis/encephalitis (.%) Accidental threats to breathing (.%) Epilepsy (.0%) Asthma (.%) HIV/AIDS (.%) Tuberculosis (.%) Lower respiratory infections (.%) Road injuries (.0%) Accidental threats to breathing (.%) Diarrhoeal diseases (.%) Interpersonal violence (.0%) Meningitis/encephalitis (.0%) Mechanical forces (.%) Fires, hot substances (.%) HIV/AIDS (.%) Tuberculosis (.%) Lower respiratory infections (.%) Diarrhoeal diseases (.%) Cerebrovascular disease (.%) Road injuries (.%) Diabetes mellitus (.0%) Hypertensive heart disease (.%) Meningitis/encephalitis (.%) Ischaemic heart disease (.%) Cerebrovascular disease (.%) Hypertensive heart disease (.%) Lower respiratory infections (.%) Diabetes mellitus (.%) Ischaemic heart disease (.%) Diarrhoeal diseases (.0%) Tuberculosis (.%) COPD (.%) Nephritis/nephrosis (.0%) HIV/AIDS (.%)

3 Section B: Profile Mpumalanga and Province Profiles Indicator performance: G Sibande (DC) value ranking Provincial target Category Indicator / / / / / / / Management Percentage ideal clinics... PHC Percentage of fixed PHC facilities with patients that have access..0. to a medical practitioner Management Average length of stay (district hospitals) [Days] Inpatients Expenditure per patient day equivalent (district hospitals) [Rand (real / prices)] Inpatient bed utilisation rate (district hospitals) Inpatient crude death rate OPD new client not referred rate (district hospitals) Delivery Delivery by caesarean section rate (district hospitals)..... Delivery in facility under years rate Inpatient early neonatal death rate [per 000 live births] Maternal mortality in facility ratio [per live births] Mother postnatal visit within days rate Stillbirth in facility rate [per 000 births] PMTCT Antenatal st visit before weeks rate Antenatal client initiated on ART rate Percentage of PCR tests positive at birth.0.. Child Health Child under years diarrhoea case fatality rate Child under years pneumonia case fatality rate Child under years severe acute malnutrition case fatality rate Inpatient death under year rate School Grade screening coverage (annualised) Vitamin A dose - months coverage (annualised) Immunisation Immunisation coverage under year Measles nd dose coverage (annualised) Reproductive Cervical cancer screening coverage (annualised) [Percentage of health women + /] Couple year protection rate (annualised) HIV HIV testing coverage (including ANC)..... Male condom distribution coverage [Condoms per male +] Noncommunicable Diabetes incidence (annualised) [per 000 population]..... Hypertension incidence (annualised) [per 000 population +]..... diseases Human Percentage of fixed PHC facilities with performance management..0. Resources agreement for all staff Percentage of fixed PHC facilities with staffing in line with WISN... value ranking Provincial target Category Indicator & / & / * * * * TB case finding Incidence (diagnosed cases) of TB (ETR.net)..... [Cases per population] TB Rifampicin resistance confirmed client rate..... TB treatment TB cure rate (new sm+)..... outcomes TB treatment success rate (ETR.net) TB death rate (ETR.net)..... New smear positive pulmonary TB loss to follow up..... rate TB MDR treatment success rate (EDRWeb)....0 HIV Percentage of TB cases with known HIV status..... (ETR.net) TB/HIV co-infected client on ART rate (ETR.Net) NCDs Hypertension prevalence rate (crude)....

4 Section B: Profile Mpumalanga and Province Profiles value ranking Provincial target Category Indicator & / & / * * * * Burden of Percentage of YLLs due to non-communicable disease diseases Percentage of YLLs due to HIV and TB Percentage of YLLs due to communicable,..... maternal, perinatal, nutrition causes Percentage of deaths garbage codes Percentage of YLLs due to injuries..... Percentage of deaths ill-defined..... * value for most recent year which ranges from to Value in red improvement strategies are urgently needed Value highlighted in yellow performance is ranked among the best in the country Value highlighted in red performance is ranked among the worst in the country 0

5 Section B: Profile Mpumalanga and Province Profiles Annual indicators for district: G Sibande (DC) _DHS exp per capita _PHC exp per capita 0 0_PHC exp per headcount.0.. 0_Avg length of stay (DH) _Crude death rate 0_Expenditure per PDE (DH) 0_OPD new not ref rate (DH) 0_Usable bed util (DH) _Caesarean sect (DH) 0_Deliv in fac < 0_IP early neo death rate 0 0_Maternal Mort ratio Value 0 0 0_Postnatal mother <d 0_Stillbirth rate 0_ANC st visit < w rate 0_ANC initiate ART rate _Child < diar fat rate 0_Child < pneumo death 0_Child < sev mal fata 0_Inpat death < rate value Provincial ZA (national)

6 Section B: Profile Mpumalanga and Province Profiles Annual indicators for district: G Sibande (DC) 0_School G screen cov yy 0_VitA mm cov yy 0_Imm cov < yy 0_Measles nd cov yy _Cerv cancer screen cov yy 0_Couple year protect rate 0_New pulmonary TB LTF rate 0_RIF resistance rate 0 0_TB cure rate new sm+ 0_TB deaths all TB 0_TB inc all TB 0_TB success all TB Value _HIV test cov inc ANC _Male cond dist cov yy _TB known HIV status _TB/HIV on ART _Diabetes incidence yy _Hypertension inci yy _Hypertension prevalence _Garbage codes value Provincial ZA (national)

7 Section B: Profile Mpumalanga and Province Profiles Nkangala Municipality (DC) Nkangala is situated in Mpumalanga Province and has six sub-districts: Dr JS Moroka, Emakhazeni, Emalahleni, Steve Tshwete, Thembisile Hani and Victor Khanye. The district has a population of, with a population density of.0 people per km and falls into socio-economic Quintile. Estimated medical scheme coverage is.%. Number of facilities by level, / Clinic CHC Hospital Regional Hospital Central/Tertiary Hospitals Other Hospitals 0 Headcount and deaths, / / Data element / / / PHC headcount under years PHC headcount years and older Patient day equivalent 0 0 Deaths total Still births Early neonatal deaths Late neonatal deaths Child under years with diarrhoea death Child under years with pneumonia death Child under years with severe acute malnutrition death Burden of disease profile For the percentage of deaths by broad cause, deaths are classified into four groups, namely: (i) injuries; (ii) noncommunicable 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 0. The second part of the graph shows the leading single causes of death within each age group (both genders) for 0 combined.

8 Section B: Profile Mpumalanga and Province Profiles Percentage of deaths by broad cause and leading causes, 0 : Nkangala (DC) Broadcause Injury NCD HIV and TB Comm_mat_peri_nut MP, Nkangala: DC, 0- Broad age.. Female Male < years % % % % % % - % % % % % % % - % % % % % % % % - % % % % % % % + % % % % % % % Total % % % % % % % % % % % % % < years Rank.. 0- Diarrhoeal diseases (.%) Lower respiratory infections (.%) Preterm birth complications (.%) HIV/AIDS (.%) Birth asphyxia (.%) Protein-energy malnutrition (.%) Sepsis/other newborn infectious (.%) Poisonings (including herbal) (.%) Septicaemia (.%) Other perinatal conditions (.%) Lower respiratory infections (.%) HIV/AIDS (.%) Diarrhoeal diseases (.%) Tuberculosis (.%) Road injuries (.%) Drowning (.%) Fires, hot substances (.%) Meningitis/encephalitis (.%) Epilepsy (.%) Poisonings (including herbal) (.%) HIV/AIDS (.%) Lower respiratory infections (.%) Tuberculosis (.%) Accidental threats to breathing (.%) Road injuries (.%) Poisonings (including herbal) (.%) Fires, hot substances (.0%) Diarrhoeal diseases (.%) Mechanical forces (.0%) Meningitis/encephalitis (.%) Tuberculosis (.%) HIV/AIDS (.%) Lower respiratory infections (.%) Ischaemic heart disease (.%) Hypertensive heart disease (.0%) Cerebrovascular disease (.0%) Diarrhoeal diseases (.%) Road injuries (.%) Diabetes mellitus (.%) COPD (.%) Hypertensive heart disease (.%) Cerebrovascular disease (.%) Lower respiratory infections (.%) Diabetes mellitus (.%) Ischaemic heart disease (.%) Tuberculosis (.%) COPD (.%) Diarrhoeal diseases (.%) Nephritis/nephrosis (.%) Septicaemia (.%)

9 Section B: Profile Mpumalanga and Province Profiles Indicator performance: Nkangala (DC) value ranking Provincial target Category Indicator / / / / / / / Management Percentage ideal clinics... PHC Percentage of fixed PHC facilities with patients that have access..0. to a medical practitioner Management Average length of stay (district hospitals) [Days]..... Inpatients Expenditure per patient day equivalent (district hospitals) [Rand (real / prices)] Inpatient bed utilisation rate (district hospitals) Inpatient crude death rate OPD new client not referred rate (district hospitals) Delivery Delivery by caesarean section rate (district hospitals)..... Delivery in facility under years rate Inpatient early neonatal death rate [per 000 live births] Maternal mortality in facility ratio [per live births] Mother postnatal visit within days rate Stillbirth in facility rate [per 000 births] PMTCT Antenatal st visit before weeks rate Antenatal client initiated on ART rate Percentage of PCR tests positive at birth.0.. Child Health Child under years diarrhoea case fatality rate Child under years pneumonia case fatality rate Child under years severe acute malnutrition case fatality rate Inpatient death under year rate School Grade screening coverage (annualised) Vitamin A dose - months coverage (annualised) Immunisation Immunisation coverage under year Measles nd dose coverage (annualised) Reproductive Cervical cancer screening coverage (annualised) [Percentage of health women + /] Couple year protection rate (annualised) HIV HIV testing coverage (including ANC) Male condom distribution coverage [Condoms per male +] Noncommunicable Diabetes incidence (annualised) [per 000 population]..... Hypertension incidence (annualised) [per 000 population +] diseases Human Percentage of fixed PHC facilities with performance management.0.0. Resources agreement for all staff Percentage of fixed PHC facilities with staffing in line with WISN... value ranking Provincial target Category Indicator & / & / * * * * TB case finding Incidence (diagnosed cases) of TB (ETR.net)..... [Cases per population] TB Rifampicin resistance confirmed client rate..... TB treatment TB cure rate (new sm+) outcomes TB treatment success rate (ETR.net) TB death rate (ETR.net)..... New smear positive pulmonary TB loss to follow up..... rate TB MDR treatment success rate (EDRWeb)....0 HIV Percentage of TB cases with known HIV status..... (ETR.net) TB/HIV co-infected client on ART rate (ETR.Net) NCDs Hypertension prevalence rate (crude)....

10 Section B: Profile Mpumalanga and Province Profiles value ranking Provincial target Category Indicator & / & / * * * * Burden of Percentage of YLLs due to non-communicable disease diseases Percentage of YLLs due to HIV and TB Percentage of YLLs due to communicable,..... maternal, perinatal, nutrition causes Percentage of deaths garbage codes..... Percentage of YLLs due to injuries..... Percentage of deaths ill-defined..... * value for most recent year which ranges from to Value in red improvement strategies are urgently needed Value highlighted in yellow performance is ranked among the best in the country Value highlighted in red performance is ranked among the worst in the country

11 Section B: Profile Mpumalanga and Province Profiles Annual indicators for district: Nkangala (DC) 0 0_DHS exp per capita 00 0_PHC exp per capita 0_PHC exp per headcount. 0_Avg length of stay (DH) _Crude death rate 0_Expenditure per PDE (DH) 0_OPD new not ref rate (DH) 0_Usable bed util (DH) _Caesarean sect (DH) 0_Deliv in fac < 0_IP early neo death rate 0_Maternal Mort ratio 0 Value 0 0 0_Postnatal mother <d 0_Stillbirth rate 0_ANC st visit < w rate 0 0_ANC initiate ART rate _Child < diar fat rate 0_Child < pneumo death 0_Child < sev mal fata 0_Inpat death < rate value Provincial ZA (national)

12 Section B: Profile Mpumalanga and Province Profiles Annual indicators for district: Nkangala (DC) 0_School G screen cov yy 0_VitA mm cov yy 0_Imm cov < yy 0 0_Measles nd cov yy _Cerv cancer screen cov yy 0_Couple year protect rate 0_New pulmonary TB LTF rate 0_RIF resistance rate 0 0 0_TB cure rate new sm+ 0_TB deaths all TB 0_TB inc all TB 0_TB success all TB Value _HIV test cov inc ANC _Male cond dist cov yy _TB known HIV status 0 _TB/HIV on ART 0 _Diabetes incidence yy _Hypertension inci yy _Hypertension prevalence _Garbage codes value Provincial ZA (national)

13 Section B: Profile Mpumalanga and Province Profiles Ehlanzeni Municipality (DC) Ehlanzeni Municipality is situated in Mpumalanga Province and has five sub-districts: Bushbuckridge, Mbombela, Nkomazi, Thaba Chweu and Umjindi. It shares borders with Swaziland and Mozambique. The district has a population of, with a population density of. people per km. It falls into socio-economic Quintile, among the secondwealthiest districts and has an estimated medical scheme coverage of.%. Number of facilities by level, / Clinic CHC Hospital Regional Hospital Central/Tertiary Hospitals Other Hospitals Headcount and deaths, / / Data element / / / PHC headcount under years 00 0 PHC headcount years and older Patient day equivalent 0 0 Deaths total 0 00 Still births Early neonatal deaths Late neonatal deaths Child under years with diarrhoea death Child under years with pneumonia death Child under years with severe acute malnutrition death Burden of disease profile For the percentage of deaths by broad cause, deaths are classified into four groups, namely: (i) injuries; (ii) noncommunicable 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 0. The second part of the graph shows the leading single causes of death within each age group (both genders) for 0 combined.

14 Section B: Profile Mpumalanga and Province Profiles Percentage of deaths by broad cause and leading causes, 0 : Ehlanzeni (DC) Broadcause Injury NCD HIV and TB Comm_mat_peri_nut MP, Ehlanzeni: DC, 0- Broad age.. Female Male < years % % % % % % % + % % % % % % % % % % % % % % % % % % % % % % % % % % % % Total % % % % % % % % % % % % % < years Rank.. 0- Diarrhoeal diseases (.%) Lower respiratory infections (.%) Preterm birth complications (.%) HIV/AIDS (.%) Protein-energy malnutrition (.%) Birth asphyxia (.%) Tuberculosis (.%) Sepsis/other newborn infectious (.%) Other perinatal conditions (.%) Meningitis/encephalitis (.0%) Tuberculosis (.%) Diarrhoeal diseases (.%) Lower respiratory infections (.%) HIV/AIDS (.%) Road injuries (.%) Meningitis/encephalitis (.%) Drowning (.%) Cerebrovascular disease (.%) Other unintentional injuries (.%) Septicaemia (.%) Tuberculosis (.%) HIV/AIDS (.%) Road injuries (.%) Lower respiratory infections (.%) Diarrhoeal diseases (.%) Meningitis/encephalitis (.%) Accidental threats to breathing (.%) Interpersonal violence (.%) Mechanical forces (.%) Drowning (.%) Tuberculosis (.%) HIV/AIDS (.0%) Lower respiratory infections (.%) Diarrhoeal diseases (.%) Cerebrovascular disease (.%) Road injuries (.%) Meningitis/encephalitis (.%) Diabetes mellitus (.%) Hypertensive heart disease (.0%) Ischaemic heart disease (.0%) Cerebrovascular disease (.0%) Hypertensive heart disease (.%) Lower respiratory infections (.%) Diabetes mellitus (.%) Tuberculosis (.%) Ischaemic heart disease (.%) Diarrhoeal diseases (.%) Nephritis/nephrosis (.0%) Cardiomyopathy (.%) Septicaemia (.%)

15 Section B: Profile Mpumalanga and Province Profiles Indicator performance: Ehlanzeni (DC) value ranking Provincial target Category Indicator / / / / / / / Management Percentage ideal clinics... PHC Percentage of fixed PHC facilities with patients that have access to..0. a medical practitioner Management Average length of stay (district hospitals) [Days]..... Inpatients Expenditure per patient day equivalent (district hospitals) [Rand (real / prices)] Inpatient bed utilisation rate (district hospitals) Inpatient crude death rate OPD new client not referred rate (district hospitals) Delivery Delivery by caesarean section rate (district hospitals)..... Delivery in facility under years rate..... Inpatient early neonatal death rate [per 000 live births] Maternal mortality in facility ratio [per live births] Mother postnatal visit within days rate Stillbirth in facility rate [per 000 births]..... PMTCT Antenatal st visit before weeks rate Antenatal client initiated on ART rate Percentage of PCR tests positive at birth... Child Health Child under years diarrhoea case fatality rate Child under years pneumonia case fatality rate Child under years severe acute malnutrition case fatality rate Inpatient death under year rate..... School Grade screening coverage (annualised) Vitamin A dose - months coverage (annualised) Immunisation Immunisation coverage under year Measles nd dose coverage (annualised) Reproductive Cervical cancer screening coverage (annualised) [Percentage of health women + /] Couple year protection rate (annualised) HIV HIV testing coverage (including ANC) Male condom distribution coverage [Condoms per male +] Noncommunicable Diabetes incidence (annualised) [per 000 population] Hypertension incidence (annualised) [per 000 population +]..... diseases Human Percentage of fixed PHC facilities with performance management.0.0. Resources agreement for all staff Percentage of fixed PHC facilities with staffing in line with WISN value ranking Provincial target Category Indicator & / & / * * * * TB case finding Incidence (diagnosed cases) of TB (ETR.net)..... [Cases per population] TB Rifampicin resistance confirmed client rate TB treatment TB cure rate (new sm+) outcomes TB treatment success rate (ETR.net) TB death rate (ETR.net)..... New smear positive pulmonary TB loss to follow up..... rate TB MDR treatment success rate (EDRWeb)....0 HIV Percentage of TB cases with known HIV status (ETR.net) TB/HIV co-infected client on ART rate (ETR.Net) NCDs Hypertension prevalence rate (crude)....

16 Section B: Profile Mpumalanga and Province Profiles value ranking Provincial target Category Indicator & / & / * * * * Burden of Percentage of YLLs due to non-communicable disease diseases Percentage of YLLs due to HIV and TB Percentage of YLLs due to communicable,..... maternal, perinatal, nutrition causes Percentage of deaths garbage codes Percentage of YLLs due to injuries..... Percentage of deaths ill-defined * value for most recent year which ranges from to Value in red improvement strategies are urgently needed Value highlighted in yellow performance is ranked among the best in the country Value highlighted in red performance is ranked among the worst in the country

17 Section B: Profile Mpumalanga and Province Profiles Annual indicators for district: Ehlanzeni (DC) 0_DHS exp per capita 00 0_PHC exp per capita 0_PHC exp per headcount 0_Avg length of stay (DH) _Crude death rate 0_Expenditure per PDE (DH) 0 0_OPD new not ref rate (DH) 0_Usable bed util (DH) _Caesarean sect (DH) 0_Deliv in fac < 0_IP early neo death rate 0 0_Maternal Mort ratio Value _Postnatal mother <d 0_Stillbirth rate 0 0_ANC st visit < w rate 0 0 0_ANC initiate ART rate _Child < diar fat rate 0_Child < pneumo death 0_Child < sev mal fata 0_Inpat death < rate value Provincial ZA (national)

18 Section B: Profile Mpumalanga and Province Profiles Annual indicators for district: Ehlanzeni (DC) 0_School G screen cov yy 0_VitA mm cov yy 0_Imm cov < yy 0_Measles nd cov yy _Cerv cancer screen cov yy 0_Couple year protect rate 0_New pulmonary TB LTF rate 0_RIF resistance rate 0 0 0_TB cure rate new sm+ 0_TB deaths all TB 0_TB inc all TB 0_TB success all TB Value _HIV test cov inc ANC _Male cond dist cov yy _TB known HIV status _TB/HIV on ART _Diabetes incidence yy _Hypertension inci yy _Hypertension prevalence _Garbage codes value Provincial ZA (national)

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