20mpopo province li - health systems trust health... · 2018-01-24 · section b: national and...

554

Section B: National and District Profiles

554

Section B: Profile Limpopo Province

Population per selected category

Population category 2017 2018 2019 2020

under 1 year 27 962 27 875 27 195 26 012

under 5 years 137 287 137 200 135 841 133 506

05-09 years 128 595 130 142 131 931 133 933

10-14 years 119 168 121 295 123 342 125 104

15-19 years 113 626 111 946 111 872 113 308

20-24 years 122 592 118 219 113 340 108 806

25-29 years 124 009 124 059 123 035 120 664

30-34 years 99 610 105 531 111 694 117 599

35-39 years 81 012 83 494 85 532 87 295

40-44 years 63 687 66 218 68 904 71 636

45-49 years 51 503 52 907 54 444 56 182

50-54 years 42 753 43 816 44 867 45 919

55-59 years 35 655 36 304 37 086 37 936

60-64 years 31 102 31 481 31 693 31 910

65-69 years 22 768 23 921 25 085 26 115

70-74 years 14 742 15 277 15 930 16 729

75-79 years 10 364 10 340 10 316 10 325

80 years and older 9 736 10 054 10 383 10 725

Total 1 208 210 1 222 202 1 235 297 1247 693

Estimated pregnant women* 29 919 29 826 29 099 27 833

Source: Mid-Year Population Estimates 2016 StatsSA. * Under 1 year population X 1.07.

20 Limpopo Province

Mopani District Municipality (DC33)

Mopani is located in the north-eastern quadrant of Limpopo Province and comprises five health sub-districts: Ba-Phalaborwa, Greater Giyani, Greater Letaba, Greater Tzaneen and Maruleng. It has a population of 1 138 063, with a population density of 56.9 persons per km2 and falls in socio-economic Quintile 2. Estimated medical scheme coverage is 6.7%.

Social determinants of healtha

Unemployment ratea 39.4%

Youth unemployment rate (15-34 years)a 51.4%

No schooling 17.1%

Matric 24.8%

Higher education 8.1%

Households 338 427

Female-headed households 49.2%

Formal dwellings 90.7%

Flush toilet connected to sewerage 14.1%

Weekly refuse removal 15.6%

Piped water inside dwellings 12.8%

Electricity for lighting 94.5%

Blue Drop water score 62.0%

Source: StatsSA. 2014 Blue Drop Report.

Population distribution sub-district boundaries and health facility locations

a Statistics South Africa. Census 2011 Municipal fact sheet. Report No. 03-01-58. Pretoria: Statistics SA; 2012.


555


555

Number of facilities by level, 2016/17

Ward based outreach

teams Clinic CHCDistrict Hospital

Regional Hospital

Central/Tertiary

HospitalsOther

Hospitals

Ba-Phalaborwa SD 20 10 1 1 0 0 0

Greater Giyani SD 32 27 2 1 0 0 2

Greater Letaba SD 29 20 1 1 0 0 0

Greater Tzaneen SD 34 31 4 2 1 0 2

Maruleng SD 14 11 0 1 0 0 0

Mopani 129 99 8 6 1 0 4

Source: DHIS.

Human resources – filled posts, 2016

Community Health

WorkersNursing

assistantsEnrolled

nurseProfessional

nurseMedical

practitioners PharmacistsDental

practitionersOccupational

therapy Physiotherapy

Speech Therapy and Audiology

Mopani 2 333 1 039 763 1 885 148 76 35 26 31 16

Source: Persal, DHIS.

Management and efficiency indicators for the service delivery platform, 2016/17

PHC Management

Output Process & input

PHC utilisation rate (No)

Percentage Ideal clinics

(%)

Percentage of assessed PHC facilities with 90% of tracer

medicines available (%)

Provincial and LG

District Health Services

expenditure per capita

(uninsured) (Rand)

Provincial and LG PHC expenditure per capita

(uninsured) (Rand)

Provincial and LG PHC expenditure

per PHC headcount

(Rand)

2016/17 2016/17 2016/17 2016/17 2016/17 2016/17

Ba-Phalaborwa SD Indicator 2.4 - - - - -

Numerator 392 300 - - - - -

Denominator 1 922 481 - - - - -

Greater Giyani SD Indicator 3.2 - - - - -

Numerator 791 651 - - - - -

Denominator 3 009 570 - - - - -

Greater Letaba SD Indicator 2.8 - - - - -

Numerator 605 191 - - - - -

Denominator 2 632 677 - - - - -

Greater Tzaneen SD Indicator 3.2 - - - - -

Numerator 1 303 913 - - - - -

Denominator 4 930 128 - - - - -

Maruleng SD Indicator 3.4 - - - - -

Numerator 337 306 - - - - -

Denominator 1 186 938 - - - - -

Mopani Indicator 3.0 1.9 35.5 2 103 900 279

Numerator 3 430 361 2 33 2 232 893 864 955 626 479 955 626 479

Denominator 13 681 794 105 93 1 061 534 1 061 534 3 430 361

Limpopo Indicator 2.7 10.6 56.9 2 082 866 301

South Africa Indicator 2.3 29.8 78.4 1 726 1 054 389

Source: DHIS.

556


556

Section B: Profile Limpopo ProvinceH

ospi

tal

Dis

tric

t Hos

pita

lR

egio

nal H

ospi

tal

Tert

iary

/Cen

tral

Hos

pita

l

Aver

age

leng

th o

f st

ay -

tota

l (D

ays)

Expe

nditu

re

per p

atie

nt

day

equi

vale

nt

(Ran

d)

Inpa

tient

bed

ut

ilisa

tion

rate

- to

tal

(%)

Inpa

tient

cr

ude

deat

h ra

te (%

)

OPD

new

cl

ient

not

re

ferr

ed ra

te

(%)

Aver

age

leng

th o

f st

ay -

tota

l (D

ays)

Expe

nditu

re

per p

atie

nt

day

equi

vale

nt

(Ran

d)

Inpa

tient

bed

ut

ilisa

tion

rate

- to

tal

(%)

Inpa

tient

cr

ude

deat

h ra

te (%

)

OPD

new

cl

ient

not

re

ferr

ed ra

te

(%)

Aver

age

leng

th o

f st

ay -

tota

l (D

ays)

Expe

nditu

re

per p

atie

nt

day

equi

vale

nt

(Ran

d)

Inpa

tient

bed

ut

ilisa

tion

rate

- to

tal

(%)

Inpa

tient

cr

ude

deat

h ra

te (%

)

OPD

new

cl

ient

not

re

ferr

ed ra

te

(%)

Ba-P

hala

borw

a SD

Indi

cato

r4.

52

684

89.5

5.5

83.1

- -

- -

- -

- -

- -

Num

erat

or33

988

153

201

360

33 9

8841

825

081

- -

- -

- -

- -

- -

Den

omin

ator

7 56

557

086

37 9

647

565

30 1

78 -

- -

- -

- -

- -

-

Gre

ater

Giy

ani S

DIn

dica

tor

4.2

2 16

079

.64.

677

.9 -

- -

- -

- -

- -

-

Num

erat

or71

523

206

156

899

71 5

2377

424

103

- -

- -

- -

- -

- -

Den

omin

ator

16 9

6795

435

89 8

0016

967

30 9

25 -

- -

- -

- -

- -

-

Gre

ater

Let

aba

SDIn

dica

tor

4.7

2 26

376

.95.

840

.6 -

- -

- -

- -

- -

-

Num

erat

or49

991

158

651

706

49 9

9162

317

563

- -

- -

- -

- -

- -

Den

omin

ator

10 7

0770

094

64 9

7710

707

43 3

05 -

- -

- -

- -

- -

-

Gre

ater

Tza

neen

SD

Indi

cato

r4.

43

207

58.6

6.8

74.4

4.9

3 94

365

.06.

446

.7 -

- -

- -

Num

erat

or43

737

276

741

365

43 7

3767

341

774

58 5

6937

2 65

8 82

158

569

768

18 4

56 -

- -

- -

Den

omin

ator

9 89

386

298

74 6

519

893

56 1

7812

016

94 5

0990

165

12 0

1639

546

- -

- -

-

Mar

ulen

g SD

Indi

cato

r5.

23

113

59.0

5.3

92.8

- -

- -

- -

- -

- -

Num

erat

or28

431

137

839

104

28 4

3128

723

040

- -

- -

- -

- -

- -

Den

omin

ator

5 43

544

278

48 1

855

435

24 8

27 -

- -

- -

- -

- -

-

Mop

ani

Indi

cato

r4.

52

640

72.1

5.5

71.0

4.9

3 94

365

.06.

446

.7 -

- -

- -

Num

erat

or22

7 66

893

2 59

0 43

322

7 66

82

775

131

561

58 5

6937

2 65

8 82

158

569

768

18 4

56 -

- -

- -

Den

omin

ator

50 5

6735

3 19

231

5 57

750

567

185

413

12 0

1694

509

90 1

6512

016

39 5

46 -

- -

- -

Lim

popo

Indi

cato

r4.

32

993

69.6

5.0

75.3

4.9

3 05

172

.35.

060

.47.

34

611

75.5

6.1

12.0

Sout

h Af

rica

Indi

cato

r4.

42

568

67.4

5.1

59.3

5.3

2 89

478

.35.

037

.26.

94

227

84.3

5.4

20.3

Sour

ce:

DH

IS a

nd B

AS.

2008 2010 2012 2014 2016 2018Year

1_M

anag

emen

t

1_Im

pact

Inpatient crudedeath rate

2_O

utco

me

Average lengthof stay (districthospitals)

Expenditure perpatient dayequivalent(districthospitals)

3_O

utpu

t

Inpatient bedutilisation rate(districthospitals)

OPD new clientnot referred rate(districthospitals)

4_P

roce

ss_i

nput

PercentageIdeal clinics

Provincial andLG DistrictHealth Servicesexpenditure percapita(uninsured)

Provincial andLG PHCexpenditure percapita(uninsured)

Provincial andLG PHCexpenditure perPHC headcount

2

4

6

8

2

4

6

8

1K

2K

3K

4K

50

100

0

50

100

0

50

100

1K

2K

3K

500

1000

1500

200

400

LP, DC33, Mopani District Municipality, SEQ 2 (deprived)

Measure NamesIndValueProv_avZA_av

Meas ure NamesIndV alue

P rov_av

ZA_av


557


557

Annual trends Management and efficiency indicators for the service delivery platform, 2016/17

Deaths and Patient day equivalent 2014/15 – 2016/17

D

ata

Elem

ent

(Num

ber)

2014

/15

2015

/16

2016

/17

PHC

/ CH

C / M

OU

*D

istr

ict

Hos

pita

lR

egio

nal

Hos

pita

l

Cen

tral

/te

rtia

ry

Hos

pita

lD

istr

ict

Tota

lPH

C / C

HC

/ MO

UD

istr

ict

Hos

pita

lR

egio

nal

Hos

pita

l

Cen

tral

/te

rtia

ry

Hos

pita

lD

istr

ict

Tota

lPH

C / C

HC

/ MO

UD

istr

ict

Hos

pita

lR

egio

nal

Hos

pita

l

Cen

tral

/te

rtia

ry

hosp

ital

Dis

tric

t To

tal

Mat

erna

l dea

ths

621

8-

351

272

-30

-23

8-

31

Live

birt

hs7

494

16 0

163

149

-26

659

6 11

515

750

3 01

5-

24 8

804

426

16 1

433

335

-23

904

Still

birth

s62

423

64-

549

5031

762

-42

936

333

75-

444

Child (under 5 years)

Infant (under 1

year)

Neo-natal

Dea

th in

faci

lity

0-7d

ays

123

044

-27

5-

188

64-

252

118

143

-22

5

Dea

th in

faci

lity

8-28

day

s -

2211

-33

-21

9-

30-

509

-59

Dea

th in

faci

lity

29 d

ays

- 11

mon

ths

-12

138

-15

9-

3913

-52

-47

17-

64

Dea

th in

faci

lity

12 –

59

mon

ths

-99

26-

125

-68

12-

80-

7212

-84

Dia

rrho

ea d

eath

und

er 5

yea

rs

-71

15-

86-

396

-45

-24

10-

34

Pneu

mon

ia d

eath

und

er 5

yea

rs-

5016

-66

-26

8-

34-

268

-34

Seve

re a

cute

mal

nutri

tion

deat

h un

der 5

yea

rs

-56

14-

70-

386

-44

-36

10-

46

TB D

eath

s 1

550

125

180

-1

855

1 26

528

517

5-

1 72

5-

--

--

Inpa

tient

dea

th to

tal

12

906

951

-3

858

13

093

736

-3

830

162

775

768

-3

559

Patie

nt d

ay e

quiv

alen

t2

823

373

009

101

044

-47

6 87

61

976

356

207

91 5

33-

449

716

2 99

435

3 19

294

509

-45

0 69

5

Sour

ce:

DH

IS. *

MO

U –

Mat

erna

l Obs

tetr

ic U

nit.

AgeGroup.. Female Male<5 years

5-1415-2425-64

65+Total 34%

27%29%

35%44%

79%

20%5%

35%31%

23%7%

42%66%

33%20%19%

9%

4%2%4%

14%14%

5%

33%24%27%

21%37%

79%

21%8%

32%13%

21%7%

35%64%

30%18%

16%9%

10%3%

11%48%

26%6%

LP, Mopani: DC33, 2010 - 2015

Rank.. Female Male

<5 y

ears

12345678910

5-14

12345678910

15-2

4

12345678910

25-6

4

12345678910

65+

12345678910

Other perinatal conditions (1.8%)

Poisonings (including herbal) (2.3%)

Birth asphyxia (5.3%)Protein-energy malnutrition (7.6%)

Preterm birth complications (11.2%)

Meningitis/encephalitis (5.2%)

Diarrhoeal diseases (22.3%)Lower respiratory infections (22.9%)

Tuberculosis (2.0%)

HIV/AIDS (5.0%)

Drowning (2.5%)Protein-energy malnutrition (2.7%)


Accidental threats to breathing (3.9%)Road injuries (6.0%)

Nephritis/nephrosis (3.5%)


Tuberculosis (14.1%)HIV/AIDS (12.0%)

Cardiomyopathy (2.1%)


Accidental threats to breathing (2.6%)

Interpersonal violence (2.0%)

Road injuries (5.0%)




Cervix (2.8%)Endocrine nutritional,blood, immune (1.6%)



Diabetes mellitus (4.6%)

Diarrhoeal diseases (9.5%)

Cerebrovascular disease (4.2%)

Lower respiratory infections (11.2%)Tuberculosis (16.0%)

HIV/AIDS (18.7%)




Hypertensive heart disease (6.7%)



Ischaemic heart disease (3.1%)

Cerebrovascular disease (20.3%)Lower respiratory infections (11.6%)

Tuberculosis (3.1%)

Sepsis/other newborn infectious (2.2%)






Tuberculosis (2.5%)

HIV/AIDS (4.1%)

Other unintentional injuries (2.1%)

Drowning (11.7%)

Meningitis/encephalitis (6.6%)Accidental threats to breathing (3.0%)



Diarrhoeal diseases (15.7%)Lower respiratory infections (12.5%)Tuberculosis (11.9%)

HIV/AIDS (11.0%)

Drowning (3.7%)


Mechanical forces (4.2%)

Accidental threats to breathing (11.5%)Interpersonal violence (11.3%)



Tuberculosis (8.3%)

HIV/AIDS (5.7%)




Nephritis/nephrosis (3.4%)Diabetes mellitus (3.4%)



Lower respiratory infections (11.0%)


Prostate (3.7%)








Tuberculosis (6.2%)

Rank.. Maternal conditions All other causes

Fem

ale

15-4

9

12345678910

Abortion (16.5%) n=24Maternal haemorrhage (13.1%) n=19

Hypertension in pregnancy (19.5%) n=29Other maternal (20.3%) n=30

Indirect maternal (30.5%) n=45

Diabetes mellitus (2.2%) n=234

Road injuries (1.7%) n=181

Cervix (2.0%) n=204

Nephritis/nephrosis (3.0%) n=314

Cerebrovascular disease (1.9%) n=197

Meningitis/encephalitis (6.0%) n=624Diarrhoeal diseases (10.2%) n=1 069Lower respiratory infections (12.4%) n=1 294

Tuberculosis (18.6%) n=1 946HIV/AIDS (22.0%) n=2 306

Percentage ofdeaths by broad

causes andsingle leading

causes

BroadcauseInjury

NCD

HIV and TB

Comm_mat_peri_nut

Prov, DistrictLP, Mopani: DC33

Show history

Percentages are shownaccording to all the deaths

within the age/gendercategory of each box,

although only the leading10 causes are displayed.

558


558


Burden of disease profile

For the percentage of deaths by broad cause, deaths are classified into four groups namely: (i) injuries; (ii) non-communicable diseases; (iii) HIV and TB; and (iv) communicable diseases together with maternal perinatal and nutritional conditions. Data are given by gender and age group for the period 2010–2015. The second part of the graph shows the 10 leading single causes of death within each age group (both genders) for 2010–2015 combined.

Percentage of deaths by broad cause and leading causes 2010–2015

2009 2010 2011 2012 2013 2014 2015 2016Year

2_M

ater

nal a

nd w

omen

's h

ealth

1_Im

pact Maternal

mortality infacility ratio

2_O

utco

me

Antenatal 1stvisit before 20weeks rate

Couple yearprotection rate(WHO)

Delivery infacility under 18years rate

Motherpostnatal visitwithin 6 daysrate

3_O

utpu

t

Antenatal clientinitiated on ARTrate

Cervical cancerscreeningcoverage

0

200

400

600

800

20

40

60

80

100

200

5

10

15

0

100

200

50

100

150

200

50

100

150




559


559

Maternal and Women’s Health

Impact Outcome Output

Maternal mortality in facility ratio (per100K)

Antenatal client initiated

on ART rate (%)

Delivery in facility under 18 years rate

(%)

Antenatal 1st visit before 20 weeks rate (%)

Cervical cancer

screening coverage (%)

Couple year protection rate

(WHO) (%)

Mother postnatal visit within 6 days

rate (%)

2016/17 2016/17 2016/17 2016/17 2016/17 2016/17 2016/17

Ba-Phalaborwa SD Indicator 161.0 91.9 6.9 70.4 67.0 80.2 81.9

Numerator 5 422 215 2 531 2 319 37 479 2 534

Denominator 3 106 459 3 095 3 594 41 528 560 826 3 095

Greater Giyani SD Indicator 16.9 100.0 8.5 71.0 65.1 101.7 80.7

Numerator 1 682 503 4 140 3 803 76 586 4 774

Denominator 5 901 682 5 916 5 829 70 070 903 975 5 916

Greater Letaba SD Indicator 219.6 98.0 6.3 64.8 47.6 72.2 85.3

Numerator 10 585 289 2 896 2 535 46 208 3 888

Denominator 4 553 597 4 559 4 470 63 865 767 532 4 559

Greater Tzaneen SD Indicator 134.0 93.1 6.2 70.1 57.2 77.0 69.2

Numerator 11 1 017 506 5 595 5 691 93 284 5 651

Denominator 8 211 1 092 8 169 7 976 119 411 1 453 392 8 169

Maruleng SD Indicator 187.5 97.3 5.2 76.6 95.1 174.1 88.6

Numerator 4 288 110 1 860 2 184 51 275 1 885

Denominator 2 133 296 2 127 2 428 27 567 353 391 2 127

Mopani Indicator 129.7 95.8 6.8 70.1 61.5 90.6 78.5

Numerator 31 2 994 1 623 17 022 16 532 304 832 18 732

Denominator 23 904 3 126 23 866 24 297 322 440 4 039 116 23 866

Limpopo Indicator 130.2 95.2 6.3 65.7 55.7 85.5 70.9

South Africa Indicator 116.9 95.1 6.8 65.2 61.5 70.2 70.3

Source: DHIS.

Annual trends

560


560


Child and School Health

Impa

ctO

utco

me

Out

put

Chi

ld u

nder

5

year

s di

arrh

oea

case

fata

lity

rate

(%)

Chi

ld u

nder

5

year

s pn

eum

onia

ca

se fa

talit

y ra

te (%

)

Chi

ld u

nder

5

year

s se

vere

acu

te

mal

nutr

ition

ca

se fa

talit

y ra

te (%

)

Inpa

tient

de

ath

unde

r 1

year

rate

(%)

Inpa

tient

de

ath

unde

r 5

year

rate

(%)

Inpa

tient

ea

rly n

eona

tal

deat

h ra

te

(per

1K)

Inpa

tient

ne

onat

al

deat

h ra

te

(per

1K)

Infa

nt P

CR

test

pos

itive

ar

ound

10

wee

ks ra

te

(%)

Imm

unis

atio

n co

vera

ge

unde

r 1 y

ear

(%)

Infa

nt

excl

usiv

ely

brea

stfe

d at

D

TaP-

IPV-

Hib

-HB

V 3rd

dose

rate

(%)

Mea

sles

2nd

dos

e co

vera

ge (%

)

Scho

ol G

rade

1

scre

enin

g co

vera

ge (%

)

Scho

ol G

rade

8

scre

enin

g co

vera

ge (%

)

Vita

min

A

dose

12-

59

mon

ths

cove

rage

(%)

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

Ba-P

hala

borw

a SD

Indi

cato

r1.

53.

415

.425

.312

.715

.822

.91.

084

.225

.910

4.0

20.6

15.5

54.3

Num

erat

or2

44

8183

4971

42

505

805

3 20

380

435

813

663

Den

omin

ator

131

118

2632

065

53

106

3 10

640

035

709

3 10

936

975

3 89

72

311

301

890

Gre

ater

Giy

ani S

DIn

dica

tor

2.0

3.0

14.4

7.7

6.0

7.5

9.2

0.4

67.6

14.1

120.

19.

413

.565

.5

Num

erat

or7

1121

5795

4454

32

846

667

5 79

973

082

528

193

Den

omin

ator

354

363

146

738

1 57

85

901

5 90

178

250

490

4 73

357

945

7 80

56

101

516

324

Gre

ater

Let

aba

SDIn

dica

tor

11.6

4.0

18.8

10.4

8.3

8.6

9.7

0.3

70.1

26.0

111.

964

.111

.062

.4

Num

erat

or13

96

6985

3944

22

716

1 01

14

702

3 76

956

522

255

Den

omin

ator

112

225

3266

11

029

4 55

34

553

731

46 5

093

888

50 4

125

883

5 14

642

8 04

0

Gre

ater

Tza

neen

SD

Indi

cato

r3.

22.

312

.99.

35.

88.

510

.81.

083

.020

.511

5.9

41.8

16.6

74.3

Num

erat

or11

915

112

136

7089

146

165

1 39

88

853

4 08

41

333

46 0

83

Den

omin

ator

341

399

116

1 20

52

360

8 21

18

211

1 36

389

124

6 82

491

683

9 78

08

047

743

982

Mar

ulen

g SD

Indi

cato

r1.

01.

5 -

15.6

8.5

10.8

12.2

0.6

101.

624

.413

4.1

45.2

20.8

85.4

Num

erat

or1

1 -

2933

2326

31

721

527

2 48

31

171

427

13 5

57

Den

omin

ator

101

6833

186

386

2 13

32

133

488

20 3

312

160

22 2

182

592

2 05

019

0 51

8

Mop

ani

Indi

cato

r3.

32.

913

.011

.27.

29.

411

.90.

779

.121

.311

5.9

35.2

14.8

68.1

Num

erat

or34

3446

348

432

225

284

2615

953

4 40

825

040

10 5

583

508

123

751

Den

omin

ator

1 03

91

173

353

3 11

060

0823

904

23 9

043

764

242

163

20 7

1425

9 23

335

9 48

428

3 86

02

180

754

Lim

popo

Indi

cato

r2.

12.

98.

39.

35.

910

.612

.21.

264

.528

.994

.531

.916

.554

.6

Sout

h Af

rica

Indi

cato

r2.

02.

08.

06.

34.

49.

912

.41.

382

.341

.696

.233

.019

.858

.0

Sour

ce:

DH

IS.

2009 2010 2011 2012 2013 2014 2015 2016Year

3_C

hild

and

sch

ool h

ealth

1_Im

pact

Child under 5years diarrhoeacase fatality rate

Child under 5yearspneumoniacase fatality rate

Child under 5years severeacutemalnutritioncase fatality rate

Inpatient earlyneonatal deathrate

3_O

utpu

t

Immunisationcoverage under1 year

Infantexclusivelybreastfed atDTaP-IPV-Hib-HBV 3rd doserate

Measles 2nddose coverage

School Grade 1screeningcoverage

0

50

100

0

10

20

30

0

20

40

60

0

10

20

50

100

150

20

40

60

80

50

100

150

0

50

100



2009 2010 2011 2012 2013 2014 2015 2016Year

4_H

IV

4_P

roce

ss_i

nput

HIV testingcoverage(including ANC)

Male condomdistributioncoverage

Medical malecircumcisionrate

20

40

60

100

200

0

20

40

6080




561


561

Annual trends Child and School Health

Annual trends HIV

562


562


HIV

3rd

90-

90-9

02nd

90-

90-9

01st

90-9

0-90

Out

com

eO

utpu

tPr

oces

s &

inpu

t

Adu

lt w

ith v

iral

load

com

plet

ion

rate

at 1

2 m

onth

s (%

)

Chi

ld w

ith v

iral

load

com

plet

ion

rate

at 1

2 m

onth

s (%

)

Adu

lt w

ith v

iral

load

sup

pres

sed

rate

12

mon

ths

(%)

Chi

ld w

ith v

iral

load

sup

pres

sed

rate

12

mon

ths

(%)

Adu

lt pe

rcen

tage

on

AR

T af

ter 1

2 m

onth

s (%

)

Chi

ld p

erce

ntag

e on

AR

T af

ter 1

2 m

onth

s (%

)C

lient

s re

mai

ning

on

AR

T ra

te (%

)

HIV

test

pos

itive

cl

ient

15

year

s an

d ol

der r

ate

(incl

udin

g A

NC

) (%

)

HIV

test

ing

cove

rage

(in

clud

ing

AN

C)

(%)

Mal

e co

ndom

di

strib

utio

n co

vera

ge (N

o)

Med

ical

mal

e ci

rcum

cisi

on ra

te

(per

1K)

2015

2015

2015

2015

2015

2015

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

Ba-P

hala

borw

a SD

Indi

cato

r84

.085

.585

.564

.470

.767

.6 -

-48

.854

.915

.1

Num

erat

or -

59 -

38 -

71 -

-46

343

3 17

2 59

196

9

Den

omin

ator

1 52

669

1 28

259

2 23

810

5 -

-1

139

616

692

898

772

542

Gre

ater

Giy

ani S

DIn

dica

tor

87.1

79.8

84.4

61.3

74.1

72.3

- -

64.1

95.7

33.3

Num

erat

or -

75 -

46 -

102

- -

86 5

336

808

360

2 79

5

Den

omin

ator

2 05

994

1 79

475

2 91

314

1 -

-1

619

226

853

917

1 00

8 51

0

Gre

ater

Let

aba

SDIn

dica

tor

88.6

86.0

81.9

53.1

71.1

75.5

- -

42.3

55.7

44.8

Num

erat

or -

98 -

52 -

117

- -

50 3

673

692

486

3 44

7

Den

omin

ator

2 20

811

41

956

983

285

155

- -

1 42

7 82

979

5 93

392

2 64

4

Gre

ater

Tza

neen

SD

Indi

cato

r84

.070

.584

.054

.873

.974

.7 -

-47

.354

.531

.2

Num

erat

or -

124

-68

-18

3 -

-11

2 35

67

611

648

4 89

8

Den

omin

ator

3 97

417

63

338

124

5 57

724

5 -

-2

850

435

1 67

6 95

51

885

362

Mar

ulen

g SD

Indi

cato

r89

.577

.081

.355

.374

.479

.8 -

-10

9.9

160.

581

.4

Num

erat

or -

47 -

26 -

67 -

-61

155

5 04

4 05

02

933

Den

omin

ator

1 14

861

1 02

747

1 62

984

- -

667

638

377

163

432

594

Mop

ani

Indi

cato

r86

.178

.483

.557

.172

.974

.070

.64.

055

.671

.935

.9

Num

erat

or -

403

-23

0-

540

80 8

2915

668

356

754

26 3

29 1

3515

042

Den

omin

ator

10 9

1551

49

397

403

15 6

4273

011

4 44

938

9 22

77

704

744

43 9

6 86

65

021

652

Lim

popo

Indi

cato

r78

.369

.882

.856

.070

.072

.068

.64.

750

.268

.426

.9

Sout

h Af

rica

Indi

cato

r -

- -

- -

- 55

.08.

235

.947

.519

.0

Sour

ce:

DH

IS.

2009 2010 2011 2012 2013 2014 2015 2016Year

5_TB

1_Im

pact

TB death rate(ETR.net)

TB DR clientdeath rate(EDRWeb)

2_O

utco

me

TB client lost tofollow up rate(ETR.Net)

TB clienttreatmentsuccess rate(ETR.net)

TB DR clientloss to follow uprate (EDRWeb)

TB DRtreatmentsuccess rate(EDRWeb)

TB Rifampicinresistanceconfirmed clientrate

TB/HIVco-infectedclient on ARTrate (ETR.Net)

4_P

roce

ss_i

nput

TB symptom 5years and olderscreened infacility rate

5

10

15

0

20

40

60

0

5

10

15

40

60

80

0

20

40

0

20

40

60

0

10

20

0

50

100

0

50

100




P rov_av

ZA_av


563


563

TBIm

pact

Out

com

eO

utpu

tPr

oces

s &

inpu

t

TB d

eath

rate

(E

TR.n

et) (

%)

TB D

R cl

ient

de

ath

rate

(E

DR

Web

) (%

)

TB c

lient

loss

to

follo

w u

p ra

te

(ETR

.Net

) (%

)

TB c

lient

tr

eatm

ent

succ

ess

rate

(E

TR.n

et) (

%)

TB D

R cl

ient

loss

to

follo

w u

p ra

te

(ED

RW

eb) (

%)

TB D

R tr

eatm

ent

succ

ess

rate

(E

DR

Web

) (%

)

TB R

ifam

pici

n re

sist

ance

co

nfirm

ed c

lient

ra

te (%

)

TB R

ifam

pici

n re

sist

ant c

lient

s tr

eatm

ent

initi

atio

n ra

te (%

)

TB/H

IV c

o-in

fect

ed c

lient

on

AR

T ra

te (E

TR.

Net

) (%

)

TB c

lient

initi

ated

on

trea

tmen

t ra

te (%

)

TB s

ympt

om 5

ye

ars

and

olde

r sc

reen

ed in

fa

cilit

y ra

te (%

)

2015

2014

2015

2015

2014

2014

2016

2016

2016

2016

2016

/17

Ba-P

hala

borw

a SD

Indi

cato

r7.

3 -

3.2

85.4

- -

- -

97.3

-10

4.9

Num

erat

or27

-12

317

- -

- -

220

-31

7 58

5

Den

omin

ator

371

-37

137

1 -

- -

-22

6 -

302

846

Gre

ater

Giy

ani S

DIn

dica

tor

8.7

-4.

180

.3 -

- -

-98

.7 -

65.9

Num

erat

or53

-25

488

- -

- -

236

-40

6 84

4

Den

omin

ator

608

-60

860

8 -

- -

-23

9 -

617

529

Gre

ater

Let

aba

SDIn

dica

tor

9.8

-3.

976

.4 -

- -

-93

.6 -

69.7

Num

erat

or48

-19

375

- -

- -

264

-32

9 43

6

Den

omin

ator

491

-49

149

1 -

- -

-28

2 -

472

891

Gre

ater

Tza

neen

SD

Indi

cato

r13

.8 -

3.2

80.7

- -

- -

92.2

-85

.4

Num

erat

or18

9 -

431

101

- -

- -

819

-87

0 23

0

Den

omin

ator

1 36

5 -

1 36

51

365

- -

- -

888

-1

019

141

Mar

ulen

g SD

Indi

cato

r7.

5 -

0.0

92.0

- -

- -

100.

0 -

75.6

Num

erat

or30

-0

367

- -

- -

195

-20

0 00

0

Den

omin

ator

399

-39

939

9 -

- -

-19

5 -

264

556

Mop

ani

Indi

cato

r10

.720

.73.

181

.912

.060

.95.

162

.394

.881

.579

.3

Num

erat

or34

719

992

648

1156

114

711

734

1 83

32

124

095

Den

omin

ator

3 23

492

3 23

43

234

9292

2 25

011

41

830

2 25

02

676

963

Lim

popo

Indi

cato

r11

.916

.46.

176

.117

.858

.45.

360

.490

.696

.756

.1

Sout

h Af

rica

Indi

cato

r6.

623

.06.

481

.017

.950

.56.

268

.088

.372

.851

.6

Sour

ce:

DH

IS.

Annual trends

2010 2011 2012 2013 2014 2015 2016 2017Year

6_NCDs

2_Outcome

Diabetesincidence

Hypertensionincidence

0

5

20

40



564


564


Non-communicable diseases

Outcome

Diabetes incidence

(per1K)

Hypertension incidence

(per1K)

2016/17 2016/17

Ba-Phalaborwa SD Indicator 1.8 11.8

Numerator 283 462

Denominator 1 922 481 468 684

Greater Giyani SD Indicator 3.5 22.2

Numerator 880 1 295

Denominator 3 009 570 700 458

Greater Letaba SD Indicator 2.2 10.5

Numerator 491 585

Denominator 2 632 677 668 304

Greater Tzaneen SD Indicator 2.3 11.5

Numerator 955 1 260

Denominator 4 930 128 1 310 775

Maruleng SD Indicator 3.2 19.5

Numerator 313 479

Denominator 1 186 938 294 135

Mopani Indicator 2.56 14.23

Numerator 2 922 4 081

Denominator 13 681 794 3 442 356

Limpopo Indicator 2.0 16.5

South Africa Indicator 2.5 18.9

Source: DHIS.

Annual trends

Sub-district value in red – improvement strategies are urgently needed

Value highlighted in yellow – performance is ranked among the 10 best in the country

Value highlighted in red – performance is ranked among the 10 worst in the country


565


565

Vhembe District Municipality (DC34)

Vhembe District is located in the northern part of Limpopo Province. It borders with Zimbabwe and Botswana in the north-west and Mozambique in the south-east through the Kruger National Park. It comprises four health sub-districts, namely Musina, Mutale, Thulamela and Makhado. The district has a population of 1 387 625, with a population density of 54.2 persons per km2 and falls in socio-economic Quintile 2, among the poorer districts, and has an estimated medical scheme coverage of 6.4%. Vhembe is one of the 11 National Health Insurance (NHI) pilot districts.




No schooling 14.4%

Matric 25.0%


Households 382 357













under 1 year 32 312 32 593 33 116 33 509

under 5 years 170 206 169 654 169 249 168 941

05-09 years 168 726 169 942 170 331 170 583

10-14 years 148 522 153 600 158 871 163 294

15-19 years 137 841 135 981 136 221 138 743

20-24 years 147 894 143 108 137 417 132 069

25-29 years 143 055 144 785 145 433 144 247

30-34 years 114 729 121 301 128 189 135 115

35-39 years 94 002 97 165 99 737 101 865

40-44 years 72 763 76 293 79 949 83 602

45-49 years 56 306 58 536 61 054 63 824

50-54 years 46 490 47 662 48 806 50 089

55-59 years 37 431 38 619 39 909 41 195

60-64 years 30 016 30 847 31 640 32 475

65-69 years 22 161 23 041 23 926 24 806

70-74 years 14 506 15 204 15 965 16 738

75-79 years 10 544 10 214 10 037 10 075

80 years and older 16 067 15 894 15 757 15 651

Total 1 431 258 1 451 836 1 472 489 1 493 306



566


566



Ward based outreach


Regional Hospital

Central/Tertiary

HospitalsOther

Hospitals

Makhado SD 20 48 4 3 0 0 3

Musina SD 3 4 0 1 0 0 0

Mutale SD 0 16 1 0 0 0 0

Thulamela SD 3 49 3 2 1 0 2

Vhembe 26 117 8 6 1 0 5

Source: DHIS.


Community Health

WorkersNursing

assistantsEnrolled

nurseProfessional

nurseMedical





Vhembe 2 288 1 218 1 009 2 828 204 96 33 46 37 22



PHC Management




(%)



Provincial and LG



(uninsured) (Rand)


(uninsured) (Rand)


per PHC headcount

(Rand)

2016/17 2016/17 2016/17 2016/17 2016/17 2016/17

Makhado SD Indicator 3.0 - - - - -

Numerator 1 682 251 - - - - -

Denominator 6 649 632 - - - - -

Musina SD Indicator 2.3 - - - - -

Numerator 177 394 - - - - -

Denominator 937 875 - - - - -

Mutale SD Indicator 4.6 - - - - -

Numerator 448 371 - - - - -

Denominator 1 171 008 - - - - -

Thulamela SD Indicator 2.7 - - - - -

Numerator 1 817 788 - - - - -

Denominator 7 945 587 - - - - -

Vhembe Indicator 3.0 11.3 62.9 2 214 942 296

Numerator 4 125 804 14 78 2 876 218 445 1 223 253 436 1 223 253 436

Denominator 16 704 102 124 124 1 299 017 1 299 017 4 125 804



Source: DHIS.

2008 2010 2012 2014 2016 2018Year

1_M

anag

emen

t

1_Im

pact


2_O

utco

me



3_O

utpu

t



4_P

roce

ss_i

nput





2

4

6

8

2

4

6

8

1K

2K

3K

4K

50

100

0

50

100

0

50

100

1K

2K

3K

500

1000

1500

200

400

LP, DC34, Vhembe District Municipality, SEQ 2 (deprived)



P rov_av

ZA_av


567


567

Hos

pita

l

Dis

tric

t Hos

pita

lR

egio

nal H

ospi

tal

Tert

iary

/Cen

tral

Hos

pita

l

Aver

age

leng

th o

f st

ay -

tota

l (D

ays)

Expe

nditu

re

per p

atie

nt

day

equi

vale

nt

(Ran

d)

Inpa

tient

bed

ut

ilisa

tion

rate

- to

tal

(%)

Inpa

tient

cr

ude

deat

h ra

te (%

)

OPD

new

cl

ient

not

re

ferr

ed ra

te

(%)

Aver

age

leng

th o

f st

ay -

tota

l (D

ays)

Expe

nditu

re

per p

atie

nt

day

equi

vale

nt

(Ran

d)

Inpa

tient

bed

ut

ilisa

tion

rate

- to

tal

(%)

Inpa

tient

cr

ude

deat

h ra

te (%

)

OPD

new

cl

ient

not

re

ferr

ed ra

te

(%)

Aver

age

leng

th o

f st

ay -

tota

l (D

ays)

Expe

nditu

re

per p

atie

nt

day

equi

vale

nt

(Ran

d)

Inpa

tient

bed

ut

ilisa

tion

rate

- to

tal

(%)

Inpa

tient

cr

ude

deat

h ra

te (%

)

OPD

new

cl

ient

not

re

ferr

ed ra

te

(%)

Mak

hado

SD

Indi

cato

r4.

93

127

68.2

4.7

56.4

- -

- -

- -

- -

- -

Num

erat

or14

8 21

069

2 58

9 17

514

8 21

01

430

45 8

06 -

- -

- -

- -

- -

-

Den

omin

ator

30 3

0522

1 48

021

7 19

930

305

81 2

20 -

- -

- -

- -

- -

-

Mus

ina

SDIn

dica

tor

3.5

3 67

356

.73.

590

.5 -

- -

- -

- -

- -

-

Num

erat

or16

573

120

466

225

16 5

7316

525

131

- -

- -

- -

- -

- -

Den

omin

ator

4 77

432

797

29 2

034

774

27 7

70 -

- -

- -

- -

- -

-

Thul

amel

a SD

Indi

cato

r4.

22

611

73.0

4.6

76.6

4.5

3 08

575

.45.

272

.3 -

- -

- -

Num

erat

or12

7 43

146

4 07

6 25

512

7 43

11

400

66 0

1911

0 12

144

6 32

6 89

711

0 12

11

265

4 64

1 -

- -

- -

Den

omin

ator

30 4

0317

7 75

417

4 67

230

403

86 2

1424

396

144

680

146

016

24 3

966

422

- -

- -

-

Vhem

be

Indi

cato

r4.

52

956

69.4

4.6

70.2

4.5

3 08

575

.45.

272

.3 -

- -

- -

Num

erat

or29

2 21

41

277

131

655

292

214

2 99

513

6 95

611

0 12

144

6 32

6 89

711

0 12

11

265

4 64

1 -

- -

- -

Den

omin

ator

65 4

8243

2 03

042

1 07

465

482

195

204

24 3

9614

4 68

014

6 01

624

396

6 42

2 -

- -

- -

Lim

popo

Indi

cato

r4.

32

993

69.6

5.0

75.3

4.9

3 05

172

.35.

060

.47.

34

611

75.5

6.1

12.0

Sout

h Af

rica

Indi

cato

r4.

42

568

67.4

5.1

59.3

5.3

2 89

478

.35.

037

.26.

94

227

84.3

5.4

20.3

Sour

ce:

DH

IS a

nd B

AS.

Annual trends

568


568



Dat

a El

emen

t(N

umbe

r)

2014

/15

2015

/16

2016

/17

PHC

/ CH

C / M

OU

*D

istr

ict

Hos

pita

lR

egio

nal

Hos

pita

l

Cen

tral

/te

rtia

ry

Hos

pita

lD

istr

ict

Tota

lPH

C / C

HC

/ MO

UD

istr

ict

Hos

pita

lR

egio

nal

Hos

pita

l

Cen

tral

/te

rtia

ry

Hos

pita

lD

istr

ict

Tota

lPH

C / C

HC

/ MO

UD

istr

ict

Hos

pita

lR

egio

nal

Hos

pita

l

Cen

tral

/te

rtia

ry

hosp

ital

Dis

tric

t To

tal

Mat

erna

l dea

ths

120

9-

3014

6-

202

133

-18

Live

birt

hs8

810

18 1

775

137

-32

124

7 30

717

708

5 18

7-

30 2

025

774

17 7

475

353

-28

874

Still

birth

s53

356

120

-52

962

318

136

-51

633

284

119

-43

6


Infant (under 1

year)

Neo-natal

Dea

th in

faci

lity

0-7d

ays

-17

265

-23

7-

190

100

-29

0-

145

75-

220

Dea

th in

faci

lity

8-28

day

s -

209

-29

-17

21-

38-

1812

-30

Dea

th in

faci

lity

29 d

ays

- 11

mon

ths

-12

516

-14

1-

9021

-11

1-

5223

-75

Dea

th in

faci

lity

12 –

59

mon

ths

-97

19-

116

-89

29-

118

-67

23-

90

Dia

rrho

ea d

eath

und

er 5

yea

rs

-45

5-

50-

289

-37

-15

4-

19

Pneu

mon

ia d

eath

und

er 5

yea

rs-

5114

-65

-43

8-

51-

2411

-35

Seve

re a

cute

mal

nutri

tion

deat

h un

der 5

yea

rs

-81

5-

86-

6712

-79

-37

2-

39

TB D

eath

s 80

013

64

-94

088

421

64

-1

104

--

--

-

Inpa

tient

dea

th to

tal

-3

521

1 19

7-

4 71

8-

3 41

61

242

-4

658

-2

995

1 26

5-

4 26

0

Patie

nt d

ay e

quiv

alen

t-

436

226

129

019

-56

5 24

556

438

276

155

035

-59

3 36

7-

432

030

144

680

-57

6 71

0

Sour

ce:

DH

IS. *

MO

U –

Mat

erna

l Obs

tetr

ic U

nit.


5-1415-2425-64

65+Total 28%

19%26%28%31%

74%

18%3%

33%32%28%

11%

50%76%

36%21%21%

9%

4%2%

5%20%20%

6%

26%18%20%

14%37%

75%

22%8%

34%13%

22%9%

40%70%

32%19%

17%9%

11%3%

13%54%

24%7%

LP, Vhembe: DC34, 2010 - 2015

Rank.. Female Male

<5 y

ears

12345678910

5-14

12345678910

15-2

4

12345678910

25-6

4

12345678910

65+

12345678910


Birth asphyxia (6.1%)

Protein-energy malnutrition (14.5%)Preterm birth complications (9.3%)

Septicaemia (1.7%)



Tuberculosis (2.5%)

HIV/AIDS (8.2%)

Epilepsy (2.9%)Fires, hot substances (3.2%)

Septicaemia (4.7%)



Road injuries (8.7%)Diarrhoeal diseases (11.1%)



Endocrine nutritional,blood, immune (2.2%)








Breast (2.1%)

Cervix (3.7%)

Meningitis/encephalitis (2.4%)Nephritis/nephrosis (3.7%)







Septicaemia (3.0%)










Protein-energy malnutrition (14.3%)


Septicaemia (2.0%)Accidental threats to breathing (2.5%)



Tuberculosis (1.7%)

HIV/AIDS (6.9%)

Malaria (2.5%)

Drowning (7.9%)







Tuberculosis (9.6%)

HIV/AIDS (13.4%)

Drowning (3.7%)

Epilepsy (3.2%)







Tuberculosis (7.7%)

HIV/AIDS (6.1%)









Prostate (4.7%)

Septicaemia (2.4%)








Tuberculosis (5.9%)


Fem

ale

15-4

9

12345678910

Maternal sepsis (2.5%) n=4

Abortion (17.2%) n=29

Maternal haemorrhage (20.6%) n=35

Hypertension in pregnancy (11.5%) n=19

Other maternal (19.1%) n=32


Diabetes mellitus (2.9%) n=266Road injuries (2.8%) n=254

Cervix (2.6%) n=239

Nephritis/nephrosis (3.1%) n=281

Cerebrovascular disease (2.2%) n=195

Meningitis/encephalitis (2.7%) n=243

Diarrhoeal diseases (10.8%) n=977Lower respiratory infections (10.5%) n=950




causes

BroadcauseInjury

NCD

HIV and TB

Comm_mat_peri_nut

Prov, DistrictLP, Vhembe: DC34

Show history





569


569




2009 2010 2011 2012 2013 2014 2015 2016Year

2_M

ater

nal a

nd w

omen

's h

ealth

1_Im

pact Maternal


2_O

utco

me





3_O

utpu

t



0

200

400

600

800

20

40

60

80

100

200

5

10

15

0

100

200

50

100

150

200

50

100

150



570


570






on ART rate (%)


(%)


Cervical cancer



(WHO) (%)


rate (%)

2016/17 2016/17 2016/17 2016/17 2016/17 2016/17 2016/17

Makhado SD Indicator 57.6 94.9 6.9 65.5 51.8 76.6 82.8

Numerator 6 969 711 7 249 6 744 118 742 8 549

Denominator 10 421 1 021 10 323 11 062 156 226 1 860 690 10 323

Musina SD Indicator 117.2 99.3 8.0 66.1 114.7 125.8 83.4

Numerator 2 279 132 1 504 1 722 30 772 1 382

Denominator 1 707 281 1 658 2 276 18 016 293 541 1 658

Mutale SD Indicator - 100.0 9.1 72.4 75.8 85.3 321.0

Numerator - 151 57 1 772 1 618 23 714 2 003

Denominator 627 151 624 2 448 25 611 333 615 624

Thulamela SD Indicator 62.0 97.1 7.4 69.4 45.0 78.3 56.8

Numerator 10 1 052 1 200 8 946 6 802 152 592 9 204

Denominator 16 119 1 083 16 209 12 883 181 267 2 338 074 16 209

Vhembe Indicator 62.3 96.6 7.3 67.9 53.2 81.0 73.4

Numerator 18 2 451 2 100 19 471 16 886 325 820 21 138

Denominator 28 874 2 536 28 814 28 669 381 120 4 825 920 28 814



Source: DHIS.

Annual trends

2009 2010 2011 2012 2013 2014 2015 2016Year

3_C

hild

and

sch

ool h

ealth

1_Im

pact





3_O

utpu

t





0

50

100

0

10

20

30

0

20

40

60

0

10

20

50

100

150

20

40

60

80

50

100

150

0

50

100




P rov_av

ZA_av


571


571

Child and School HealthIm

pact

Out

com

eO

utpu

t

Chi

ld u

nder

5

year

s di

arrh

oea

case

fata

lity

rate

(%)

Chi

ld u

nder

5

year

s pn

eum

onia

ca

se fa

talit

y ra

te (%

)

Chi

ld u

nder

5

year

s se

vere

acu

te

mal

nutr

ition

ca

se fa

talit

y ra

te (%

)

Inpa

tient

de

ath

unde

r 1

year

rate

(%)

Inpa

tient

de

ath

unde

r 5

year

rate

(%)

Inpa

tient

ea

rly n

eona

tal

deat

h ra

te

(per

1K)

Inpa

tient

ne

onat

al

deat

h ra

te

(per

1K)

Infa

nt P

CR

test

pos

itive

ar

ound

10

wee

ks ra

te

(%)

Imm

unis

atio

n co

vera

ge

unde

r 1 y

ear

(%)

Infa

nt

excl

usiv

ely

brea

stfe

d at

D

TaP-

IPV-

Hib

-HB

V 3rd

do

se ra

te (%

)

Mea

sles

2nd

dos

e co

vera

ge (%

)

Scho

ol G

rade

1

scre

enin

g co

vera

ge (%

)

Scho

ol G

rade

8

scre

enin

g co

vera

ge (%

)

Vita

min

A

dose

12-

59

mon

ths

cove

rage

(%)

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

Mak

hado

SD

Indi

cato

r1.

91.

84.

712

.15.

56.

37.

50.

872

.427

.710

2.5

34.8

11.1

65.0

Num

erat

or10

116

9712

066

787

8 39

23

090

12 2

704

948

1 27

763

794

Den

omin

ator

530

621

128

802

2 18

310

421

10 4

2187

513

9 05

011

140

143

679

14 2

0911

478

1 17

6 96

0

Mus

ina

SDIn

dica

tor

2.5

-6.

13.

42.

51.

81.

81.

573

.349

.286

.845

.848

.057

.9

Num

erat

or3

-3

613

33

41

393

976

1 52

266

630

67

264

Den

omin

ator

121

5249

177

518

1 70

71

707

274

22 8

061

983

21 0

481

454

637

150

624

Mut

ale

SDIn

dica

tor

- -

- -

- -

- -

102.

634

.612

7.5

80.9

57.1

69.2

Num

erat

or -

- -

- -

- -

-2

045

778

2 75

12

116

1 78

312

815

Den

omin

ator

- -

- -

-62

762

713

223

907

2 24

625

896

2 61

53

125

222

078

Thul

amel

a SD

Indi

cato

r0.

51.

88.

57.

04.

39.

410

.51.

775

.322

.698

.347

.816

.255

.2

Num

erat

or6

2430

222

282

151

169

1310

116

2 59

014

051

8 16

82

424

66 0

80

Den

omin

ator

1 17

21

325

353

3 15

16

500

16 1

1916

119

772

161

304

11 4

4117

1 56

117

076

14 9

951

436

694

Vhem

be

Indi

cato

r1.

01.

87.

47.

94.

57.

68.

71.

275

.927

.710

1.4

45.0

19.1

60.3

Num

erat

or19

3539

325

415

220

250

2421

946

7 43

430

594

15 8

985

790

149

953

Den

omin

ator

1 82

31

998

530

4 13

09

201

28 8

7428

874

2 05

334

7 06

726

810

362

184

424

248

362

820

2 98

6 35

6

Lim

popo

Indi

cato

r2.

12.

98.

39.

35.

910

.612

.21.

264

.528

.994

.531

.916

.554

.6

Sout

h Af

rica

Indi

cato

r2.

02.

08.

06.

34.

49.

912

.41.

382

.341

.696

.233

.019

.858

.0

Sour

ce:

DH

IS.

Annual trends

2009 2010 2011 2012 2013 2014 2015 2016Year

4_H

IV

4_P

roce

ss_i

nput




20

40

60

100

200

0

20

40

6080




P rov_av

ZA_av

572


572


HIV

3rd

90-

90-9

02nd

90-

90-9

01st

90-9

0-90

Out

com

eO

utpu

tPr

oces

s &

inpu

t

Adu

lt w

ith v

iral

load

com

plet

ion

rate

at 1

2 m

onth

s (%

)

Chi

ld w

ith v

iral

load

com

plet

ion

rate

at 1

2 m

onth

s (%

)

Adu

lt w

ith v

iral

load

sup

pres

sed

rate

12

mon

ths

(%)

Chi

ld w

ith v

iral

load

sup

pres

sed

rate

12

mon

ths

(%)

Adu

lt pe

rcen

tage

on

AR

T af

ter 1

2 m

onth

s (%

)

Chi

ld p

erce

ntag

e on

AR

T af

ter 1

2 m

onth

s (%

)C

lient

s re

mai

ning

on

AR

T ra

te (%

)

HIV

test

pos

itive

cl

ient

15

year

s an

d ol

der r

ate

(incl

udin

g A

NC

) (%

)

HIV

test

ing

cove

rage

(in

clud

ing

AN

C)

(%)

Mal

e co

ndom

di

strib

utio

n co

vera

ge (N

o)

Med

ical

mal

e ci

rcum

cisi

on ra

te

(per

1K)

2015

2015

2015

2015

2015

2015

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

Mak

hado

SD

Indi

cato

r59

.456

.879

.353

.068

.872

.0 -

-44

.260

.86.

8

Num

erat

or -

83 -

44 -

183

- -

131

057

10 1

72 8

141

320

Den

omin

ator

3 08

214

61

831

835

188

254

- -

3 55

5 37

52

008

005

2 34

3 46

5

Mus

ina

SDIn

dica

tor

63.3

68.8

78.2

27.3

62.1

54.1

- -

68.2

95.6

22.9

Num

erat

or -

11 -

3 -

20 -

-36

111

2 99

2 17

277

3

Den

omin

ator

515

1632

611

887

37 -

-63

5 46

637

5 61

540

4 82

3

Mut

ale

SDIn

dica

tor

72.7

65.0

86.8

53.8

73.4

82.8

- -

70.1

77.8

15.2

Num

erat

or -

13 -

7 -

24 -

-35

491

2 07

9 65

449

3

Den

omin

ator

550

2040

013

868

29 -

-60

7 49

732

0 70

638

8 29

6

Thul

amel

a SD

Indi

cato

r67

.369

.982

.357

.873

.673

.6 -

-51

.171

.030

.9

Num

erat

or -

109

-63

-20

3 -

-18

4 29

213

674

278

69 9

1

Den

omin

ator

3 35

615

62

258

109

5 33

427

6 -

-4

326

900

2 31

0 90

32

711

154

Vhem

be

Indi

cato

r64

.263

.981

.354

.270

.772

.180

.13.

650

.969

.219

.7

Num

erat

or -

216

-11

7 -

430

59 8

0015

122

386

951

28 9

18 9

189

577

Den

omin

ator

7 50

333

84

815

216

12 2

7759

674

704

419

529

9 12

5 23

85

015

229

5 84

7 73

8

Lim

popo

Indi

cato

r78

.369

.882

.856

.070

.072

.068

.64.

750

.268

.426

.9

Sout

h Af

rica

Indi

cato

r -

- -

- -

-55

.08.

235

.947

.519

.0

Sour

ce:

DH

IS.

Annual trends

2009 2010 2011 2012 2013 2014 2015 2016Year

5_TB

1_Im

pact



2_O

utco

me







4_P

roce

ss_i

nput


5

10

15

0

20

40

60

0

5

10

15

40

60

80

0

20

40

0

20

40

60

0

10

20

0

50

100

0

50

100




P rov_av

ZA_av


573


573

TBIm

pact

Out

com

eO

utpu

tPr

oces

s &

inpu

t

TB d

eath

rate

(E

TR.n

et) (

%)

TB D

R cl

ient

de

ath

rate

(E

DR

Web

) (%

)

TB c

lient

loss

to

follo

w u

p ra

te

(ETR

.Net

) (%

)

TB c

lient

tr

eatm

ent

succ

ess

rate

(E

TR.n

et) (

%)

TB D

R cl

ient

loss

to

follo

w u

p ra

te

(ED

RW

eb) (

%)

TB D

R tr

eatm

ent

succ

ess

rate

(E

DR

Web

) (%

)

TB R

ifam

pici

n re

sist

ance

co

nfirm

ed c

lient

ra

te (%

)

TB R

ifam

pici

n re

sist

ant c

lient

s tr

eatm

ent

initi

atio

n ra

te (%

)

TB/H

IV c

o-in

fect

ed c

lient

on

AR

T ra

te (E

TR.

Net

) (%

)

TB c

lient

initi

ated

on

trea

tmen

t ra

te (%

)

TB s

ympt

om 5

ye

ars

and

olde

r sc

reen

ed in

fa

cilit

y ra

te (%

)

2015

2014

2015

2015

2014

2014

2016

2016

2016

2016

2016

/17

Mak

hado

SD

Indi

cato

r9.

6 -

12.5

74.3

- -

- -

85.1

-60

.4

Num

erat

or17

0 -

221

1 31

3 -

- -

-62

2 -

797

344

Den

omin

ator

1 76

6 -

1 76

61

766

- -

- -

731

-1

321

120

Mus

ina

SDIn

dica

tor

2.8

-2.

594

.2 -

- -

-99

.5 -

85.6

Num

erat

or10

-9

342

- -

- -

186

-11

8 65

4

Den

omin

ator

363

-36

336

3 -

- -

-18

7 -

138

587

Mut

ale

SDIn

dica

tor

12.7

-5.

181

.5 -

- -

-10

0.0

-60

.0

Num

erat

or20

-8

128

- -

- -

47 -

206

010

Den

omin

ator

157

-15

715

7 -

- -

-47

-34

3 52

8

Thul

amel

a SD

Indi

cato

r6.

9 -

3.3

83.0

- -

- -

70.1

-62

.0

Num

erat

or83

-39

994

- -

- -

478

-85

6 33

0

Den

omin

ator

1 19

8 -

1 19

81

198

- -

- -

682

-1

382

123

Vhem

be

Indi

cato

r8.

113

.98.

079

.718

.163

.96.

551

.780

.994

.562

.1

Num

erat

or28

310

277

2 77

713

4614

374

1 33

32

092

1 97

8 33

8

Den

omin

ator

3 48

472

3 48

43

484

7272

2 21

414

31

647

2 21

43

185

358

Lim

popo

Indi

cato

r11

.916

.46.

176

.117

.858

.45.

360

.490

.696

.756

.1

Sout

h Af

rica

Indi

cato

r6.

623

.06.

481

.017

.950

.56.

268

.088

.372

.851

.6

Sour

ce:

DH

IS.

Annual trends

2010 2011 2012 2013 2014 2015 2016 2017Year

6_NCDs

2_Outcome

Diabetesincidence


0

5

20

40



574


574



Outcome

Diabetes incidence

(per1K)


(per1K)

2016/17 2016/17

Makhado SD Indicator 2.1 15.5


Denominator 6 649 632 1 633 044

Musina SD Indicator 0.7 4.9

Numerator 58 70

Denominator 937 875 169 779

Mutale SD Indicator 0.4 4.0

Numerator 39 84

Denominator 1 171 008 254 163

Thulamela SD Indicator 1.9 9.3


Denominator 7 945 587 1 790 313

Vhembe Indicator 1.8 11.4


Denominator 16 704 102 3 847 299



Source: DHIS.

Annual trends





575


575

Capricorn District Municipality (DC35)

Capricorn District is located in Limpopo Province in northern South Africa and consists of five health sub-districts, namely Aganang, Blouberg, Lepelle-Nkumpi, Molemole and Polokwane. The district forms a gateway to Botswana, Zimbabwe and Mozambique. Capricorn has a population of 1 296 247, with a population density of 59.7 persons per km2 and falls in socio-economic Quintile 2, among the poorer districts. Estimated medical scheme coverage is 8.7%.




No schooling 2.4%

Matric 29.9%


Households 378 301













under 1 year 26 010 26 502 27 544 28 620

under 5 years 140 277 139 988 140 489 141 561

05-09 years 141 791 141 957 141 319 140 646

10-14 years 127 560 130 638 134 409 137 512

15-19 years 132 359 126 901 123 108 121 997

20-24 years 139 026 135 336 130 559 125 155

25-29 years 134 581 135 208 134 700 132 691

30-34 years 108 146 114 385 120 770 127007

35-39 years 84 954 88 452 91 544 94 141

40-44 years 65 419 67 995 70 836 73 900

45-49 years 53 636 54 785 56 115 57 693

50-54 years 46 017 46 818 47 542 48 271

55-59 years 38 064 38 846 39 763 40 690

60-64 years 32 613 32 820 33 001 33 261

65-69 years 26 596 26 948 27 296 27 614

70-74 years 20 183 20 501 20 819 21 116

75-79 years 15 207 15 108 15 073 15 114

80 years and older 18 704 19 268 19 859 20 472

Total 1 325 135 1 335 951 1 347 201 1 358 841



576


576



Ward based outreach


Regional Hospital

Central/Tertiary

HospitalsOther

Hospitals

Aganang SD 23 11 0 1 0 0 0

Blouberg SD 21 22 2 1 0 0 1

Lepelle-Nkumpi SD 31 22 1 3 0 0 3

Molemole SD 19 8 0 1 0 0 0

Polokwane SD 47 33 2 2 0 2 3

Capricorn 141 96 5 8 0 2 7

Source: DHIS.


Community Health

WorkersNursing

assistantsEnrolled

nurseProfessional

nurseMedical





Capricorn 2 041 1 271 1 115 2 146 514 152 52 72 60 25



PHC Management




(%)



Provincial and LG



(uninsured) (Rand)


(uninsured) (Rand)


per PHC headcount

(Rand)

2016/17 2016/17 2016/17 2016/17 2016/17 2016/17

Aganang SD Indicator 2.4 - - - - -

Numerator 313 908 - - - - -

Denominator 1 581 333 - - - - -

Blouberg SD Indicator 3.7 - - - - -

Numerator 614 257 - - - - -

Denominator 1 979 445 - - - - -

Lepelle-Nkumpi SD Indicator 2.8 - - - - -

Numerator 667 160 - - - - -

Denominator 2 816 043 - - - - -

Molemole SD Indicator 2.9 - - - - -

Numerator 319 157 - - - - -

Denominator 1 325 055 - - - - -

Polokwane SD Indicator 2.3 - - - - -

Numerator 1 525 632 - - - - -

Denominator 7 882 500 - - - - -

Capricorn Indicator 2.6 22.0 66.7 1 974 852 293

Numerator 3 440 114 22 58 2 336 941 670 1 009 172 596 1 009 172 596

Denominator 15 584 376 100 87 1 184 062 1 184 062 3 440 114



Source: DHIS.


577


577

Hos

pita

l

Dis

tric

t Hos

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lR

egio

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ays)

Expe

nditu

re

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atie

nt

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vale

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(Ran

d)

Inpa

tient

bed

ut

ilisa

tion

rate

- to

tal

(%)

Inpa

tient

cr

ude

deat

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te (%

)

OPD

new

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ient

not

re

ferr

ed ra

te

(%)

Aver

age

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Expe

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Inpa

tient

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ut

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rate

- to

tal

(%)

Inpa

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cr

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)

OPD

new

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not

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(%)

Aver

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l (D

ays)

Expe

nditu

re

per p

atie

nt

day

equi

vale

nt

(Ran

d)

Inpa

tient

bed

ut

ilisa

tion

rate

- to

tal

(%)

Inpa

tient

cr

ude

deat

h ra

te (%

)

OPD

new

cl

ient

not

re

ferr

ed ra

te

(%)

Agan

ang

SDIn

dica

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4.2

3 74

864

.84.

299

.9 -

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- -

- -

- -

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Num

erat

or26

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151

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579

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813

178

- -

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- -

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Den

omin

ator

6 13

640

521

40 1

546

136

13 1

88 -

- -

- -

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- -

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Blou

berg

SD

Indi

cato

r4.

03

105

57.1

6.9

57.9

- -

- -

- -

- -

- -

Num

erat

or28

346

150

897

169

28 3

4649

510

682

- -

- -

- -

- -

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Den

omin

ator

7 15

248

599

49 6

457

152

18 4

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- -

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Lepe

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kum

pi S

DIn

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tor

4.4

3 02

284

.54.

552

.7 -

- -

- -

- -

- -

-

Num

erat

or90

721

426

651

337

90 7

2191

727

144

- -

- -

- -

- -

- -

Den

omin

ator

20 5

3014

1 20

110

7 32

220

530

51 4

69 -

- -

- -

- -

- -

-

Mol

emol

e SD

Indi

cato

r4.

72

923

91.5

5.6

98.4

- -

- -

- -

- -

- -

Num

erat

or18

701

113

460

272

18 7

0122

133

630

- -

- -

- -

- -

- -

Den

omin

ator

3 95

538

821

20 4

423

955

34 1

83 -

- -

- -

- -

- -

-

Polo

kwan

e SD

Indi

cato

r4.

32

570

73.5

7.0

50.3

- -

- -

-7.

34

611

75.5

6.1

12.0

Num

erat

or46

973

182

810

467

46 9

7376

612

741

- -

- -

-27

9 50

41

780

588

091

279

504

2 32

511

661

Den

omin

ator

10 9

3871

142

63 8

8210

938

25 3

33 -

- -

- -

38 2

1538

6 15

036

9 96

838

215

97 1

51

Cap

ricor

n In

dica

tor

4.3

3 01

474

.95.

568

.3 -

- -

- -

7.3

4 61

175

.56.

112

.0

Num

erat

or21

0 76

21

025

673

825

210

762

2 65

797

375

- -

- -

-27

9 50

41

780

588

091

279

504

2 32

511

661

Den

omin

ator

48 7

1134

0 28

428

1 44

648

711

142

637

- -

- -

-38

215

386

150

369

968

38 2

1597

151

Lim

popo

Indi

cato

r4.

32

993

69.6

5.0

75.3

4.9

3 05

172

.35.

060

.47.

34

611

75.5

6.1

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Sout

h Af

rica

Indi

cato

r4.

42

568

67.4

5.1

59.3

5.3

2 89

478

.35.

037

.26.

94

227

84.3

5.4

20.3

Sour

ce:

DH

IS a

nd B

AS.

2008 2010 2012 2014 2016 2018Year

1_M

anag

emen

t

1_Im

pact


2_O

utco

me



3_O

utpu

t



4_P

roce

ss_i

nput





2

4

6

8

2

4

6

8

1K

2K

3K

4K

50

100

0

50

100

0

50

100

1K

2K

3K

500

1000

1500

200

400

LP, DC35, Capricorn District Municipality, SEQ 2 (deprived)



P rov_av

ZA_av

578


578



D

ata

Elem

ent

(Num

ber)

2014

/15

2015

/16

2016

/17

PHC

/ CH

C / M

OU

*D

istr

ict

Hos

pita

lR

egio

nal

Hos

pita

l

Cen

tral

/te

rtia

ry

Hos

pita

lD

istr

ict

Tota

lPH

C / C

HC

/ MO

UD

istr

ict

Hos

pita

lR

egio

nal

Hos

pita

l

Cen

tral

/te

rtia

ry

Hos

pita

lD

istr

ict

Tota

lPH

C / C

HC

/ MO

UD

istr

ict

Hos

pita

lR

egio

nal

Hos

pita

l

Cen

tral

/te

rtia

ry

hosp

ital

Dis

tric

t To

tal

Mat

erna

l dea

ths

-17

-70

87-

8-

7583

113

-55

69

Live

birt

hs3

924

14 4

91-

9 42

227

837

3 43

413

634

-9

123

26 1

912

841

14 4

39-

8 58

325

863

Still

birth

s48

310

-42

778

531

272

-43

974

240

279

-41

373

2


Infant (under 1

year)

Neo-natal

Dea

th in

faci

lity

0-7d

ays

-19

9-

275

474

-24

3-

334

577

-19

4-

270

464

Dea

th in

faci

lity

8-28

day

s -

17-

4461

-23

-54

77-

16-

4056

Dea

th in

faci

lity

29 d

ays

- 11

mon

ths

-93

-96

189

-68

-10

917

7-

62-

9015

2

Dea

th in

faci

lity

12 –

59

mon

ths

-73

-65

138

-50

-10

815

8-

30-

8711

7

Dia

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rs

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47-

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20

Pneu

mon

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und

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30-

535

-17

-9

26-

24-

3761

Seve

re a

cute

mal

nutri

tion

deat

h un

der 5

yea

rs

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37-

30-

232

-22

-10

32

TB D

eath

s 1

760

550

-36

02

670

1 51

062

0-

420

2 55

0-

--

--

Inpa

tient

dea

th to

tal

-2

768

-2

516

5 28

4-

2 79

9-

2 57

05

369

-2

657

-2

325

4 98

2

Patie

nt d

ay e

quiv

alen

t-

315

877

-38

0 91

369

6 79

0-

331

084

-38

4 59

871

5 68

2-

340

284

-38

6 15

072

6 43

4

Sour

ce:

DH

IS. *

MO

U –

Mat

erna

l Obs

tetr

ic U

nit.



5-1415-2425-64

65+Total 28%

20%25%

35%37%

76%

19%3%

33%29%

15%6%

49%75%

37%22%

31%12%

4%2%4%

15%17%

6%

25%18%19%

14%34%

75%

20%7%

31%10%

14%5%

43%72%

35%20%

28%13%

12%3%

15%56%

24%7%

LP, Capricorn: DC35, 2010 - 2015

Rank.. Female Male

<5 y

ears

12345678910

5-14

12345678910

15-2

4

12345678910

25-6

4

12345678910

65+

12345678910

Other perinatal conditions (3.0%)Sepsis/other newborn infectious (3.0%)




Septicaemia (2.4%)



HIV/AIDS (4.5%)

Leukaemia (2.9%)

Other neoplasms (3.8%)Fires, hot substances (3.3%)Septicaemia (2.9%)





Hypertension in pregnancy (2.6%)

Other maternal (1.9%)







HIV/AIDS (17.2%)

Breast (2.1%)

Cervix (3.1%)Road injuries (2.1%)


Diabetes mellitus (5.0%)Diarrhoeal diseases (8.0%)



HIV/AIDS (20.5%)

Cervix (2.2%)Cardiomyopathy (2.2%)Nephritis/nephrosis (3.1%)


Diabetes mellitus (10.8%)Diarrhoeal diseases (5.5%)Ischaemic heart disease (5.2%)



Tuberculosis (1.8%)


Sepsis/other newborn infectious (3.8%)







HIV/AIDS (3.1%)

Leukaemia (4.1%)

Drowning (6.4%)

Septicaemia (2.6%)






Drowning (3.1%)Meningitis/encephalitis (2.5%)

Mechanical forces (4.8%)






Tuberculosis (6.0%)

HIV/AIDS (4.1%)









Prostate (3.9%)

COPD (4.7%)


Hypertensive heart disease (11.5%)Diabetes mellitus (7.7%)




Tuberculosis (5.4%)


Fem

ale

15-4

9

12345678910

Maternal sepsis (7.5%) n=31Abortion (7.7%) n=32

Maternal haemorrhage (13.8%) n=57

Hypertension in pregnancy (26.7%) n=110Other maternal (22.3%) n=92Indirect maternal (22.0%) n=91

Hypertensive heart disease (1.7%) n=225

Diabetes mellitus (2.3%) n=291Road injuries (3.0%) n=393

Cervix (2.2%) n=288Cerebrovascular disease (2.2%) n=288Meningitis/encephalitis (2.1%) n=276

Diarrhoeal diseases (9.3%) n=1 198Lower respiratory infections (14.4%) n=1 866




causes

BroadcauseInjury

NCD

HIV and TB

Comm_mat_peri_nut

Prov, DistrictLP, Capricorn: DC35

Show history





579


579




2009 2010 2011 2012 2013 2014 2015 2016Year

2_M

ater

nal a

nd w

omen

's h

ealth

1_Im

pact Maternal


2_O

utco

me





3_O

utpu

t



0

200

400

600

800

20

40

60

80

100

200

5

10

15

0

100

200

50

100

150

200

50

100

150



580


580






on ART rate (%)


(%)


Cervical cancer



(WHO) (%)


rate (%)

2016/17 2016/17 2016/17 2016/17 2016/17 2016/17 2016/17

Aganang SD Indicator - 99.6 4.9 64.1 48.0 105.5 107.5

Numerator - 262 83 1 396 1 411 32 992 1 803

Denominator 1 679 263 1 677 2 179 35 256 375 387 1 677

Blouberg SD Indicator 24.3 98.8 5.7 62.7 93.7 110.8 69.7

Numerator 1 496 234 2 408 3 161 47 125 2 877

Denominator 4 116 502 4 129 3 843 40 488 510 594 4 129

Lepelle-Nkumpi SD Indicator 76.1 94.3 4.5 60.6 73.5 93.3 64.5

Numerator 4 444 239 2 624 3 859 56 723 3 387

Denominator 5 258 471 5 254 4 328 62 973 729 519 5 254

Molemole SD Indicator 137.8 104.3 6.3 63.9 69.7 97.4 86.1

Numerator 2 244 92 1 199 1 664 28 067 1 256

Denominator 1 451 234 1 458 1 877 28 630 345 939 1 458

Polokwane SD Indicator 464.1 98.3 5.3 59.1 33.3 82.9 59.0

Numerator 62 1 662 711 8 070 4 590 157 491 7 853

Denominator 13 359 1 691 13 320 13 665 165 477 2 280 501 13 320

Capricorn Indicator 266.8 98.3 5.3 60.6 52.9 91.2 66.5

Numerator 69 3 108 1 359 15 697 14 685 322 398 17 176

Denominator 25 863 3 161 25 838 25 892 332 824 4 241 940 25 838



Source: DHIS.

Annual trends


581


581

Child and School HealthIm

pact

Out

com

eO

utpu

t

Chi

ld u

nder

5

year

s di

arrh

oea

case

fata

lity

rate

(%)

Chi

ld u

nder

5

year

s pn

eum

onia

ca

se fa

talit

y ra

te (%

)

Chi

ld u

nder

5

year

s se

vere

acu

te

mal

nutr

ition

ca

se fa

talit

y ra

te (%

)

Inpa

tient

de

ath

unde

r 1

year

rate

(%)

Inpa

tient

de

ath

unde

r 5

year

rate

(%)

Inpa

tient

ea

rly n

eona

tal

deat

h ra

te

(per

1K)

Inpa

tient

ne

onat

al

deat

h ra

te

(per

1K)

Infa

nt P

CR

test

pos

itive

ar

ound

10

wee

ks ra

te

(%)

Imm

unis

atio

n co

vera

ge

unde

r 1 y

ear

(%)

Infa

nt

excl

usiv

ely

brea

stfe

d at

D

TaP-

IPV-

Hib

-HB

V 3rd

do

se ra

te (%

)

Mea

sles

2nd

dos

e co

vera

ge (%

)

Scho

ol G

rade

1

scre

enin

g co

vera

ge (%

)

Scho

ol G

rade

8

scre

enin

g co

vera

ge (%

)

Vita

min

A

dose

12-

59

mon

ths

cove

rage

(%)

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

Agan

ang

SDIn

dica

tor

2.2

-17

.64.

23.

37.

78.

91.

064

.943

.480

.743

.118

.751

.9

Num

erat

or1

-3

1924

1315

31

923

1 02

82

507

1 54

463

213

455

Den

omin

ator

4620

1745

272

81

679

1 67

929

435

562

2 37

137

272

3 58

23

380

311

010

Blou

berg

SD

Indi

cato

r5.

63.

111

.011

.68.

811

.211

.91.

769

.344

.092

.722

.918

.155

.4

Num

erat

or6

48

6980

4649

92

610

1 29

63

686

1 19

875

518

546

Den

omin

ator

107

127

7359

690

54

116

4 11

654

345

189

2 94

647

736

5 22

24

182

401

454

Lepe

lle-N

kum

pi

SDIn

dica

tor

3.1

1.3

9.8

8.9

4.8

14.8

16.0

0.3

59.9

51.1

82.9

30.9

20.5

51.6

Num

erat

or9

45

100

108

7884

23

192

1 98

64

673

2 02

31

052

24 2

00

Den

omin

ator

294

301

511

123

2 25

35

258

5 25

871

163

900

3 88

567

620

6 54

05

134

562

668

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emol

e SD

Indi

cato

r2.

23.

14.

019

.36.

911

.011

.71.

729

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.374

.449

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.547

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erat

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21

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1617

678

885

91

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1 46

164

410

171

Den

omin

ator

4664

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431

91

451

1 45

135

531

725

1 70

731

908

2 93

52

867

254

922

Polo

kwan

e SD

Indi

cato

r0.

99.

38.

210

.17.

623

.326

.61.

257

.537

.581

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.726

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.6

Num

erat

or3

5115

462

555

311

355

227

676

4 48

810

956

4 62

12

986

45 6

86

Den

omin

ator

329

547

183

4 58

57

277

13 3

5913

359

1 77

216

0 30

811

978

161

544

12 9

4711

240

1 28

6 29

2

Cap

ricor

n In

dica

tor

2.4

5.8

9.2

9.8

6.9

17.9

20.1

1.1

57.7

42.2

82.5

34.7

22.6

47.7

Num

erat

or20

6132

672

789

464

520

4216

189

9 65

723

800

10 8

476

069

112

058

Den

omin

ator

822

1 05

934

96

870

11 4

8225

863

25 8

633

675

336

684

22 8

8734

6 08

037

4 71

232

1 63

62

816

346

Lim

popo

Indi

cato

r2.

12.

98.

39.

35.

910

.612

.21.

264

.528

.994

.531

.916

.554

.6

Sout

h Af

rica

Indi

cato

r2.

02.

08.

06.

34.

49.

912

.41.

382

.341

.696

.233

.019

.858

.0

Sour

ce:

DH

IS.

2009 2010 2011 2012 2013 2014 2015 2016Year

4_H

IV

4_P

roce

ss_i

nput




20

40

60

100

200

0

20

40

6080



2009 2010 2011 2012 2013 2014 2015 2016Year

3_C

hild

and

sch

ool h

ealth

1_Im

pact





3_O

utpu

t





0

50

100

0

10

20

30

0

20

40

60

0

10

20

50

100

150

20

40

60

80

50

100

150

0

50

100



582


582


Annual trends HIV



583


583

HIV

3rd 9

0-90

-90

2nd 9

0-90

-90

1st 90

-90-

90

Out

com

eO

utpu

tPr

oces

s &

inpu

t

Adu

lt w

ith v

iral

load

com

plet

ion

rate

at 1

2 m

onth

s (%

)

Chi

ld w

ith v

iral

load

com

plet

ion

rate

at 1

2 m

onth

s (%

)

Adu

lt w

ith v

iral

load

sup

pres

sed

rate

12

mon

ths

(%)

Chi

ld w

ith v

iral

load

sup

pres

sed

rate

12

mon

ths

(%)

Adu

lt pe

rcen

tage

on

AR

T af

ter 1

2 m

onth

s (%

)

Chi

ld p

erce

ntag

e on

AR

T af

ter 1

2 m

onth

s (%

)C

lient

s re

mai

ning

on

AR

T ra

te (%

)

HIV

test

pos

itive

cl

ient

15

year

s an

d ol

der r

ate

(incl

udin

g A

NC

) (%

)

HIV

test

ing

cove

rage

(in

clud

ing

AN

C)

(%)

Mal

e co

ndom

di

strib

utio

n co

vera

ge (N

o)

Med

ical

mal

e ci

rcum

cisi

on ra

te

(per

1K)

2015

2015

2015

2015

2015

2015

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

Agan

ang

SDIn

dica

tor

83.3

100.

078

.241

.772

.574

.1 -

-51

.791

.615

.8

Num

erat

or -

36 -

15 -

43 -

-30

125

3 24

5 72

068

9

Den

omin

ator

677

3656

436

1 01

258

- -

699

879

425

130

521

667

Blou

berg

SD

Indi

cato

r87

.469

.782

.558

.572

.574

.3 -

-71

.798

.834

.3

Num

erat

or -

53 -

31 -

81 -

-56

052

4 31

6 45

81

860

Den

omin

ator

1 24

576

1 08

853

1 82

310

9 -

-93

8 34

952

4 18

165

0 78

1

Lepe

lle-N

kum

pi S

DIn

dica

tor

80.5

75.0

80.3

61.9

70.3

73.2

- -

62.9

77.2

60.4

Num

erat

or -

63 -

39 -

90 -

-72

356

5 15

6 41

64

786

Den

omin

ator

1 29

684

1 04

363

1 98

512

3 -

-1

381

419

801

888

950

349

Mol

emol

e SD

Indi

cato

r87

.281

.582

.068

.274

.287

.5 -

-47

.379

.820

.7

Num

erat

or -

22 -

15 -

28 -

-26

184

2 57

7 26

079

6

Den

omin

ator

766

2766

822

1 13

632

- -

664

497

387

765

461

811

Polo

kwan

e SD

Indi

cato

r86

.173

.787

.964

.369

.872

.4 -

-48

.661

.726

.7

Num

erat

or -

126

-81

-18

1 -

-18

7 58

214

108

924

6 88

5

Den

omin

ator

4 48

317

13

862

126

6 79

025

0 -

-4

632

897

2 74

2 03

03

089

001

Cap

ricor

n In

dica

tor

85.3

76.1

84.7

60.3

70.9

74.0

59.8

4.5

53.7

72.3

31.8

Num

erat

or -

300

-18

1 -

423

64 4

3218

104

372

299

29 4

04 7

7815

016

Den

omin

ator

8 46

739

47

225

300

12 7

4657

210

7 72

839

8 88

68

317

041

4 88

0 99

45

673

609

Lim

popo

Indi

cato

r78

.369

.882

.856

.070

.072

.068

.64.

750

.268

.426

.9

Sout

h Af

rica

Indi

cato

r -

- -

- -

-55

.08.

235

.947

.519

.0

Sour

ce:

DH

IS.

584


584


TB

Impa

ctO

utco

me

Out

put

Proc

ess

& in

put

TB d

eath

rate

(E

TR.n

et) (

%)

TB D

R cl

ient

de

ath

rate

(E

DR

Web

) (%

)

TB c

lient

loss

to

follo

w u

p ra

te

(ETR

.Net

) (%

)

TB c

lient

tr

eatm

ent

succ

ess

rate

(E

TR.n

et) (

%)

TB D

R cl

ient

loss

to

follo

w u

p ra

te

(ED

RW

eb) (

%)

TB D

R tr

eatm

ent

succ

ess

rate

(E

DR

Web

) (%

)

TB R

ifam

pici

n re

sist

ance

co

nfirm

ed c

lient

ra

te (%

)

TB R

ifam

pici

n re

sist

ant c

lient

s tr

eatm

ent

initi

atio

n ra

te (%

)

TB/H

IV c

o-in

fect

ed c

lient

on

AR

T ra

te (E

TR.

Net

) (%

)

TB c

lient

initi

ated

on

trea

tmen

t ra

te (%

)

TB s

ympt

om 5

ye

ars

and

olde

r sc

reen

ed in

fa

cilit

y ra

te (%

)

2015

2014

2015

2015

2014

2014

2016

2016

2016

2016

2016

/17

Agan

ang

SDIn

dica

tor

12.0

-5.

278

.2 -

- -

-97

.1 -

73.2

Num

erat

or39

-17

255

- -

- -

135

-17

8 66

3

Den

omin

ator

326

-32

632

6 -

- -

-13

9 -

244

173

Blou

berg

SD

Indi

cato

r10

.8 -

4.1

82.8

- -

- -

99.2

-66

.3

Num

erat

or56

-21

429

- -

- -

256

-32

7 17

2

Den

omin

ator

518

-51

851

8 -

- -

-25

8 -

493

708

Lepe

lle-N

kum

pi S

DIn

dica

tor

15.9

-5.

876

.2 -

- -

-99

.0 -

63.1

Num

erat

or11

3 -

4154

2 -

- -

-47

5 -

333

871

Den

omin

ator

711

-71

171

1 -

- -

-48

0 -

528

742

Mol

emol

e SD

Indi

cato

r13

.7 -

0.6

85.4

- -

- -

97.8

-85

.2

Num

erat

or44

-2

275

- -

- -

219

-22

3 42

5

Den

omin

ator

322

-32

232

2 -

- -

-22

4 -

262

138

Polo

kwan

e SD

Indi

cato

r15

.4 -

8.4

61.5

- -

- -

85.6

-65

.4

Num

erat

or31

6 -

172

1 26

2 -

- -

-1

247

-81

9 00

7

Den

omin

ator

2 05

1 -

2 05

12

051

- -

- -

1 45

7 -

1 25

2 32

7

Cap

ricor

n In

dica

tor

14.5

14.2

6.4

70.3

19.8

61.3

6.0

62.7

91.2

112.

167

.7

Num

erat

or56

815

253

2 76

321

6516

110

12

332

3 00

51

882

138

Den

omin

ator

3 92

810

63

928

3 92

810

610

62

681

161

2 55

82

681

2 78

1 08

8

Lim

popo

Indi

cato

r11

.916

.46.

176

.117

.858

.45.

360

.490

.696

.756

.1

Sout

h Af

rica

Indi

cato

r6.

623

.06.

481

.017

.950

.56.

268

.088

.372

.851

.6

Sour

ce:

DH

IS.

2009 2010 2011 2012 2013 2014 2015 2016Year

5_TB

1_Im

pact



2_O

utco

me







4_P

roce

ss_i

nput


5

10

15

0

20

40

60

0

5

10

15

40

60

80

0

20

40

0

20

40

60

0

10

20

0

50

100

0

50

100




585


585

Annual trends TB

2010 2011 2012 2013 2014 2015 2016 2017Year

6_NCDs

2_Outcome

Diabetesincidence


0

5

20

40



586


586



Outcome

Diabetes incidence

(per1K)


(per1K)

2016/17 2016/17

Aganang SD Indicator 1.3 8.3

Numerator 175 288

Denominator 1 581 333 414 363

Blouberg SD Indicator 0.6 10.7

Numerator 97 388

Denominator 1 979 445 433 215

Lepelle-Nkumpi SD Indicator 0.9 11.5

Numerator 203 656

Denominator 2 816 043 686 682

Molemole SD Indicator 1.9 11.0

Numerator 213 287

Denominator 1 325 055 312 906

Polokwane SD Indicator 2.1 13.8


Denominator 7 882 500 1 770 870

Capricorn Indicator 1.6 12.1


Denominator 15 584 376 3 618 036



Source: DHIS.

Annual trends





587


587

Waterberg District Municipality (DC36)

Waterberg District is located in the western part of Limpopo Province. The district shares five border-control points with Botswana and comprises six health sub-districts, namely Bela-Bela, Lephalale, Modimolle, Mogalakwena, Mookgophong and Thabazimbi. It has a population of 747 926, with a population density of 16.7 persons per km2 and falls in socio-economic Quintile 3. Estimated medical scheme coverage is 8.7%.




No schooling 7.1%

Matric 27.6%


Households 211 471













under 1 year 13 542 13 578 13 804 14 029

under 5 years 72 844 72 374 72 024 71 764

05-09 years 73 066 73 546 73 594 73 544

10-14 years 63 847 65 919 68 271 70 363

15-19 years 61 733 60 845 60 298 60 486

20-24 years 67 057 66 374 65 211 63 689

25-29 years 72 795 72 957 73 081 72 951

30-34 years 64 581 67 722 71 029 74 464

35-39 years 53 618 55 561 57 216 58 506

40-44 years 42 286 43 916 45 623 47 449

45-49 years 32 823 34 011 35 342 36 767

50-54 years 26 763 27 322 27 880 28 520

55-59 years 21 547 22 024 22 566 23 128

60-64 years 17 443 17 698 17 923 18 183

65-69 years 12 613 12 961 13 337 13 705

70-74 years 8 506 8 550 8 640 8 788

75-79 years 5 879 5 771 5 647 5 517

80 years and older 5 112 5 171 5 238 5 313

Total 702 516 712 724 722 916 733 144



588


588



Ward based outreach


Regional Hospital

Central/Tertiary

HospitalsOther

Hospitals

Bela-Bela SD 0 4 0 1 0 0 1

Lephalale SD 2 7 1 2 0 0 1

Modimolle SD 2 4 0 1 0 0 1

Mogalakwena SD 9 33 1 2 1 0 3

Mookgophong SD 0 3 1 0 0 0 1

Thabazimbi SD 1 10 0 1 0 0 4

Waterberg 14 61 3 7 1 0 11

Source: DHIS.


Community Health

WorkersNursing

assistantsEnrolled

nurseProfessional

nurseMedical





Waterberg 1 453 685 626 1 157 238 90 34 34 30 14



PHC Management




(%)



Provincial and LG



(uninsured) (Rand)


(uninsured) (Rand)


per PHC headcount

(Rand)

2016/17 2016/17 2016/17 2016/17 2016/17 2016/17

Bela-Bela SD Indicator 1.7 - - - - -

Numerator 125 913 - - - - -

Denominator 884 166 - - - - -

Lephalale SD Indicator 1.7 - - - - -

Numerator 214 803 - - - - -

Denominator 1 518 516 - - - - -

Modimolle SD Indicator 2.2 - - - - -

Numerator 165 156 - - - - -

Denominator 911 865 - - - - -

Mogalakwena SD Indicator 2.3 - - - - -

Numerator 799 960 - - - - -

Denominator 4 107 411 - - - - -

Mookgophong SD Indicator 2.3 - - - - -

Numerator 91 948 - - - - -

Denominator 470 916 - - - - -

Thabazimbi SD Indicator 2.1 - - - - -

Numerator 192 329 - - - - -

Denominator 1 120 689 - - - - -

Waterberg Indicator 2.1 7.9 50.0 2 546 837 360

Numerator 1 590 109 5 25 1 738 454 697 571 748 631 571 748 631

Denominator 9 013 563 63 50 682 725 682 725 1 590 109



Source: DHIS.


589


589

Hos

pita

l

Dis

tric

t Hos

pita

lR

egio

nal H

ospi

tal

Tert

iary

/Cen

tral

Hos

pita

l

Aver

age

leng

th o

f st

ay -

tota

l (D

ays)

Expe

nditu

re

per p

atie

nt

day

equi

vale

nt

(Ran

d)

Inpa

tient

bed

ut

ilisa

tion

rate

- to

tal

(%)

Inpa

tient

cr

ude

deat

h ra

te (%

)

OPD

new

cl

ient

not

re

ferr

ed ra

te

(%)

Aver

age

leng

th o

f st

ay -

tota

l (D

ays)

Expe

nditu

re

per p

atie

nt

day

equi

vale

nt

(Ran

d)

Inpa

tient

bed

ut

ilisa

tion

rate

- to

tal

(%)

Inpa

tient

cr

ude

deat

h ra

te (%

)

OPD

new

cl

ient

not

re

ferr

ed ra

te

(%)

Aver

age

leng

th o

f st

ay -

tota

l (D

ays)

Expe

nditu

re

per p

atie

nt

day

equi

vale

nt

(Ran

d)

Inpa

tient

bed

ut

ilisa

tion

rate

- to

tal

(%)

Inpa

tient

cr

ude

deat

h ra

te (%

)

OPD

new

cl

ient

not

re

ferr

ed ra

te

(%)

Bela

-Bel

a SD

Indi

cato

r4.

34

747

64.1

5.6

98.1

- -

- -

- -

- -

- -

Num

erat

or31

125

223

071

904

31 1

2540

429

469

- -

- -

- -

- -

- -

Den

omin

ator

7 16

446

996

48 5

507

164

30 0

39 -

- -

- -

- -

- -

-

Leph

alal

e SD

Indi

cato

r3.

92

868

56.8

4.6

96.5

- -

- -

- -

- -

- -

Num

erat

or37

137

198

114

098

37 1

3743

959

117

- -

- -

- -

- -

- -

Den

omin

ator

9 55

669

080

65 3

429

556

61 2

39 -

- -

- -

- -

- -

-

Mod

imol

le S

DIn

dica

tor

3.3

3 18

751

.14.

461

.1 -

- -

- -

- -

- -

-

Num

erat

or22

764

129

120

968

22 7

6430

39

224

- -

- -

- -

- -

- -

Den

omin

ator

6 86

140

512

44 5

356

861

15 0

97 -

- -

- -

- -

- -

-

Mog

alak

wen

a SD

Indi

cato

r4.

33

465

71.9

5.1

87.1

5.3

3 91

662

.24.

681

.1 -

- -

- -

Num

erat

or61

412

303

825

637

61 4

1272

521

808

60 3

6733

1 30

9 47

360

367

521

27 7

10 -

- -

- -

Den

omin

ator

14 1

1987

679

85 4

1914

119

25 0

2911

449

84 5

9497

101

11 4

4934

178

- -

- -

-

Thab

azim

bi S

DIn

dica

tor

3.7

5 05

763

.75.

390

.5 -

- -

- -

- -

- -

-

Num

erat

or12

784

114

905

651

12 7

8418

111

956

- -

- -

- -

- -

- -

Den

omin

ator

3 42

922

722

20 0

773

429

13 2

07 -

- -

- -

- -

- -

-

Wat

erbe

rg

Indi

cato

r4.

03

629

62.6

5.0

91.0

5.3

3 91

662

.24.

681

.1 -

- -

- -

Num

erat

or16

5 22

096

9 03

8 25

916

5 22

02

052

131

574

60 3

6733

1 30

9 47

360

367

521

27 7

10 -

- -

- -

Den

omin

ator

41 1

2926

6 99

026

3 92

441

129

144

611

11 4

4984

594

97 1

0111

449

34 1

78 -

- -

- -

Lim

popo

Indi

cato

r4.

32

993

69.6

5.0

75.3

4.9

3 05

172

.35.

060

.47.

34

611

75.5

6.1

12.0

Sout

h Af

rica

Indi

cato

r4.

42

568

67.4

5.1

59.3

5.3

2 89

478

.35.

037

.26.

94

227

84.3

5.4

20.3

Sour

ce:

DH

IS a

nd B

AS.

2008 2010 2012 2014 2016 2018Year

1_M

anag

emen

t

1_Im

pact


2_O

utco

me



3_O

utpu

t



4_P

roce

ss_i

nput





2

4

6

8

2

4

6

8

1K

2K

3K

4K

50

100

0

50

100

0

50

100

1K

2K

3K

500

1000

1500

200

400

LP, DC36, Waterberg District Municipality, SEQ 3


590


590




591


591


Dat

a El

emen

t(N

umbe

r)

2014

/15

2015

/16

2016

/17

PHC

/ CH

C / M

OU

*D

istr

ict

Hos

pita

lR

egio

nal

Hos

pita

l

Cen

tral

/te

rtia

ry

Hos

pita

lD

istr

ict

Tota

lPH

C / C

HC

/ MO

UD

istr

ict

Hos

pita

lR

egio

nal

Hos

pita

l

Cen

tral

/te

rtia

ry

Hos

pita

lD

istr

ict

Tota

lPH

C / C

HC

/ MO

UD

istr

ict

Hos

pita

lR

egio

nal

Hos

pita

l

Cen

tral

/te

rtia

ry

hosp

ital

Dis

tric

t To

tal

Mat

erna

l dea

ths

215

3-

20-

111

-12

-8

6-

14

Live

birt

hs2

726

9 87

92

391

-14

996

2 33

19

707

2 35

5-

14 3

931

651

10 2

182

423

-14

292

Still

birth

s36

231

68-

335

1118

175

-26

717

166

73-

256


Infant (under 1

year)

Neo-natal

Dea

th in

faci

lity

0-7d

ays

-13

585

-22

0-

126

69-

195

-91

47-

138

Dea

th in

faci

lity

8-28

day

s -

87

-15

-14

7-

21-

139

-22

Dea

th in

faci

lity

29 d

ays

- 11

mon

ths

-72

20-

92-

4826

-74

-35

2-

37

Dea

th in

faci

lity

12 –

59

mon

ths

-44

10-

54-

2415

-39

-29

12-

41

Dia

rrho

ea d

eath

und

er 5

yea

rs

-19

4-

23-

141

-15

-11

2-

13

Pneu

mon

ia d

eath

und

er 5

yea

rs-

1611

-27

-17

10-

27-

115

-16

Seve

re a

cute

mal

nutri

tion

deat

h un

der 5

yea

rs

-51

7-

58-

276

-33

-24

--

24

TB D

eath

s 1

536

774

36-

2 34

61

428

888

42-

2 35

8-

--

--

Inpa

tient

dea

th to

tal

-2

053

632

-2

685

-2

018

616

-2

634

-2

052

521

-2

573

Patie

nt d

ay e

quiv

alen

t-

271

354

87 5

46-

358

900

-25

9 68

785

701

-34

5 38

8-

266

990

84 5

94-

351

584

Sour

ce:

DH

IS. *

MO

U –

Mat

erna

l Obs

tetr

ic U

nit.


5-1415-2425-64

65+Total 24%

15%20%

27%36%

73%

24%4%

40%39%24%

10%

46%79%

33%17%

19%9%

6%2%

6%17%

20%7%

23%15%17%17%

29%78%

25%7%

36%19%

24%8%

40%76%

30%14%

17%7%

13%2%

16%51%

30%7%

LP, Waterberg: DC36, 2010 - 2015

Rank.. Female Male

<5 y

ears

12345678910

5-14

12345678910

15-2

4

12345678910

25-6

4

12345678910

65+

12345678910







Tuberculosis (3.2%)

HIV/AIDS (7.3%)


Epilepsy (2.8%)

Endocrine nutritional,blood, immune (3.5%)






HIV/AIDS (14.3%)



Septicaemia (1.8%)






Cervix (2.5%)








HIV/AIDS (24.1%)









Tuberculosis (2.4%)

Other perinatal conditions (3.0%)Poisonings (including herbal) (3.2%)





Tuberculosis (2.7%)

HIV/AIDS (5.4%)

Drowning (8.5%)Epilepsy (3.9%)

Fires, hot substances (3.5%)Meningitis/encephalitis (3.7%)




HIV/AIDS (16.1%)

Drowning (3.9%)Epilepsy (2.7%)Mechanical forces (2.3%)






HIV/AIDS (11.2%)



Nephritis/nephrosis (2.2%)Diabetes mellitus (2.4%)

Diarrhoeal diseases (4.3%)Ischaemic heart disease (5.0%)




Prostate (4.7%)

COPD (5.0%)Nephritis/nephrosis (4.9%)



Ischaemic heart disease (13.9%)Cerebrovascular disease (11.2%)


Tuberculosis (5.2%)


Fem

ale

15-4

9

12345678910

Abortion (14.1%) n=13Maternal haemorrhage (6.4%) n=6

Hypertension in pregnancy (17.9%) n=16Other maternal (25.4%) n=23


Ischaemic heart disease (1.8%) n=105

Diabetes mellitus (1.7%) n=93

Road injuries (5.4%) n=304

Cervix (1.7%) n=98

Cerebrovascular disease (2.1%) n=120Meningitis/encephalitis (2.2%) n=127

Diarrhoeal diseases (6.9%) n=390Lower respiratory infections (11.1%) n=628




causes

BroadcauseInjury

NCD

HIV and TB

Comm_mat_peri_nut

Prov, DistrictLP, Waterberg: DC36

Show history




592


592





2009 2010 2011 2012 2013 2014 2015 2016Year

2_M

ater

nal a

nd w

omen

's h

ealth

1_Im

pact Maternal


2_O

utco

me





3_O

utpu

t



0

200

400

600

800

20

40

60

80

100

200

5

10

15

0

100

200

50

100

150

200

50

100

150




593


593





on ART rate (%)


(%)


Cervical cancer



(WHO) (%)


rate (%)

2016/17 2016/17 2016/17 2016/17 2016/17 2016/17 2016/17

Bela-Bela SD Indicator 127.4 101.0 7.7 65.4 46.4 89.2 49.0

Numerator 2 198 122 854 788 16 905 771

Denominator 1 570 196 1 575 1 305 20 388 227 403 1 575

Lephalale SD Indicator 76.3 91.2 5.0 57.5 46.9 117.4 72.2

Numerator 2 635 131 1 830 1 160 38 069 1 897

Denominator 2 621 696 2 629 3 181 29 691 389 244 2 629

Modimolle SD Indicator - 93.7 8.3 62.8 59.4 102.8 78.9

Numerator - 268 133 1 152 980 20 155 1 264

Denominator 1 592 286 1 602 1 834 19 803 235 248 1 602

Mogalakwena SD Indicator 115.0 91.4 6.1 65.9 45.0 86.2 71.0

Numerator 8 877 431 4 383 3 543 73 440 4 979

Denominator 6 955 959 7 011 6 654 94 397 1 022 466 7 011

Mookgophong SD Indicator - 95.3 3.3 69.0 60.0 154.8 140.2

Numerator - 102 9 572 560 16 146 387

Denominator 275 107 276 829 11 194 125 133 276

Thabazimbi SD Indicator 156.4 97.6 8.0 69.3 53.3 91.4 70.5

Numerator 2 372 102 1 281 988 22 055 902

Denominator 1 279 381 1 280 1 849 22 232 289 668 1 280

Waterberg Indicator 98.0 93.4 6.5 64.3 48.7 97.9 71.0

Numerator 14 2 452 928 10 072 8 019 186 769 10 200

Denominator 14 292 2 625 14 373 15 652 197 704 2 289 162 14 373



Source: DHIS.

Annual trends

594


594



Impa

ctO

utco

me

Out

put

Chi

ld u

nder

5

year

s di

arrh

oea

case

fata

lity

rate

(%)

Chi

ld u

nder

5

year

s pn

eum

onia

ca

se fa

talit

y ra

te (%

)

Chi

ld u

nder

5

year

s se

vere

acu

te

mal

nutr

ition

ca

se fa

talit

y ra

te (%

)

Inpa

tient

de

ath

unde

r 1

year

rate

(%)

Inpa

tient

de

ath

unde

r 5

year

rate

(%)

Inpa

tient

ea

rly n

eona

tal

deat

h ra

te

(per

1K)

Inpa

tient

ne

onat

al

deat

h ra

te

(per

1K)

Infa

nt P

CR

test

pos

itive

ar

ound

10

wee

ks ra

te

(%)

Imm

unis

atio

n co

vera

ge

unde

r 1 y

ear

(%)

Infa

nt

excl

usiv

ely

brea

stfe

d at

D

TaP-

IPV-

Hib

-HB

V 3rd

do

se ra

te (%

)

Mea

sles

2nd

dos

e co

vera

ge (%

)

Scho

ol G

rade

1

scre

enin

g co

vera

ge (%

)

Scho

ol G

rade

8

scre

enin

g co

vera

ge (%

)

Vita

min

A

dose

12-

59

mon

ths

cove

rage

(%)

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

Bela

-Bel

a SD

Indi

cato

r2.

31.

50.

913

.25.

18.

910

.26.

246

.119

.455

.80.

023

.427

.3

Num

erat

or3

31

2430

1416

1267

818

785

00

252

3 42

7

Den

omin

ator

133

195

106

182

583

1 57

01

570

195

17 6

3196

518

288

1 47

31

078

150

672

Leph

alal

e SD

Indi

cato

r4.

51.

510

.46.

96.

05.

36.

11.

153

.827

.278

.211

.99.

828

.2

Num

erat

or6

37

2434

1416

51

452

590

2 09

730

620

15

936

Den

omin

ator

132

198

6734

656

62

621

2 62

145

632

409

2 16

932

166

2 56

12

044

253

014

Mod

imol

le S

DIn

dica

tor

-1.

85.

57.

64.

711

.311

.90.

746

.829

.579

.148

.936

.128

.3

Num

erat

or -

26

2429

1819

383

039

71

427

851

472

4 11

8

Den

omin

ator

7711

010

931

461

11

592

1 59

240

121

267

1 34

821

657

1 73

91

307

174

744

Mog

alak

wen

a SD

Indi

cato

r1.

23.

02.

87.

24.

612

.114

.12.

357

.436

.171

.827

.321

.543

.5

Num

erat

or3

87

112

129

8498

224

846

2 31

36

211

2 19

71

373

30 6

50

Den

omin

ator

243

270

250

1 55

12

802

6 95

56

955

975

101

298

6 41

110

3 73

48

042

6 39

584

4 74

0

Moo

kgop

hong

SD

Indi

cato

r -

- -

- -

- -

1.3

37.8

39.4

70.4

34.0

0.0

37.7

Num

erat

or -

- -

- -

- -

139

421

566

623

00

2 54

0

Den

omin

ator

- -

- -

-27

527

578

12 4

9554

611

349

676

605

80 9

16

Thab

azim

bi S

DIn

dica

tor

2.9

-6.

011

.66.

56.

38.

61.

349

.624

.969

.459

.454

.234

.7

Num

erat

or1

-3

1316

811

31

008

359

1 32

470

642

44

844

Den

omin

ator

3472

5011

224

61

279

1 27

923

424

405

1 44

222

902

1 18

878

316

7 52

6

Wat

erbe

rg

Indi

cato

r2.

11.

94.

17.

95.

09.

711

.22.

052

.731

.571

.827

.422

.337

.0

Num

erat

or13

1624

197

238

138

160

469

208

4 06

112

575

4 29

02

722

51 5

15

Den

omin

ator

619

845

582

2 50

54

808

14 2

9214

292

2 33

920

9 50

512

881

210

096

188

148

146

544

1 67

1 61

2

Lim

popo

Indi

cato

r2.

12.

98.

39.

35.

910

.612

.21.

264

.528

.994

.531

.916

.554

.6

Sout

h Af

rica

Indi

cato

r2.

02.

08.

06.

34.

49.

912

.41.

382

.341

.696

.233

.019

.858

.0

Sour

ce:

DH

IS.

2009 2010 2011 2012 2013 2014 2015 2016Year

3_C

hild

and

sch

ool h

ealth

1_Im

pact





3_O

utpu

t





0

50

100

0

10

20

30

0

20

40

60

0

10

20

50

100

150

20

40

60

80

50

100

150

0

50

100



2009 2010 2011 2012 2013 2014 2015 2016Year

4_H

IV

4_P

roce

ss_i

nput




20

40

60

100

200

0

20

40

6080




595


595


Annual trends HIV

596


596


HIV

3rd

90-

90-9

02nd

90-

90-9

01st

90-9

0-90

Out

com

eO

utpu

tPr

oces

s &

inpu

t

Adu

lt w

ith v

iral

load

com

plet

ion

rate

at 1

2 m

onth

s (%

)

Chi

ld w

ith v

iral

load

com

plet

ion

rate

at 1

2 m

onth

s (%

)

Adu

lt w

ith v

iral

load

sup

pres

sed

rate

12

mon

ths

(%)

Chi

ld w

ith v

iral

load

sup

pres

sed

rate

12

mon

ths

(%)

Adu

lt pe

rcen

tage

on

AR

T af

ter 1

2 m

onth

s (%

)

Chi

ld p

erce

ntag

e on

AR

T af

ter 1

2 m

onth

s (%

)C

lient

s re

mai

ning

on

AR

T ra

te (%

)

HIV

test

pos

itive

cl

ient

15

year

s an

d ol

der r

ate

(incl

udin

g A

NC

) (%

)

HIV

test

ing

cove

rage

(in

clud

ing

AN

C)

(%)

Mal

e co

ndom

di

strib

utio

n co

vera

ge (N

o)

Med

ical

mal

e ci

rcum

cisi

on ra

te

(per

1K)

2015

2015

2015

2015

2015

2015

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

Bela

-Bel

a SD

Indi

cato

r50

.942

.185

.625

.066

.966

.7 -

-25

.360

.727

.0

Num

erat

or -

8 -

2 -

22 -

-9

785

1 53

8 93

377

5

Den

omin

ator

735

1937

48

1 14

933

- -

464

145

304

062

344

772

Leph

alal

e SD

Indi

cato

r81

.250

.078

.245

.860

.057

.1 -

-54

.574

.112

.0

Num

erat

or -

24 -

11 -

52 -

-39

876

3 60

2 49

865

1

Den

omin

ator

1 38

148

1 12

124

2 52

091

- -

877

488

583

407

648

933

Mod

imol

le S

DIn

dica

tor

60.7

53.6

80.6

40.0

66.4

59.2

- -

38.9

72.5

34.7

Num

erat

or -

15 -

6 -

29 -

-15

367

1 79

7 60

099

1

Den

omin

ator

840

2851

015

1 32

049

- -

473

880

297

540

342

849

Mog

alak

wen

a SD

Indi

cato

r65

.956

.680

.256

.567

.271

.2 -

-45

.369

.110

.5

Num

erat

or -

69 -

39 -

126

- -

70 8

996

379

416

1 18

1

Den

omin

ator

2 41

812

21

594

693

807

177

- -

1 87

8 56

71

107

324

1 34

7 42

3

Moo

kgop

hong

SD

Indi

cato

r67

.611

2.5

84.8

33.3

63.2

62.5

- -

54.2

117.

255

.4

Num

erat

or -

9 -

3 -

10 -

-11

650

1 67

1 47

487

5

Den

omin

ator

330

822

39

546

16 -

-25

8 12

017

1 15

018

9 58

8

Thab

azim

bi S

DIn

dica

tor

65.2

41.7

75.2

80.0

66.0

48.3

- -

44.8

47.6

13.7

Num

erat

or -

5-

4-

14 -

-26

724

2 03

6 14

162

5

Den

omin

ator

1 01

612

662

51

643

29 -

-71

5 60

851

3 50

154

6 86

1

Wat

erbe

rg

Indi

cato

r66

.754

.979

.750

.065

.064

.168

.28.

444

.868

.617

.9

Num

erat

or-

130

- 65

- 25

345

346

15 7

5817

4 30

117

026

062

5 09

8

Den

omin

ator

6 72

023

74

484

130

10 9

8539

566

508

188

381

4 66

7 80

82

976

984

3 42

0 42

6

Lim

popo

Indi

cato

r78

.369

.882

.856

.070

.072

.068

.64.

750

.268

.426

.9

Sout

h Af

rica

Indi

cato

r -

- -

- -

- 55

.08.

235

.947

.519

.0

Sour

ce:

DH

IS.


597


597

TBIm

pact

Out

com

eO

utpu

tPr

oces

s &

inpu

t

TB d

eath

rate

(E

TR.n

et) (

%)

TB D

R cl

ient

de

ath

rate

(E

DR

Web

) (%

)

TB c

lient

loss

to

follo

w u

p ra

te

(ETR

.Net

) (%

)

TB c

lient

tr

eatm

ent

succ

ess

rate

(E

TR.n

et) (

%)

TB D

R cl

ient

loss

to

follo

w u

p ra

te

(ED

RW

eb) (

%)

TB D

R tr

eatm

ent

succ

ess

rate

(E

DR

Web

) (%

)

TB R

ifam

pici

n re

sist

ance

co

nfirm

ed c

lient

ra

te (%

)

TB R

ifam

pici

n re

sist

ant c

lient

s tr

eatm

ent

initi

atio

n ra

te (%

)

TB/H

IV c

o-in

fect

ed c

lient

on

AR

T ra

te (E

TR.

Net

) (%

)

TB c

lient

initi

ated

on

trea

tmen

t ra

te (%

)

TB s

ympt

om 5

ye

ars

and

olde

r sc

reen

ed in

fa

cilit

y ra

te (%

)

2015

2014

2015

2015

2014

2014

2016

2016

2016

2016

2016

/17

Bela

-Bel

a SD

Indi

cato

r12

.5 -

2.7

76.3

- -

- -

96.3

-34

.8

Num

erat

or37

-8

225

- -

- -

184

-36

725

Den

omin

ator

295

-29

529

5 -

- -

-19

1 -

105

587

Leph

alal

e SD

Indi

cato

r15

.6 -

6.5

74.1

- -

- -

89.4

- -

Num

erat

or12

0 -

5057

0 -

- -

-50

8 -

-

Den

omin

ator

769

-76

976

9 -

- -

-56

8 -

167

263

Mod

imol

le S

DIn

dica

tor

10.6

-10

.170

.5 -

- -

-94

.7 -

72.3

Num

erat

or43

-41

285

- -

- -

230

-90

954

Den

omin

ator

404

-40

440

4 -

- -

-24

3 -

125

841

Mog

alak

wen

a SD

Indi

cato

r14

.0 -

7.4

71.3

- -

- -

91.7

-37

.8

Num

erat

or17

8 -

9490

8 -

- -

-77

3 -

237

958

Den

omin

ator

1 27

4 -

1 27

41

274

- -

- -

843

-62

8 87

8

Moo

kgop

hong

SD

Indi

cato

r6.

6 -

4.9

72.1

- -

- -

88.2

-25

.6

Num

erat

or8

-6

88 -

- -

-30

-19

324

Den

omin

ator

122

-12

212

2 -

- -

-34

-75

343

Thab

azim

bi S

DIn

dica

tor

5.4

-4.

383

.2 -

- -

-94

.2 -

39.1

Num

erat

or34

-27

525

- -

- -

355

-62

631

Den

omin

ator

631

-63

163

1 -

- -

-37

7 -

160

291

Wat

erbe

rg

Indi

cato

r12

.012

.66.

574

.423

.247

.44.

274

.292

.210

7.4

35.4

Num

erat

or42

012

226

2 60

122

4593

692

080

2 35

444

7 59

2

Den

omin

ator

3 49

595

3 49

53

495

9595

2 19

193

2 25

62

191

1 26

3 20

3

Lim

popo

Indi

cato

r11

.916

.46.

176

.117

.858

.45.

360

.490

.696

.756

.1

Sout

h Af

rica

Indi

cato

r6.

623

.06.

481

.017

.950

.56.

268

.088

.372

.851

.6

Sour

ce:

DH

IS.

2009 2010 2011 2012 2013 2014 2015 2016Year

5_TB

1_Im

pact



2_O

utco

me







4_P

roce

ss_i

nput


5

10

15

0

20

40

60

0

5

10

15

40

60

80

0

20

40

0

20

40

60

0

10

20

0

50

100

0

50

100



598


598


Annual trends

2010 2011 2012 2013 2014 2015 2016 2017Year

6_NCDs

2_Outcome

Diabetesincidence


0

5

20

40




599


599


Outcome

Diabetes incidence

(per1K)


(per1K)

2016/17 2016/17

Bela-Bela SD Indicator 1.2 5.1

Numerator 92 109


Lephalale SD Indicator 1.1 14.6

Numerator 144 448

Denominator 1 518 516 368 172

Modimolle SD Indicator 1.5 25.2

Numerator 115 490


Mogalakwena SD Indicator 4.1 10.8

Numerator 14 07 966

Denominator 4 107 411 1 077 222

Mookgophong SD Indicator 0.1 2.3

Numerator 3 27


Thabazimbi SD Indicator 0.6 13.5

Numerator 55 354

Denominator 1 120 689 314 598

Waterberg Indicator 2.4 12.0


Denominator 9 013 563 2 385 921



Source: DHIS.

Annual trends




600


600


Sekhukhune District Municipality (DC47)

Sekhukhune District is located in Limpopo Province, in northern South Africa. The district lies in the south-eastern part of the province and comprises five health sub-districts: Elias Motsoaledi, Ephraim Mogale, Fetakgomo, Makhuduthamaga and Greater Tubatse. It has a population of 1 154 587, with a population density of 85.3 persons per km2 and falls in socio-economic Quintile 1, among the poorest districts. Estimated medical scheme coverage is 5.9%.




No schooling 16.0%

Matric 24.3%


Households 290 527













under 1 year 27 182 27 232 27 747 28 291

under 5 years 146 964 146 290 145 856 145 635

05-09 years 144 405 146 438 147 428 148 073

10-14 years 121 591 126 549 132 407 137 784

15-19 years 121 421 117 948 115 679 115 601

20-24 years 132 823 129 667 125 846 121 745

25-29 years 134 702 135 252 135 065 133 752

30-34 years 110 043 116 835 123 386 129 717

35-39 years 77 711 83 697 89 280 94 006

40-44 years 49 585 53 455 57 853 62 722

45-49 years 36 124 37 218 38 655 40 611

50-54 years 30 708 31 051 31 361 31 747

55-59 years 25 804 26 126 26 610 27 099

60-64 years 23 425 23 109 22 775 22 547

65-69 years 19 617 19 679 19 696 19 654

70-74 years 14 306 14 547 14 748 14 886

75-79 years 9 885 9 806 9 777 9 810

80 years and older 11 696 11 621 11 569 11 539

Total 1 210 811 1 229 286 1 247 984 1 266 928




601


601


Ward based outreach


Regional Hospital

Central/Tertiary

HospitalsOther

Hospitals

Elias Motsoaledi SD 1 15 0 1 1 0 0

Ephraim Mogale SD 1 15 0 1 0 0 0

Fetakgomo SD 1 13 1 0 0 0 0

Greater Tubatse SD 1 21 2 2 0 0 0

Makhuduthamaga SD 1 21 0 1 1 0 2

Sekhukhune 5 85 3 5 2 0 2

Source: DHIS.


Community Health

WorkersNursing

assistantsEnrolled

nurseProfessional

nurseMedical





Sekhukhune 2 912 900 779 1 474 188 131 37 37 30 14



PHC Management




(%)



Provincial and LG



(uninsured) (Rand)


(uninsured) (Rand)


per PHC headcount

(Rand)

2016/17 2016/17 2016/17 2016/17 2016/17 2016/17

E Motsoaledi SD Indicator 2.0 - - - - -

Numerator 542 407 - - - - -

Denominator 3 197 397 - - - - -

Ephraim Mogale SD Indicator 3.0 - - - - -

Numerator 393 960 - - - - -

Denominator 1 593 612 - - - - -

Fetakgomo SD Indicator 3.0 - - - - -

Numerator 299 359 - - - - -

Denominator 1 200 987 - - - - -

Greater Tubatse SD Indicator 2.3 - - - - -

Numerator 870 421 - - - - -

Denominator 4 452 402 - - - - -

Makhuduthamaga SD Indicator 2.0 - - - - -

Numerator 576 810 - - - - -

Denominator 3 461 568 - - - - -

Sekhukhune Indicator 2.3 9.2 65.9 1 730 774 313

Numerator 2 682 957 8 54 1 879 231 703 841 046 934 841 046 934

Denominator 13 905 966 87 82 1 086 480 1 086 480 2 682 957



Source: DHIS.

2008 2010 2012 2014 2016 2018Year

1_M

anag

emen

t

1_Im

pact


2_O

utco

me



3_O

utpu

t



4_P

roce

ss_i

nput





2

4

6

8

2

4

6

8

1K

2K

3K

4K

50

100

0

50

100

0

50

100

1K

2K

3K

500

1000

1500

200

400

LP, DC47, Sekhukhune District Municipality, SEQ 1 (most deprived)



P rov_av

ZA_av

602


602

Section B: Profile Limpopo ProvinceH

ospi

tal

Dis

tric

t Hos

pita

lR

egio

nal H

ospi

tal

Tert

iary

/Cen

tral

Hos

pita

l

Aver

age

leng

th o

f st

ay -

tota

l (D

ays)

Expe

nditu

re

per p

atie

nt

day

equi

vale

nt

(Ran

d)

Inpa

tient

bed

ut

ilisa

tion

rate

- to

tal

(%)

Inpa

tient

cr

ude

deat

h ra

te (%

)

OPD

new

cl

ient

not

re

ferr

ed ra

te

(%)

Aver

age

leng

th o

f st

ay -

tota

l (D

ays)

Expe

nditu

re

per p

atie

nt

day

equi

vale

nt

(Ran

d)

Inpa

tient

bed

ut

ilisa

tion

rate

- to

tal

(%)

Inpa

tient

cr

ude

deat

h ra

te (%

)

OPD

new

cl

ient

not

re

ferr

ed ra

te

(%)

Aver

age

leng

th o

f st

ay -

tota

l (D

ays)

Expe

nditu

re

per p

atie

nt

day

equi

vale

nt

(Ran

d)

Inpa

tient

bed

ut

ilisa

tion

rate

- to

tal

(%)

Inpa

tient

cr

ude

deat

h ra

te (%

)

OPD

new

cl

ient

not

re

ferr

ed ra

te

(%)

E M

otso

aled

i SD

Indi

cato

r4.

43

050

100.

74.

753

.36.

62

023

102.

24.

746

.1 -

- -

- -

Num

erat

or19

117

112

774

893

19 1

1720

78

721

106

726

311

773

236

106

726

768

21 1

17 -

- -

- -

Den

omin

ator

4 36

136

978

18 9

824

361

16 3

6216

263

154

124

104

401

16 2

6345

849

- -

- -

-

Ephr

aim

Mog

ale

SDIn

dica

tor

4.9

3 61

967

.64.

285

.0 -

- -

- -

- -

- -

-

Num

erat

or29

633

170

044

104

29 6

3325

312

985

- -

- -

- -

- -

- -

Den

omin

ator

6 06

846

989

43 8

056

068

15 2

84 -

- -

- -

- -

- -

-

Gre

ater

Tub

atse

SD

Indi

cato

r3.

82

634

57.7

4.2

78.5

- -

- -

- -

- -

- -

Num

erat

or64

663

273

316

485

64 6

6371

333

192

- -

- -

- -

- -

- -

Den

omin

ator

17 0

1710

3 77

611

2 06

717

017

42 2

81 -

- -

- -

- -

- -

-

Mak

hudu

tham

aga

SDIn

dica

tor

4.1

2 62

376

.04.

393

.23.

73

009

56.1

4.2

75.0

- -

- -

-

Num

erat

or55

472

216

571

016

55 4

7258

633

693

67 6

0528

8 94

0 66

467

605

769

21 7

49 -

- -

- -

Den

omin

ator

13 6

6682

560

73 0

0813

666

36 1

4018

406

96 0

2412

0 46

318

406

28 9

87 -

- -

- -

Sekh

ukhu

ne

Indi

cato

r4.

12

859

68.1

4.3

80.5

5.0

2 40

177

.54.

457

.3 -

- -

- -

Num

erat

or16

8 88

477

2 70

6 49

916

8 88

41

759

88 5

9117

4 33

060

0 71

3 90

017

4 33

01

537

42 8

66 -

- -

- -

Den

omin

ator

41 1

1227

0 30

224

7 86

241

112

110

067

34 6

6925

0 14

922

4 86

534

669

74 8

36 -

- -

- -

Lim

popo

Indi

cato

r4.

32

993

69.6

5.0

75.3

4.9

3 05

172

.35.

060

.47.

346

111

247

75.5

6.1

12.0

Sout

h Af

rica

Indi

cato

r4.

42

568

67.4

5.1

59.3

5.3

2 89

478

.35.

037

.26.

942

268

693

84.3

5.4

20.3

Sour

ce:

DH

IS a

nd B

AS.

Annual trends


603


603


Dat

a El

emen

t(N

umbe

r)

2014

/15

2015

/16

2016

/17

PHC

/ CH

C / M

OU

*D

istr

ict

Hos

pita

lR

egio

nal

Hos

pita

l

Cen

tral

/te

rtia

ry

Hos

pita

lD

istr

ict

Tota

lPH

C / C

HC

/ MO

UD

istr

ict

Hos

pita

lR

egio

nal

Hos

pita

l

Cen

tral

/te

rtia

ry

Hos

pita

lD

istr

ict

Tota

lPH

C / C

HC

/ MO

UD

istr

ict

Hos

pita

lR

egio

nal

Hos

pita

l

Cen

tral

/te

rtia

ry

hosp

ital

Dis

tric

t To

tal

Mat

erna

l dea

ths

819

12-

39-

177

-24

113

7-

21

Live

birt

hs2

122

15 5

078

502

-26

131

1 86

414

928

8 13

5-

24 9

271

485

14 9

938

080

-24

558

Still

birth

s22

385

188

-59

526

353

161

-54

014

283

184

-48

1


Infant (under 1

year)

Neo-natal

Dea

th in

faci

lity

0-7d

ays

-17

710

3-

280

-13

182

-21

3-

118

80-

198

Dea

th in

faci

lity

8-28

day

s -

2313

-36

-23

10-

33-

173

-20

Dea

th in

faci

lity

29 d

ays

- 11

mon

ths

-60

31-

91-

5222

-74

-54

18-

72

Dea

th in

faci

lity

12 –

59

mon

ths

-64

27-

91-

4119

-60

-38

23-

61

Dia

rrho

ea d

eath

und

er 5

yea

rs

-33

7-

40-

265

-31

-21

4-

25

Pneu

mon

ia d

eath

und

er 5

yea

rs-

2118

-39

-16

24-

40-

1811

-29

Seve

re a

cute

mal

nutri

tion

deat

h un

der 5

yea

rs

-26

14-

40-

1915

-34

-24

13-

37

TB D

eath

s 1

175

420

240

-1

835

1 10

555

030

5-

1 96

0-

--

--

Inpa

tient

dea

th to

tal

-1

867

1 59

5-

3 46

2-

1 62

61

585

-3

211

-1

759

1 53

7-

3 29

6

Patie

nt d

ay e

quiv

alen

t-

252

185

236

897

-48

9 08

2-

253

311

252

276

-50

5 58

7-

270

302

250

149

-52

0 45

1

Sour

ce:

DH

IS. *

MO

U –

Mat

erna

l Obs

tetr

ic U

nit.


5-1415-2425-64

65+Total 36%

30%34%

39%49%

79%

19%3%

34%30%

14%7%

41%65%

29%17%

19%8%

4%2%4%

15%18%

6%

33%29%29%

24%43%

79%

19%6%

29%10%

14%7%

35%62%

27%17%

14%7%

12%3%

14%49%

29%7%

LP, Sekhukhune: DC47, 2010 - 2015

Rank.. Female Male

<5 y

ears

12345678910

5-14

12345678910

15-2

4

12345678910

25-6

4

12345678910

65+

12345678910




Septicaemia (2.1%)



Tuberculosis (1.7%)

HIV/AIDS (5.8%)

Epilepsy (3.9%)Septicaemia (4.0%)







Cardiomyopathy (1.9%)Endocrine nutritional,blood, immune (1.8%)

Septicaemia (2.4%)Meningitis/encephalitis (2.2%)

Accidental threats to breathing (3.3%)Road injuries (8.3%)


Tuberculosis (10.3%)

HIV/AIDS (20.9%)

Cervix (2.0%)

Septicaemia (2.1%)Road injuries (2.0%)


Diarrhoeal diseases (9.5%)Cerebrovascular disease (5.0%)


HIV/AIDS (21.8%)

Cardiomyopathy (2.6%)Septicaemia (3.0%)






Tuberculosis (1.5%)

Poisonings (including herbal) (2.7%)Birth asphyxia (4.8%)


Septicaemia (1.7%)Meningitis/encephalitis (1.8%)


Tuberculosis (1.9%)

HIV/AIDS (5.3%)

Drowning (8.5%)

Epilepsy (4.2%)

Septicaemia (1.7%)Meningitis/encephalitis (2.1%)Accidental threats to breathing (3.4%)




Drowning (3.0%)

Epilepsy (4.3%)Mechanical forces (4.1%)















Cardiomyopathy (3.1%)COPD (2.9%)






Tuberculosis (4.7%)


Fem

ale

15-4

9

12345678910

Maternal sepsis (5.2%) n=7Abortion (7.5%) n=11

Maternal haemorrhage (15.7%) n=23Hypertension in pregnancy (17.9%) n=26

Other maternal (20.1%) n=29Indirect maternal (33.5%) n=48

Septicaemia (2.0%) n=216Diabetes mellitus (1.8%) n=193Endocrine nutritional,blood, immune (1.3%) n=145

Road injuries (2.9%) n=315Cerebrovascular disease (2.4%) n=263Meningitis/encephalitis (2.1%) n=232

Diarrhoeal diseases (10.4%) n=1 135

Lower respiratory infections (21.1%) n=2 296Tuberculosis (13.6%) n=1 484

HIV/AIDS (26.1%) n=2 846



causes

BroadcauseInjury

NCD

HIV and TB

Comm_mat_peri_nut

Prov, DistrictLP, Sekhukhune: DC47

Show history




604


604





2009 2010 2011 2012 2013 2014 2015 2016Year

2_M

ater

nal a

nd w

omen

's h

ealth

1_Im

pact Maternal


2_O

utco

me





3_O

utpu

t



0

200

400

600

800

20

40

60

80

100

200

5

10

15

0

100

200

50

100

150

200

50

100

150




605


605





on ART rate (%)


(%)


Cervical cancer



(WHO) (%)


rate (%)

2016/17 2016/17 2016/17 2016/17 2016/17 2016/17 2016/17

E Motsoaledi SD Indicator 136.6 89.6 6.1 63.3 84.2 85.2 58.8

Numerator 8 580 362 3 184 4 869 65 636 3 471

Denominator 5 856 647 5 904 5 031 69 422 924 864 5 904

Ephraim Mogale SD Indicator 58.1 95.5 5.9 54.2 62.4 47.3 131.6

Numerator 1 319 101 1 797 1 814 18 243 2 268

Denominator 1 720 334 1 724 3 313 34 874 462 363 1 724

Fetakgomo SD Indicator - 93.8 1.6 70.7 63.6 128.0 443.7

Numerator - 197 5 1 516 1 496 37 792 1 371

Denominator 312 210 309 2 144 28 241 354 348 309

Greater Tubatse SD Indicator 81.6 92.9 5.0 69.2 45.2 60.6 68.8

Numerator 6 1 052 369 6 108 3 369 68 532 5 104

Denominator 7 349 1 132 7 414 8 831 89 471 1 357 806 7 414

Makhuduthamaga SD Indicator 64.4 88.8 6.4 65.2 54.0 71.8 41.8

Numerator 6 557 597 4 105 3 701 60 908 3 906

Denominator 9 321 627 9 340 6 295 82 288 1 017 831 9 340

Sekhukhune Indicator 85.5 91.7 5.8 65.2 60.1 73.2 65.3

Numerator 21 2 705 1 434 16 710 15 249 251 111 16 120

Denominator 24 558 2 950 24 691 25 614 304 297 4 117 212 24 691



Source: DHIS.

Annual trends

606


606



Impa

ctO

utco

me

Out

put

Chi

ld u

nder

5

year

s di

arrh

oea

case

fata

lity

rate

(%)

Chi

ld u

nder

5

year

s pn

eum

onia

ca

se fa

talit

y ra

te (%

)

Chi

ld u

nder

5

year

s se

vere

acu

te

mal

nutr

ition

ca

se fa

talit

y ra

te (%

)

Inpa

tient

de

ath

unde

r 1

year

rate

(%)

Inpa

tient

de

ath

unde

r 5

year

rate

(%)

Inpa

tient

ea

rly n

eona

tal

deat

h ra

te

(per

1K)

Inpa

tient

ne

onat

al

deat

h ra

te

(per

1K)

Infa

nt P

CR

test

pos

itive

ar

ound

10

wee

ks ra

te

(%)

Imm

unis

atio

n co

vera

ge

unde

r 1 y

ear

(%)

Infa

nt

excl

usiv

ely

brea

stfe

d at

D

TaP-

IPV-

Hib

-HB

V 3rd

do

se ra

te (%

)

Mea

sles

2nd

dos

e co

vera

ge (%

)

Scho

ol G

rade

1

scre

enin

g co

vera

ge (%

)

Scho

ol G

rade

8

scre

enin

g co

vera

ge (%

)

Vita

min

A

dose

12-

59

mon

ths

cove

rage

(%)

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

E M

otso

aled

i SD

Indi

cato

r2.

22.

67.

612

.37.

29.

911

.30.

761

.826

.888

.922

.212

.845

.2

Num

erat

or5

88

7589

5866

43

379

1 22

94

937

1 70

073

620

163

Den

omin

ator

230

310

105

610

1 23

45

856

5 85

654

765

586

4 58

366

612

7 66

05

731

535

410

Ephr

aim

Mog

ale

SDIn

dica

tor

0.8

4.1

9.3

10.6

3.7

7.0

7.6

2.4

82.6

26.6

96.8

41.9

0.0

58.8

Num

erat

or1

45

2327

1213

62

240

942

2 68

21

503

013

102

Den

omin

ator

120

9854

218

722

1 72

01

720

254

32 5

323

537

33 2

553

591

2 82

126

7 48

6

Feta

kgom

o SD

Indi

cato

r -

- -

- -

- -

0.5

82.6

24.6

125.

418

.30.

084

.2

Num

erat

or -

- -

- -

- -

11

614

555

2 53

851

90

13 9

30

Den

omin

ator

- -

- -

-31

231

219

723

442

2 25

224

291

2 83

02

005

198

498

Gre

ater

Tub

atse

SD

Indi

cato

r5.

74.

912

.022

.010

.26.

56.

90.

840

.612

.791

.67.

35.

754

.5

Num

erat

or13

119

8510

148

516

3 03

178

86

836

726

372

32 1

08

Den

omin

ator

228

223

7538

698

87

349

7 34

970

689

490

6 21

089

553

9 94

66

576

707

592

Mak

hudu

tham

aga

SDIn

dica

tor

1.8

2.2

16.1

5.5

4.1

8.6

9.4

1.9

46.2

25.9

102.

53.

30.

055

.1

Num

erat

or6

615

107

134

8088

82

869

1 61

06

518

291

028

413

Den

omin

ator

337

275

931

962

3 29

79

321

9 32

143

274

499

6 22

476

320

8 85

56

572

618

714

Sekh

ukhu

ne

Indi

cato

r2.

73.

211

.39.

15.

68.

18.

91.

255

.222

.597

.314

.44.

755

.5

Num

erat

or25

2937

290

351

198

218

2513

133

5 12

423

511

4 73

91

108

107

716

Den

omin

ator

915

906

327

3 17

66

241

24 5

5824

558

2 13

628

5 54

922

806

290

031

394

584

284

460

2 32

7 70

0

Lim

popo

Indi

cato

r2.

12.

98.

39.

35.

910

.612

.21.

264

.528

.994

.531

.916

.554

.6

Sout

h Af

rica

Indi

cato

r2.

02.

08.

06.

34.

49.

912

.41.

382

.341

.696

.233

.019

.858

.0

Sour

ce:

DH

IS.

2009 2010 2011 2012 2013 2014 2015 2016Year

3_C

hild

and

sch

ool h

ealth

1_Im

pact





3_O

utpu

t





0

50

100

0

10

20

30

0

20

40

60

0

10

20

50

100

150

20

40

60

80

50

100

150

0

50

100



2009 2010 2011 2012 2013 2014 2015 2016Year

4_H

IV

4_P

roce

ss_i

nput




20

40

60

100

200

0

20

40

6080




607


607


Annual trends HIV

608


608


HIV

3rd

90-

90-9

02nd

90-

90-9

01st

90-9

0-90

Out

com

eO

utpu

tPr

oces

s &

inpu

t

Adu

lt w

ith v

iral

load

com

plet

ion

rate

at 1

2 m

onth

s (%

)

Chi

ld w

ith v

iral

load

com

plet

ion

rate

at 1

2 m

onth

s (%

)

Adu

lt w

ith v

iral

load

sup

pres

sed

rate

12

mon

ths

(%)

Chi

ld w

ith v

iral

load

sup

pres

sed

rate

12

mon

ths

(%)

Adu

lt pe

rcen

tage

on

AR

T af

ter 1

2 m

onth

s (%

)

Chi

ld p

erce

ntag

e on

AR

T af

ter 1

2 m

onth

s (%

)C

lient

s re

mai

ning

on

AR

T ra

te (%

)

HIV

test

pos

itive

cl

ient

15

year

s an

d ol

der r

ate

(incl

udin

g A

NC

) (%

)

HIV

test

ing

cove

rage

(in

clud

ing

AN

C)

(%)

Mal

e co

ndom

di

strib

utio

n co

vera

ge (N

o)

Med

ical

mal

e ci

rcum

cisi

on ra

te

(per

1K)

2015

2015

2015

2015

2015

2015

2016

/17

2016

/17

2016

/17

2016

/17

2016

/17

E M

otso

aled

i SD

Indi

cato

r83

.569

.878

.747

.767

.060

.9 -

-51

.175

.515

.8

Num

erat

or -

44 -

21 -

67 -

-76

636

6 35

1 66

21

530

Den

omin

ator

1 67

763

1 40

144

2 61

611

0 -

-1

798

221

1 00

8 91

21

165

071

Ephr

aim

Mog

ale

SDIn

dica

tor

87.5

70.0

81.6

46.4

66.5

71.0

- -

41.4

26.6

32.8

Num

erat

or -

28 -

13 -

44 -

-31

437

1 14

6 38

01

615

Den

omin

ator

850

4074

428

1 34

362

- -

911

412

516

678

591

411

Feta

kgom

o SD

Indi

cato

r76

.461

.582

.962

.569

.876

.5 -

-60

.812

3.0

36.1

Num

erat

or -

16 -

10 -

26 -

-33

916

3 75

9 39

21

275

Den

omin

ator

573

2643

816

867

34 -

-66

9 49

536

6 80

442

3 74

4

Gre

ater

Tub

atse

SD

Indi

cato

r83

.464

.486

.259

.768

.771

.7 -

-35

.342

.326

.0

Num

erat

or -

67 -

40 -

109

- -

81 0

575

469

581

3 78

2

Den

omin

ator

2 61

410

42

181

673

982

152

- -

2 75

9 00

71

550

865

1 74

5 07

6

Mak

hudu

tham

aga

SDIn

dica

tor

84.1

64.4

82.9

52.2

71.5

86.4

- -

44.6

63.2

32.7

Num

erat

or -

67 -

35 -

108

- -

68 0

835

030

787

3 10

6

Den

omin

ator

1 57

510

41

324

672

315

125

- -

1 83

1 43

195

5 93

51

138

191

Sekh

ukhu

ne

Indi

cato

r83

.565

.983

.053

.668

.773

.367

.34.

843

.859

.426

.8

Num

erat

or -

222

-11

9 -

354

55 0

1414

930

291

129

21 7

57 8

0211

308

Den

omin

ator

7 28

933

76

088

222

11 1

2348

381

708

312

891

7 96

9 56

64

399

194

5 06

3 49

3

Lim

popo

Indi

cato

r78

.369

.882

.856

.070

.072

.068

.64.

750

.268

.426

.9

Sout

h Af

rica

Indi

cato

r -

- -

- -

- 55

.08.

235

.947

.519

.0

Sour

ce:

DH

IS.


609


609

TBIm

pact

Out

com

eO

utpu

tPr

oces

s &

inpu

t

TB d

eath

rate

(E

TR.n

et) (

%)

TB D

R cl

ient

de

ath

rate

(E

DR

Web

) (%

)

TB c

lient

loss

to

follo

w u

p ra

te

(ETR

.Net

) (%

)

TB c

lient

tr

eatm

ent

succ

ess

rate

(E

TR.n

et) (

%)

TB D

R cl

ient

loss

to

follo

w u

p ra

te

(ED

RW

eb) (

%)

TB D

R tr

eatm

ent

succ

ess

rate

(E

DR

Web

) (%

)

TB R

ifam

pici

n re

sist

ance

co

nfirm

ed c

lient

ra

te (%

)

TB R

ifam

pici

n re

sist

ant c

lient

s tr

eatm

ent

initi

atio

n ra

te (%

)

TB/H

IV c

o-in

fect

ed c

lient

on

AR

T ra

te (E

TR.

Net

) (%

)

TB c

lient

initi

ated

on

trea

tmen

t ra

te (%

)

TB s

ympt

om 5

ye

ars

and

olde

r sc

reen

ed in

fa

cilit

y ra

te (%

)

2015

2014

2015

2015

2014

2014

2016

2016

2016

2016

2016

/17

E M

otso

aled

i SD

Indi

cato

r9.

4 -

13.9

72.6

- -

- -

90.5

-1.

4

Num

erat

or63

-93

487

- -

- -

323

-5

794

Den

omin

ator

671

-67

167

1 -

- -

-35

7 -

417

522

Ephr

aim

Mog

ale

SDIn

dica

tor

10.5

-6.

780

.5 -

- -

-95

.2 -

-

Num

erat

or28

-18

215

- -

- -

138

- -

Den

omin

ator

267

-26

726

7 -

- -

-14

5 -

301

067

Feta

kgom

o SD

Indi

cato

r8.

3 -

0.0

76.6

- -

- -

100.

0 -

65.2

Num

erat

or17

-0

157

- -

- -

34 -

145

074

Den

omin

ator

205

-20

520

5 -

- -

-34

-22

2 36

5

Gre

ater

Tub

atse

SD

Indi

cato

r12

.2 -

3.8

81.8

- -

- -

92.8

-1.

9

Num

erat

or11

7 -

3678

2 -

- -

-46

4 -

12 4

51

Den

omin

ator

956

-95

695

6 -

- -

-50

0 -

666

879

Mak

hudu

tham

aga

SDIn

dica

tor

25.9

-4.

265

.2 -

- -

-94

.0 -

22.6

Num

erat

or17

8 -

2944

7 -

- -

-35

8 -

94 1

59

Den

omin

ator

686

-68

668

6 -

- -

-38

1 -

416

126

Sekh

ukhu

ne

Indi

cato

r14

.521

.26.

375

.015

.360

.04.

454

.392

.986

.012

.7

Num

erat

or40

318

176

2 08

813

5110

557

1 31

72

032

257

478

Den

omin

ator

2 78

585

2 78

52

785

8585

2 36

310

51

417

2 36

32

023

959

Lim

popo

Indi

cato

r11

.916

.46.

176

.117

.858

.45.

360

.490

.696

.756

.1

Sout

h Af

rica

Indi

cato

r6.

623

.06.

481

.017

.950

.56.

268

.088

.372

.851

.6

Sour

ce:

DH

IS.

2009 2010 2011 2012 2013 2014 2015 2016Year

5_TB

1_Im

pact



2_O

utco

me







4_P

roce

ss_i

nput


5

10

15

0

20

40

60

0

5

10

15

40

60

80

0

20

40

0

20

40

60

0

10

20

0

50

100

0

50

100



610


610


Annual trends TB

2010 2011 2012 2013 2014 2015 2016 2017Year

6_NCDs

2_Outcome

Diabetesincidence


0

5

20

40




611


611


Outcome

Diabetes incidence

(per1K)


(per1K)

2016/17 2016/17

E Motsoaledi SD Indicator 1.6 19.5

Numerator 416 1 101

Denominator 3 197 397 678 948

Ephraim Mogale SD Indicator 2.0 60.2

Numerator 265 1 703

Denominator 1 593 612 339 348

Fetakgomo SD Indicator 0.7 15.4

Numerator 75 348

Denominator 1 200 987 271 686

Greater Tubatse SD Indicator 1.7 60.0

Numerator 627 4 038

Denominator 4 452 402 807 351

Makhuduthamaga SD Indicator 2.6 20.2

Numerator 736 1 296

Denominator 3 461 568 768 504

Sekhukhune Indicator 1.8 35.5


Denominator 13 905 966 2 865 837



Source: DHIS.

Annual trends




20mpopo province li - health systems trust health... · 2018-01-24 · section b: national and...

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