18auteng Province G Health...Section B: Profile Gauteng Province Number of facilities by level, 2016/17 Ward based outreach teams Clinic CHC District Hospital Regional Hospital Central

376

Section B: National and District Profiles

376

Section B: Profile Gauteng Province

18 Gauteng Province

Sedibeng District Municipality (DC42)

Sedibeng District is situated in southern Gauteng Province and borders the Free State, North West and Mpumalanga provinces. It comprises three health sub-districts, namely Emfuleni, Lesedi and Midvaal. The district has a population of 935 835, with a population density of 224.3 persons per km2 and falls in socio-economic Quintile 5, among the wealthiest districts. Estimated medical scheme coverage is 21.2%.

Social determinants of healtha

Unemployment ratea 31.9%

Youth unemployment rate (15-34 years)a 41.7%

No schooling 4.3%

Matric 36.0%

Higher education 12.0%

Households 330 828

Female-headed households 36.0%

Formal dwellings 86.7%

Flush toilet connected to sewerage 86.6%

Weekly refuse removal 86.8%

Piped water inside dwellings 69.9%

Electricity for lighting 93.2%

Blue Drop water score 90.2%

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.

Population per selected category

Population category 2017 2018 2019 2020

under 1 year 18 704 18 913 18 847 18 511

under 5 years 91 521 92 052 92 087 91 700

05-09 years 86 402 86 967 87 685 88 682

10-14 years 80 866 82 437 83 638 84 509

15-19 years 74 564 76 406 78 160 79 615

20-24 years 83 862 82 437 81 657 81 691

25-29 years 91 462 90 913 90 270 89 468

30-34 years 80 861 83 631 86 783 90 074

35-39 years 74 946 74 965 74 448 73 701

40-44 years 64 887 66 134 67 312 68 309

45-49 years 54 953 55 861 56 875 57 932

50-54 years 48 027 48 391 48 759 49 177

55-59 years 42 637 42 770 42 876 43 017

60-64 years 35 508 36 256 36 864 37 322

65-69 years 25 980 26 972 27 932 28 804

70-74 years 17 478 18 134 18 821 19 570

75-79 years 9 926 10 680 11 375 11 998

80 years and older 6 624 7 058 7 502 7 961

Total 970 509 982 061 993 044 1 003 535

Estimated pregnant women* 20 013 20 237 20 166 19 807

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


377


377

Number of facilities by level, 2016/17

Ward based outreach

teams Clinic CHCDistrict Hospital

Regional Hospital

Central/Tertiary

HospitalsOther

Hospitals

Emfuleni SD 55 20 4 1 1 0 6

Lesedi SD 14 7 0 1 0 0 2

Midvaal SD 5 4 0 0 0 0 1

Sedibeng 74 31 4 2 1 0 9

Source: DHIS.

Human resources – filled posts, 2016

Community Health

WorkersNursing

assistantsEnrolled

nurseProfessional

nurseMedical

practitioners PharmacistsDental

practitionersOccupational

therapy Physiotherapy

Speech Therapy and Audiology

Sedibeng 1 191 346 459 876 174 139 16 18 8 8

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

Emfuleni SD Indicator 1.9 - - - - -

Numerator 1 403 325 - - - - -

Denominator 8 842 704 - - - - -

Lesedi SD Indicator 1.7 - - - - -

Numerator 176 749 - - - - -

Denominator 1 222 752 - - - - -

Midvaal SD Indicator 1.9 - - - - -

Numerator 191 356 - - - - -

Denominator 1 186 128 - - - - -

Sedibeng Indicator 1.9 53.8 97.4 1 837 1 281 533

Numerator 17 714 30 21 37 1 353 558 019 944 263 806 944 263 806

Denominator 11 251 584 39 38 737 019 737 019 1 771 430

Gauteng Indicator 1.6 58.1 93.7 1 414 1 106 503

South Africa Indicator 2.3 29.8 78.4 1 726 1 054 389

Source: DHIS.

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

GP, DC42, Sedibeng District Municipality, SEQ 5 (least deprived)

Measure NamesIndValueProv_avZA_av

Meas ure NamesIndV alue

P rov_av

ZA_av

378


378


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

(%)

Emfu

leni

SD

Indi

cato

r4.

02

762

80.5

5.4

72.3

6.7

2 38

774

.85.

747

.4 -

- -

- -

Num

erat

or64

433

237

412

939

64 4

3386

16

915

210

510

692

361

097

210

510

1 80

48

067

- -

- -

-

Den

omin

ator

16 0

1485

964

80 0

0516

014

9 56

831

636

290

091

281

263

31 6

3617

022

- -

- -

-

Lese

di S

DIn

dica

tor

3.6

3 29

568

.37.

069

.7 -

- -

- -

- -

- -

-

Num

erat

or31

412

158

064

145

31 4

1260

07

841

- -

- -

- -

- -

- -

Den

omin

ator

8 62

947

978

45 9

958

629

11 2

53 -

- -

- -

- -

- -

-

Sedi

beng

In

dica

tor

3.9

2 95

376

.15.

970

.96.

72

387

74.8

5.7

47.4

- -

- -

-

Num

erat

or95

845

395

477

084

95 8

451

461

14 7

5621

0 51

069

2 36

1 09

721

0 51

01

804

8 06

7 -

- -

- -

Den

omin

ator

24 6

4313

3 94

112

6 00

024

643

20 8

2131

6 36

290

091

281

263

31 6

3617

022

- -

- -

-

Gau

teng

Indi

cato

r4.

42

902

65.1

4.4

52.5

5.1

2 87

581

.65.

128

.47.

23

657

81.5

6.0

20.5

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


379


379

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

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

-6

11-

17-

510

-15

-7

6-

13

Live

birt

hs3

502

5 73

75

225

-14

464

3 24

55

274

5 37

8-

13 8

972

921

5 02

25

421

-13

364

Still

birth

s22

8217

3-

277

2586

175

-28

620

105

155

-28

0

Child (under 5 years)

Infant (under 1

year)

Neo-natal

Dea

th in

faci

lity

0-7d

ays

341

90-

134

-31

65-

992

2669

-97

Dea

th in

faci

lity

8-28

day

s -

-49

-49

--

52-

52-

-51

-51

Dea

th in

faci

lity

29 d

ays

- 11

mon

ths

-20

21-

41-

1552

-67

-10

13-

23

Dea

th in

faci

lity

12 –

59

mon

ths

-12

41-

53-

1065

-75

-4

13-

17

Dia

rrho

ea d

eath

und

er 5

yea

rs

-4

12-

16-

45

-9

-5

3-

8

Pneu

mon

ia d

eath

und

er 5

yea

rs-

119

-20

-3

15-

18-

53

-8

Seve

re a

cute

mal

nutri

tion

deat

h un

der 5

yea

rs

-14

13-

27-

134

-17

--

4-

4

TB D

eath

s 1

095

--

-1

095

1 03

5-

--

1 03

5-

--

--

Inpa

tient

dea

th to

tal

-1

360

2 04

6-

3 40

63

1 42

22

020

-3

445

21

461

1 80

4-

3 26

7

Patie

nt d

ay e

quiv

alen

t-

131

628

274

490

-40

6 11

83

820

133

456

275

072

-41

2 34

86

521

133

941

290

091

-43

0 55

3

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 27%

15%27%

34%34%

78%

16%2%

25%31%

20%6%

52%80%

43%18%

18%10%

5%3%5%

17%28%

6%

24%15%

22%15%

26%79%

19%5%

27%13%

16%5%

42%76%

35%16%

17%10%

15%3%

16%56%

41%7%

GP, Sedibeng: DC42, 2010 - 2015

Rank.. Female Male

<5 y

ears

12345678910

5-14

12345678910

15-2

4

12345678910

25-6

4

12345678910

65+

12345678910

Congenital heart anomalies (1.9%)Other perinatal conditions (1.9%)

Sepsis/other newborn infectious (6.5%)Birth asphyxia (5.9%)

Protein-energy malnutrition (4.4%)

Preterm birth complications (16.2%)

Septicaemia (2.0%)

Diarrhoeal diseases (18.9%)Lower respiratory infections (21.0%)

HIV/AIDS (4.6%)

Other unintentional injuries (3.1%)

Drowning (7.5%)

Fires, hot substances (4.9%)Septicaemia (3.3%)

Meningitis/encephalitis (5.3%)

Accidental threats to breathing (12.0%)

Diarrhoeal diseases (8.1%)

Lower respiratory infections (18.5%)

Tuberculosis (11.0%)

HIV/AIDS (12.6%)

Cardiomyopathy (2.1%)


Mechanical forces (3.2%)


Interpersonal violence (3.6%)

Nephritis/nephrosis (1.8%)



Tuberculosis (15.8%)HIV/AIDS (15.9%)

Meningitis/encephalitis (3.5%)Nephritis/nephrosis (3.4%)Hypertensive heart disease (2.8%)

Diabetes mellitus (4.3%)Diarrhoeal diseases (5.2%)Ischaemic heart disease (5.3%)Cerebrovascular disease (6.6%)

Lower respiratory infections (15.7%)Tuberculosis (12.7%)HIV/AIDS (11.9%)

Septicaemia (2.1%)COPD (3.1%)


Hypertensive heart disease (10.3%)

Diabetes mellitus (6.9%)


Ischaemic heart disease (13.8%)Cerebrovascular disease (17.0%)


Tuberculosis (1.8%)

Congenital heart anomalies (2.2%)

Other perinatal conditions (2.3%)



Fires, hot substances (2.2%)

Preterm birth complications (17.1%)Diarrhoeal diseases (16.5%)


HIV/AIDS (3.6%)


Drowning (15.0%)

Epilepsy (4.7%)Fires, hot substances (7.1%)





Tuberculosis (9.8%)

HIV/AIDS (8.0%)

Drowning (2.4%)

Epilepsy (2.8%)Fires, hot substances (5.2%)


Mechanical forces (11.1%)Accidental threats to breathing (11.8%)


Lower respiratory infections (7.8%)Tuberculosis (8.2%)

HIV/AIDS (5.8%)



Accidental threats to breathing (3.6%)Interpersonal violence (3.9%)


Ischaemic heart disease (5.7%)

Cerebrovascular disease (4.9%)


HIV/AIDS (10.4%)

Prostate (4.4%)

Trachea/bronchi/lung (2.3%)

COPD (5.8%)


Hypertensive heart disease (4.8%)Diabetes mellitus (5.4%)



Tuberculosis (4.1%)

Rank.. Maternal conditions All other causes

Fem

ale

15-4

9

12345678910

Maternal sepsis (6.4%) n=11Abortion (11.4%) n=19

Maternal haemorrhage (13.8%) n=23Hypertension in pregnancy (18.7%) n=31

Other maternal (19.8%) n=33Indirect maternal (30.0%) n=50

Ischaemic heart disease (2.7%) n=277

Diabetes mellitus (2.1%) n=217Endocrine nutritional,blood, immune (2.2%) n=226

Nephritis/nephrosis (2.9%) n=306Cerebrovascular disease (3.6%) n=369Meningitis/encephalitis (4.7%) n=492Diarrhoeal diseases (6.1%) n=637

Lower respiratory infections (19.3%) n=2 004

Tuberculosis (16.0%) n=1 664HIV/AIDS (16.5%) n=1 708

Percentage ofdeaths by broad

causes andsingle leading

causes

BroadcauseInjury

NCD

HIV and TB

Comm_mat_peri_nut

Prov, DistrictGP, Sedibeng: DC42

Show history

Percentages are shownaccording to all the deaths

within the age/gendercategory of each box,

although only the leading10 causes are displayed.

380


380


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




381


381

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

Emfuleni SD Indicator 84.2 98.1 4.7 66.6 50.2 115.9 60.5

Numerator 10 1 816 559 7 793 9 448 238 350 7 242

Denominator 11 880 1 851 11 980 11 701 225 891 2 467 644 11 980

Lesedi SD Indicator 171.7 101.8 7.5 68.2 38.7 91.6 42.7

Numerator 3 226 132 991 961 24 228 756

Denominator 1 747 222 1 770 1 454 29 798 317 256 1 770

Midvaal SD Indicator - 99.1 - 74.7 40.1 87.7 -

Numerator - 213 - 1 134 1 027 22 694 781

Denominator - 215 - 1 518 30 697 310 578 -

Sedibeng Indicator 95.4 98.6 5.0 67.6 47.9 110.6 63.8

Numerator 13 2 255 691 9 918 11 436 285 272 8 779

Denominator 13 627 2 288 13 750 14 673 286 385 3 095 478 13 750

Gauteng Indicator 119.2 94.8 4.7 58.4 50.3 58.1 85.9

South Africa Indicator 116.9 95.1 6.8 65.2 61.5 70.2 70.3

Source: DHIS.

Annual trends

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

tImmunisationcoverage 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




P rov_av

ZA_av

382


382


Child and School Health Annual trends

Im

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

-H

BV

3rd d

ose

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

Emfu

leni

SD

Indi

cato

r0.

70.

82.

416

.410

.87.1

11.5

1.0

111.

535

.913

1.2

43.2

51.5

77.7

Num

erat

or3

44

152

166

8413

718

11 2

514

643

13 7

675

688

5 57

967

469

Den

omin

ator

413

533

164

929

1 53

111

880

11 8

801

871

121

140

12 9

3912

5 94

613

160

10 8

281

042

080

Lese

di S

DIn

dica

tor

2.5

3.9

-7.

95.

58.

68.

62.

194

.927

.911

1.7

90.0

98.6

52.0

Num

erat

or5

4 -

2326

1515

31

326

384

1 63

11

556

1 16

86

337

Den

omin

ator

204

102

2529

147

41

747

1 74

714

116

767

1 37

417

529

1 72

91

185

146

106

Mid

vaal

SD

Indi

cato

r -

- -

- -

- -

2.7

127.

241

.613

2.9

34.8

58.1

69.3

Num

erat

or -

- -

- -

- -

51

509

661

1 63

454

725

27

082

Den

omin

ator

- -

- -

- -

-18

714

241

1 58

914

754

1 57

343

412

2 56

2

Sedi

beng

In

dica

tor

1.3

1.3

2.1

14.3

9.6

7.3

11.2

1.2

111.

135

.812

9.2

47.3

56.2

74.1

Num

erat

or8

84

175

192

9915

226

14 0

865

688

17 0

327

791

6 99

980

888

Den

omin

ator

617

635

189

1 22

02

005

13 6

2713

627

2 19

915

2 14

815

902

158

229

197

544

149

364

1 31

0 74

8

Gau

teng

Indi

cato

r1.

71.

56.

59.

76.

710

.013

.61.

796

.744

.010

5.7

49.5

35.4

61.5

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

HIV testingcoverage(including ANC)

Male condomdistributioncoverage

Medical malecircumcisionrate

20

40

60

100

200

0

20

40

6080




P rov_av

ZA_av


383


383

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

Emfu

leni

SD

Indi

cato

r90

.888

.767

.346

.774

.377

.6 -

-56

.478

.19.

9

Num

erat

or -

180

-84

-22

5 -

-23

7 41

522

120

054

3 09

9

Den

omin

ator

7 73

920

37

024

180

11 0

6029

0 -

-5

050

989

3 39

7 45

53

737

976

Lese

di S

DIn

dica

tor

93.5

87.2

62.9

44.1

77.8

84.3

- -

45.8

54.9

14.2

Num

erat

or -

34 -

15 -

43 -

-26

474

2 26

5 01

364

4

Den

omin

ator

1 10

239

1 03

034

1 51

851

- -

694

302

494

844

542

526

Mid

vaal

SD

Indi

cato

r94

.210

0.0

73.1

75.0

71.6

69.2

- -

97.6

51.2

52.6

Num

erat

or -

24 -

18 -

27 -

-54

566

2 13

2 80

02

372

Den

omin

ator

1 09

524

1 03

124

1 60

039

- -

670

932

499

416

541

605

Sedi

beng

In

dica

tor

91.4

89.5

67.4

49.2

74.4

77.6

41.4

8.5

59.6

72.5

15.2

Num

erat

or -

238

-11

7 -

295

69 8

5429

092

318

455

26 5

17 8

676

115

Den

omin

ator

9 93

626

69

085

238

14 1

7838

016

8 67

234

2 69

36

416

223

4 39

1 71

54

822

107

Gau

teng

Indi

cato

r72

.670

.175

.554

.372

.181

.445

.610

.329

.736

.619

.3

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

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

384


384


TB

Im

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

Emfu

leni

SD

Indi

cato

r9.

6 -

7.3

80.6

- -

- -

92.2

-10

0.8

Num

erat

or28

3 -

215

2 37

9 -

- -

-1

483

-1

167

607

Den

omin

ator

2 95

0 -

2 95

02

950

- -

- -

1 60

8 -

1 15

8 80

3

Lese

di S

DIn

dica

tor

9.0

-7.

977

.6 -

- -

-97

.5 -

85.8

Num

erat

or41

-36

354

- -

- -

238

-12

8 82

3

Den

omin

ator

456

-45

645

6 -

- -

-24

4 -

150

150

Mid

vaal

SD

Indi

cato

r9.

7 -

8.3

76.4

- -

- -

95.6

-98

.2

Num

erat

or28

-24

220

- -

- -

152

-15

5 63

4

Den

omin

ator

288

-28

828

8 -

- -

-15

9 -

158

515

Sedi

beng

In

dica

tor

9.5

22.2

7.4

79.9

16.3

51.1

5.0

52.2

93.1

79.4

99.0

Num

erat

or35

230

275

2 95

322

6915

983

1 87

32

528

1 45

2 06

4

Den

omin

ator

3 69

413

53

694

3 69

413

513

53

184

159

2 01

13

184

1 46

7 46

8

Gau

teng

Indi

cato

r6.

320

.25.

984

.915

.955

.65.

755

.690

.380

.071

.9

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




385


385

Non-communicable diseases

Outcome

Diabetes incidence

(per1K)

Hypertension incidence

(per1K)

2016/17 2016/17

Emfuleni SD Indicator 2.9 22.7

Numerator 2 106 5 654

Denominator 8 842 704 2 994 720

Lesedi SD Indicator 2.2 29.2

Numerator 221 1 014

Denominator 1 222 752 416 220

Midvaal SD Indicator 12.0 24.3

Numerator 1 191 916

Denominator 1 186 128 451 932

Sedibeng Indicator 3.8 23.6


Denominator 11 251 584 3 862 872

Gauteng Indicator 3.2 19.8

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

386


386


West Rand District Municipality (DC48)

West Rand District is located in the western part of Gauteng Province and is divided into four health sub-districts, namely Merafong City, Mogale City, Randfontein and Westonaria. It has a population of 884 031, with a population density is 216.3 persons per km2 and falls in socio-economic Quintile 4, among the wealthier districts. Estimated medical scheme coverage is 23.3%.




No schooling 3.8%

Matric 34.7%


Households 330 572













under 1 year 17 337 17 599 17 454 16 971

under 5 years 81 237 82 284 82 597 82 290

05-09 years 73 912 74 357 75 242 76 534

10-14 years 72 302 72 594 72 663 72 649

15-19 years 69 562 70 697 71 390 71 715

20-24 years 71 720 72 413 73 321 74 205

25-29 years 77 027 76 619 76 548 76 890

30-34 years 66 647 69 179 72 112 75 192

35-39 years 62 480 61 755 60 837 59 964

40-44 years 59 270 58 784 58 294 57 792

45-49 years 56 992 56 371 55 762 55 163

50-54 years 53 741 53 597 53 221 52 663

55-59 years 47 093 47 737 48 123 48 318

60-64 years 35 082 36 908 38 612 40 053

65-69 years 22 352 23 820 25 339 26 892

70-74 years 12 793 13 581 14 482 15 520

75-79 years 5 990 6 563 7 105 7 623

80 years and older 2 468 2 540 2 618 2 698

Total 870 669 879 799 888 265 896 159




387


387


Ward based outreach


Regional Hospital

Central/Tertiary

HospitalsOther

Hospitals

Merafong City SD 28 13 1 1 0 0 3

Mogale City SD 25 18 0 1 1 0 4

Randfontein SD 24 7 1 0 0 0 1

Westonaria SD 16 7 1 0 0 0 1

West Rand 93 45 3 2 1 0 9

Source: DHIS.


Community Health

WorkersNursing

assistantsEnrolled

nurseProfessional

nurseMedical





West Rand 874 586 590 1 106 269 100 11 23 16 9



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

Indicator 2.0 - - - - -

Numerator 434 554 - - - - -

Denominator 2 552 307 - - - - -

Indicator 1.8 - - - - -

Numerator 709 683 - - - - -

Denominator 4 705 845 - - - - -

Indicator 1.7 - - - - -

Numerator 283 990 - - - - -

Denominator 1 963 827 - - - - -

Indicator 2.5 - - - - -

Numerator 295 924 - - - - -

Denominator 1 421 553 - - - - -

Indicator 1.9 18.8 97.7 2 025 1 318 518

Numerator 1 724 151 9 43 1 372 824 022 893 598 760 893 598 760

Denominator 10 643 532 48 44 677 941 677 941 1 724 151

Indicator 1.6 58.1 93.7 1 414 1 106 503

Indicator 2.3 29.8 78.4 1 726 1 054 389

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

GP, DC48, West Rand District Municipality, SEQ 4 (well off)



P rov_av

ZA_av

388


388


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

(%)

Mer

afon

g C

ity S

DIn

dica

tor

4.9

3 24

860

.35.

046

.5 -

- -

- -

- -

- -

-

Num

erat

or52

048

191

499

354

52 0

4853

33

233

- -

- -

- -

- -

- -

Den

omin

ator

10 6

7758

956

86 2

7110

677

6 95

0 -

- -

- -

- -

- -

-

Mog

ale

City

SD

Indi

cato

r4.

03

441

53.7

4.5

79.3

6.4

2 17

481

.26.

411

.9 -

- -

- -

Num

erat

or52

583

233

666

165

52 5

8359

813

994

249

036

761

173

738

249

036

2 50

215

221

- -

- -

-

Den

omin

ator

13 3

1067

905

97 8

3113

310

17 6

4839

166

350

162

306

786

39 1

6612

7 76

1 -

- -

- -

Wes

t Ran

d In

dica

tor

4.4

3 35

156

.84.

770

.06.

42

174

81.2

6.4

11.9

- -

- -

-

Num

erat

or10

4 63

142

5 16

5 51

910

4 63

11

131

17 2

2724

9 03

676

1 17

3 73

824

9 03

62

502

15 2

21 -

- -

- -

Den

omin

ator

23 9

8712

6 86

218

4 10

223

987

24 5

9839

166

350

162

306

786

39 1

6612

7 76

1 -

- -

- -

Gau

teng

Indi

cato

r4.

42

902

65.1

4.4

52.5

5.1

2 87

581

.65.

128

.47.

23

657

81.5

6.0

20.5

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


389


389


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

-4

16-

20-

59

-14

-3

14-

17

Live

birt

hs2

173

7 10

96

275

-15

557

1 97

86

876

5 74

0-

14 5

942

086

7 09

45

559

-14

739

Still

birth

s8

9112

0-

219

810

510

4-

217

1098

108

-21

6


Infant (under 1

year)

Neo-natal

Dea

th in

faci

lity

0-7d

ays

238

44-

8415

4561

-12

14

4498

-14

6

Dea

th in

faci

lity

8-28

day

s -

55

-10

-2

5-

7-

148

-49

Dea

th in

faci

lity

29 d

ays

- 11

mon

ths

-34

49-

83-

1835

-53

-14

35-

49

Dea

th in

faci

lity

12 –

59

mon

ths

-17

24-

41-

1915

-34

-14

42-

56

Dia

rrho

ea d

eath

und

er 5

yea

rs

-5

5-

10-

11

-2

-5

11-

16

Pneu

mon

ia d

eath

und

er 5

yea

rs-

66

-12

-5

4-

9-

811

-19

Seve

re a

cute

mal

nutri

tion

deat

h un

der 5

yea

rs

-6

13-

19-

17

-8

-7

13-

20

TB D

eath

s 61

239

2-

-1

004

520

292

--

812

--

--

-

Inpa

tient

dea

th to

tal

-1

295

2 83

9-

4 13

415

1 25

22

700

-3

967

91

131

2 50

2-

3 64

2

Patie

nt d

ay e

quiv

alen

t-

133

332

351

012

-48

4 34

42

210

124

287

353

969

-48

0 46

62

197

126

861

350

162

-47

9 22

0

Sour

ce:

DH

IS. *

MO

U –

Mat

erna

l Obs

tetr

ic U

nit.


5-1415-2425-64

65+Total 22%

13%21%

27%25%

71%

20%2%

32%36%

20%10%

52%82%

41%18%

26%12%

6%3%

7%19%

29%7%

19%11%

17%11%

23%68%

20%4%

29%10%

16%8%

43%81%

35%15%

23%16%

17%4%

20%65%

38%7%

GP, West Rand: DC48, 2010 - 2015

Rank.. Female Male

<5 y

ears

12345678910

5-14

12345678910

15-2

4

12345678910

25-6

4

12345678910

65+

12345678910






Septicaemia (2.7%)


HIV/AIDS (8.4%)



Endocrine nutritional,blood, immune (3.9%)Meningitis/encephalitis (3.9%)

Accidental threats to breathing (8.3%)Road injuries (7.3%)Diarrhoeal diseases (6.8%)



Fires, hot substances (2.6%)Endocrine nutritional,blood, immune (2.7%)

Meningitis/encephalitis (5.1%)Accidental threats to breathing (7.0%)


Road injuries (2.4%)



HIV/AIDS (20.4%)

Breast (2.5%)Endocrine nutritional,blood, immune (2.5%)Hypertensive heart disease (2.5%)


Diarrhoeal diseases (3.9%)Ischaemic heart disease (3.9%)

Cerebrovascular disease (5.2%)Lower respiratory infections (11.1%)


Alzheimer’s and other dementias (2.9%)Breast (2.7%)

COPD (4.4%)Nephritis/nephrosis (4.1%)






Other congenital abnormalities (2.4%)Congenital heart anomalies (2.4%)

Other perinatal conditions (3.8%)Sepsis/other newborn infectious (3.9%)

Birth asphyxia (7.6%)




HIV/AIDS (7.4%)

Other unintentional injuries (5.7%)Leukaemia (4.1%)

Drowning (11.8%)


Accidental threats to breathing (7.1%)Road injuries (7.1%)




Drowning (2.1%)







HIV/AIDS (3.8%)

Mechanical forces (5.2%)Accidental threats to breathing (4.2%)Interpersonal violence (3.9%)

Road injuries (3.6%)Diarrhoeal diseases (2.8%)





Prostate (4.9%)


COPD (7.6%)



Ischaemic heart disease (18.0%)Cerebrovascular disease (8.3%)Lower respiratory infections (7.7%)

Tuberculosis (2.9%)


Fem

ale

15-4

9

12345678910

Abortion (8.0%) n=12Maternal haemorrhage (13.5%) n=21

Hypertension in pregnancy (19.7%) n=30Other maternal (19.9%) n=30

Indirect maternal (38.9%) n=60

Accidental threats to breathing (2.1%) n=201Endocrine nutritional,blood, immune (2.5%) n=231

Road injuries (1.8%) n=167Cervix (1.9%) n=178

Cerebrovascular disease (2.7%) n=251Meningitis/encephalitis (3.2%) n=296Diarrhoeal diseases (4.5%) n=422

Lower respiratory infections (13.2%) n=1 234Tuberculosis (17.9%) n=1 679

HIV/AIDS (23.2%) n=2 175



causes

BroadcauseInjury

NCD

HIV and TB

Comm_mat_peri_nut

Prov, DistrictGP, West Rand: DC48

Show history




390


390





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




391


391





on ART rate (%)


(%)


Cervical cancer



(WHO) (%)


rate (%)

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

Merafong City SD Indicator 70.7 99.6 5.7 70.1 71.4 36.3 81.8

Numerator 2 750 164 2 524 - 21 820 2 356

Denominator 2 830 753 2 881 3 603 59 206 720 702 2 881

Mogale City SD Indicator 144.7 96.8 5.1 61.9 57.4 70.3 34.2

Numerator 15 1 244 531 4 578 6 067 81 314 3 538

Denominator 10 364 1 285 10 336 7 393 126 837 1 388 256 10 336

Randfontein SD Indicator - 100.0 2.2 72.0 39.1 92.6 172.9

Numerator - 330 15 1 594 1 772 43 669 1 198

Denominator 691 330 693 2 213 54 370 565 662 693

Westonaria SD Indicator - 100.4 4.0 67.5 44.3 169.4 132.4

Numerator - 505 34 1 752 1 130 58 332 1 136

Denominator 854 503 858 2 596 30 607 413 265 858

West Rand Indicator 115.3 98.5 5.0 66.1 55.3 79.7 55.7

Numerator 17 2 829 744 10 448 12 494 205 136 8 228

Denominator 14 739 2 871 14 768 15 805 271 020 3 087 885 14 768



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

Immunisationcoverage under1 year




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

392


392


Child and School Health Annual trends

Im

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

Mer

afon

g C

ity S

DIn

dica

tor

3.2

4.1

6.3

7.0

4.0

8.8

8.8

3.8

90.0

65.5

109.

162

.540

.869

.8

Num

erat

or3

41

3040

2525

262

695

1 93

43

310

2 16

11

162

16 9

96

Den

omin

ator

9397

1642

899

22

830

2 83

069

235

949

2 95

136

393

3 45

92

848

292

128

Mog

ale

City

SD

Indi

cato

r3.

22.

011

.012

.09.

911

.616

.34.

110

9.1

48.9

113.

367

.445

.763

.9

Num

erat

or13

1519

213

259

120

169

635

548

3 34

05

994

4 32

02

467

27 8

85

Den

omin

ator

406

742

172

1 78

12

604

10 3

6410

364

1 53

260

999

6 83

763

507

6 41

25

398

523

662

Ran

dfon

tein

SD

Indi

cato

r -

- -

- -

- -

0.8

120.

058

.413

1.4

85.5

115.

568

.4

Num

erat

or -

- -

- -

- -

32

517

1 55

72

850

2 32

82

520

12 2

94

Den

omin

ator

- -

- -

- 69

169

137

625

164

2 66

626

034

2 72

22

182

215

802

Wes

tona

ria S

DIn

dica

tor

- -

-10

0.0

100.

01.

21.

20.

795

.861

.110

6.5

129.

094

.674

.4

Num

erat

or -

- -

11

11

41

763

1 16

91

937

2 33

71

201

10 5

90

Den

omin

ator

- -

-1

185

485

456

122

083

1 91

321

822

1 81

21

270

170

844

Wes

t Ran

d In

dica

tor

3.2

2.3

10.6

11.0

8.3

9.9

13.2

3.0

104.

255

.711

4.4

77.4

62.8

67.6

Num

erat

or16

1920

244

300

146

195

9612

523

8 00

014

091

11 1

467

350

67 7

65

Den

omin

ator

499

839

188

2 21

03

597

14 7

3914

739

3 16

114

4 19

514

367

147

756

172

860

140

376

1 20

2 43

6

Gau

teng

Indi

cato

r1.

71.

56.

59.

76.

710

.013

.61.

796

.744

.010

5.7

49.5

35.4

61.5

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




P rov_av

ZA_av


393


393

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

Mer

afon

g C

ity S

DIn

dica

tor

73.1

66.7

74.0

47.4

73.4

71.4

- -

34.1

18.2

8.6

Num

erat

or -

38 -

18 -

50 -

-42

909

1 61

9 27

083

2

Den

omin

ator

2 26

057

1 65

238

3 33

170

- -

1 50

9 61

51

069

368

1 16

3 10

0

Mog

ale

City

SD

Indi

cato

r75

.875

.762

.137

.772

.665

.3 -

-31

.948

.537

.2

Num

erat

or -

53 -

20 -

32 -

-72

011

7 32

5 69

66

139

Den

omin

ator

3 36

370

2 54

953

4 78

849

- -

2 70

8 94

31

813

185

1 98

2 28

9

Ran

dfon

tein

SD

Indi

cato

r71

.489

.267

.930

.374

.360

.0 -

-57

.270

.619

.5

Num

erat

or -

33 -

10 -

9 -

-51

301

4 33

3 90

01

317

Den

omin

ator

1 23

437

881

331

720

15 -

-1

076

706

736

674

812

478

Wes

tona

ria S

DIn

dica

tor

60.3

14.3

76.3

100.

076

.925

.0 -

-53

.612

2.7

40.2

Num

erat

or -

2 -

2 -

2 -

-39

159

6 13

7 23

72

181

Den

omin

ator

650

1439

22

861

8 -

-87

6 50

760

0 21

365

1 68

1

Wes

t Ran

d In

dica

tor

72.9

70.8

67.6

39.7

73.5

65.5

58.9

8.3

39.9

55.2

27.3

Num

erat

or -

126

-50

-93

65 2

1018

433

205

380

19 4

16 1

0310

469

Den

omin

ator

7 50

717

85

474

126

10 7

0014

211

0 66

222

3 39

06

171

771

4 21

9 44

04

609

548

Gau

teng

Indi

cato

r72

.670

.175

.554

.372

.181

.445

.610

.329

.736

.619

.3

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

394


394


TB

Im

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

Mer

afon

g C

ity S

DIn

dica

tor

6.9

-2.

586

.6 -

- -

-10

0.0

-11

0.1

Num

erat

or94

-34

1 17

2 -

- -

-61

5 -

392

304

Den

omin

ator

1 35

3 -

1 35

31

353

- -

- -

615

-35

6 20

5

Mog

ale

City

SD

Indi

cato

r7.

3 -

3.0

88.2

- -

- -

100.

0 -

102.

5

Num

erat

or89

-36

1 07

2 -

- -

-79

8 -

597

386

Den

omin

ator

1 21

6 -

1 21

61

216

- -

- -

798

-58

3 01

2

Ran

dfon

tein

SD

Indi

cato

r7.

4 -

2.1

89.1

- -

- -

100.

0 -

110.

7

Num

erat

or35

-10

424

- -

- -

258

-25

6 77

8

Den

omin

ator

476

-47

647

6 -

- -

-25

8 -

231

984

Wes

tona

ria S

DIn

dica

tor

4.8

-4.

678

.7 -

- -

-88

.8 -

95.3

Num

erat

or28

-27

458

- -

- -

254

-23

0 40

8

Den

omin

ator

582

-58

258

2 -

- -

-28

6 -

241

836

Wes

t Ran

d In

dica

tor

6.8

32.9

3.0

86.2

17.6

44.7

5.6

49.4

98.4

80.7

104.

5

Num

erat

or24

628

107

3 12

615

3816

883

1 92

52

430

1 47

6 87

6

Den

omin

ator

3 62

785

3 62

73

627

8585

3 01

216

81

957

3 01

21

413

037

Gau

teng

Indi

cato

r6.

320

.25.

984

.915

.955

.65.

755

.690

.380

.071

.9

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




395


395


Outcome

Diabetes incidence

(per1K)


(per1K)

2016/17 2016/17

Merafong City SD Indicator 1.2 15.1

Numerator 263 1 162

Denominator 2 552 307 925 020

Mogale City SD Indicator 4.0 15.6


Denominator 4 705 845 1 693 065

Randfontein SD Indicator 1.4 12.7

Numerator 237 796

Denominator 1 963 827 752 430

Westonaria SD Indicator 1.6 16.5

Numerator 192 633

Denominator 1 421 553 461 283

West Rand Indicator 2.5 15.0


Denominator 10 643 532 3 831 798



Source: DHIS.

Annual trends




396


396


Ekurhuleni Metropolitan Municipality (EKU)

Ekurhuleni Metro in Gauteng Province has a population of 3 393 561, with a population density of 1 718 people per km2. It comprises six health sub-districts, namely Ekurhuleni E1 and E2, Ekurhuleni N1 and N2, and Ekurhuleni S1 and S2, and falls in socio-economic Quintile 5 among the wealthiest districts. Estimated medical scheme coverage is 24.8%.




No schooling 4.1%

Matric 38.5%


Households 1 299 490













under 1 year 63 028 64 045 64 103 63 248

under 5 years 303 670 306 571 307 849 307 632

05-09 years 288 232 288 574 289 951 292 690

10-14 years 281 817 283 900 284 878 285 310

15-19 years 265 790 273 139 278 230 280 638

20-24 years 295 371 295 586 297 326 300 372

25-29 years 328 412 327 748 328 370 330 018

30-34 years 292 953 303 289 315 573 328 972

35-39 years 279 517 277 235 273 682 269 858

40-44 years 263 204 263 884 263 608 262 891

45-49 years 227 404 232 608 237 532 241 482

50-54 years 189 569 193 982 198 262 202 445

55-59 years 157 003 160 171 163 323 166 691

60-64 years 123 134 127 547 131 683 135 411

65-69 years 89 088 92 926 96 761 100 563

70-74 years 59 955 62 904 65 940 69 095

75-79 years 32 888 35 962 38 971 41 887

80 years and older 22 227 24 011 25 841 27 720

Total 3 500 231 3 550 039 3 597 781 3 643 679




397


397


Ward based outreach


Regional Hospital

Central/Tertiary

HospitalsOther

Hospitals

Ekurhuleni E1 SD 14 12 1 0 1 0 2

Ekurhuleni E2 SD 16 14 2 0 1 0 5

Ekurhuleni N1 SD 28 11 0 0 0 1 1

Ekurhuleni N2 SD 19 15 1 0 1 0 6

Ekurhuleni S1 SD 11 15 1 1 1 0 6

Ekurhuleni S2 SD 11 17 2 0 0 0 0

Ekurhuleni 99 84 7 1 4 1 20

Source: DHIS.


Community Health

WorkersNursing

assistantsEnrolled

nurseProfessional

nurseMedical





Ekurhuleni 1 231 1 091 1 308 2 204 697 242 29 61 54 30



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

Ekurhuleni E1 SD Indicator 1.6 - - - - -

Numerator 946 088 - - - - -

Denominator 7 207 026 - - - - -

Ekurhuleni E2 SD Indicator 2.1 - - - - -

Numerator 773 642 - - - - -

Denominator 4 366 398 - - - - -

Ekurhuleni N1 SD Indicator 1.2 - - - - -

Numerator 792 193 - - - - -

Denominator 8 075 079 - - - - -

Ekurhuleni N2 SD Indicator 1.6 - - - - -

Numerator 943 159 - - - - -

Denominator 7 121 076 - - - - -

Ekurhuleni S1 SD Indicator 2.0 - - - - -

Numerator 1 149 586 - - - - -

Denominator 6 951 348 - - - - -

Ekurhuleni S2 SD Indicator 2.5 - - - - -

Numerator 1 507 419 - - - - -

Denominator 7 165 425 - - - - -

Ekurhuleni Indicator 1.8 81.7 95.6 1 348 1 213 507

Numerator 6 112 087 76 87 3 440 334 579 3 096 124 791 3 096 124 791

Denominator 40 886 352 93 91 2 552 722 2 552 722 6 112 087



Source: DHIS.

398


398


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

(%)

Ekur

hule

ni E

1 SD

Indi

cato

r -

- -

- -

4.8

2 89

484

.06.

241

.8 -

- -

- -

Num

erat

or -

- -

- -

135

883

497

086

128

135

883

1 73

012

575

- -

- -

-

Den

omin

ator

- -

- -

-28

108

171

775

161

713

28 1

0830

112

- -

- -

-

Ekur

hule

ni E

2 SD

Indi

cato

r -

- -

- -

3.3

3 44

383

.94.

831

.9 -

- -

- -

Num

erat

or -

- -

- -

118

270

541

646

623

118

270

1 70

68

323

- -

- -

-

Den

omin

ator

- -

- -

-35

859

157

305

140

905

35 8

5926

085

- -

- -

-

Ekur

hule

ni N

1 SD

Indi

cato

r -

- -

- -

- -

- -

-5.

22

645

86.7

4.9

45.5

Num

erat

or -

- -

- -

- -

- -

-26

8 43

798

0 22

6 40

626

8 43

72

548

24 0

20

Den

omin

ator

- -

- -

- -

- -

- -

52 1

1437

0 57

130

9 46

352

114

52 8

13

Ekur

hule

ni N

2 SD

Indi

cato

r -

- -

- -

5.7

2 72

384

.04.

859

.6 -

- -

- -

Num

erat

or -

- -

- -

175

990

693

798

982

175

990

1 50

027

418

- -

- -

-

Den

omin

ator

- -

- -

-31

050

254

779

209

594

31 0

5045

989

- -

- -

-

Ekur

hule

ni S

1 SD

Indi

cato

r4.

82

361

73.7

6.0

47.9

6.6

2 52

483

.96.

033

.1 -

- -

- -

Num

erat

or77

443

283

314

784

77 4

4396

129

551

250

448

811

733

167

250

448

2 27

814

320

- -

- -

-

Den

omin

ator

16 0

1211

9 99

710

5 01

016

012

61 6

3737

741

321

603

298

481

37 7

4143

215

- -

- -

-

Ekur

hule

ni

Indi

cato

r4.

82

361

73.7

6.0

47.9

5.1

2 81

084

.05.

443

.15.

22

645

86.7

4.9

45.5

Num

erat

or77

443

283

314

784

77 4

4396

129

551

680

590

2 54

4 26

4 90

168

0 59

07

214

62 6

3626

8 43

798

0 22

6 40

626

8 43

72

548

24 0

20

Den

omin

ator

16 0

1211

9 99

710

5 01

016

012

61 6

3713

2 75

890

5 46

281

0 69

313

2 75

814

5 40

152

114

370

571

309

463

52 1

1452

813

Gau

teng

Indi

cato

r4.

42

902

65.1

4.4

52.5

5.1

2 87

581

.65.

128

.47.

23

657

81.5

6.0

20.5

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

GP, EKU, Ekurhuleni Metropolitan Municipality, SEQ 5 (least deprived)



P rov_av

ZA_av


399


399

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

-5

6536

106

34

4828

83-

543

2876

Live

birt

hs12

978

5 20

128

086

16 2

0662

471

12 3

334

777

27 3

7315

542

60 0

2512

131

5 45

727

114

14 4

5859

160

Still

birth

s75

8465

649

71

312

8060

627

468

1 23

587

7759

441

91

177


Infant (under 1

year)

Neo-natal

Dea

th in

faci

lity

0-7d

ays

1538

369

218

640

643

354

171

574

1766

354

211

648

Dea

th in

faci

lity

8-28

day

s 7

115

386

247

-2

130

5218

4-

511

852

175

Dea

th in

faci

lity

29 d

ays

- 11

mon

ths

-6

82-

88-

2092

611

8-

1566

990

Dea

th in

faci

lity

12 –

59

mon

ths

-3

554

62-

1251

568

-6

564

66

Dia

rrho

ea d

eath

und

er 5

yea

rs

-3

37-

40-

329

1143

-4

169

29

Pneu

mon

ia d

eath

und

er 5

yea

rs-

446

-50

-4

415

50-

226

634

Seve

re a

cute

mal

nutri

tion

deat

h un

der 5

yea

rs

-1

392

42-

428

638

-8

197

34

TB D

eath

s 3

738

--

-3

738

3 90

0-

--

3 90

0-

--

--

Inpa

tient

dea

th to

tal

-72

97

013

2 58

810

330

699

57

449

2 49

410

944

2196

17

214

2 54

810

744

Patie

nt d

ay e

quiv

alen

t-

91 4

4286

7 23

235

5 63

71

314

311

6 09

311

2 75

690

9 18

835

7 53

11

385

568

13 8

2811

9 99

790

5 46

237

0 57

114

09 8

58

Sour

ce:

DH

IS. *

MO

U –

Mat

erna

l Obs

tetr

ic U

nit.


5-1415-2425-64

65+Total 23%

13%21%

27%34%

71%

22%3%

35%39%

20%8%

50%81%

40%19%

23%16%

5%2%5%

16%23%

6%

21%12%

16%12%

25%71%

23%5%

32%16%

23%7%

42%80%

35%14%

20%16%

15%4%

17%59%

32%6%

GP, Ekurhuleni: EKU, 2010 - 2015

Rank.. Female Male

<5 y

ears

12345678910

5-14

12345678910

15-2

4

12345678910

25-6

4

12345678910

65+

12345678910



Protein-energy malnutrition (3.9%)Other respiratory (4.3%)


Septicaemia (3.2%)


HIV/AIDS (5.7%)


Drowning (5.5%)

Other respiratory (3.4%)








Endocrine nutritional,blood, immune (2.0%)







HIV/AIDS (21.5%)


Nephritis/nephrosis (2.5%)Hypertensive heart disease (2.6%)

Diabetes mellitus (3.4%)Diarrhoeal diseases (3.7%)




Alzheimer’s and other dementias (2.5%)Endocrine nutritional,blood, immune (2.5%)










Other respiratory (4.4%)


Septicaemia (3.2%)


HIV/AIDS (5.7%)


Drowning (10.8%)

Epilepsy (2.9%)


Meningitis/encephalitis (3.2%)Accidental threats to breathing (6.2%)Diarrhoeal diseases (6.6%)



Fires, hot substances (4.7%)Meningitis/encephalitis (2.6%)



Road injuries (1.9%)Diarrhoeal diseases (1.5%)










Prostate (5.2%)


COPD (7.3%)






Tuberculosis (3.5%)


Fem

ale

15-4

9

12345678910

Maternal sepsis (4.8%) n=29Abortion (10.4%) n=63Maternal haemorrhage (12.3%) n=74Hypertension in pregnancy (13.8%) n=83

Other maternal (23.2%) n=139Indirect maternal (35.4%) n=213

Accidental threats to breathing (1.7%) n=483

Endocrine nutritional,blood, immune (2.3%) n=641

Cervix (1.6%) n=458

Nephritis/nephrosis (1.8%) n=508

Cerebrovascular disease (2.7%) n=780

Meningitis/encephalitis (4.3%) n=1 218Diarrhoeal diseases (4.0%) n=1 146


HIV/AIDS (25.2%) n=7 148



causes

BroadcauseInjury

NCD

HIV and TB

Comm_mat_peri_nut

Prov, DistrictGP, Ekurhuleni: EKU

Show history




400


400





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




401


401





on ART rate (%)


(%)


Cervical cancer



(WHO) (%)


rate (%)

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

Ekurhuleni E1 SD Indicator 151.3 96.2 5.8 48.8 44.2 13.6 127.3

Numerator 9 1 461 344 5 850 6 391 22 172 7 607

Denominator 5 950 1 519 5 975 11 986 173 519 1 960 791 5 975

Ekurhuleni E2 SD Indicator 58.7 97.1 6.4 67.6 61.9 87.8 62.3

Numerator 5 1 251 551 5 073 5 797 84 199 5 400

Denominator 8 514 1 288 8 665 7 501 112 305 1 150 749 8 665

Ekurhuleni N1 SD Indicator 167.1 95.5 7.9 56.9 33.5 44.4 78.2

Numerator 28 1 991 1 333 8 888 5 264 86 721 13 244

Denominator 16 760 2 085 16 930 15 627 188 828 2 344 305 16 930

Ekurhuleni N2 SD Indicator 138.4 83.3 6.5 56.9 43.7 34.3 101.6

Numerator 12 1 980 554 7 317 7 266 55 089 8 676

Denominator 8 670 2 376 8 539 12 856 199 345 1 924 968 8 539

Ekurhuleni S1 SD Indicator 138.5 84.2 4.6 60.3 56.7 123.2 72.9

Numerator 22 1 590 737 5 848 8 541 203 866 11 593

Denominator 15 881 1 888 15 911 9 704 180 920 1 985 574 15 911

Ekurhuleni S2 SD Indicator - 94.8 5.4 61.3 67.3 15.5 340.8

Numerator - 2 173 180 7 025 8 999 26 404 11 424

Denominator 3 385 2 292 3 352 11 460 160 365 2 041 062 3 352

Ekurhuleni Indicator 128.5 91.2 6.2 57.9 49.9 50.3 97.6

Numerator 76 10 446 3 699 40 001 42 258 478 450 57 944

Denominator 59 160 11 448 59 372 69 134 1 015 283 11 407 449 59 372



Source: DHIS.

Annual trends

402


402


Child and School Health

Im

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

Ekur

hule

ni E

1 SD

Indi

cato

r1.

31.

116

.012

.26.

18.

913

.31.

092

.240

.799

.887

.292

.055

.5

Num

erat

or2

54

9310

553

7919

7 53

73

188

8 71

29

818

7 01

741

057

Den

omin

ator

152

469

2576

31

715

5 95

05

950

1 97

898

142

7 83

810

4 78

411

262

7 62

588

7 46

6

Ekur

hule

ni E

2 SD

Indi

cato

r12

.67.

511

.89.

78.

78.

29.

91.

611

4.9

31.5

141.

978

.467

.269

.7

Num

erat

or11

146

120

159

7084

235

241

1 88

56

873

5 95

53

330

28 5

16

Den

omin

ator

8718

651

1 24

11

838

8 51

48

514

1 42

454

720

5 98

058

137

7 59

14

953

490

926

Ekur

hule

ni N

1 SD

Indi

cato

r4.

26.

87.

48.

46.

512

.615

.82.

092

.728

.110

0.1

65.6

33.3

57.2

Num

erat

or9

67

273

277

212

264

3890

34

3 09

19

839

5 49

82

201

44 6

34

Den

omin

ator

215

8895

3 25

54

237

16 7

6016

760

1 90

611

6 99

110

989

117

957

8 18

46

605

935

598

Ekur

hule

ni N

2 SD

Indi

cato

r -

1.1

7.3

3.5

2.1

6.0

8.0

1.8

135.

026

.4

173.

681

.97.

084

.4

Num

erat

or -

33

7173

5269

419

267

3 06

412

108

5 01

147

847

551

Den

omin

ator

208

268

412

011

3 44

38

670

8 67

02

255

82 3

9811

621

83 7

036

121

6 85

767

5 95

4

Ekur

hule

ni S

1 SD

Indi

cato

r1.

40.

813

.218

.511

.416

.320

.50.

512

6.2

49.2

137.

376

.423

.281

.9

Num

erat

or7

614

354

363

259

325

89

440

5 06

010

630

57 7

71

444

51 8

79

Den

omin

ator

508

790

106

1 91

53

189

15 8

8115

881

1 71

389

793

10 2

8092

880

7 55

86

227

759

840

Ekur

hule

ni S

2 SD

Indi

cato

r -

- -

100.

010

0.0

0.6

0.6

0.7

97.4

42.4

118.

944

.450

.777

.3

Num

erat

or -

- -

22

22

198

875

4 68

111

362

49 9

03

968

61 0

05

Den

omin

ator

- -

-2

23

385

3 38

52

782

109

314

11 0

2911

4 66

911

2 37

7 83

094

7 46

0

Ekur

hule

ni

Indi

cato

r2.

51.

910

.79.

96.

811

.013

.91.

210

7.5

36.3

124.

871

.346

.070

.2

Num

erat

or29

3434

913

979

648

823

148

49 3

9420

969

59 5

2437

049

18 4

3827

4 64

2

Den

omin

ator

1 17

01

801

318

9 18

714

424

59 1

6059

160

12 0

5855

1 35

857

737

572

130

623

436

481

164

4 69

7 24

4

Gau

teng

Indi

cato

r1.

71.

56.

59.

76.

710

.013

.61.

796

.744

.010

5.7

49.5

35.4

61.5

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




403


403

Annual trends Child and School Health

Annual trends HIV

404


404


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

Ekur

hule

ni E

1 SD

Indi

cato

r84

.275

.462

.936

.470

.181

.4 -

-36

.80.

314

.2

Num

erat

or -

132

-48

-32

0 -

-12

6 41

577

210

3 69

0

Den

omin

ator

5 64

217

54

753

132

8 26

439

3 -

-4

121

265

2 82

2 39

43

121

932

Ekur

hule

ni E

2 SD

Indi

cato

r84

.469

.458

.530

.173

.982

.7 -

-37

.251

.07.

8

Num

erat

or -

93 -

28 -

254

- -

75 1

717

463

356

1 25

3

Den

omin

ator

4 40

413

43

715

936

213

307

- -

2 42

4 53

41

755

303

1 92

8 80

2

Ekur

hule

ni N

1 SD

Indi

cato

r90

.583

.573

.454

.767

.884

.2 -

-30

.123

.728

.4

Num

erat

or -

106

-58

-25

6 -

-12

9 00

66

880

800

8 85

4

Den

omin

ator

5 05

712

74

575

106

7 69

330

4 -

-5

151

282

3 48

7 12

83

738

015

Ekur

hule

ni N

2 SD

Indi

cato

r83

.371

.768

.351

.671

.479

.8 -

-23

.913

.41.

2

Num

erat

or -

91 -

47 -

265

- -

81 8

243

407

808

319

Den

omin

ator

6 61

512

75

509

919

496

332

- -

4 11

1 84

23

044

379

3 26

2 78

5

Ekur

hule

ni S

1 SD

Indi

cato

r79

.975

.866

.555

.170

.380

.3 -

-36

.782

.313

.1

Num

erat

or -

69 -

38 -

171

- -

126

691

19 6

09 3

003

371

Den

omin

ator

4 99

591

3 99

169

7 26

121

3 -

-4

137

057

2 85

7 65

63

091

971

Ekur

hule

ni S

2 SD

Indi

cato

r85

.080

.761

.437

.469

.384

.2 -

-36

.9 -

28.8

Num

erat

or -

163

-61

-37

2 -

-13

3 73

3 -

7 47

3

Den

omin

ator

6 92

520

25

888

163

10 2

9644

2 -

-4

353

030

2 83

4 10

03

116

370

Ekur

hule

ni

Indi

cato

r84

.576

.465

.342

.870

.382

.344

.811

.133

.226

.716

.4

Num

erat

or -

654

-28

0 -

1 63

822

6 95

581

120

6728

4037

438

474

24 9

60

Den

omin

ator

33 6

3885

628

431

654

49 2

231

991

507

096

729

254

24 2

99 0

1016

800

960

18 2

59 8

75

Gau

teng

Indi

cato

r72

.670

.175

.554

.372

.181

.445

.610

.329

.736

.619

.3

Sout

h Af

rica

Indi

cato

r -

- -

- -

-55

.08.

235

.947

.519

.0

Sour

ce:

DH

IS.


405


405

TB

I mpa

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

Ekur

hule

ni E

1 SD

Indi

cato

r7.

9 -

3.8

84.3

- -

- -

91.0

-82

.4

Num

erat

or13

3 -

641

413

- -

- -

761

-61

3 19

9

Den

omin

ator

1 67

6 -

1 67

61

676

- -

- -

836

-74

4 54

4

Ekur

hule

ni E

2 SD

Indi

cato

r8.

5 -

3.9

84.8

- -

- -

93.9

-71

.0

Num

erat

or13

3 -

611

331

- -

- -

756

-44

5 54

4

Den

omin

ator

1 57

0 -

1 57

01

570

- -

- -

805

-62

7 21

8

Ekur

hule

ni N

1 SD

Indi

cato

r6.

2 -

5.7

86.3

- -

- -

85.3

-84

.7

Num

erat

or85

-78

1 19

0 -

- -

-68

9 -

544

588

Den

omin

ator

1 37

9 -

1 37

91

379

- -

- -

808

-64

2 93

6

Ekur

hule

ni N

2 SD

Indi

cato

r5.

0 -

6.5

83.2

- -

- -

84.8

-87

.3

Num

erat

or75

-98

1 25

1 -

- -

-83

2 -

657

605

Den

omin

ator

1 50

3 -

1 50

31

503

- -

- -

981

-75

3 37

3

Ekur

hule

ni S

1 SD

Indi

cato

r4.

6 -

3.6

87.4

- -

- -

86.5

-87

.7

Num

erat

or84

-66

1 58

6 -

- -

-86

5 -

799

461

Den

omin

ator

1 81

5 -

1 81

51

815

- -

- -

1 00

0 -

911

568

Ekur

hule

ni S

2 SD

Indi

cato

r5.

7 -

4.5

85.3

- -

- -

85.0

-90

.8

Num

erat

or14

0 -

112

2 11

4 -

- -

-1

239

-1

088

775

Den

omin

ator

2 47

7 -

2 47

72

477

- -

- -

1 45

7 -

1 19

8 54

6

Ekur

hule

ni

Indi

cato

r6.

219

.74.

685

.323

.149

.66.

065

.187

.366

.285

.1

Num

erat

or65

046

479

8 88

554

116

550

358

5 14

26

100

4 14

9 17

2

Den

omin

ator

10 4

2023

410

420

10 4

2023

423

49

212

550

5 88

79

212

4 87

8 18

5

Gau

teng

Indi

cato

r6.

320

.25.

984

.915

.955

.65.

755

.690

.380

.071

.9

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



406


406


Annual trends TB

2010 2011 2012 2013 2014 2015 2016 2017Year

6_NCDs

2_Outcome

Diabetesincidence


0

5

20

40




407


407


Outcome

Diabetes incidence

(per1K)


(per1K)

2016/17 2016/17

Ekurhuleni E1 SD Indicator 1.7 15.7

Numerator 997 3 190

Denominator 7 207 026 2 445 489

Ekurhuleni E2 SD Indicator 2.8 22.4


Denominator 4 366 398 1 655 157

Ekurhuleni N1 SD Indicator 1.4 11.1

Numerator 930 2 365

Denominator 8 075 079 2 567 547

Ekurhuleni N2 SD Indicator 3.4 16.9


Denominator 7 121 076 2 889 348

Ekurhuleni S1 SD Indicator 6.3 33.0


Denominator 6 951 348 2 522 238

Ekurhuleni S2 SD Indicator 2.7 36.2


Denominator 7 165 425 2 124 270

Ekurhuleni Indicator 3.0 22.0

Numerator 10 227 26 059

Denominator 40 886 352 14 204 049



Source: DHIS.

Annual trends




408


408


Johannesburg Metropolitan Municipality (JHB)

Located in the heart of Gauteng Province, Johannesburg Metro is the most populous city in South Africa, with a population of 5 006 517 and a population density of 3 044 persons per km2. The district is divided into seven health sub-districts, named Johannesburg Sub-district A to Johannesburg Sub-district E. The district falls in socio-economic Quintile 5, among the wealthiest districts. Estimated medical scheme coverage is 25.0%.




No schooling 3.4%

Matric 38.5%















under 1 year 93 402 94 691 94 490 92 894

under 5 years 453 758 459 524 462 211 462 268

05-09 years 421 042 427 272 434 584 443 515

10-14 years 389 050 398 702 406 987 414 405

15-19 years 357 758 372 957 384 258 391 606

20-24 years 401 268 407 526 415 800 425 133

25-29 years 472 537 473 041 476 356 482 157

30-34 years 450 604 465 421 484 213 505 641

35-39 years 455 497 452 081 445 523 438 397

40-44 years 416 300 425 118 432 040 437 047

45-49 years 335 911 350 617 365 253 378 804

50-54 years 258 061 269 351 281 256 293 598

55-59 years 206 244 211 734 217 707 224 801

60-64 years 161 477 167 739 173 848 179 608

65-69 years 119 098 124 106 129 132 134 238

70-74 years 80 319 84 872 89 479 94 058

75-79 years 44 343 48 100 52 028 56 170

80 years and older 32 392 34 774 37 215 39 724

Total 5 055 664 5 172 937 5 287 887 5 401 173




409


409


Ward based outreach


Regional Hospital

Central/Tertiary

HospitalsOther

Hospitals

Johannesburg A SD 66 13 1 0 0 0 3

Johannesburg B SD 42 12 0 0 1 1 10

Johannesburg C SD 52 13 1 0 0 0 5

Johannesburg D SD 73 25 5 1 0 1 5

Johannesburg E SD 14 9 1 0 1 0 6

Johannesburg F SD 74 17 1 1 0 1 6

Johannesburg G SD 100 25 2 0 0 0 2

Johannesburg 421 114 11 2 2 3 37

Source: DHIS.


Community Health

WorkersNursing

assistantsEnrolled

nurseProfessional

nurseMedical





Johannesburg 1 454 2 544 2 392 4 456 12 09 354 70 86 104 70



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

Johannesburg A SD Indicator 1.3 - - - - -

Numerator 896 086 - - - - -

Denominator 8 376 789 - - - - -

Johannesburg B SD Indicator 0.8 - - - - -

Numerator 273 360 - - - - -

Denominator 4 158 342 - - - - -

Johannesburg C SD Indicator 1.1 - - - - -

Numerator 787 985 - - - - -

Denominator 8 622 282 - - - - -

Johannesburg D SD Indicator 2.2 - - - - -

Numerator 2 795 812 - - - - -

Denominator 15 080 421 - - - - -

Johannesburg E SD Indicator 1.0 - - - - -

Numerator 557 534 - - - - -

Denominator 6 479 637 - - - - -

Johannesburg F SD Indicator 1.5 - - - - -

Numerator 1 069 319 - - - - -

Denominator 8 638 050 - - - - -

Johannesburg G SD Indicator 1.8 - - - - -

Numerator 1 387 102 - - - - -

Denominator 9 096 375 - - - - -

Johannesburg Indicator 1.5 36.8 85.7 1 177 998 483

Numerator 7 767 198 43 90 4 422 321 019 3 748 741 091 3 748 741 091

Denominator 60 451 896 117 105 3 755 890 3 755 890 7 767 198



Source: DHIS.

410


410


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

(%)

Joha

nnes

burg

B S

DIn

dica

tor

- -

- -

-3.

05

242

78.4

1.5

48.5

6.8

3 12

890

.46.

253

.5

Num

erat

or -

- -

- -

92 6

2855

2 94

3 23

392

628

464

3 52

820

3 37

11

003

996

208

203

371

1 85

315

716

Den

omin

ator

- -

- -

-31

170

105

486

118

182

31 1

707

279

29 7

2532

0 91

922

4 86

529

725

29 3

50

Joha

nnes

burg

D S

DIn

dica

tor

4.2

3 19

965

.73.

211

.9 -

- -

- -

7.9

3 68

178

.47.

27.

3

Num

erat

or73

341

349

297

754

73 3

4156

33

143

- -

- -

-76

2 95

23

694

789

741

762

952

6 95

38

756

Den

omin

ator

17 4

3710

9 18

611

1 70

217

437

26 3

39 -

- -

- -

96 4

301

003

618

973

288

96 4

3012

0 37

6

Joha

nnes

burg

E S

DIn

dica

tor

- -

- -

-4.

44

204

89.1

5.3

12.8

- -

- -

-

Num

erat

or -

- -

- -

74 8

4636

8 98

6 88

174

846

898

574

- -

- -

-

Den

omin

ator

- -

- -

-16

979

87 7

8083

959

16 9

794

497

- -

- -

-

Joha

nnes

burg

F S

DIn

dica

tor

4.6

2 85

965

.42.

289

.1 -

- -

- -

6.7

3 90

285

.05.

10.

0

Num

erat

or69

722

252

020

812

69 7

2233

627

784

- -

- -

-31

0 92

32

694

905

095

310

923

2 34

30

Den

omin

ator

15 0

6388

156

106

653

15 0

6331

171

- -

- -

-46

282

690

611

365

648

46 2

8219

0 15

0

Joha

nnes

burg

Indi

cato

r4.

43

047

65.5

2.8

53.8

3.5

4 77

082

.82.

834

.87.

43

669

81.7

6.5

7.2

Num

erat

or14

3 06

360

1 31

8 56

614

3 06

389

930

927

167

474

921

930

114

167

474

1 36

24

102

1 27

7 24

57

393

691

045

1 27

7 24

511

149

24 4

72

Den

omin

ator

32 5

0019

7 34

321

8 35

532

500

57 5

1048

149

193

266

202

141

48 1

4911

776

172

437

2 01

5 14

81

563

801

172

437

339

876

Gau

teng

Indi

cato

r4.

42

902

65.1

4.4

52.5

5.1

2 87

581

.65.

128

.47.

23

657

81.5

6.0

20.5

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

GP, JHB, City of Johannesburg Metropolitan Municipality, SEQ 5 (leastdeprived)



P rov_av

ZA_av


411


411



20

14/1

520

15/1

620

16/1

7

Dat

a El

emen

t(N

umbe

r)PH

C / C

HC

/ MO

U*

Dis

tric

t H

ospi

tal

Reg

iona

l H

ospi

tal

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

2-

553

602

49

4964

-4

849

61

Live

birt

hs16

913

4 67

515

585

29 2

3266

405

14 2

206

698

16 4

7927

750

65 1

4714

992

6 15

517

087

28 7

5066

984

Still

birth

s11

366

193

906

1 27

812

076

224

872

1 29

210

957

338

757

1 26

1


Infant (under 1

year)

Neo-natal

Dea

th in

faci

lity

0-7d

ays

178

153

509

687

2037

151

430

638

433

173

435

645

Dea

th in

faci

lity

8-28

day

s 1

-88

126

215

-1

5218

724

0-

636

197

239

Dea

th in

faci

lity

29 d

ays

- 11

mon

ths

-6

2316

519

4-

38

157

168

-5

6719

827

0

Dea

th in

faci

lity

12 –

59

mon

ths

-2

2111

914

2-

48

6577

-6

7612

720

9

Dia

rrho

ea d

eath

und

er 5

yea

rs

-2

317

22-

15

3238

-3

318

24

Pneu

mon

ia d

eath

und

er 5

yea

rs-

110

1930

-4

421

29-

-22

1032

Seve

re a

cute

mal

nutri

tion

deat

h un

der 5

yea

rs

-1

4-

5-

25

1421

-1

1010

21

TB D

eath

s 6

594

--

-6

594

5 62

1-

--

5 62

1-

--

--

Inpa

tient

dea

th to

tal

-91

51

346

10 4

8812

749

211

051

1 53

810

784

13 3

944

899

1 36

211

149

13 4

14

Patie

nt d

ay e

quiv

alen

t-

123

588

252

554

1 88

3 95

72

260

099

5 79

218

5 86

321

3 75

11

933

496

2 33

8 90

211

930

197

343

193

266

2 01

5 14

82

417

687

Sour

ce:

DH

IS. *

MO

U –

Mat

erna

l Obs

tetr

ic U

nit.


5-1415-2425-64

65+Total 20%

13%17%21%23%

66%

19%2%

32%34%

16%6%

56%82%

46%25%

34%22%

5%3%5%

19%27%

6%

17%10%14%

9%19%

66%

19%3%

28%11%

11%5%

48%82%

40%19%

33%22%

16%4%

18%61%

37%8%

GP, Johannesburg: JHB, 2010 - 2015

Rank.. Female Male

<5 y

ears

12345678910

5-14

12345678910

15-2

4

12345678910

25-6

4

12345678910

65+

12345678910






Septicaemia (3.9%)


HIV/AIDS (5.0%)

Leukaemia (4.4%)

Other neoplasms (3.3%)Drowning (3.4%)






Tuberculosis (6.0%)

HIV/AIDS (10.3%)




Interpersonal violence (2.2%)Nephritis/nephrosis (2.2%)



HIV/AIDS (19.4%)

Breast (3.3%)Cervix (2.8%)

Septicaemia (2.7%)






Alzheimer’s and other dementias (2.9%)

Breast (3.7%)Septicaemia (3.4%)





Other congenital abnormalities (2.7%)

Congenital heart anomalies (5.1%)Sepsis/other newborn infectious (6.1%)Birth asphyxia (7.2%)



Septicaemia (3.4%)


HIV/AIDS (3.7%)


Leukaemia (4.8%)

Drowning (9.7%)Fires, hot substances (8.8%)





Tuberculosis (4.2%)

HIV/AIDS (6.8%)

Other unintentional injuries (1.9%)Fires, hot substances (3.1%)









Interpersonal violence (2.2%)COPD (2.3%)




Prostate (5.8%)

Colo-rectal (3.3%)


COPD (7.0%)







Fem

ale

15-4

9

12345678910

Maternal sepsis (3.0%) n=18


Hypertension in pregnancy (16.4%) n=100Other maternal (29.8%) n=182Indirect maternal (30.3%) n=186

Breast (2.0%) n=588

Septicaemia (2.6%) n=735Cervix (2.1%) n=610

Nephritis/nephrosis (2.8%) n=819


Meningitis/encephalitis (2.6%) n=744

Diarrhoeal diseases (2.9%) n=833


HIV/AIDS (25.7%) n=7 411



causes

BroadcauseInjury

NCD

HIV and TB

Comm_mat_peri_nut

Prov, DistrictGP, Johannesburg: JHB

Show history




412


412






413


413





on ART rate (%)


(%)


Cervical cancer



(WHO) (%)


rate (%)

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

Johannesburg A SD Indicator - 98.1 2.7 56.3 50.6 41.1 1 001.3

Numerator - 3 200 19 9 859 7 788 88 043 7 079

Denominator 668 3 262 707 17 513 184 652 2 568 414 707

Johannesburg B SD Indicator 8.0 97.2 1.7 57.7 66.0 58.5 18.7

Numerator 1 521 227 3 064 7 463 58 935 2 444

Denominator 12 551 536 13 084 5 306 1 357 863 1 208 604 13 084

Johannesburg C SD Indicator - 98.6 3.1 50.1 26.7 31.3 492.3

Numerator - 1 289 28 4 252 5 260 65 326 4 406

Denominator 895 1 307 895 8 491 236 211 2 505 102 895

Johannesburg D SD Indicator 111.8 95.5 5.0 58.0 50.8 43.7 74.0

Numerator 32 3 909 1 440 13 625 16 756 153 046 21 490

Denominator 28 630 4 094 29 031 23 499 395 497 4 206 987 29 031

Johannesburg E SD Indicator 102.6 90.3 3.2 54.0 48.3 29.3 84.8

Numerator 7 1 352 218 4 672 7 709 46 197 5 767

Denominator 6 822 1 498 6 804 8 650 191 608 1 893 930 6 804

Johannesburg F SD Indicator 142.4 93.6 2.3 53.3 46.4 135.8 64.6

Numerator 21 2 563 354 10 021 8 237 301 967 9 936

Denominator 14 743 2 739 15 388 18 814 213 131 2 667 711 15 388

Johannesburg G SD Indicator - 95.6 6.0 59.3 49.5 25.4 343.5

Numerator - 2 415 160 7 528 9 019 53 106 9 169

Denominator 2 675 2 527 2 669 12 704 218 525 2 509 227 2 669

Johannesburg Indicator 91.1 95.5 3.6 55.8 47.4 52.4 87.9

Numerator 61 15 249 2 446 53 021 62 232 766 618 60 291

Denominator 66 984 15 963 68 578 94 977 1 575 411 17 559 975 68 578



Source: DHIS.

2009 2010 2011 2012 2013 2014 2015 2016Year

3_C

hild

and

sch

ool h

ealth

1_Im

pact





3_O

utpu

tImmunisationcoverage under1 year




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

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




P rov_av

ZA_av

414


414


Annual trends Maternal and Women’s Health Annual trends Child and School Health


415


415

Im

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

Joha

nnes

burg

A

SDIn

dica

tor

- -

- -

- -

-0.

873

.332

.483

.65.

87.

342

.9

Num

erat

or -

- -

- -

- -

1810

462

4 24

211

289

392

270

43 0

34

Den

omin

ator

- -

- -

-66

866

82

210

171

219

13 0

9316

2 07

26

752

3 67

61

203

492

Joha

nnes

burg

B

SDIn

dica

tor

-1.

23.

75.

34.

111

.313

.92.

196

.037

.210

2.1

13.3

3.0

41.8

Num

erat

or -

108

203

244

142

175

113

302

1 39

23

683

659

118

12 7

71

Den

omin

ator

815

817

214

3 85

95

886

12 5

5112

551

517

41 2

623

746

43 3

024

970

3 98

136

7 01

4

Joha

nnes

burg

C

SD

Indi

cato

r -

- -

- -

- -

0.5

53.4

58.6

62.9

22.4

17.0

34.7

Num

erat

or -

- -

- -

- -

65

965

4 03

57

092

1 74

391

231

503

Den

omin

ator

- -

- -

-89

589

51

091

133

923

6 88

313

5 21

37

769

5 35

41

087

968

Joha

nnes

burg

D

SD

Indi

cato

r1.

30.

73.

57.

95.

610

.115

.10.

711

8.4

40.7

122.

727

.119

.488

.8

Num

erat

or16

911

490

555

290

432

2920

945

9 02

223

015

4 67

12

167

140

803

Den

omin

ator

1 24

51

350

314

6 23

19

942

28 6

3028

630

4 41

421

2 22

322

149

225

123

17 2

5011

185

1 90

3 14

0

Joha

nnes

burg

E

SDIn

dica

tor

3.5

2.4

3.6

10.3

8.9

4.5

5.0

0.3

140.

744

.310

0.7

15.3

15.5

46.3

Num

erat

or3

122

7310

831

344

10 5

023

105

7 56

487

669

527

943

Den

omin

ator

8549

355

707

1 21

06

822

6 82

21

184

89 5

627

009

90 1

265

728

4 48

672

4 67

4

Joha

nnes

burg

F

SDIn

dica

tor

3.3

0.3

-14

.16.

612

.316

.42.

911

5.0

43.9

143.

525

.02.

578

.8

Num

erat

or5

1 -

387

455

181

242

114

11 3

915

767

14 4

021

578

140

63 3

01

Den

omin

ator

151

382

362

738

6 89

514

743

14 7

433

873

118

881

13 1

3912

0 46

56

312

5 52

496

3 76

8

Joha

nnes

burg

G

SD

Indi

cato

r -

- -

100.

010

0.0

0.4

0.4

1.2

89.9

45.3

97.6

6.8

8.4

64.5

Num

erat

or -

- -

11

11

3010

524

5 44

212

149

905

824

68 6

84

Den

omin

ator

- -

-1

12

675

2 67

52

579

140

400

12 0

2514

9 35

513

369

9 75

41

278

696

Joha

nnes

burg

In

dica

tor

1.0

1.1

3.4

8.5

5.7

9.6

13.2

1.3

96.7

42.3

102.

717

.411

.761

.8

Num

erat

or24

3221

1 15

41

363

645

884

212

73 0

9133

005

79 1

9410

824

5 12

638

8 03

9

Den

omin

ator

2 29

63

042

619

13 5

3623

934

66 9

8466

984

15 8

6890

7 47

078

044

925

656

745

800

527

520

7 52

8 75

2

Gau

teng

Indi

cato

r1.

71.

56.

59.

76.

710

.013

.61.

796

.744

.010

5.7

49.5

35.4

61.5

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.


416


416


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

Joha

nnes

burg

A S

DIn

dica

tor

71.2

66.7

83.5

70.5

66.4

81.5

- -

26.6

27.6

30.8

Num

erat

or -

44 -

31 -

141

- -

122

940

7 90

0 31

49

524

Den

omin

ator

4 66

366

3 32

144

7 47

217

3 -

-5

551

392

3 43

4 80

23

715

734

Joha

nnes

burg

B S

DIn

dica

tor

66.5

84.6

74.3

55.7

79.9

84.2

- -

11.9

36.1

16.5

Num

erat

or -

88 -

49 -

219

- -

23 1

074

824

336

2 40

3

Den

omin

ator

2 69

210

41

790

883

587

260

- -

2 33

1 46

51

605

411

1 74

7 29

0

Joha

nnes

burg

C S

DIn

dica

tor

69.6

60.9

70.2

42.9

71.7

73.9

- -

19.5

20.7

32.6

Num

erat

or -

14 -

6 -

65 -

-82

292

5 66

1 72

29

759

Den

omin

ator

2 79

523

1 94

614

4 03

688

- -

5 05

9 23

63

274

416

3 59

6 85

0

Joha

nnes

burg

D S

DIn

dica

tor

67.8

64.1

83.9

58.4

71.6

81.7

- -

27.4

20.1

23.0

Num

erat

or -

125

-73

-35

2 -

-19

6 49

39

413

629

11 9

46

Den

omin

ator

11 3

6219

57

708

125

16 8

2243

1 -

-8

614

659

5 61

1 19

76

233

511

Joha

nnes

burg

E S

DIn

dica

tor

56.1

54.8

88.9

67.6

72.8

80.6

- -

35.9

20.3

9.6

Num

erat

or -

34 -

23

129

- -

113

515

4 26

4 41

52

185

Den

omin

ator

3 13

862

1 76

134

4 40

816

0 -

-3

799

491

2 51

9 30

42

731

953

Joha

nnes

burg

F S

DIn

dica

tor

57.2

66.0

90.9

68.3

72.0

81.9

- -

29.2

107.

517

.2

Num

erat

or -

101

-69

-30

7 -

-13

6 21

531

953

637

5 49

3

Den

omin

ator

7 68

015

34

396

101

10 8

7037

5 -

-5

591

532

3 56

6 28

03

841

488

Joha

nnes

burg

G S

DIn

dica

tor

64.5

62.3

86.7

72.3

73.0

84.1

- -

18.2

6.0

16.0

Num

erat

or -

101

-73

30

2 -

-77

071

1 61

9 49

14

914

Den

omin

ator

5 85

816

23

781

101

8 36

835

9 -

-5

070

240

3 22

5 42

93

685

113

Joha

nnes

burg

In

dica

tor

64.7

66.3

84.1

63.9

71.8

82.1

45.7

11.2

25.0

33.9

21.7

Num

erat

or -

507

-32

4

1 51

529

1 96

590

395

751

633

65 6

37 5

4446

224

Den

omin

ator

38 1

8876

524

703

507

55 5

631

846

638

683

804

155

36 0

18 0

1523

236

839

25 5

51 9

39

Gau

teng

Indi

cato

r72

.670

.175

.554

.372

.181

.445

.610

.329

.736

.619

.3

Sout

h Af

rica

Indi

cato

r -

- -

- -

-55

.08.

235

.947

.519

.0

Sour

ce:

DH

IS.


P rov_av

ZA_av

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



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




417


417

Annual trends HIV

Annual trends TB

418


418


TB

Im

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

Joha

nnes

burg

A S

DIn

dica

tor

5.2

-5.

187

.7 -

- -

-95

.9 -

76.8

Num

erat

or11

4 -

113

1 94

1 -

- -

-1

207

-55

1 86

9

Den

omin

ator

2 21

2 -

2 21

22

212

- -

- -

1 25

9 -

718

173

Joha

nnes

burg

B S

DIn

dica

tor

3.7

-5.

887

.1 -

- -

-96

.1 -

85.1

Num

erat

or22

-34

515

- -

- -

372

-18

2 87

1

Den

omin

ator

591

-59

159

1 -

- -

-38

7 -

214

996

Joha

nnes

burg

C S

DIn

dica

tor

3.7

-5.

987

.9 -

- -

-93

.0 -

43.8

Num

erat

or40

-63

941

- -

- -

614

-28

1 06

1

Den

omin

ator

1 07

0 -

1 07

01

070

- -

- -

660

-64

1 34

0

Joha

nnes

burg

D S

DIn

dica

tor

5.6

-6.

785

.7 -

- -

-89

.2 -

53.0

Num

erat

or30

5 -

363

4 65

7 -

- -

-2

815

-1

253

252

Den

omin

ator

5 43

6 -

5 43

65

436

- -

- -

3 15

6 -

2 36

3 07

5

Joha

nnes

burg

E S

DIn

dica

tor

4.6

-6.

086

.7 -

- -

-87

.4 -

90.9

Num

erat

or77

-99

1 43

7 -

- -

-97

2 -

402

437

Den

omin

ator

1 65

8 -

1 65

81

658

- -

- -

1 11

2 -

442

693

Joha

nnes

burg

F S

DIn

dica

tor

2.4

-8.

284

.7 -

- -

-87

.1 -

64.1

Num

erat

or65

-22

32

317

- -

- -

1 34

1 -

546

134

Den

omin

ator

2 73

5 -

2 73

52

735

- -

- -

1 54

0 -

851

609

Joha

nnes

burg

G S

DIn

dica

tor

6.3

-5.

487

.2 -

- -

-93

.2 -

38.4

Num

erat

or18

6 -

159

2 58

0 -

- -

-1

675

-40

7 54

1

Den

omin

ator

2 95

8 -

2 95

82

958

- -

- -

1 79

7 -

1 06

2 36

6

Joha

nnes

burg

In

dica

tor

4.9

20.0

6.3

86.4

13.2

58.3

5.4

58.2

90.8

77.1

57.6

Num

erat

or80

913

31

054

14 3

8888

388

701

408

8 99

69

971

3 62

5 16

5

Den

omin

ator

16 6

6066

616

660

16 6

6066

666

612

929

701

9 91

112

929

6 29

4 25

2

Gau

teng

Indi

cato

r6.

320

.25.

984

.915

.955

.65.

755

.690

.380

.071

.9

Sout

h Af

rica

Indi

cato

r6.

623

.06.

481

.017

.950

.56.

268

.088

.372

.851

.6

Sour

ce:

DH

IS.

2010 2011 2012 2013 2014 2015 2016 2017Year

6_NCDs

2_Outcome

Diabetesincidence


0

5

20

40




419


419


Outcome

Diabetes incidence

(per1K)


(per1K)

2016/17 2016/17

Johannesburg A SD Indicator 1.2 16.4

Numerator 849 2 950

Denominator 8 376 789 2 156 385

Johannesburg B SD Indicator 0.6 5.8

Numerator 194 881

Denominator 4 158 342 1 830 411

Johannesburg C SD Indicator 2.0 10.4


Denominator 8 622 282 2 995 431

Johannesburg D SD Indicator 2.2 23.0


Denominator 15 080 421 5 114 091

Johannesburg E SD Indicator 0.4 6.7

Numerator 240 1 363

Denominator 6 479 637 2 448 087

Johannesburg F SD Indicator 2.2 12.1


Denominator 8 638 050 2 656 200

Johannesburg G SD Indicator 13.6 28.9


Denominator 9 096 375 2 863 584

Johannesburg Indicator 3.5 16.3

Numerator 17 423 27 191

Denominator 60 451 896 20 064 189



Source: DHIS.

Annual trends




420


420


Tshwane Metropolitan Municipality (TSH)

Tshwane is situated in Gauteng Province and is divided into seven health sub-districts, named Tshwane Sub-district 1 to Tshwane Sub-district 7. It has a population of 3 323 240, with a population density of 527.7 people per km2, and falls in socio-economic Quintile 5, among the wealthiest districts. Estimated medical scheme coverage is 30.5%. It is one of 11 National Health Insurance (NHI) pilot districts.




No schooling 5.4%

Matric 38.5%















under 1 year 66 350 67 375 66 847 65 109

under 5 years 316 100 321 080 323 262 323 103

05-09 years 288 910 294 012 300 304 307 922

10-14 years 268 810 275 818 281 181 285 920

15-19 years 237 475 249 581 260 654 268 991

20-24 years 286 892 283 381 282 018 283 927

25-29 years 334 585 335 314 336 383 337 006

30-34 years 309 959 322 183 336 033 351 080

35-39 years 286 473 290 402 292 412 293 220

40-44 years 244 414 251 591 258 914 265 943

45-49 years 207 471 212 748 217 910 223 392

50-54 years 167 205 173 638 180 312 186 649

55-59 years 137 557 140 540 143 627 147 358

60-64 years 107 124 111 521 115 819 119 786

65-69 years 77 089 80 358 83 798 87 342

70-74 years 53 797 55 653 57 655 59 940

75-79 years 30 207 33 160 35 857 38 205

80 years and older 22 500 23 775 25 087 26 445

Total 3 376 566 3 454 751 3 531 230 3 606 241




421


421


Ward based outreach


Regional Hospital

Central/Tertiary

HospitalsOther

Hospitals

Tshwane 1 SD 35 18 3 1 0 1 2

Tshwane 2 SD 17 12 1 1 0 0 1

Tshwane 3 SD 15 13 1 2 0 2 21

Tshwane 4 SD 6 5 0 0 0 0 5

Tshwane 5 SD 8 6 0 0 0 0 2

Tshwane 6 SD 25 8 2 0 1 0 8

Tshwane 7 SD 12 6 1 1 0 0 0

Tshwane 118 68 8 5 1 3 39

Source: DHIS.


Community Health

WorkersNursing

assistantsEnrolled

nurseProfessional

nurseMedical





Tshwane 1 034 1 966 2 135 3 928 1 002 340 121 99 86 38



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

Tshwane 1 SD Indicator 2.1 - - - - -

Numerator 1 905 349 - - - - -

Denominator 11 127 699 - - - - -


Numerator 648 527 - - - - -

Denominator 4 696 416 - - - - -


Numerator 776 718 - - - - -

Denominator 7 936 245 - - - - -


Numerator 218 016 - - - - -

Denominator 5 243 286 - - - - -


Numerator 236 176 - - - - -

Denominator 1 256 694 - - - - -


Numerator 670 037 - - - - -

Denominator 8 340 855 - - - - -


Numerator 207 426 - - - - -

Denominator 1 514 760 - - - - -

Tshwane Indicator 1.4 90.4 98.6 1 559 1 044 517

Numerator 4 662 249 66 72 3 600 833 302 2 410 898 043 2 410 898 043

Denominator 40 115 955 73 73 2 310 268 2 310 268 4 662 249



Source: DHIS.

422


422


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

(%)

Tshw

ane

1 SD

Indi

cato

r3.

62

665

66.5

5.4

36.5

- -

- -

-8.

13

802

77.7

6.2

32.4

Num

erat

or53

236

253

996

095

53 2

3679

78

233

- -

- -

-43

2 44

42

243

247

296

432

444

3 32

029

573

Den

omin

ator

14 6

5495

308

80 0

9614

654

22 5

68 -

- -

- -

53 1

8759

0 06

555

6 62

553

187

91 4

07

Tshw

ane

2 SD

Indi

cato

r6.

12

802

65.9

4.0

23.7

- -

- -

- -

- -

- -

Num

erat

or97

746

378

702

527

97 7

4664

32

587

- -

- -

- -

- -

- -

Den

omin

ator

16 1

2513

5 16

614

8 35

816

125

10 9

04 -

- -

- -

- -

- -

-

Tshw

ane

3 SD

Indi

cato

r3.

93

070

58.9

3.5

44.3

- -

- -

-7.

64

014

81.8

5.5

33.6

Num

erat

or75

481

462

256

708

75 4

8168

82

689

- -

- -

-49

6 75

32

987

900

491

496

753

3 59

254

162

Den

omin

ator

19 4

7215

0 59

012

8 19

019

472

6 06

6 -

- -

- -

65 3

9274

4 43

060

6 90

965

392

160

963

Tshw

ane

6 SD

Indi

cato

r -

- -

- -

4.6

3 52

379

.84.

86.

3 -

- -

- -

Num

erat

or -

- -

- -

93 7

4843

8 37

1 43

693

748

980

1 25

6 -

- -

- -

Den

omin

ator

- -

- -

-20

504

124

449

117

482

20 5

0419

923

- -

- -

-

Tshw

ane

7 SD

Indi

cato

r2.

81

612

45.8

3.4

71.0

- -

- -

- -

- -

- -

Num

erat

or7

419

20 8

07 4

027

419

904

564

- -

- -

- -

- -

- -

Den

omin

ator

2 63

812

908

16 1

832

638

6 43

1 -

- -

- -

- -

- -

-

Tshw

ane

Indi

cato

r4.

42

832

62.7

4.2

39.3

4.6

3 52

379

.84.

86.

37.

83

920

79.9

5.8

33.2

Num

erat

or23

3 88

11

115

762

732

233

881

2 21

818

073

93 7

4843

8 37

1 43

693

748

980

1 25

692

9 19

75

231

147

787

929

197

6 91

283

735

Den

omin

ator

52 8

8939

3 97

237

2 82

852

889

45 9

6920

504

124

449

117

482

20 5

0419

923

118

579

1 33

4 49

51

163

535

118

579

252

370

Gau

teng

Indi

cato

r4.

42

902

65.1

4.4

52.5

5.1

2 87

581

.65.

128

.47.

23

657

81.5

6.0

20.5

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

GP, TSH, City of Tshwane Metropolitan Municipality, SEQ 5 (least deprived)



P rov_av

ZA_av


423


423


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

14

324

32-

58

2942

-12

1153

76

Live

birt

hs9

083

13 2

918

390

19 3

8450

148

8 33

712

727

8 15

419

376

48 5

948

140

13 9

458

181

19 1

0949

375

Still

birth

s77

198

165

609

1 04

974

155

140

630

999

7717

914

560

81

009


Infant (under 1

year)

Neo-natal

Dea

th in

faci

lity

0-7d

ays

2170

114

364

569

1973

104

292

488

759

8834

850

2

Dea

th in

faci

lity

8-28

day

s -

353

7311

1-

288

175

211

216

2017

621

4

Dea

th in

faci

lity

29 d

ays

- 11

mon

ths

-8

914

416

1-

33-

140

173

-20

2216

120

3

Dea

th in

faci

lity

12 –

59

mon

ths

-14

1490

118

-34

-14

117

5-

2627

184

237

Dia

rrho

ea d

eath

und

er 5

yea

rs

-1

415

20-

213

1025

-7

624

37

Pneu

mon

ia d

eath

und

er 5

yea

rs-

24

3339

--

149

50-

38

2536

Seve

re a

cute

mal

nutri

tion

deat

h un

der 5

yea

rs

-7

917

33-

96

1429

-21

812

41

TB D

eath

s 5

992

--

-5

992

5 46

7-

--

5 46

7-

--

--

Inpa

tient

dea

th to

tal

-2

256

838

5 63

18

725

192

306

951

6 25

19

527

92

218

980

6 91

210

119

Patie

nt d

ay e

quiv

alen

t-

374

409

103

856

1 25

5 04

71

733

312

6 69

839

9 49

411

3 75

11

282

602

1 80

2 54

515

607

393

972

124

449

1 33

4 49

41

868

522

Sour

ce:

DH

IS. *

MO

U –

Mat

erna

l Obs

tetr

ic U

nit.



5-1415-2425-64

65+Total 18%

11%16%

24%27%

68%

17%2%

30%34%

19%7%

60%84%

49%26%

31%19%

5%3%

5%17%

22%6%

16%9%13%10%

24%67%

19%4%

28%12%

17%7%

52%83%

43%23%

31%18%

13%4%

16%55%

27%8%

GP, Tshwane: TSH, 2010 - 2015

Rank.. Female Male

<5 y

ears

12345678910

5-14

12345678910

15-2

4

12345678910

25-6

4

12345678910

65+

12345678910

Other congenital abnormalities (2.5%)





Septicaemia (2.6%)


HIV/AIDS (5.7%)


Other neoplasms (2.8%)Fires, hot substances (3.0%)

Meningitis/encephalitis (4.0%)Accidental threats to breathing (3.9%)




HIV/AIDS (11.7%)

Cardiomyopathy (2.5%)Endocrine nutritional,blood, immune (2.4%)

Meningitis/encephalitis (2.8%)Mechanical forces (3.2%)




HIV/AIDS (19.3%)

Breast (3.5%)Cervix (3.2%)Nephritis/nephrosis (3.0%)

Hypertensive heart disease (3.7%)Diabetes mellitus (3.9%)Ischaemic heart disease (4.2%)Cerebrovascular disease (5.0%)


HIV/AIDS (17.5%)

Alzheimer’s and other dementias (2.3%)Breast (2.6%)

Cardiomyopathy (2.0%)



Diabetes mellitus (7.5%)Ischaemic heart disease (11.5%)



Congenital heart anomalies (3.4%)Other perinatal conditions (2.8%)

Sepsis/other newborn infectious (4.7%)

Birth asphyxia (6.9%)



Septicaemia (2.5%)


HIV/AIDS (5.3%)

Leukaemia (3.5%)

Drowning (7.3%)

Other respiratory (2.9%)Meningitis/encephalitis (3.2%)



Diarrhoeal diseases (7.7%)Lower respiratory infections (8.4%)Tuberculosis (8.5%)

HIV/AIDS (9.5%)

Leukaemia (2.4%)Drowning (2.8%)



Interpersonal violence (7.5%)Road injuries (12.2%)





Nephritis/nephrosis (3.0%)Diabetes mellitus (2.9%)



Prostate (5.2%)


COPD (5.6%)

Nephritis/nephrosis (5.3%)Hypertensive heart disease (5.5%)




Tuberculosis (3.1%)


Fem

ale

15-4

9

12345678910

Maternal sepsis (3.8%) n=14


Hypertension in pregnancy (18.5%) n=66Other maternal (25.1%) n=89

Indirect maternal (34.3%) n=122

Breast (2.3%) n=451Ischaemic heart disease (2.3%) n=437

Cervix (2.6%) n=498Nephritis/nephrosis (2.4%) n=460


Meningitis/encephalitis (2.2%) n=429

Diarrhoeal diseases (3.5%) n=682Lower respiratory infections (10.1%) n=1 953

Tuberculosis (15.9%) n=3 073HIV/AIDS (23.5%) n=4 542



causes

BroadcauseInjury

NCD

HIV and TB

Comm_mat_peri_nut

Prov, DistrictGP, Tshwane: TSH

Show history




424


424





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




425


425





on ART rate (%)


(%)

Antenatal 1st

visit before 20 weeks rate (%)

Cervical cancer



(WHO) (%)


rate (%)

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

Tshwane 1 SD Indicator 146.1 97.2 5.6 62.7 72.0 39.3 113.2

Numerator 25 2 771 948 10 876 16 169 103 028 19 291

Denominator 17 110 2 852 17 037 17 333 2 695 667 3 143 313 17 037


Numerator 9 849 398 3 762 6 382 15 334 4 962

Denominator 5 526 888 5 525 5 873 118 349 1 263 555 5 525


Numerator 31 1 656 388 8 509 10 215 346 684 7 579

Denominator 16 464 1 707 16 680 15 838 205 469 2 447 454 16 680

Tshwane 4 SD Indicator - 94.0 - 60.1 22.2 11.3 -

Numerator - 420 - 1 917 2 666 14 703 1 062

Denominator - 447 - 3 188 143 947 1 567 527 -

Tshwane 5 SD Indicator - 98.7 - 55.2 59.5 73.1 -

Numerator - 466 - 2 027 1 491 20 602 1 807

Denominator - 472 - 3 671 30 083 338 421 -


Numerator 11 1 208 391 6 673 7 537 20 601 5 158

Denominator 9 483 1 304 9 498 11 692 220 209 2 376 120 9 498

Tshwane 7 SD Indicator - 96.0 3.7 62.5 67.0 9.5 227.2

Numerator - 362 30 1 340 1 947 3 279 1 847

Denominator 792 377 813 2 145 34 856 415 752 813

Tshwane Indicator 153.9 96.1 4.3 58.8 54.5 54.5 84.2

Numerator 76 7 732 2 155 35 104 46 407 524 232 41 706

Denominator 49 375 8 047 49 553 59 740 1 022 480 11 552 142 49 553



Source: DHIS.

Annual trends

426


426



Im

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

Tshw

ane

1 SD

Indi

cato

r1.

71.

54.

217

.39.

812

.720

.02.

988

.670

.791

.476

.345

.852

.7

Num

erat

or15

159

392

442

218

342

6113

323

9 05

214

569

11 3

885

018

70 2

57

Den

omin

ator

880

1 02

921

42

267

4 48

817

110

17 1

102

088

180

375

12 8

0219

1 17

814

923

10 9

641

599

768

Tshw

ane

2 SD

Indi

cato

r1.

04.

816

.844

.96.

47.

410

.11.

286

.264

.392

.767

.938

.962

.9

Num

erat

or2

219

7094

4156

114

982

3 45

95

869

4 20

61

937

34 6

15

Den

omin

ator

207

4211

315

61

475

5 52

65

526

881

69 3

575

377

75 9

996

194

4 97

566

0 79

2

Tshw

ane

3 SD

Indi

cato

r2.

00.

93.

45.

65.

19.

312

.64.

810

2.0

44.9

102.

439

.311

.655

.1

Num

erat

or14

115

326

462

153

208

447

690

3 52

98

083

3 91

596

135

681

Den

omin

ator

686

1 18

614

85

791

9 01

416

464

16 4

6492

290

510

7 85

694

719

9 95

68

286

777

552

Tshw

ane

4 SD

Indi

cato

r -

- -

- -

- -

5.9

43.8

44.4

38.9

38.3

4.9

19.6

Num

erat

or -

- -

- -

- -

82

899

1 20

12

549

1 61

512

810

079

Den

omin

ator

- -

- -

- -

-13

579

389

2 70

678

660

4 22

12

603

616

638

Tshw

ane

5 SD

Indi

cato

r -

- -

- -

- -

3.9

137.

050

.317

0.4

65.6

60.9

82.6

Num

erat

or -

- -

- -

- -

112

208

1 16

32

747

896

772

10 6

17

Den

omin

ator

- -

- -

- -

-27

919

344

2 31

419

344

1 36

51

267

154

194

Tshw

ane

6 SD

Indi

cato

r4.

54.

717

.019

.217

.89.

511

.63.

367

.649

.670

.249

.841

.438

.8

Num

erat

or6

88

132

159

9011

025

7 21

73

027

7 46

33

638

2 23

732

512

Den

omin

ator

133

169

4768

889

39

483

9 48

374

812

8 15

46

101

127

506

7 30

15

400

1 00

5 50

4

Tshw

ane

7 SD

Indi

cato

r -

- -

3.0

1.7

2.5

2.5

7.6

76.8

64.4

78.7

92.2

93.1

47.7

Num

erat

or-

- -

22

22

231

407

1 03

01

595

2 42

72

037

8 52

0

Den

omin

ator

4447

1266

118

792

792

301

21 9

841

600

24 3

062

633

2 18

721

4 47

6

Tshw

ane

Indi

cato

r1.

91.

57.

710

.37.

210

.214

.53.

480

.958

.084

.160

.336

.748

.3

Num

erat

or37

3641

922

1 15

950

471

818

339

726

22 4

6142

875

28 0

8513

090

202

281

Den

omin

ator

1 95

02

473

534

8 96

815

993

49 3

7549

375

5 35

458

9 11

338

756

611

712

559

116

428

184

5 02

8 92

4

Gau

teng

Indi

cato

r1.

71.

56.

59.

76.

710

.013

.61.

796

.744

.010

5.7

49.5

35.4

61.5

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




427


427

Annual trends Child and School Health

Annual trends HIV

428


428


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

Tshw

ane

1 SD

Indi

cato

r52

.354

.390

.373

.675

.583

.9 -

-26

.920

.828

.7

Num

erat

or -

144

-10

6 -

422

- -

142

306

7 08

3 95

410

864

Den

omin

ator

8 36

526

54

379

144

11 3

3250

3 -

-6

356

367

4 08

0 57

94

541

739

Tshw

ane

2 SD

Indi

cato

r58

.442

.288

.580

.074

.480

.3 -

-23

.01.

612

.3

Num

erat

or -

35 -

28 -

139

- -

48 7

2223

0 70

61

940

Den

omin

ator

2 53

483

1 47

935

3 60

517

3 -

-2

540

088

1 68

0 42

91

896

318

Tshw

ane

3 SD

Indi

cato

r71

.673

.792

.071

.476

.984

.7 -

-27

.113

5.4

11.3

Num

erat

or -

42 -

30 -

122

- -

113

160

36 8

74 0

883

285

Den

omin

ator

4 27

757

3 06

142

5 85

514

4 -

-5

006

844

3 26

9 02

23

501

492

Tshw

ane

4 SD

Indi

cato

r75

.484

.689

.363

.677

.675

.9 -

-6.

35.

710

.3

Num

erat

or -

11 -

7 -

22 -

-17

254

1 01

8 80

01

970

Den

omin

ator

1 51

813

1 14

511

2 20

329

- -

3 26

2 00

22

134

401

2 29

8 35

7

Tshw

ane

5 SD

Indi

cato

r66

.654

.590

.110

0.0

69.9

89.7

- -

30.1

40.0

2.3

Num

erat

or -

6 -

6 -

26 -

-18

992

1 77

0 00

010

9

Den

omin

ator

1 58

011

1 05

36

2 25

929

- -

757

176

531

438

578

550

Tshw

ane

6 SD

Indi

cato

r55

.263

.890

.370

.080

.686

.8 -

-16

.20.

213

.5

Num

erat

or -

60 -

42 -

138

- -

67 4

4769

000

4 10

2

Den

omin

ator

3 48

194

1 92

260

4 40

415

9 -

-5

001

453

3 36

8 96

13

645

600

Tshw

ane

7 SD

Indi

cato

r47

.444

.783

.552

.938

.158

.2 -

-29

.50.

133

.7

Num

erat

or -

17-

9-

46 -

-21

047

6 00

01

757

Den

omin

ator

639

3830

317

1 70

079

- -

855

273

551

829

626

379

Tshw

ane

Indi

cato

r59

.656

.190

.272

.474

.182

.044

.49.

422

.436

.217

.7

Num

erat

or -

315

- 22

8-

915

169

186

46 6

7844

3 61

647

052

548

25 2

26

Den

omin

ator

22 3

9456

113

342

315

31 3

581

116

380

703

487

797

23 7

79 2

0315

616

659

17 0

88 4

35

Gau

teng

Indi

cato

r72

.670

.175

.554

.372

.181

.445

.610

.329

.736

.619

.3

Sout

h Af

rica

Indi

cato

r -

- -

- -

-55

.08.

235

.947

.519

.0

Sour

ce:

DH

IS.


429


429

TB

I mpa

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

Tshw

ane

1 SD

Indi

cato

r7.

9 -

7.5

82.1

- -

- -

89.7

-58

.1

Num

erat

or34

4 -

326

3 55

6 -

- -

-2

396

-90

5 11

4

Den

omin

ator

4 33

1 -

4 33

14

331

- -

- -

2 67

1 -

1 55

8 97

7

Tshw

ane

2 SD

Indi

cato

r7.

3 -

5.1

86.3

- -

- -

98.6

-74

.7

Num

erat

or11

1 -

781

321

- -

- -

916

-38

8 28

5

Den

omin

ator

1 53

1 -

1 53

11

531

- -

- -

929

-51

9 69

9

Tshw

ane

3 SD

Indi

cato

r6.

1 -

5.7

85.1

- -

- -

91.4

-53

.1

Num

erat

or13

0 -

121

1 81

7 -

- -

-88

4 -

332

184

Den

omin

ator

2 13

4 -

2 13

42

134

- -

- -

967

-62

5 49

0

Tshw

ane

4 SD

Indi

cato

r6.

7 -

4.5

87.2

- -

- -

86.5

-57

.1

Num

erat

or42

-28

545

- -

- -

296

-10

1 82

5

Den

omin

ator

625

-62

562

5 -

- -

-34

2 -

178

439

Tshw

ane

5 SD

Indi

cato

r8.

7 -

6.1

82.2

- -

- -

76.9

-30

.1

Num

erat

or53

-37

502

- -

- -

260

-59

502

Den

omin

ator

611

-61

161

1 -

- -

-33

8 -

197

849

Tshw

ane

6 SD

Indi

cato

r6.

2 -

8.7

82.2

- -

- -

79.9

-40

.4

Num

erat

or88

-12

41

166

- -

- -

618

-22

0 23

1

Den

omin

ator

1 41

9 -

1 41

91

419

- -

- -

773

-54

4 45

7

Tshw

ane

7 SD

Indi

cato

r8.

5 -

7.8

82.3

- -

- -

82.8

-68

.1

Num

erat

or36

-33

348

- -

- -

202

-11

6 47

9

Den

omin

ator

423

-42

342

3 -

- -

-24

4 -

171

062

Tshw

ane

Indi

cato

r7.

313

.26.

783

.615

.162

.96.

442

.489

.010

5.1

55.9

Num

erat

or80

421

747

9 25

524

100

415

176

5 57

26

805

2 12

3 62

0

Den

omin

ator

11 0

7415

911

074

11 0

7415

915

96

472

415

6 26

46

472

3 79

5 97

3

Gau

teng

Indi

cato

r6.

320

.25.

984

.915

.955

.65.

755

.690

.380

.071

.9

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



430


430


Annual trends TB

2010 2011 2012 2013 2014 2015 2016 2017Year

6_NCDs

2_Outcome

Diabetesincidence


0

5

20

40




431


431


Outcome

Diabetes incidence

(per1K)


(per1K)

2016/17 2016/17

Tshwane 1 SD Indicator 2.6 18.6


Denominator 11 127 699 3 420 837


Numerator 622 1 669

Denominator 4 696 416 1 555 317



Denominator 7 936 245 2 673 048


Numerator 123 857

Denominator 5 243 286 1 785 747


Numerator 384 1 176

Denominator 1 256 694 417 354



Denominator 8 340 855 2 865 861


Numerator 290 791

Denominator 1 514 760 455 115

Tshwane Indicator 3.2 23.0

Numerator 10 635 25 220

Denominator 40 115 955 13 173 279



Source: DHIS.

Annual trends




Documents

18auteng Province G Health...Section B: Profile Gauteng Province Number of facilities by level, 2016/17 Ward based outreach teams Clinic CHC District Hospital Regional Hospital Central