Xhariep District Municipality (DC16) Health...Numerator 447 736 13 17 294 681 809 198 012 537 198 012 537 Denominator 1 608 900 18 17 117 905 117 905 447 736 Free State Indicator 2.2

Section B: National and District Profiles

323

Section B: Profile Free State Province

323

17 Free State Province

Xhariep District Municipality (DC16)

Xhariep is the southern-most district in the Free State Province and is divided into four health sub-districts, namely Letsemeng, Kopanong, Naledi and Mohokare. Geographically it is the largest of the five districts in the province, but it has the smallest population, at 135 036, with a population density of only 3.6 people per km2. The district falls into socio-economic Quintile 3. Estimated medical scheme coverage is 12.7%.

Social determinants of healthUnemployment ratea 26.8%

Youth unemployment rate (15-34 years)a 33.8%

No schooling 10.6%

Matric 26.2%

Higher education 5.6%

Households 44 767

Female-headed households 37.6%

Formal dwellings 89.1%

Flush toilet connected to sewerage 79.2%

Weekly refuse removal 67.7%

Piped water inside dwellings 34.7%

Electricity for lighting 94.2%

Blue Drop water score 65.1%

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 1 950 1 985 2 071 2 164

under 5 years 10 773 10 663 10 642 10 683

05-09 years 11 805 11 646 11 428 11 218

10-14 years 11 386 11 518 11 681 11 779

15-19 years 11 781 11 452 11 192 11 079

20-24 years 12 417 12 229 12 001 11 718

25-29 years 13 204 13 079 12 892 12 659

30-34 years 10 931 11 466 12 008 12 518

35-39 years 9 072 9 337 9 560 9 736

40-44 years 7 387 7 547 7 747 7 978

45-49 years 6 714 6 736 6 740 6 768

50-54 years 5 487 5 638 5 791 5 916

55-59 years 4 538 4 550 4 575 4 625

60-64 years 4 001 3 995 3 987 3 982

65-69 years 3 264 3 279 3 286 3 283

70-74 years 2 441 2 489 2 532 2 559

75-79 years 11 385 12 014 12 605 13 152

80 years and older 6 479 6 747 7 027 7 320

Total 1 279 035 1 298 412 1 316 391 1 333 124

Estimated pregnant women* 28 655 28 308 27 103 25 316

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

324


324


Number of facilities by level, 2016/17

Ward based outreach

teams Clinic CHCDistrict Hospital

Regional Hospital

Central/Tertiary

HospitalsOther

Hospitals

Kopanong SD 8 10 0 1 0 0 0

Letsemeng SD 4 4 1 0 0 0 0

Naledi SD 2 3 0 0 0 0 0

MohokareSD 2 3 0 3 0 0 0

Xhariep 16 20 1 4 0 0 0

Source: DHIS.

Human resources – filled posts, 2016

Community Health

WorkersNursing

assistantsEnrolled

nurseProfessional

nurseMedical

practitioners PharmacistsDental

practitionersOccupational

therapy Physiotherapy

Speech Therapy and Audiology

Xhariep 194 96 23 88 10 26 2 5 1 0

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

Kopanong SD Indicator 3.7 - - - - -

Numerator 168 935 - - - - -

Denominator 545 250 - - - - -

Letsemeng SD Indicator 3.5 - - - - -

Numerator 124 522 - - - - -

Denominator 428 502 - - - - -

Mohokare SD Indicator 2.5 - - - - -

Numerator 78 219 - - - - -

Denominator 371 187 - - - - -

Naledi SD Indicator 3.5 - - - - -

Numerator 76 060 - - - - -

Denominator 263 961 - - - - -

Xhariep Indicator 3.3 72.2 100.0 2 499 1 679 442

Numerator 447 736 13 17 294 681 809 198 012 537 198 012 537

Denominator 1 608 900 18 17 117 905 117 905 447 736

Free State Indicator 2.2 34.8 78.5 1 665 1 046 403

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

FS, DC16, Xhariep District Municipality, SEQ 3

Measure NamesIndValueProv_avZA_av

Meas ure NamesIndV alue

P rov_av

ZA_av


325


325

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

(%)

Kopa

nong

SD

Indi

cato

r2.

75

094

53.

57.

572

.0 -

- -

- -

- -

- -

-

Num

erat

or4

561

32 2

19 9

484

561

128

3 46

1 -

- -

- -

- -

- -

-

Den

omin

ator

1 69

76

325

-1

697

4 80

5 -

- -

- -

- -

- -

-

Moh

okar

e SD

Indi

cato

r3.

82

148

107

.06.

349

.0 -

- -

- -

- -

- -

-

Num

erat

or15

631

42 7

44 9

8315

631

255

3 71

0 -

- -

- -

- -

- -

-

Den

omin

ator

4 06

119

900

-4

061

7 57

8 -

- -

- -

- -

- -

-

Xhar

iep

Indi

cato

r3.

52

858

72.

86.

757

.9 -

- -

- -

- -

- -

-

Num

erat

or20

191

74 9

64 9

3120

191

383

7 17

1 -

- -

- -

- -

- -

-

Den

omin

ator

5 75

826

226

-5

758

12 3

83 -

- -

- -

- -

- -

-

Free

Sta

teIn

dica

tor

3.3

2 53

860

.76.

671

.25.

12

951

-6.

329

.16.

25

122

-3.

628

.3

Sout

h Af

rica

Indi

cato

r4.

42

568

67.4

5.1

59.3

5.3

2 89

478

.35

37.2

6.9

4 22

784

.35.

420

.3

Sour

ce:

DH

IS a

nd B

AS.

Annual trends

326


326


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

-1

--

1-

2-

-2

--

--

-

Live

birt

hs14

852

--

866

1173

0-

-74

16

762

--

768

Still

birth

s1

19-

-20

122

--

23-

11-

-11

Child (under 5 years)

Infant (under 1

year)

Neo-natal

Dea

th in

faci

lity

0-7d

ays

-8

--

8-

2-

-2

-4

--

4

Dea

th in

faci

lity

8-28

day

s -

1-

-1

-1

--

1-

--

--

Dea

th in

faci

lity

29 d

ays

- 11

mon

ths

-1

--

1-

3-

-3

-1

--

1

Dea

th in

faci

lity

12 –

59

mon

ths

-1

--

1-

--

--

-1

--

1

Dia

rrho

ea d

eath

und

er 5

yea

rs

-1

--

1-

--

--

--

--

Pneu

mon

ia d

eath

und

er 5

yea

rs-

--

--

-1

--

1-

1-

-1

Seve

re a

cute

mal

nutri

tion

deat

h un

der 5

yea

rs

-5

--

51

--

1-

1-

-1

TB D

eath

s 41

292

--

504

324

48-

-37

2-

--

--

Inpa

tient

dea

th to

tal

-35

6-

-35

6-

356

--

356

-38

3-

-38

3

Patie

nt d

ay e

quiv

alen

t-

29 7

21-

-29

721

-23

924

--

23 9

24-

26 2

26-

-26

226

Sour

ce:

DH

IS. *

MO

U –

Mat

erna

l Obs

tetr

ic U

nit.

AgeGroup.. Female Male

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



328


328


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

Kopanong SD Indicator - 100.0 9.5 80.5 116.0 97.7 118.8

Numerator - 64 38 617 1 183 10 478 475

Denominator 400 64 400 766 12 237 128 712 400

Letsemeng SD Indicator - 102.5 - 74.2 111.4 89.0 6 833

Numerator - 81 - 525 818 7 354 410

Denominator 6 79 6 708 8 810 99 114 6

Mohokare SD Indicator - 100.0 4.9 73.2 120.8 84.1 119.5

Numerator - 73 18 398 818 6 421 441

Denominator 362 73 369 544 8 124 91 659 369

Naledi SD Indicator - 95.2 - 77.6 123.8 100.9 -

Numerator - 60 - 349 627 5 559 210

Denominator - 63 - 450 6 076 66 096 -

Xhariep Indicator 0.0 99.6 7.2 76.5 117.3 92.8 198.2

Numerator - 278 56 1 889 3 446 29 811 1 536

Denominator 768 279 775 2 468 35 247 385 581 775

Free State Indicator 152.8 94.2 5.9 65.8 54.2 66.8 71.2

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

t

Immunisationcoverage under1 year

Infantexclusivelybreastfed atDTaP-IPV-Hib-HBV 3rd doserate

Measles 2nddose coverage

School Grade 1screeningcoverage

0

50

100

0

10

20

30

0

20

40

60

0

10

20

50

100

150

20

40

60

80

50

100

150

0

50

100




P rov_av

ZA_av


329


329

Child and School Health Annual trends

Impa

ctO

utco

me

Out

put

Chi

ld u

nder

5

year

s di

arrh

oea

case

fata

lity

rate

(%)

Chi

ld u

nder

5

year

s pn

eum

onia

ca

se fa

talit

y ra

te (%

)

Chi

ld u

nder

5

year

s se

vere

acu

te

mal

nutr

ition

ca

se fa

talit

y ra

te (%

)

Inpa

tient

de

ath

unde

r 1

year

rate

(%)

Inpa

tient

de

ath

unde

r 5

year

rate

(%)

Inpa

tient

ea

rly n

eona

tal

deat

h ra

te

(per

1K)

Inpa

tient

ne

onat

al

deat

h ra

te

(per

1K)

Infa

nt P

CR

test

pos

itive

ar

ound

10

wee

ks ra

te

(%)

Imm

unis

atio

n co

vera

ge

unde

r 1 y

ear

(%)

Infa

nt

excl

usiv

ely

brea

stfe

d at

D

TaP-

IPV-

Hib

-H

BV

3rd d

ose

rate

(%)

Mea

sles

2n

d 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

Kopa

nong

SD

Indi

cato

r -

- -

- -

- -

-13

0.1

51.4

168.

480

.973

.512

7.5

Num

erat

or -

- -

- -

- -

-66

338

096

11

154

659

6 30

0

Den

omin

ator

246

912

4540

040

097

6 11

774

06

846

1 42

789

759

316

Lets

emen

g SD

Indi

cato

r -

- -

- -

--

2.6

105.

033

.919

7.9

84.3

58.6

131.

3

Num

erat

or -

- -

- -

--

250

622

294

583

142

74

959

Den

omin

ator

-

6

676

5 78

465

45

730

986

729

45 3

06

Moh

okar

e SD

Indi

cato

r -

2.0

3.0

3.1

1.4

11.0

11.0

-12

6.5

54.8

152.

130

.594

.567

.4

Num

erat

or -

11

56

44

-47

428

564

033

260

72

473

Den

omin

ator

9749

3316

343

136

236

212

74

497

520

5 04

91

088

642

44 0

34

Nal

edi S

D

Indi

cato

r -

- -

- -

- -

1.6

115.

756

.413

7.6

24.7

13.5

97.1

Num

erat

or -

- -

- -

- -

134

123

242

920

075

2 54

9

Den

omin

ator

- -

- -

- -

-62

3 53

741

13

741

809

557

31 5

00

Xhar

iep

Indi

cato

r0.

01.

82.

42.

91.

35.

25.

20.

811

9.4

48.1

167.1

58.4

62.6

108.

4

Num

erat

or

11

56

44

31

984

1 11

92

975

2 51

71

768

16 2

81

Den

omin

ator

121

5542

175

476

768

768

362

19 9

352

325

21 3

6651

720

33 9

0018

0 15

6

Free

Sta

teIn

dica

tor

2.8

3.2

9.6

8.3

5.5

11.4

14.3

1.3

84.2

46.2

105.

833

.130

.357

.1

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.


P rov_av

ZA_av

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



330


330


HIV Annual trends

3r

d 90-

90-9

02n

d 90-

90-9

01s

t 90-

90-9

0

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

Kopa

nong

SD

Indi

cato

r64

.559

.185

.138

.578

.610

0.0

- -

44.1

40.4

11.6

Num

erat

or -

13 -

5 -

22 -

-10

906

816

000

253

Den

omin

ator

510

2232

913

696

22 -

-29

6 73

924

2 32

526

1 17

7

Lets

emen

g SD

Indi

cato

r68

.876

.583

.369

.272

.273

.9 -

-35

.234

.215

.6

Num

erat

or -

13 -

9 -

17 -

-7

145

570

000

282

Den

omin

ator

356

1724

513

544

23 -

-24

3 54

920

0 08

221

6 39

9

Moh

okar

e SD

Indi

cato

r54

.338

.991

.528

.672

.181

.8 -

-42

.743

.08.

9

Num

erat

or -

7 -

2 -

18 -

-7

182

552

000

125

Den

omin

ator

475

1825

87

705

22 -

-20

2 00

215

4 05

916

8 84

0

Nal

edi S

DIn

dica

tor

75.9

73.9

92.9

76.5

79.3

96.2

- -

44.1

47.8

33.8

Num

erat

or -

17 -

13 -

25 -

-5

191

420

000

328

Den

omin

ator

424

2332

217

552

26 -

-14

1 39

910

5 37

511

6 52

9

Xhar

iep

Indi

cato

r65

.462

.588

.358

.075

.588

.287

.84.

541

.340

.315

.5

Num

erat

or -

50 -

29 -

8212

344

1 53

930

424

2 35

8 00

098

8

Den

omin

ator

1 76

580

1 15

450

2 49

793

14 0

6334

157

883

689

701

841

762

945

Free

Sta

teIn

dica

tor

65.7

59.7

89.5

68.1

70.7

77.8

58.6

9.5

26.8

42.5

27.4

Sout

h Af

rica

Indi

cato

r -

- -

--

- 55

.08.

235

.947

.519

.0

Sour

ce:

DH

IS.

2009 2010 2011 2012 2013 2014 2015 2016Year

5_TB

1_Im

pact

TB death rate(ETR.net)

TB DR clientdeath rate(EDRWeb)

2_O

utco

me

TB client lost tofollow up rate(ETR.Net)

TB clienttreatmentsuccess rate(ETR.net)

TB DR clientloss to follow uprate (EDRWeb)

TB DRtreatmentsuccess rate(EDRWeb)

TB Rifampicinresistanceconfirmed clientrate

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

4_P

roce

ss_i

nput

TB symptom 5years and olderscreened infacility rate

5

10

15

0

20

40

60

0

5

10

15

40

60

80

0

20

40

0

20

40

60

0

10

20

0

50

100

0

50

100




P rov_av

ZA_av


331


331

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

Kopa

nong

SD

Indi

cato

r9.

2 -

3.4

83.3

- -

- -

97.3

-11

1.2

Num

erat

or27

-10

244

- -

- -

109

-15

9 16

7

Den

omin

ator

293

-29

329

3 -

- -

-11

2 -

143

124

Lets

emen

g SD

Indi

cato

r6.

9 -

6.6

79.9

- -

- -

83.9

-67

.8

Num

erat

or21

-20

243

- -

- -

151

-70

912

Den

omin

ator

304

-30

430

4 -

- -

-18

0 -

104

534

Moh

okar

e SD

Indi

cato

r10

.3 -

6.7

57.7

- -

- -

100.

0 -

88.6

Num

erat

or31

-20

173

- -

- -

151

-58

290

Den

omin

ator

300

-30

030

0 -

- -

-15

1 -

65 7

78

Nal

edi S

D

Indi

cato

r9.

6 -

3.4

68.9

- -

- -

100.

0 -

82.2

Num

erat

or17

-6

122

- -

- -

61 -

52 7

45

Den

omin

ator

177

-17

717

7 -

- -

-61

-64

183

Xhar

iep

Indi

cato

r8.

917

.55.

272

.827

.552

.54.

767

.793

.711

9.3

90.3

Num

erat

or96

756

782

1121

3121

472

792

341

114

Den

omin

ator

1 07

440

1 07

41

074

4040

664

3150

466

437

7 61

9

Free

Sta

teIn

dica

tor

10.5

25.3

5.6

80.1

23.5

45.8

5.2

74.4

89.7

88.7

53.0

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



332


332


Non-communicable diseases

Outcome

Diabetes incidence

(per1K)

Hypertension incidence

(per1K)

2016/17 2016/17

Kopanong SD Indicator 1.7 31.2

Numerator 75 537

Denominator 545 250 206 403

Letsemeng SD

Indicator 1.4 8.0

Numerator 49 101


Mohokare SD Indicator 4.6 24.7

Numerator 143 261


Naledi SD Indicator 1.3 44.6

Numerator 29 335


Xhariep

Indicator 2.2 25.7

Numerator 296 1 234

Denominator 1 608 900 575 940

Free State Indicator 2.4 26.4

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


333


333

Lejweleputswa District Municipality (DC18)

Lejweleputswa District is located in the north-western part of the Free State Province. The district is divided into five health sub-districts, namely Masilonyana, Tokologo, Tswelopele, Matjhabeng and Nala, with a population of 589 013 and a population density of 18.4 people per km2. The district falls in socio-economic Quintile 4, among the wealthier districts. Estimated medical scheme coverage is 11.8%.

Social determinants of healtha

Unemployment ratea 36.5%


No schooling 4.6%

Matric 30.3%


Households 217 911













under 1 year 11 903 11 902 11 909 11 825

under 5 years 62 268 61 721 61 075 60 342

05-09 years 63 143 63 039 62 783 62 562

10-14 years 59 680 60 639 61 658 62 420

15-19 years 59 711 59 036 58 440 58 311

20-24 years 59 988 59 864 59 844 59 640

25-29 years 65 256 64 191 62 936 61 746

30-34 years 56 430 59 183 62 005 64 638

35-39 years 47 471 48 567 49 439 50 114

40-44 years 39 032 39 842 40 850 41 969

45-49 years 35 522 35 298 35 144 35 180

50-54 years 32 686 32 723 32 656 32 512

55-59 years 27 670 28 056 28 400 28 662

60-64 years 21 669 22 215 22 698 23 135

65-69 years 14 884 15 478 16 076 16 645

70-74 years 9 580 9 796 10 058 10 388

75-79 years 5 361 5 636 5 860 6 023

80 years and older 3 078 3 131 3 182 3 241

Total 663 420 668 413 673 104 677 535



334


334



Ward based outreach


Regional Hospital

Central/Tertiary

HospitalsOther

Hospitals

Masilonyana SD 5 9 0 1 0 0 0

Matjhabeng SD 13 25 2 2 1 0 5

Nala SD 2 4 0 1 0 0 0

Tokologo SD 1 4 0 0 0 0 0

Tswelopele SD 1 3 0 1 0 0 0

Lejweleputswa 22 45 2 5 1 0 5

Source: DHIS.


Community Health

WorkersNursing

assistantsEnrolled

nurseProfessional

nurseMedical





Lejweleputswa 271 173 205 375 66 45 6 7 5 0



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

Masilonyana SD Indicator 3.1 - - - - -

Numerator 183 914 - - - - -

Denominator 713 163 - - - - -

Matjhabeng SD Indicator 2.3 - - - - -

Numerator 876 549 - - - - -

Denominator 4 588 533 - - - - -

Nala SD Indicator 2.5 - - - - -

Numerator 186 593 - - - - -

Denominator 909 063 - - - - -

Tokologo SD Indicator 2.5 - - - - -

Numerator 67 799 - - - - -

Denominator 326 295 - - - - -

Tswelopele SD Indicator 2.6 - - - - -

Numerator 115 524 - - - - -

Denominator 528 015 - - - - -

Lejweleputswa Indicator 2.4 22.7 75.0 1 392 983 357

Numerator 1 430 379 10 33 722 864 858 510 570 966 510 570 966

Denominator 7 065 069 44 44 519 261 519 261 1 430 379



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

FS, DC18, Lejweleputswa District Municipality, SEQ 4 (well off)



P rov_av

ZA_av


335


335

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

(%)

Mas

ilony

ana

SDIn

dica

tor

3.5

2 59

3 3

0.8

5.2

86.1

- -

- -

- -

- -

- -

Num

erat

or5

147

18 7

61 0

415

147

782

634

- -

- -

- -

- -

- -

Den

omin

ator

1 49

17

235

-1

491

3 06

1 -

- -

- -

- -

- -

-

Mat

jhab

eng

SDIn

dica

tor

3.0

2 27

1 8

2.3

5.7

46.9

5.9

2 81

8

8.4

57.1

- -

- -

-

Num

erat

or41

083

126

286

565

41 0

8378

413

832

93 1

6132

3 26

8 41

893

161

1 31

816

977

- -

- -

-

Den

omin

ator

13 6

7455

610

-13

674

29 5

1715

694

114

701

015

694

29 7

25 -

- -

- -

Nal

a SD

Indi

cato

r2.

22

334

76.5

5.7

76.0

- -

- -

- -

- -

- -

Num

erat

or8

840

30 8

13 9

848

840

227

7 22

5 -

- -

- -

- -

- -

-

Den

omin

ator

3 98

413

204

-3

984

9 50

4 -

- -

- -

- -

- -

-

Tsw

elop

ele

SDIn

dica

tor

2.5

2 54

878

.46.

275

.4 -

- -

- -

- -

- -

-

Num

erat

or6

674

22 9

23 7

166

674

166

1 94

2 -

- -

- -

- -

- -

-

Den

omin

ator

2 66

78

996

02

667

2 57

6 -

- -

- -

- -

- -

-

Lejw

elep

utsw

a In

dica

tor

2.8

2 33

759

.35.

857

.45.

92

818

-8.

457

.1 -

- -

- -

Num

erat

or61

743

198

785

306

61 7

431

255

25 6

3393

161

323

268

418

93 1

611

318

16 9

77 -

- -

- -

Den

omin

ator

21 8

1685

046

021

816

44 6

5815

694

114

701

015

694

29 7

25 -

- -

- -

Free

Sta

teIn

dica

tor

3.3

2 53

8 6

0.7

6.6

71.2

5.1

2 95

1 -

6.3

29.1

6.2

5 12

2 -

3.6

28.3

Sout

h Af

rica

Indi

cato

r4.

42

568

67.4

5.1

59.3

5.3

2 89

478

.35

37.2

6.9

4 22

784

.35.

420

.3

Sour

ce:

DH

IS a

nd B

AS.

Annual trends

336


336



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

-3

18-

21-

212

-14

-5

9-

14

Live

birt

hs57

44

781

4 59

4-

9 94

9-

3 91

45

044

-8

958

-5

471

3 26

8-

8 73

9

Still

birth

s-

5625

7-

313

-59

238

-29

7-

9615

4-

250


Infant (under 1

year)

Neo-natal

Dea

th in

faci

lity

0-7d

ays

-36

98-

134

-31

76-

107

-48

99-

147

Dea

th in

faci

lity

8-28

day

s -

211

-13

-5

29-

34-

134

-35

Dea

th in

faci

lity

29 d

ays

- 11

mon

ths

-31

33-

64-

1526

-41

-13

34-

47

Dea

th in

faci

lity

12 –

59

mon

ths

-23

5-

28-

1314

-27

-15

18-

33

Dia

rrho

ea d

eath

und

er 5

yea

rs

-10

6-

16-

56

-11

-5

10-

15

Pneu

mon

ia d

eath

und

er 5

yea

rs-

1115

-26

-8

10-

18-

523

-28

Seve

re a

cute

mal

nutri

tion

deat

h un

der 5

yea

rs

-26

18-

44-

1321

-34

-13

18-

31

TB D

eath

s 1

695

155

25-

1 87

51

410

155

100

-1

665

--

--

-

Inpa

tient

dea

th to

tal

-1

294

1 36

4-

2 65

8-

1 22

31

358

-2

581

-1

255

1 31

8-

2 57

3

Patie

nt d

ay e

quiv

alen

t-

76 0

9615

0 80

0-

226

896

-80

508

151

579

-23

2 08

7-

85 0

4611

4 70

1-

199

747

Sour

ce:

DH

IS. *

MO

U –

Mat

erna

l Obs

tetr

ic U

nit.

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



338


338






on ART rate (%)


(%)


Cervical cancer



(WHO) (%)


rate (%)

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

Masilonyana SD Indicator - 92.5 4.4 66.1 55.3 80.6 421.4

Numerator - 149 7 622 852 12 450 670

Denominator 159 161 159 941 18 491 185 388 159

Matjhabeng SD Indicator 176.7 94.8 6.4 64.2 53.6 71.8 59.7

Numerator 13 1 150 479 4 106 5 534 78 141 4 452

Denominator 7 359 1 213 7 454 6 396 123 793 1 306 212 7 454

Nala SD Indicator 172.7 97.3 4.4 67.4 51.2 70.2 158.2

Numerator 1 249 26 1 005 1 031 14 199 932

Denominator 579 256 589 1 491 24 166 242 751 589

Tokologo SD Indicator - 108.3 - 73.5 61.6 79.8 -

Numerator - 52 - 305 438 5 720 275

Denominator - 48 - 415 8 530 86 073 -

Tswelopele SD Indicator - 104.2 9.8 66.6 55.2 82.0 70.6

Numerator - 123 65 566 623 9 734 468

Denominator 642 118 663 850 13 537 142 512 663

Lejweleputswa Indicator 160.2 95.9 6.5 65.4 54.0 73.5 76.7

Numerator 14 1 723 577 6 604 8 478 120 245 6 797

Denominator 8 739 1 796 8 865 10 093 188 517 1 962 936 8 865

Free State Indicator 152.8 94.2 5.9 65.8 54.2 66.8 71.2

South Africa Indicator 116.9 95.1 6.8 65.2 61.5 70.2 70.3

Source: DHIS.

Annual trends


339


339

Child and School Health

Impa

ctO

utco

me

Out

put

Chi

ld u

nder

5

year

s di

arrh

oea

case

fata

lity

rate

(%)

Chi

ld u

nder

5

year

s pn

eum

onia

ca

se fa

talit

y ra

te (%

)

Chi

ld u

nder

5

year

s se

vere

acu

te

mal

nutr

ition

ca

se fa

talit

y ra

te (%

)

Inpa

tient

de

ath

unde

r 1

year

rate

(%)

Inpa

tient

de

ath

unde

r 5

year

rate

(%)

Inpa

tient

ea

rly n

eona

tal

deat

h ra

te

(per

1K)

Inpa

tient

ne

onat

al

deat

h ra

te

(per

1K)

Infa

nt P

CR

test

pos

itive

ar

ound

10

wee

ks ra

te

(%)

Imm

unis

atio

n co

vera

ge

unde

r 1 y

ear

(%)

Infa

nt

excl

usiv

ely

brea

stfe

d at

D

TaP-

IPV-

Hib

-H

BV

3rd d

ose

rate

(%)

Mea

sles

2n

d 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

Mas

ilony

ana

SDIn

dica

tor

3.6

- -

11.9

5.6

37.7

37.7

2.8

127.

555

.515

9.9

52.8

77.5

73.7

Num

erat

or1

- -

77

66

577

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49.

912

.41.

382

.341

.696

.233

.019

.858

.0

Sour

ce:

DH

IS.

2009 2010 2011 2012 2013 2014 2015 2016Year

3_C

hild

and

sch

ool h

ealth

1_Im

pact

Child under 5years diarrhoeacase fatality rate

Child under 5yearspneumoniacase fatality rate

Child under 5years severeacutemalnutritioncase fatality rate

Inpatient earlyneonatal deathrate

3_O

utpu

t

Immunisationcoverage under1 year

Infantexclusivelybreastfed atDTaP-IPV-Hib-HBV 3rd doserate

Measles 2nddose coverage

School Grade 1screeningcoverage

0

50

100

0

10

20

30

0

20

40

60

0

10

20

50

100

150

20

40

60

80

50

100

150

0

50

100



Annual trends HIV

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



340


340


Annual trends Child and School Health


341


341

HIV

3rd 9

0-90

-90

2nd 9

0-90

-90

1st 9

0-90

-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

Mas

ilony

ana

SDIn

dica

tor

62.1

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Mat

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SDIn

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60.0

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Free

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teIn

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Sour

ce:

DH

IS.

2009 2010 2011 2012 2013 2014 2015 2016Year

5_TB

1_Im

pact

TB death rate(ETR.net)

TB DR clientdeath rate(EDRWeb)

2_O

utco

me

TB client lost tofollow up rate(ETR.Net)

TB clienttreatmentsuccess rate(ETR.net)

TB DR clientloss to follow uprate (EDRWeb)

TB DRtreatmentsuccess rate(EDRWeb)

TB Rifampicinresistanceconfirmed clientrate

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

4_P

roce

ss_i

nput

TB symptom 5years and olderscreened infacility rate

5

10

15

0

20

40

60

0

5

10

15

40

60

80

0

20

40

0

20

40

60

0

10

20

0

50

100

0

50

100




P rov_av

ZA_av

342


342


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

Mas

ilony

ana

SDIn

dica

tor

5.7

-4.

181

.5 -

- -

-74

.7 -

39.3

Num

erat

or25

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357

- -

- -

112

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892

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omin

ator

438

-43

843

8 -

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324

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jhab

eng

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8.7

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477

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Num

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or26

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omin

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3 01

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omin

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408

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or12

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26 7

71

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omin

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153

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315

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9.6

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Lejw

elep

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dica

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8.4

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erat

or36

547

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710

81

630

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Free

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teIn

dica

tor

10.5

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23.5

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h Af

rica

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cato

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623

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Sour

ce:

DH

IS.

Annual trends

2010 2011 2012 2013 2014 2015 2016 2017Year

6_NCDs

2_Outcome

Diabetesincidence

Hypertensionincidence

0

5

20

40




343


343

Non-communicable diseases

Outcome

Diabetes incidence

(per1K)

Hypertension incidence

(per1K)

2016/17 2016/17

Masilonyana SD Indicator 1.0 15.1

Numerator 59 325

Denominator 713163 25708

Matjhabeng SD Indicator 1.2 10.5

Numerator 466 1 457

Denominator 4 588 533 1 668 897

Nala SD Indicator 1.0 18.3

Numerator 72 481


Tokologo SD Indicator 0.2 17.8

Numerator 6 168


Tswelopele SD Indicator 1.1 20.2

Numerator 49 293


Lejweleputswa Indicator 1.1 12.9

Numerator 652 2 724

Denominator 7 065 069 2 529 993

Free State Indicator 2.4 26.4

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

344


344


Thabo Mofutsanyana District Municipality (DC19)

Thabo Mofutsanyana District is located in the eastern Free State Province and borders Lesotho and KwaZulu-Natal. It includes six health sub-districts, namely Setsoto, Dihlabeng, Nketoana, Maluti-a-Phofung, Phumelela and Mantsopa. The district has a population of 709 909, with a population density of 21.3 people per km2, and falls in socio-economic Quintile 3. Estimated medical scheme coverage is 9.5%. It is one of 11 National Health Insurance (NHI) pilot districts.

Social determinants of healtha

Unemployment ratea 35.1%


No schooling 6.6%

Matric 29.4%


Households 246 029













under 1 year 15 022 14 939 15 058 15 166

under 5 years 81 237 80 276 79 385 78 568

05-09 years 82 232 82 613 82 474 82 163

10-14 years 73 324 75 384 77 785 79 855

15-19 years 74 438 72 545 71 208 70 934

20-24 years 80 235 78 277 76 315 74 346

25-29 years 84 638 83 543 82 043 80 177

30-34 years 70 955 74 368 77 675 80 719

35-39 years 54 780 57 044 59 008 60 533

40-44 years 40 619 42 086 43 767 45 626

45-49 years 32 965 33 316 33 746 34 361

50-54 years 27 445 27 769 28 102 28 400

55-59 years 23 313 23 249 23 255 23 315

60-64 years 20 504 20 332 20 099 19 873

65-69 years 15 932 16 149 16 310 16 383

70-74 years 11 005 11 190 11 359 11 510

75-79 years 7 041 7 109 7 171 7 224

80 years and older 6 263 6 241 6 225 6 211

Total 786 925 791 490 795 927 800 201




345


345


Ward based outreach


Regional Hospital

Central/Tertiary

HospitalsOther

Hospitals

Dihlabeng SD 16 14 0 1 1 0 3

Maluti a Phofung SD 15 34 0 2 1 0 2

Mantsopa SD 7 9 0 1 0 0 0

Nketoana SD 6 6 0 1 0 0 0

Phumelela SD 5 6 0 1 0 0 0

Setsoto SD 9 13 1 3 0 0 1

Thabo Mofutsanyana 58 82 1 9 2 0 6

Source: DHIS.


Community Health

WorkersNursing

assistantsEnrolled

nurseProfessional

nurseMedical





Thabo Mofutsanyana 526 406 127 410 96 67 14 7 11 1



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

Dihlabeng SD Indicator 2.0 - - - - -

Numerator 248 541 - - - - -

Denominator 1 502 079 - - - - -

Maluti a Phofung SD Indicator 2.9 - - - - -

Numerator 922 965 - - - - -

Denominator 3 859 305 - - - - -

Mantsopa SD Indicator 2.6 - - - - -

Numerator 128 271 - - - - -

Denominator 591 123 - - - - -

Nketoana SD Indicator 2.0 - - - - -

Numerator 113 466 - - - - -

Denominator 695 625 - - - - -

Phumelela SD Indicator 2.0 - - - - -

Numerator 91 592 - - - - -

Denominator 553 206 - - - - -

Setsoto SD Indicator 2.3 - - - - -

Numerator 249 952 - - - - -

Denominator 1 300 875 - - - - -

Thabo Mofutsanyana Indicator 2.5 47.3 94.4 1 706 1 024 375

Numerator 1 754 787 35 68 1 096 639 145 658 393 169 658 393 169

Denominator 8 502 213 74 72 642 737 642 737 1 754 787



Source: DHIS.

346


346


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

(%)

Dih

labe

ng S

DIn

dica

tor

3.5

2 22

9 6

9.4

7.2

90.0

4.9

35 1

20 -

3.2

5.8

- -

- -

-

Num

erat

or17

946

72 6

69 2

4717

946

368

34 5

594

332

172

931

291

41 3

3226

748

6 -

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Den

omin

ator

5 12

932

607

-5

129

38 3

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403

49 1

350

8 40

38

388

- -

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-

Mal

uti a

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fung

SD

Indi

cato

r3.

12

260

74.

68.

681

.35.

02

782

-4

46.

4 -

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Num

erat

or38

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146

744

900

38 3

271

057

51 4

7453

1019

4 17

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310

448

1 64

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Den

omin

ator

12 2

2664

942

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7712

4769

795

010

247

25 7

78 -

- -

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Man

tsop

a SD

Indi

cato

r3.

04

033

55.8

4.9

57.1

- -

- -

- -

- -

- -

Num

erat

or7

981

50 0

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017

981

130

4 40

1 -

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-

Den

omin

ator

2 64

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413

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642

7 70

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Nke

toan

a SD

Indi

cato

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12

495

47.

43.

894

.9 -

- -

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-

Num

erat

or6

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28 4

35 3

786

495

117

9 63

9 -

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Den

omin

ator

3 05

811

395

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10 1

54 -

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- -

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Phum

elel

a SD

Indi

cato

r2.

53

831

49.9

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88.4

- -

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Num

erat

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095

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omin

ator

1 62

45

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Sets

oto

SDIn

dica

tor

2.9

2 49

6 5

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- -

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- -

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Num

erat

or20

655

88 7

77 3

1520

655

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21 1

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- -

- -

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Den

omin

ator

7 20

335

571

-7

203

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54 -

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- -

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Thab

o M

ofut

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ana

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cato

r3.

02

513

52.2

6.9

80.9

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3 08

7-

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- -

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Num

erat

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498

409

051

426

95 4

982

186

124

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92 6

4236

7 10

7 76

392

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2 13

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omin

ator

31 8

8216

2 76

6-

31 8

8215

3 86

018

650

118

931

018

650

34 1

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- -

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Free

Sta

teIn

dica

tor

3.3

2 53

8 6

0.7

6.6

71.2

5.1

2 95

1-

6.3

29.1

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5 12

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3.6

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Sout

h Af

rica

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cato

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42

568

67.4

5.1

59.3

5.3

2 89

478

.35

37.2

6.9

4 22

784

.35.

420

.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

FS, DC19, Thabo Mofutsanyana District Municipality, SEQ 3



P rov_av

ZA_av


347


347

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

27

18-

27-

211

-13

-1

12-

13

Live

birt

hs96

26

723

4 96

9-

12 6

5491

96

145

4 71

1-

11 7

7599

06

250

4 51

2-

11 7

52

Still

birth

s8

131

188

-32

75

122

163

-29

03

107

186

-29

6


Infant (under 1

year)

Neo-natal

Dea

th in

faci

lity

0-7d

ays

-32

69-

101

-19

46-

65-

3575

-11

0

Dea

th in

faci

lity

8-28

day

s -

222

-24

-2

27-

29-

39

-12

Dea

th in

faci

lity

29 d

ays

- 11

mon

ths

-47

66-

113

-21

38-

5926

26-

52

Dea

th in

faci

lity

12 –

59

mon

ths

-19

20-

39-

15-

-57

-17

20-

37

Dia

rrho

ea d

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und

er 5

yea

rs

-14

15-

29-

119

-20

-9

15-

24

Pneu

mon

ia d

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und

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yea

rs-

129

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-2

6-

8-

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Seve

re a

cute

mal

nutri

tion

deat

h un

der 5

yea

rs

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22-

52-

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-19

14-

33

TB D

eath

s 2

280

504

42-

2 82

62

004

462

42-

2 50

8-

--

--

Inpa

tient

dea

th to

tal

-2

323

1 11

8-

3 44

1-

2 11

386

9-

2 98

2-

2 18

671

5-

2 90

1

Patie

nt d

ay e

quiv

alen

t-

171

528

130

442

-30

1 97

0-

171

792

132

325

-30

4 11

7-

162

766

118

931

-28

1 69

7

Sour

ce:

DH

IS. *

MO

U –

Mat

erna

l Obs

tetr

ic U

nit.


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

FS, DC19, Thabo Mofutsanyana District Municipality, SEQ 3



349


349





on ART rate (%)


(%)


Cervical cancer



(WHO) (%)


rate (%)

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

Dihlabeng SD Indicator 215.3 98.2 7.3 68.0 53.6 81.4 37.9

Numerator 7 384 238 1 408 1 571 28 956 1 227

Denominator 3 251 391 3 240 2 071 35 156 426 735 3 240

Maluti a Phofung SD Indicator 96.6 88.9 6.4 67.1 62.6 60.1 73.3

Numerator 6 1 029 404 3 872 4 472 56 548 4 613

Denominator 6 213 1 158 6 297 5 773 85 784 1 129 665 6 297

Mantsopa SD Indicator - 97.2 8.6 65.2 68.6 80.7 107.1

Numerator - 140 45 586 741 10 832 558

Denominator 516 144 521 899 12 963 161 112 521

Nketoana SD Indicator - 95.5 7.1 64.0 55.1 85.9 143.2

Numerator - 148 26 501 696 13 397 524

Denominator 343 155 366 783 15 171 187 215 366

Phumelela SD Indicator - 97.6 5.6 71.8 64.6 76.7 148.6

Numerator - 83 16 513 637 9 279 428

Denominator 250 85 288 714 11 840 145 107 288

Setsoto SD In

Documents

Xhariep District Municipality (DC16) Health...Numerator 447 736 13 17 294 681 809 198 012 537 198 012 537 Denominator 1 608 900 18 17 117 905 117 905 447 736 Free State Indicator 2.2