PRESENTATION BY THE LIMPOPO DEPARTMENT OF …

1 health MARKET INQURY. PRESENTATION BY THE. LIMPOPO DEPARTMENT OF. health . 18 MAY 2016 . DURBAN. 1. Introduction Approximately 80% of the population in LIMPOPO is based in rural areas. This situation greatly impacts on the population's capacity to acquire and access education, particularly tertiary education, which in turn influences the potential for gainful employment in the formal economic sector. The South African Multidimensional Poverty Index (SAMPI) using census data has shown that LIMPOPO Province is having the third largest poverty headcount of all provinces in 2001 and 2011 after Eastern Cape and KwaZulu-Natal.

2 2. Cont . The DEPARTMENT is faced with multi- challenges of poverty that affects indicators such as the incidence of severe acute malnutrition, diarrhea, prevalence of HIV and AIDS, etc. These multi- dimensional factors of poverty further constrain the resources of the DEPARTMENT in delivering health care services. 3. Cont . The province is a typical developing area, exporting primary products and importing manufactured goods and services. It has a high potential for development, with resources such as tourism, rain-fed agriculture, minerals and abundant labour offering excellent investment opportunities.

3 4. Cont . About 80% of South Africa's hunting industry is found in LIMPOPO . In addition to commercial agriculture, subsistence farming is the mainstay of a large section of the rural population. 5. Cont . LIMPOPO is the gateway to the rest of Africa, with its shared borders making it favourably situated for economic cooperation with other parts of Southern Africa. The province borders the countries of Botswana to the West, Zimbabwe to the North and Mozambique to the East. In the eastern region lies the northern half of the magnificent Kruger National Park.

4 6. Cont . In keeping with the NHI White Paper the LPDoH is pursuing a number of strategies to encourage greater cooperation between the public and private health care services. 7. DEMOGRAPHIC PROFILE OF LIMPOPO . LIMPOPO is the fifth largest of South Africa's nine provinces covering an area of 125 755 square kilometers, which is of South Africa's total land area. It has a population of million (2014. Mid-Year Population Estimates). The population of LIMPOPO is youthful with 33% ( million) being children under the age of 15 years. 8. Cont.. Economically active population (15 - 64years) constitutes 61% or million, while elderly people are in the minority making up 5% of the province's population.

5 Females constitute the majority, making up ( million) of the province's population. 9. Cont.. Average total fertility rate is estimated at for the period 2011 2016 , while the average life expectancy at birth for males is estimated at years and that for females at years in the same reference period. 10. Cont.. Migration is an important demographic process in shaping the age structure of the provincial population. For the period 2011 2016 , LIMPOPO experienced an out-migration of nearly 303 101 people (Stats SA, 2014). 11. Cont.. Table 1provides the age and sex distribution of the population while figure 1 depicts the age and sex structure (Stats SA Mid-Year Population Estimates, 2014 ).

6 12. Demographic profile cont.. Table 1. Population of LIMPOPO Province by age and sex, 2014. AGE MALE FEMALE TOTAL. 0-4 343943 336040 679983. 5-9 302541 296251 598792. 10-14 292885 290970 583855. 15-19 315349 315383 630732. 20-24 309034 307582 616616. 25-29 264946 263728 528674. 30-34 195662 207980 403642. 35-39 144500 169732 314232. 40-44 108106 150298 258404. 45-49 88610 133734 222344. 50-54 73872 117180 191052. 55-59 61576 99094 160670. 60-64 50762 83659 134421. 65-69 36324 65198 101522. 70-74 24839 50341 75180. 75-79 18163 43320 61483. 80+ 18003 50862 68865.

7 13. Cont.. 14. Cont.. The population pyramid above show the distribution of males and females across age groups in LIMPOPO . The population pyramid resembles a developing country where there is high birth rate and short life expectancy. 15. Cont.. This is an indicative of future trends which show that if not much is done in improving the health outcomes of the people, the life expectancy will continue to drop. 16. DISTRIBUTION OF PUBLIC health . CARE FACILITIES IN THE PROVINCE. LIMPOPO Province is divided, for local government purposes, into five district municipalities which are in turn divided into twenty-five local municipalities (see figure 2.)

8 Below): 17. Figure 2. 18. Table 2. Tertiary SA. Regional District Hospitals No of Private Facilities Specialised Hospitals (Stats Fixed Clinics Population Density Name of District No. of CHC. Population (per km ). Hospitals Hospitals 2011). VhembeDistrict 21349 1294722 60,6 02 01 11 08 06 01 0. Municipality (Psychiatric) 6. CapricornDistrict 16988 261463 74,3 05 01 96 04 06 0 02. Municipality (Psychiatric). MopaniDistrict 24489 1092507 44,6 02 01 95 08 06 01 0. Municipality (Psychiatric). Sekhukhune 13426 1076840 80,2 01 0 84 03 05 02 0. District ж Municipality 0.

9 Waterberg 49504 679336 13,7 05 0 61 02 07 01 0. District Municipality 19. Table 3. DISTRIBUTION OF DESIGNATED HOSPITAL BEDS IN LIMPOPO . PUBLIC & PRIVATE. District District Regi Specia Tertiar Private Municipalitie Beds onal lised yBeds Beds s Beds Beds (Active). Vhembe 1649 538 390 0 44. Capricorn 988 0 786 1210 493. Mopani 1216 400 400 0 197. Sekhukhune 853 938 0 0 *(14)*. Waterberg 962 273 0 0 191. TOTAL 5668 2149 1576 1210 925. 20. IN SUMMARY PROVINCE. Fixed Clinics : 452. Community health Centres: 25. District Hospitals : 30 (5668 beds). Regional Hospitals : 05 (2149 beds).

10 Tertiary Hospitals : 02 (1210 beds). Specialised Hospitals : 03 (1576 beds). Private health Facilities : 14. (925 approved beds). 21. FUTURE PLANS. Sefako Makgatho Academic Hospital: +- 800 Tertiary beds 22. ESTABLISHMENT OF PRIVATE. HOSPITALS IN THE PROVINCE. The process start with the proprietor of the facility submitting the application to the HOD. The application must contain the following information: - Description of premises. - Particulars regarding their location. - The nature of the treatment to be rendered there. - Population groups of the staff attached to the private hospital.