Maphumulo IDP - KZN Development Planning

2.2.2.6 Poverty Stricken AreasThe entire Maphumulo jurisdiction has been identified as a poverty stricken area.2.2.3 HEALTH2.2.3.1 Health RealitiesAccording to the iLembe District Health Service Office, the 10 Major causes of Death (2009)have reached epidemics. Tuberculosis features prominently in the top 3 major causes ofdeath for the District and the 4 sub-districts. This is reflected in iLembe’s TB health outcomeswith the TB cure rate decreasing from 76% in 2008/09 to 70% in 2009/10 with the TBinterruption rate increasing from 7% in 2008/09 to 9% in 2009/10. Complications related to TBare resulting in deaths in facilities. Patients who die from HIV / AIDS related conditions havealso been found to be co-infected with other conditions with a high correlation to TB.Conditions of lifestyle e.g. diabetes, and cardiac conditions are conditions that can becontrolled if medical attention is sought early and or preventative programmes areimplemented. Community Health Worker Programme must be strengthened to address gaps.Some TB patients seek medical attention too late while others have a combination ofconditions which impacts on clinical outcomes. TB is a social problem linked to poverty,overcrowding and poor social conditions as well as environmental factors to its increasedburden. TB is weakening all the progress made in the fight against AIDS. TB is not only thenumber one cause of AIDS-related deaths in Africa but also the number one cause of alldeaths in South Africa. Due to the unique character of Maphumulo, it is assumed that asimilar trend would be applicable to Maphumulo.10 Major causes of Death (2009)ILembe DistrictTuberculosisRetroviral DiseaseCerebral Vascular AccidentMeningitisGastro enteritisPneumoniaCongestive cardiac failureLower respiratory InfectionsRenal failureDiabetesTable 2: Death Register - in facilityMaphumuloTuberculosisRetroviral DiseasePneumoniaMeningitisCerebral Vascular AccidentGastro enteritisCongestive cardiac failureRenal FailureDiabetesAsthmaMortality rates: Infant, Child and Maternal (2009)Infant mortality per 1,000 populationProportion of inpatient deaths under 1 that died during theirstay in the facilityChild mortality per 1,000 populationProportion of inpatient deaths under 5 that died during theirstay in the facilityMaternal Mortality per 100,000 live birthsMaternal deaths occurring within 42 days of delivery or TOP per100,000 live birthsTable 3: Data not similar to DHER due to data validation for 2009 and 2010Year ILembeDistrictMaphumulo2009 114 902010 124 932009 109 352010 85 562009 346 2492010 131 0__________________________________________________________________________________________Maphumulo Integrated Development Plan (IDP) 2012 - 2013Final June 2012Page 25 of 142