intsika yethu local municipality - Provincial Spatial Development plan

and write in an everyday context, an ability that one usually obtains at grade 7 level under normalcircumstances). The high levels of illiteracy and low levels of educational achievement in IYLM have animpact upon the kind and nature of employment that the potential workforce aims to find. Generallypoorly educated and uneducated people will seek lower skilled jobs especially in the primary sector, this isproblematic in an area such as IYLM where we have learnt from previous graphs that it is in fact thetertiary sector and not the primary sector which is offering the most jobs (these jobs tend to be higherskilled jobs).Table 27: Educational qualification levels within IYLMQualificationNumber of individualsDegree 508Post-matric diploma/certificate 242Matric 4860Diploma/certificate (without matric) 1078Secondary Schooling (without matric) 22,818Primary schooling 29164No schooling 15160Source: Gaffney’s Local Government in South Africa Yearbook 2011-2013, p. M1345.3.2 Health Care IssuesAccording to CHDM: IDP Review 2010/11 and in reference to Global Insight (2007), a graph depicting apopulation growth trends during 1996 to 2007 where population with and without HIV and AIDS reflectsa decline in HIV/AIDS infection rate and anticipated mortality rates. The CHDM: IDP Review 2010/11further provides that, the epidemiological analysis conducted reflects that, “Gastrointestinal diseases aremost prevalent for which adult patients are admitted to hospitals, making up some 20% of the casesfollowed by respiratory conditions, which contribute 18%”. In terms of health care capacity the Nationalnorm is one clinic per 10 000 people and the national average figure for nurses per 100 000 people is 12nurses. Within IYLM there is are 2.7 nurses per 100 000 people which is well below the adequate ratio.Furthermore the analysis of available beds per 1000 population indicates that IYLM (1:1482) is below thenational average of 1:750. This indicates a low bed occupancy rate. Regarding the access to emergencyservices, IYLM experiences serious problems in transporting urgent patients, it is reported that it takesmore than 3 hours to secure transport.The area is adequately served with primary health care facilities as per RSS (2006) survey. 72.3% of thehouseholds have access to clinics. There are 37 clinics, 4 mobile service points supporting 86 points and asingle district hospital. The main challenge is to improve the quality of specialist doctors and reliablesupply of medication.Irrespective of the above status quo, the government is determining to end the huge inequalities that existin public and private sector by making sure that these sectors work together. It should be mentioned that,as promulgated in the Constitution, Schedule 4 Part A, and the health service is a functional area ofNational and Provincial legislative competence. In terms of Section 155 (6) (a) the Provincial governmentmust provide for the monitoring and support of local government in the Province, this function can beassigned to a municipality in terms of Section 156 of the Constitution. The District municipalities have afunction of rendering Municipal Health Services (MHS) traditionally known as Environmental HealthServices) in the areas of their jurisdiction as promulgated in the Municipal Structures Act of 1998 andNational Health Act 2003. According to the CHDM IDP Review 2010/11, there is an uneven distribution ofenvironmental health services in the District, this situation is expected to be addressed when the power68