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Overall performance
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2. Since free elections in 1994, South Africa has experienced sustained growth… Real GDP* R billions Sound economic growth CAGR 2002-07 of 4.7% for South Africa vs. 10.8% for China and 2.3% for the US Working age population (15-65 years) Millions 1994 1998 2002 1 175 2006 1 235 2007 1994 1998 2002 2006 2007 Since 2002, South Africa has experienced the most sustained expansion of the economy in the last 50 years Unemployment rate % Labor productivity per employee* R 000s 1994 1998 2007 2006 2002 Working age population is 65% of total population, comparable to the US and Chile with 68% Unemployment levels extremely high (23% vs. 4% in the US) Labor productivity per employee has decreased since 1994 but increased since 2002 2007 2006 2002 1998 1994 57 Labor force participation rate % Increasing and stable labor force participation since 2002, but still low compared to US: 75% 1994 1998 2002 2006 2007 * Calculated as real GDP output divided by labour force Source: Statistics South Africa
3. … at a more rapid rate than most developed economies 6 12.3 34.7 4.7 Nigeria China Kenya South Africa Brazil Malaysia Chile South Korea 12.6 Denmark 28.3 USA 45.6 7.0 13.8 13.9 20.1 37.4 GDP per capita* 2000 Annual real growth rate (CAGR) 2000-07 GDP per capita* 2007 GDP per capita in US$ 000s, CAGR, % * Constant 2000 prices at PPP Source: Global Insight
4. However, there is still a high degree of inequality in levels of income… 7 Total economic wealth has increased significantly in recent years ... ... but the richest 10% control more than half the total wealth and their share is increasing * Before social welfare payments ** Numbers do not sum to 100 percent due to rounding Source: South Africa Development Indicators, 2008 Real GDP R bn Income distribution % of total income* Earners (100%)** +4% 2007 1 235 2002 1998 1994 Bottom 10% Bottom 80-90% Middle Top 10-20% Top 10% 2007 1 1 26 17 56 2002 1 1 27 18 54 1998 1 1 25 18 55 1994 1 1 26 18 54
5. … with more than 40% of the population still earning less than $1 per day 1994 1998 2002 2007* Kenya** Income less than $1 per day % of population * All South African figures are based on those earning less than R367 per month, which is approximately $44 per month ** 1990-2005 average Source: World Development Index (WDI); South Africa Development Indicators, 2008
6. In addition, more than 60% of South Africa’s GDP comes from just 3 regions 2 14 17 33 947 2001 2 15 16 34 1,175 2006 Northern Cape Free State Limpopo North West Gauteng Eastern Cape Western Cape KwaZulu-Natal 100% = Mpumalanga GDP per province, R bns, % Source: Statistics South Africa The largest 3 regions account for over 60% of GDP… Eastern Cape Mpumalanga North West Northern Cape Weste r n Cape Gauteng KwaZulu-Natal Limpopo Free State South Africa average: 3.2% GDP growth per province CAGR 1996-2006, % … and also drive growth, widening existing gaps in wealth between regions 3.1
7. South Africa lags behind many regional peers in educational achievement, despite relatively high expenditure on education SACMEQ II scores for grade six mathematics, 2000 Source: SACMEQ; IMF; UNESCO Mauritius Kenya Seychelles Mozambique Tanzania Swaziland Botswana Uganda South Africa Lesotho Zambia Malawi Namibia 431 Average spending per student ($) 713 66 n/a 23 n/a 285 1266 27 646 182 22 16 411 APPROXIMATION
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9. Overall, South Africa’s health-care expenditure is strong among African countries, but vast inequalities exist in how it is spent… 4 Overall expenditure is good ... ... but half of the resources are in the private sector, serving only 20% of the population Source: World Health Statistics 2008; Global Insight; WMM Kenya 24 Nigeria 27 Ghana 30 Angola 36 Egypt 78 Morocco 89 Algeria 108 South Africa 437 Per capita health-care spending $, 2005 Health-care spending in South Africa %, 2006 % of people accessing private health care in South Africa 100% Public Private 80 50
10. … and on a number of health indicators, South Africa’s performance has deteriorated significantly Infant mortality rates are high and deteriorating Life expectancy has deteriorated since 1995 TB prevalence Incidence of TB per 100,000 per population HIV/AIDS prevalence % of population aged 15-49 infected with HIV Number of child deaths under 5 years old per 1,000 births HIV/AIDS rate is significantly higher in SA than most places in the world, and worsening Reported TB rates are increasing (which may be linked to improved screening) Life expectancy Average in years Source: South Africa Development Indicators (2008); WDI Den- mark Malay- sia Kenya 2007 2005 2002 Den- mark Malay- sia Kenya 2006 2000 1995 Den-mark Malay-sia Kenya 2006 2002 1998 1994 Den-mark Malay-sia Kenya 2006 2002 1999 1995 2005 2006 2006 2006
11. Comparison of health spending and health outcomes across African countries SOURCE: 2010 Africa financing scorecard, Africa Public Health Alliance and 15%+ campaign Egypt Djibouti Angola Tunisia Cape Verde Swaziland 102 Namibia 116 Mauritius 118 Algeria 120 Libiya Arab Jamahiriya 145 South Africa 160 Gabon 250 Bots 290 Equitoreal Guinea 353 Seychelles 424 Govt Per Capita expend on Health at average exch rate, $ Maternal Mortality Per 100,000 Live Births Infant Mortality HIV Prevalence % TB per 100,000 Country Life Expectancy 43.1 461.6 592.5 36.1 74.7 735.6 586.2 28.1 66.1 39.6 236.8 493.5 518.8 301.8 N/A 127 158 206 0.10 3.10 2.10 0.10 N/A 26.10 15.30 1.70 0.10 N/A 18.10 5.90 23.90 3.40 N/A 670 190 280 770 290 606 410 560 N/A N/A
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14. The prevalence of HIV varies greatly by region (1/2) Western Cape Eastern Cape Northern Cape Free State KwaZuluNatal North West Gauteng Mpumalanga Limpopo 14 23 13 25 26 27 28 29 17 1 Source: Statistics South Africa; South Africa Health Review, 2007 % of population aged 15 years and older infected with HIV <20% 20-24% ≥ 25%
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17. HIV prevalence is highest in informal urban settlements 3 SOURCE: HSRC survey data; K Y E/K Y R reports, 2011 HIV prevalence by area of residence (2002-08) Percent 14.7 12.3 16.0 15.3 27.1 23.7 11.2 11.5 Urban formal R u ral formal Rural informal U r ban in f o rmal 2005 2008 2002