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ISDS Site: Ukhahlamba District MunicipalityThe Ukhahlamba District is bordered by Lesotho, the Free State, the Northern Cape , and the southern areas of the Eastern Cape and accommodates some 371 170 people (Mid-2002 estimates, Census 1996 statistics). The district is divided into 3 health sub-districts namely Elundini, Senqu and Maletswai-Gariep. The Elundini local municipality consists of three deep rural areas namely Mount Fletcher, Tsolo and Qumbu. The rest of the sub-district is mainly farming area with two urban service areas, Maclear and Ugie. Senqu local municipality has a largely rural component around the small urban service centre of Sterkspruit and two smaller towns Barkley East and Lady Grey which are surrounded by farms. Maletswai-Gariep sub-district has two local municipalities namely Maletswai and Gariep. Aliwal North is the main commercial and tourism centre in the sub-district and there are several smaller urban centres including Steynsburg, Venterstad, Burgersdorp and Jamestown. Ukhahlamba District is one of 13 disadvantaged rural nodes, which are earmarked by the Presidents&rsquo office to be part of the Integrated Sustainable Rural Development Program. (ISRDP) ISDS facilitates health systems development in partnership with the district management team in:
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