Overview (Balaka)

The goals of this analysis are:

For the detailed methodology on how these maps were created, please refer to the supplementary material provided.

Download the full district report here.

Balaka Maps

Population, PLHIV and Travel Times

Malawi Overview Map

Each pixel on the map corresponds to an area of 1km x 1km. Below we display a map of Malawi with some general information:

  • Population: population density using the WorldPop population density map, adjusted to the 2018 census numbers.
  • PLHIV: gridded prevalence estimates of the number of people living with HIV (“PLHIV density estimates”).
  • HIV Prevalence: estimated gridded HIV prevalence.
  • Geographical distance: direct distance (in km) to the closest ART facility.
  • Walking time: estimated travel time (in minutes) to the closest ART facility at a given pixel.

Additionally, it is possible to add markers with facility locations to the map:

  • ART Facilities: health facilities that provide ART services and had at least one patient on ART in 2020 (based on the DHA-MIS database).
    • “Private for profit” facilities are excluded from the analysis.
    • The number of ART patients in Q3/2020 is provided in the brackets.
  • Non-ART Facilities (Static): other (nonprofit) health facilities that do not currently provide ART facilities. (These include facilities that have indicated that they have capacity to provide ART services).

Time Thresholds

By comining the travel time maps with the gridded PLHIV prevalence, the number of PLHIV that is not reached within a certain time limit or distance (km) is computed. This is visualised in the below two maps, stratified by geographical distance and walking time.

Example interpretations:

  • Walking 15 minutes: this gives a map of the regions with PLHIV for which the closest facility is more than 15 mintues (walking time) away.
  • 5km distance: this gives a map of the regions with PLHIV for which the closest facility is more than 5km (geographical distance) away.

TA analysis

To support the analysis, we have computed the proportion and number of PLHIV that are not reached within a given time or distance. Higher percentages correspond to a larger proportion of PLHIV that is not reached within the relevant area.

Candidate Facilities (60 Minutes)

Below we provide proposed facilities for scaling-up activities, illustrated on the maps. Green areas indicate additional PLHIV that can be reached through the proposed facilities within 60 minutes. Note: facility labels were aligned to district reports that were disseminated.

Summary Information

Summary estimates for Balaka, September 2020.
Total PLHIV (all ages) 26,438 (23,174–30,151)
HIV prevalence, age 15-49 years 8.9% (7.8%–10.1%)
Total patients receiving ART 50,139
Average walking time to nearest ART (minutes) 42 (40–43)
Number PLHIV > 60 minutes walking time 7,198 (6,347–8,203)
Percentage PLHIV > 60 minutes walking time 27.6% (25.8%–29.5%)

Facility List

ART Facilities

List of active ART facilities that had at least 1 registered ART patient in September 2020. The column “ART” indicates how many ART patients are registered at the ART facility. Facilities outside the district boundaries that may be accessible to residents within the district are marked with “*“.
ID District TA Name Type Authority Long. Lat. ART
A1 Balaka Balaka Town Balaka District Hosp. District hospital Government 34.95 -14.99 4272
A2 Balaka Balaka Town Balaka OPD HC Health centre Government 34.96 -14.99 2912
A3 Balaka TA Msamala Balaka Dream Clinic Special NGO 34.95 -15.00 2799
A4 Balaka TA Kalembo Kalembo HC Health centre Government 35.18 -14.86 1880
A5 Balaka STA Kachenga Mbera HC Health centre Government 35.05 -14.91 1693
A6 Balaka STA Phalula Phalula HC Health centre CHAM 34.89 -15.23 1516
A7 Balaka TA Kalembo Namdumbo HC Health centre Government 35.23 -14.85 1050
A8 Balaka STA Kachenga Kapire Dream Centre Health centre NGO 35.00 -14.79 1025
A9 Balaka TA Kalembo Ulongwe HC Health centre CHAM 35.18 -14.86 992
A10 Balaka TA Nkaya Utale 2 HC Health centre Government 35.07 -15.17 879
A11 Balaka TA Amidu Namanolo HC Health centre Government 35.19 -15.00 809
A12 Balaka TA Nkaya Phimbi HC Health centre Government 35.11 -15.25 807
A13 Balaka TA Msamala Chiendausiku HC Health centre Government 35.08 -15.02 775
A14 Balaka TA Msamala Kwitanda HC Health centre Government 35.09 -15.06 683
A15 Balaka TA Chanthunya Kankao HC Health centre CHAM 34.92 -15.05 613
A16 Balaka TA Nkaya Utale 1 HC Health centre CHAM 35.06 -15.18 413
A17 Balaka Balaka Town Chimatilo HC Health centre Government 34.95 -14.99 119
A18* Ntcheu STA Tsikulamowa Sister Theresa Community Hospital Mikoke Rural/Community CHAM 34.83 -15.00 1597
A19* Ntcheu TA Makwangwala Bilira HC Health centre Government 34.85 -14.83 1442
A20* Ntcheu TA Makwangwala Nsiyaludzu HC Health centre Government 34.87 -14.94 1129
A21* Ntcheu STA Tsikulamowa Senzani HC Health centre CHAM 34.86 -15.08 618
A22* Ntcheu TA Makwangwala Chikande HC Health centre Government 34.91 -14.77 541
A23* Ntcheu STA Tsikulamowa Manjawira Mat. Special Government 34.86 -15.01 336
A24* Ntcheu STA Mkutumula Kalimanjira HC Health centre Government 34.91 -14.87 257
A25* Mangochi TA Chimwala Kukalanga HC Health centre Government 35.18 -14.64 2461
A26* Mangochi TA Chilipa Chilipa HC Mangochi Health centre Government 34.97 -14.70 1198
A27* Machinga Liwonde Town Machinga District Hosp. District hospital Government 35.23 -15.06 8773
A28* Machinga TA Nkula Gawanani HC Health centre CHAM 35.20 -15.22 927
A29* Machinga Machinga Boma Machinga HC Health centre Government 35.30 -15.18 689
A30* Zomba TA Mlumbe Chipini HC Health centre CHAM 35.10 -15.39 1667
A31* Zomba STA Nkapita Nkasala HC Health centre Government 35.22 -15.33 825
A32* Zomba TA Mlumbe Chilipa HC Zomba Health centre CHAM 35.12 -15.32 665
A33* Zomba STA Nkapita Mmambo HC Health centre Government 35.16 -15.26 551
A34* Blantyre TA Chigaru Lundu HC Health centre Government 35.01 -15.42 1057
A35* Neno TA Symon Likongwe Matope HC Health centre CHAM 34.95 -15.35 893
A36* Neno TA Symon Likongwe Lisungwi Community Hosp. Health centre Government 34.77 -15.44 852
A37* Neno TA Symon Likongwe Midzemba HC Health centre Government 34.84 -15.35 424

Non-ART Facilities

List of non-ART facilities considered in the analysis. The column “PLHIV” indicates the number of PLHIV that currently need more than 60 minutes to walk to the closest ART facility but less than 60 minutes to the listed health facility in the table. Facilities outside the district boundaries that may be accessible to residents within the district are marked with “*“.
ID District TA Name Type Authority Long. Lat. PLHIV 95% CI
F1 Balaka TA Msamala DZIWE Health Post Government 35.14 -15.10 486 (348-638)
F2 Balaka STA Kachenga Nambira HP Health Post Government 35.06 -14.80 368 (244-512)
F3 Balaka TA Nkaya NJERENJE Health Post Government 35.05 -15.24 248 (176-334)
F4 Balaka TA Chanthunya NYANYALA Health Post CHAM 34.92 -15.19 186 (136-248)
F5 Balaka TA Msamala BULEYA Health Post CHAM 34.93 -15.02 19 (15-24)
F6 Balaka Balaka Town BLM Balaka Special NGO 34.96 -14.99 0 (0-0)
F7 Balaka TA Amidu Mwima HP Health Centre Government 35.19 -15.00 0 (0-0)
F8 Balaka STA Kachenga Kapire HC Health Centre CHAM 35.00 -14.79 0 (0-0)
F9 Balaka TA Msamala Comfort Clinic Health Centre CHAM 34.95 -15.00 0 (0-0)
F10* Ntcheu TA Phambala Namisu Disp. Dispensary CHAM 34.78 -15.08 232 (165-321)
F11* Ntcheu STA Tsikulamowa Machereza HP Health Post Government 34.85 -15.21 161 (102-233)
F12* Ntcheu STA Tsikulamowa Likudzi U5 Clinic HP Health Post Government 34.83 -15.11 207 (150-283)
F13* Ntcheu STA Tsikulamowa Matchereza HP Health Post Government 34.85 -15.21 161 (102-233)
F14* Mangochi TA Chimwala Ngala HP Health Post Government 35.08 -14.66 391 (267-549)
F15* Mangochi TA Chimwala MWATAKATA Health Post Government 35.11 -14.76 379 (255-532)
F16* Mangochi TA Chimwala NGATALA Health Post Government 35.08 -14.66 391 (267-549)
F17* Machinga Liwonde Town Liwonde Health Information Special NGO 35.22 -15.07 104 (79-137)
F18* Machinga Liwonde Town BLM Liwonde Special NGO 35.23 -15.07 104 (79-137)
F19* Neno TA Symon Likongwe Mota-Engil Clinic - Mkwinda Ca Clinic Company 34.82 -15.41 628 (448-827)

Copyright © 2022 Imperial College London. MRC Centre for Global Infectious Disease Analysis. All rights reserved.