Overview (Chikwawa)

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.

Chikwawa 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 Chikwawa, September 2020.
Total PLHIV (all ages) 34,589 (29,679–40,099)
HIV prevalence, age 15-49 years 8.9% (7.6%–10.3%)
Total patients receiving ART 60,798
Average walking time to nearest ART (minutes) 59 (56–61)
Number PLHIV > 60 minutes walking time 14,579 (12,446–16,761)
Percentage PLHIV > 60 minutes walking time 43.2% (40.6%–45.7%)

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 Chikwawa Chikwawa Boma Chikwawa District Hosp. District hospital Government 34.79 -16.02 6504
A2 Chikwawa Ngabu Urban Ngabu Rural Hosp. Rural/Community Government 34.89 -16.46 4277
A3 Chikwawa TA Lundu St Montfort Hosp. District hospital CHAM 34.87 -16.26 4255
A4 Chikwawa Chikwawa Boma Makhwira HC Health centre Government 34.79 -16.03 2383
A5 Chikwawa Ngabu Urban Ngabu SDA HC Health centre CHAM 34.88 -16.46 1487
A6 Chikwawa TA Makhwira Mapelera HC Health centre Government 34.92 -16.11 1051
A7 Chikwawa TA Ngabu Dolo HC Health centre Government 34.72 -16.48 894
A8 Chikwawa TA Lundu Kalulu Health Centre, Chikwawa Health centre Private 34.91 -16.24 854
A9 Chikwawa TA Mlilima Bereu HP Health post Government 34.82 -16.02 835
A10 Chikwawa TA Ngabu Sucoma Clinic Illovo Health centre Private 34.88 -16.40 831
A11 Chikwawa TA Katunga Mfera HC Health centre Government 34.87 -16.07 794
A12 Chikwawa TA Chapananga Gaga HC Health centre Government 34.37 -15.81 787
A13 Chikwawa STA Ndakwela Ndakwera HC Health centre Government 34.69 -16.22 768
A14 Chikwawa TA Chapananga Mkumaniza HC Health centre Government 34.49 -16.01 746
A15 Chikwawa TA Chapananga Chapananga HC Health centre Government 34.39 -15.81 699
A16 Chikwawa TA Chapananga Kakoma HC Health centre Government 34.49 -16.01 600
A17 Chikwawa TA Makhwira Mangulenje HC Health centre Private 34.92 -16.11 560
A18 Chikwawa TA Maseya Alumenda HC Health centre Private 34.85 -16.15 387
A19 Chikwawa TA Katunga Kasitu HC Health centre Government 34.82 -16.07 363
A20 Chikwawa TA Chapananga Minimini Disp. Dispensary Private 34.54 -16.04 359
A21 Chikwawa TA Chapananga Misomali HC Health centre CHAM 34.49 -16.01 324
A22 Chikwawa TA Ngabu Lengwe HC Health centre Private 34.84 -16.29 264
A23 Chikwawa TA Kasisi Chavala HC Health centre Government 34.83 -15.83 236
A24 Chikwawa TA Chapananga Chithumba HC Health centre Government 34.48 -15.80 202
A25 Chikwawa STA Ndakwela Mwanza Clinic Area 3 Health centre Private 34.69 -16.22 197
A26 Chikwawa TA Ngabu Nkombedzi HC Health centre Private 34.72 -16.48 184
A27 Chikwawa TA Lundu Majete (Epicenter) HC Health centre Government 34.86 -16.27 38
A28* Blantyre TA Somba Mpemba HC Health centre Government 34.96 -15.87 1910
A29* Blantyre TA Somba Madziabango HC Health centre Government 34.91 -15.97 761
A30* Blantyre TA Somba St Vincent HC Chadzunda Health post CHAM 34.95 -15.91 738
A31* Blantyre TA Kuntaja Chimembe HC Health centre Government 34.89 -15.78 453
A32* Blantyre TA Kuntaja Pensulo HC Health centre Government 34.96 -15.81 262
A33* Blantyre TA Somba Mpingo Mat. Health centre Government 34.91 -15.88 104
A34* Blantyre TA Kuntaja Sanjika Clinic Dispensary Government 34.97 -15.79 32
A35* Mwanza STA Govati Thambani HC Health centre Government 34.40 -15.73 769
A36* Mwanza TA Kanduku Tulonkhondo HC Health centre Government 34.52 -15.75 523
A37* Thyolo TA Kwethemule Malamulo Mission Hosp. District hospital CHAM 35.11 -16.17 5006
A38* Thyolo TA Nsabwe Thekerani HC Rural/Community Government 35.21 -16.32 2746
A39* Thyolo TA Changata Changata HC Health centre Government 35.15 -16.23 1421
A40* Thyolo STA Mbawela Zoa HC Health centre Government 35.20 -16.24 1219
A41* Thyolo TA Changata St Martins Molere HC Health centre CHAM 35.14 -16.22 1011
A42* Thyolo TA Kwethemule Mianga HC Health centre Private 35.08 -16.10 949
A43* Thyolo STA Mbawela Mapanga Mat. Special CHAM 35.20 -16.28 875
A44* Thyolo TA Thomas Thomasi HC Health centre CHAM 34.98 -16.03 821
A45* Thyolo TA Kwethemule Chipho HC Health centre CHAM 35.11 -16.17 801
A46* Thyolo TA Mphuka Didi HC Health centre Government 34.99 -16.06 569
A47* Thyolo TA Kwethemule Sambankhanga HC Health centre Private 35.10 -16.14 298
A48* Thyolo TA Kwethemule Hallena Oakley Ntambanyama HC Health centre CHAM 35.08 -16.13 241
A49* Thyolo TA Kwethemule Makwasa Estate Clinic Health centre Private 35.11 -16.19 100
A50* Nsanje TA Mlolo Trinity Mission Hosp. District hospital CHAM 35.17 -16.42 2798
A51* Nsanje TA Mbenje Kalemba Community Hosp. Health centre CHAM 35.11 -16.58 2476
A52* Nsanje TA Mlolo Masenjere HC Health centre Government 35.10 -16.34 1532
A53* Nsanje TA Mbenje Sorgin HC Health centre Government 35.01 -16.54 1504

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 Chikwawa TA Makhwira Mitondo HP Health Post Government 35.06 -16.27 1118 (770-1570)
F2 Chikwawa TA Ngabu Chapwaila HC Health Centre Government 34.78 -16.40 782 (539-1087)
F3 Chikwawa TA Ngabu THERERE Health Post Government 34.68 -16.37 619 (368-929)
F4 Chikwawa TA Ngabu SAOPA Health Post Government 34.82 -16.49 568 (401-775)
F5 Chikwawa TA Makhwira Nkhate HP Health Post Government 34.96 -16.15 1050 (735-1413)
F6 Chikwawa TA Lundu SUCOMA Lengwe Clinic Company 34.80 -16.20 473 (320-679)
F7 Chikwawa TA Kasisi PENDE Health Post Government 34.72 -16.04 299 (202-434)
F8 Chikwawa TA Ngabu KHOKHWA Health Post Government 34.85 -16.53 322 (212-470)
F9 Chikwawa TA Ngabu NSOMO Health Post Government 34.92 -16.41 192 (137-264)
F10 Chikwawa TA Chapananga Kubalalika HP Health Post Government 34.39 -15.91 184 (113-275)
F11 Chikwawa STA Masache THENDO Health Post Government 34.88 -16.67 161 (80-291)
F12 Chikwawa TA Maseya HOPE VILLAGE Dispensary NGO 34.83 -16.11 119 (76-168)
F13 Chikwawa TA Chapananga GOLA Dispensary Government 34.30 -15.88 99 (49-170)
F14 Chikwawa TA Ngowe MWANAWANJOBVU Health Post Government 35.03 -16.52 59 (40-82)
F15 Chikwawa TA Makhwira MWANAYAYA Health Post Government 34.94 -16.16 289 (200-398)
F16 Chikwawa Ngabu Urban BLM Ngabu Special NGO 34.87 -16.47 44 (30-61)
F17 Chikwawa Ngabu Urban BLM Ngabu Special Private 34.87 -16.47 44 (30-61)
F18 Chikwawa TA Chapananga Changambika HC Health Centre Government 34.37 -15.81 0 (0-0)
F19 Chikwawa TA Chapananga Chithumba Disp. Special Government 34.48 -15.80 0 (0-0)
F20 Chikwawa TA Katunga Kasinthula Disp. Dispensary Government 34.82 -16.07 0 (0-0)
F21 Chikwawa TA Ngabu Nkumaniza HC Health Centre Government 34.72 -16.48 0 (0-0)
F22 Chikwawa TA Ngabu MAFALE Dispensary Government 34.84 -16.29 0 (0-0)
F23* Blantyre TA Somba St Vincent HC Health Centre CHAM 34.95 -15.91 0 (0-0)
F24* Thyolo TA Mphuka CHILENGO Health Post Government 35.02 -16.14 1073 (763-1406)
F25* Thyolo TA Mphuka CHAWANI Dispensary Company 35.06 -16.08 337 (259-425)
F26* Thyolo TA Thomas THABWANI Health Post Government 34.91 -16.03 276 (206-358)
F27* Thyolo TA Thomas Chithebe HC Health Centre Government 35.01 -16.00 87 (64-117)
F28* Thyolo TA Nsabwe Nsabwe HC Dispensary Government 35.20 -16.34 40 (31-51)
F29* Thyolo STA Mbawela Mbalanguzi HC Health Centre CHAM 35.17 -16.25 15 (11-19)
F30* Thyolo TA Thomas PUTENI Health Post Government 34.95 -16.04 85 (63-111)
F31* Thyolo TA Mphuka Dzimbiri HP Health Post Government 34.99 -16.06 0 (0-0)
F32* Thyolo TA Changata Molere HC Special Government 35.14 -16.22 0 (0-0)
F33* Thyolo TA Mphuka Satemwa Clinic Health Centre Company 35.08 -16.08 144 (113-180)
F34* Thyolo TA Kwethemule Kasembeleka Dispensary Company 35.10 -16.12 0 (0-0)
F35* Nsanje Mwabvi Game Reserve Kanyimbi HP Health Post Government 34.97 -16.69 66 (30-125)
F36* Nsanje TA Mlolo Mchacha HP Health Post Government 35.16 -16.49 37 (26-51)
F37* Nsanje TA Mlolo Mlolo HP Health Post Government 35.15 -16.42 19 (14-24)
F38* Blantyre City Blantyre City Centre Ward BLM Chilomoni Special NGO 34.98 -15.78 0 (0-0)
F39* Blantyre City Blantyre City Centre Ward BLM Chilomoni Special Government 34.98 -15.78 0 (0-0)

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