Overview (Chitipa)

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.

Chitipa 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 Chitipa, September 2020.
Total PLHIV (all ages) 6,077 (4,706–7,925)
HIV prevalence, age 15-49 years 3.6% (2.8%–4.7%)
Total patients receiving ART 7,035
Average walking time to nearest ART (minutes) 63 (57–68)
Number PLHIV > 60 minutes walking time 3,038 (2,345–3,787)
Percentage PLHIV > 60 minutes walking time 48.7% (43.7%–53.3%)

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 Chitipa Chitipa Boma Chitipa District Hosp. District hospital Government 33.27 -9.70 4385
A2 Chitipa TA Nthalire Nthalire HC Health centre Government 33.64 -10.35 556
A3 Chitipa TA Kameme Kameme HC Health centre Government 33.13 -9.54 535
A4 Chitipa STA Bulambya Songwe Kapenda HC Health centre Government 33.25 -9.49 272
A5 Chitipa TA Mwabulambya Kaseye Mission Hosp. District hospital CHAM 33.37 -9.67 252
A6 Chitipa TA Mwenewenya Chambo HC Health centre CHAM 33.40 -9.94 226
A7 Chitipa TA Mwenewenya Wenya HC Health centre Government 33.56 -10.11 193
A8 Chitipa TA Mwenemisuku Misuku HC Health centre Government 33.52 -9.68 183
A9 Chitipa TA Mwabulambya Ifumbo HC Health centre Government 33.40 -9.60 100
A10 Chitipa STA Nthengatenga Mahowe HC Health centre Government 33.69 -10.18 75
A11 Chitipa TA Mwenemisuku Chisasu HP Health post Government 33.45 -9.73 38
A12 Chitipa STA Lwangwa Msumbe HC Health centre CHAM 33.68 -9.75 11
A13* Karonga TA Mwakaboko Ngana HC Health centre Government 33.70 -9.62 122
A14* Karonga TA Kyungu Wiliro HC Health centre Government 33.61 -9.89 87

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 Chitipa TA Mwabulambya LUFITA Health Post Government 33.36 -9.71 204 (135-299)
F2 Chitipa STA Bulambya Songwe KALIRA Health Post Government 33.31 -9.58 226 (132-350)
F3 Chitipa TA Nthalire KAVUKUKU Health Post Government 33.57 -10.28 151 (78-265)
F4 Chitipa TA Mwenemisuku Kapoka HP Health Post Government 33.45 -9.78 146 (79-245)
F5 Chitipa TA Mwabulambya NACHIPANGAPANGA Health Post Government 33.38 -9.87 140 (82-221)
F6 Chitipa TA Mwenewenya MLEMBE Health Post Government 33.38 -10.06 91 (46-166)
F7 Chitipa STA Wavikaza Therere HP Health Post Government 33.66 -10.42 75 (38-131)
F8 Chitipa TA Mwenemisuku NACHING’ANDA Health Post Government 33.42 -9.68 98 (63-144)
F9 Chitipa STA Bulambya Songwe NGOYA Health Post Government 33.29 -9.62 210 (129-316)
F10 Chitipa TA Mwenemisuku SOKOLA Health Post Government 33.58 -9.72 61 (33-97)
F11 Chitipa STA Lwangwa ITULO Health Post Government 33.60 -9.68 58 (33-94)
F12 Chitipa TA Mwabulambya CHIWETA Health Post Government 33.25 -9.65 140 (86-213)
F13 Chitipa STA Nthengatenga Karopa HP Health Post Government 33.65 -10.22 62 (31-104)
F14 Chitipa STA Nthengatenga KOPAKOPA Health Post Government 33.70 -10.14 48 (24-85)
F15 Chitipa TA Mwenemisuku CHIPWERA Health Post Government 33.52 -9.77 59 (33-96)
F16 Chitipa TA Mwenewenya MPEMBA Health Post Government 33.52 -10.13 32 (18-54)
F17 Chitipa TA Nthalire MCHINA Health Post Government 33.71 -10.31 28 (14-49)
F18 Chitipa TA Mwabulambya IYELA Health Post Government 33.29 -9.69 95 (61-140)
F19 Chitipa TA Mwabulambya KANYENJERE Health Post Government 33.42 -9.76 161 (99-245)
F20 Chitipa TA Mwabulambya CHENDO Health Post Government 33.41 -9.88 138 (80-224)
F21 Chitipa TA Mwenemisuku IGHUGHU Health Post Government 33.50 -9.67 16 (10-26)
F22 Chitipa TA Mwenewenya Chisenga HP Health Post Government 33.39 -9.97 28 (16-47)
F23 Chitipa Chitipa Boma Banja La Mtsogolo Clinic Clinic NGO 33.27 -9.70 46 (30-67)
F24* Karonga TA Kilupula CHIKUTU Health Post Government 33.73 -9.77 72 (43-114)
F25* Karonga TA Mwakaboko NGISI Health Post Government 33.72 -9.59 63 (36-102)
F26* Karonga TA Kyungu KAYELEKELA Health Post Government 33.69 -9.97 60 (31-103)
F27* Karonga TA Wasambo Wovwe Escom Clinic Clinic Company 34.08 -10.44 2 (1-3)
F28* Rumphi Nyika National Park Chilinda Health Post Government 33.81 -10.59 4 (2-8)

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