Overview (Dedza)

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.

Dedza 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 Dedza, September 2020.
Total PLHIV (all ages) 21,957 (19,127–25,197)
HIV prevalence, age 15-49 years 3.8% (3.3%–4.3%)
Total patients receiving ART 37,342
Average walking time to nearest ART (minutes) 47 (45–48)
Number PLHIV > 60 minutes walking time 6,515 (5,645–7,437)
Percentage PLHIV > 60 minutes walking time 29.7% (27.8%–31.4%)

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 Dedza Dedza Boma Dedza District Hosp. District hospital Government 34.33 -14.38 5282
A2 Dedza TA Kachere Mtendere HC Health centre CHAM 34.08 -14.31 1855
A3 Dedza TA Kaphuka Kasinje HC Health centre Government 34.13 -14.15 1641
A4 Dedza TA Kachindamoto Mua Mission Hosp. District hospital CHAM 34.51 -14.28 1287
A5 Dedza TA Kachere Lobi Rural Hosp. Health centre Government 34.07 -14.39 1048
A6 Dedza TA Tambala Mayani HC Health centre Government 34.25 -14.10 852
A7 Dedza TA Tambala Kaphuka HC Health centre Government 34.31 -14.04 794
A8 Dedza TA Kachindamoto Golomoti HC Health centre Government 34.60 -14.41 785
A9 Dedza TA Kamenya Gwaza Bembeke HC Health centre CHAM 34.42 -14.36 782
A10 Dedza TA Kachindamoto Mtakataka HC Health centre Government 34.51 -14.23 700
A11 Dedza TA Kaphuka Kasina HC Health centre CHAM 34.13 -14.14 691
A12 Dedza TA Kachere Chimoto HC Health centre Government 34.01 -14.44 448
A13 Dedza TA Kasumbu Kanyama HC Health centre Government 34.32 -14.24 433
A14 Dedza TA Kasumbu Chikuse HC Health centre Government 34.32 -14.15 432
A15 Dedza TA Kachindamoto Kavuzi HC Health centre Private 34.63 -14.29 371
A16 Dedza TA Kachere Kanyezi HC Health centre Government 34.07 -14.39 348
A17 Dedza TA Kachere Mphunzi HC Health centre Government 34.18 -14.38 330
A18 Dedza TA Kaphuka Chitowo HC Health centre Government 34.04 -14.22 325
A19 Dedza TA Kaphuka Chongoni HC Health centre Other 34.27 -14.32 309
A20 Dedza TA Kachindamoto Nakalazi HC Health centre CHAM 34.55 -14.20 302
A21 Dedza TA Kasumbu Dzindevu HC Health centre Government 34.36 -14.20 289
A22 Dedza TA Chilikumwendo Matumba HC Health centre Government 33.91 -14.37 285
A23 Dedza TA Kachere Mphati HC Health centre Government 34.08 -14.46 281
A24 Dedza TA Kachere Mikondo Disp. Dispensary CHAM 33.94 -14.45 245
A25 Dedza TA Kachindamoto Mganja HC Health centre Government 34.52 -14.42 189
A26 Dedza TA Kachere Kafele HC Health centre Government 33.72 -14.43 174
A27 Dedza Dedza Boma FPAM Clinic Dedza Health centre NGO 34.32 -14.39 171
A28 Dedza TA Kaphuka Tsoyo Disp. Special Government 34.16 -14.15 117
A29 Dedza TA Kachindamoto Police College HC Mua Health centre Other 34.51 -14.23 95
A30* Salima TA Kambalame Life Line Salima HC Health centre NGO 34.54 -14.09 1392
A31* Salima Chipoka Urban Chipoka HC Health centre Government 34.52 -13.99 873
A32* Salima TA Kambalame Ngodzi HC Health centre Government 34.51 -14.09 284
A33* Salima TA Kambwiri Chagunda HC Health centre Government 34.37 -13.88 252
A34* Salima TA Kambalame Parachute Battalion Clinic Dispensary Other 34.54 -14.09 101
A35* Lilongwe TA Chiseka Mitundu Community Hosp. Rural/Community Government 33.77 -14.25 2544
A36* Lilongwe TA Mazengera Nkhoma Mission Hosp. District hospital CHAM 34.10 -14.04 2212
A37* Lilongwe TA Chadza Katema HC Health centre CHAM 33.91 -14.28 1116
A38* Lilongwe TA Chiseka Mlale Mission Hosp. Rural/Community CHAM 33.76 -14.23 1101
A39* Lilongwe TA Kalumbu Mtenthera HC Health centre Government 34.01 -14.11 864
A40* Lilongwe TA Mazengera Diamphwi HC Health centre Government 34.08 -14.13 522
A41* Lilongwe TA Masula Chiunjiza HC Health centre Government 33.67 -14.41 278
A42* Lilongwe STA Chitekwele Chimbalanga HC Health centre Government 34.12 -13.94 166
A43* Lilongwe TA Chadza Maluwa HC Health centre Government 33.87 -14.26 63
A44* Ntcheu TA Chakhumbira Lizulu HC Health centre Government 34.47 -14.52 1289
A45* Ntcheu TA Masasa Mlanda HC Health centre CHAM 34.46 -14.48 334
A46* Ntcheu TA Masasa Masasa HC Health centre Government 34.42 -14.43 321
A47* Ntcheu TA Chakhumbira Chigodi HC Health centre CHAM 34.54 -14.49 213
A48* Mangochi TA Nankumba Malembo HC Mangochi Health centre Government 34.83 -14.24 1459
A49* Mangochi TA Nankumba Nankumba HC Health centre Government 34.82 -14.37 1097

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 Dedza TA Chilikumwendo Mdeza Disp. Dispensary Government 33.97 -14.24 575 (388-827)
F2 Dedza TA Tambala Mjini Disp. Dispensary Government 34.24 -14.04 166 (109-246)
F3 Dedza TA Tambala MTEMWENDE Health Post Government 34.26 -14.15 140 (97-194)
F4 Dedza TA Tambala Kalulu HC Health Centre Government 34.20 -14.00 136 (87-200)
F5 Dedza TA Kachere Mlangali Disp. Dispensary Government 34.27 -14.41 118 (75-175)
F6 Dedza TA Tambala MPOMBE Health Post Government 34.31 -13.99 126 (83-184)
F7 Dedza TA Kachere Maonde HC Health Centre Government 34.12 -14.41 72 (48-106)
F8 Dedza TA Tambala KANYERERE Health Post Government 34.23 -13.97 91 (55-137)
F9 Dedza TA Kaphuka CHILAMBA Health Post Government 34.24 -14.36 75 (52-107)
F10 Dedza Dedza Boma BLM Dedza Special NGO 34.33 -14.38 2 (1-3)
F11 Dedza TA Tambala MJINI Dispensary Government 34.24 -14.04 166 (109-246)
F12 Dedza TA Kachindamoto Mtakataka Police College HC Health Centre Other 34.51 -14.23 0 (0-0)
F13 Dedza TA Kachindamoto Ntakataka Police Disp. Health Centre Government 34.51 -14.23 0 (0-0)
F14* Lilongwe TA Kalumbu NYANJA Health Post Government 33.94 -14.14 429 (294-619)
F15* Lilongwe TA Masula KAMBANIZITHE Health Post Government 33.71 -14.35 316 (205-459)
F16* Lilongwe TA Chiseka KAMPINI Health Post Government 33.78 -14.30 311 (206-437)
F17* Lilongwe STA Chitekwele CHITEKWELE Health Post Government 34.10 -13.97 249 (162-368)
F18* Lilongwe TA Masula KAMPHONI Health Post Government 33.63 -14.31 210 (128-318)
F19* Lilongwe TA Kalumbu BWESE Health Post Government 33.94 -14.22 456 (298-673)
F20* Ntcheu TA Masasa Phanga Disp. Dispensary Government 34.72 -14.34 211 (139-316)

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