Overview (Dowa)

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.

Dowa 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 Dowa, September 2020.
Total PLHIV (all ages) 16,722 (14,131–19,249)
HIV prevalence, age 15-49 years 3.0% (2.5%–3.4%)
Total patients receiving ART 29,464
Average walking time to nearest ART (minutes) 50 (49–51)
Number PLHIV > 60 minutes walking time 6,097 (5,243–7,014)
Percentage PLHIV > 60 minutes walking time 37.0% (35.3%–38.5%)

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 Dowa Mponela Urban Mponela Rural Hosp. Rural/Community Government 33.74 -13.53 2293
A2 Dowa TA Chakhaza Madisi Mission Hosp. District hospital CHAM 33.61 -13.41 1620
A3 Dowa TA Mkukula Mtengowanthenga Community Hosp. District hospital CHAM 33.77 -13.67 1547
A4 Dowa TA Mkukula Mtengowanthenga Dream Project Special NGO 33.78 -13.67 1547
A5 Dowa Dowa Boma Dowa District Hosp. District hospital Government 33.94 -13.66 1331
A6 Dowa TA Mkukula Chankhungu HC Health centre Government 34.01 -13.77 616
A7 Dowa TA Dzoole Dzoole HC Health centre Government 33.66 -13.59 585
A8 Dowa TA Chiwere Mvera Army Camp Special Other 34.14 -13.78 481
A9 Dowa TA Mkukula Dzaleka HC Health centre Government 33.87 -13.66 457
A10 Dowa TA Chiwere Mvera Mission Hosp. Health centre CHAM 34.13 -13.74 403
A11 Dowa TA Chakhaza Bowe HC Health centre Government 33.68 -13.28 364
A12 Dowa TA Chiwere Thonje HC Health centre Government 34.24 -13.72 288
A13 Dowa TA Kayembe Mbingwa HC Health centre Government 33.51 -13.54 235
A14 Dowa TA Chakhaza Chizolowondo HC Health centre Government 33.51 -13.46 205
A15 Dowa TA Chakhaza Chinkhwiri HC Health centre Government 33.72 -13.39 204
A16 Dowa TA Chakhaza Chakhadza HC Health centre Government 33.65 -13.44 186
A17 Dowa TA Msakambewa Mwangala HC Health centre Government 33.92 -13.49 134
A18 Dowa TA Kayembe Chisepo HC Health centre Government 33.47 -13.63 128
A19 Dowa TA Msakambewa Msakambewa HC Health centre Government 33.90 -13.55 124
A20 Dowa TA Chiwere Nalunga Mafika HC Health centre Government 34.06 -13.64 98
A21 Dowa Dowa Boma FPAM Clinic Dowa Health centre NGO 33.93 -13.66 20
A22* Kasungu TA Njombwa Bua Disp. Dispensary Government 33.54 -13.29 937
A23* Kasungu TA Santhe Santhe HC Health centre Government 33.39 -13.47 758
A24* Kasungu TA Kawamba Kawamba HC Health centre Government 33.34 -13.30 659
A25* Kasungu TA Kawamba Kawinga HC Health centre Government 33.34 -13.30 487
A26* Kasungu TA Chilowamatambe Chamwabvi Disp. Dispensary Government 33.69 -13.11 323
A27* Kasungu TA Santhe Mkhota Rural Growth HC Health centre Government 33.34 -13.57 158
A28* Kasungu TA Njombwa Mziza HC Health centre Government 33.50 -13.28 158
A29* Nkhotakota TA Mwadzama Mwansambo HC Health centre Government 34.13 -13.50 334
A30* Ntchisi TA Malenga Kansonga HC Ntchisi Health centre Government 33.80 -13.27 402
A31* Ntchisi TA Kalumo Khuwi HC Health centre Government 33.83 -13.43 288
A32* Ntchisi TA Kalumo Mkhuzi HC Health centre Government 33.78 -13.37 148
A33* Ntchisi TA Chikho Mzandu HC Health centre Government 34.03 -13.49 130
A34* Ntchisi TA Chilooko Malambo St Theresa HC Health centre CHAM 33.76 -13.21 123
A35* Ntchisi TA Kalumo Chinthembwe HC Health centre CHAM 33.91 -13.43 23
A36* Salima TA Karonga Khombedza HC Health centre Government 34.38 -13.76 1491
A37* Salima TA Mwanza Makiyoni HC Health centre Government 34.20 -13.59 377
A38* Salima TA Karonga Chinguluwe HC Salima Health centre Government 34.38 -13.66 368
A39* Salima TA Karonga Kaphatenga HC Health centre CHAM 34.38 -13.76 309
A40* Salima TA Karonga Katawa HC Health centre Government 34.32 -13.71 270
A41* Salima TA Kambwiri Chagunda HC Health centre Government 34.37 -13.88 252
A42* Salima TA Khombedza Chitala HC Health centre CHAM 34.27 -13.67 215
A43* Lilongwe TA Kabudula Kabudula Rural Hosp. Rural/Community Government 33.45 -13.82 1078
A44* Lilongwe TA Chimutu Chiwamba HC Health centre Government 33.93 -13.86 602
A45* Lilongwe TA Mtema Ngoni HC Health centre Government 33.64 -13.77 310
A46* Lilongwe TA Khongoni Malembo HC Lilongwe Health centre Government 33.41 -13.62 308
A47* Lilongwe TA Kabudula Nambuma HC Health centre CHAM 33.56 -13.73 278
A48* Lilongwe TA Kabudula Ukwe HC Health centre Government 33.60 -13.83 276
A49* Lilongwe STA Mbang’ombe Mbang’ombe 2 HC Health centre Government 33.71 -13.74 251
A50* Lilongwe TA Kabudula Chikowa HC Lilongwe Health centre Government 33.46 -13.73 235
A51* Lilongwe STA Chitekwele Chimbalanga HC Health centre Government 34.12 -13.94 166
A52* Lilongwe City Area 27 Daeyang Luke Hosp. Other hospital CHAM 33.81 -13.87 2148
A53* Lilongwe City Area 53 Lumbadzi HC Health centre Government 33.81 -13.77 1392
A54* Lilongwe City Area 25 Dzenza HC Health centre CHAM 33.75 -13.88 936
A55* Lilongwe City Area 53 Blessings Hosp. Other hospital Private 33.82 -13.79 408

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 Dowa TA Mkukula KAPUTALAMBWE Health Post CHAM 33.90 -13.77 410 (276-581)
F2 Dowa TA Chakhaza MTAMBALIKA Health Post Other 33.60 -13.28 252 (173-366)
F3 Dowa TA Chiwere Chezi HC Health Centre CHAM 34.04 -13.72 227 (151-322)
F4 Dowa TA Kayembe MONDWE Health Post Government 33.44 -13.49 185 (128-255)
F5 Dowa TA Msakambewa MATEKENYA Dispensary Government 34.05 -13.56 177 (121-251)
F6 Dowa Mponela Urban BLM Mponela Special NGO 33.74 -13.53 79 (58-106)
F7 Dowa TA Chiwere Nalunga HC Health Centre Government 34.06 -13.64 0 (0-0)
F8 Dowa Dowa Boma Family Planning Association of Malawi Dowa Special NGO 33.93 -13.66 0 (0-0)
F9 Dowa TA Mkukula St. Mary’s Rehabilitation Heal Health Centre CHAM 34.04 -13.73 227 (151-322)
F10* Ntchisi TA Kalumo Mpherere HC Health Centre Government 33.92 -13.37 16 (11-23)
F11* Lilongwe TA Mtema MNGWANGWA Health Post Government 33.68 -13.84 442 (315-590)

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