Overview (Karonga)

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.

Karonga 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 Karonga, September 2020.
Total PLHIV (all ages) 20,755 (17,109–24,786)
HIV prevalence, age 15-49 years 8.1% (6.7%–9.7%)
Total patients receiving ART 16,132
Average walking time to nearest ART (minutes) 45 (42–48)
Number PLHIV > 60 minutes walking time 5,120 (4,206–6,158)
Percentage PLHIV > 60 minutes walking time 26.0% (22.8%–29.1%)

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 Karonga Karonga Town Karonga District Hosp. District hospital Government 33.91 -9.95 5059
A2 Karonga TA Kilupula Kaporo Rural Hosp. Rural/Community Government 33.87 -9.77 1994
A3 Karonga TA Mwirang’ombe Nyungwe HC Health centre Government 34.11 -10.28 1366
A4 Karonga TA Wasambo Chilumba Rural Hosp. Rural/Community Government 34.25 -10.43 1325
A5 Karonga TA Mwakaboko Iponga HC Health centre Government 33.81 -9.65 935
A6 Karonga TA Kilupula Atupele HC Health centre CHAM 33.84 -9.73 808
A7 Karonga TA Kyungu Kasoba HC Health post Government 33.87 -9.87 746
A8 Karonga TA Wasambo Chilumba Barracks Clinic Special Other 34.21 -10.39 570
A9 Karonga TA Kyungu Lupembe HC Health centre Government 33.99 -10.07 419
A10 Karonga TA Wasambo St Anne’s HC Health centre CHAM 34.21 -10.41 309
A11 Karonga TA Wasambo Fulirwa HC Health centre Government 34.11 -10.45 249
A12 Karonga TA Wasambo Sangilo HC Health centre CHAM 34.21 -10.52 241
A13 Karonga Karonga Town BLM Karonga Special NGO 33.92 -9.94 232
A14 Karonga TA Kyungu Mpata HC Health centre Government 33.81 -9.96 191
A15 Karonga TA Wasambo Lwezga HC Health centre Government 34.18 -10.57 157
A16 Karonga TA Mwakaboko Ngana HC Health centre Government 33.70 -9.62 122
A17 Karonga TA Kyungu Wiliro HC Health centre Government 33.61 -9.89 87
A18* Chitipa TA Mwenewenya Chambo HC Health centre CHAM 33.40 -9.94 226
A19* Chitipa TA Mwenewenya Wenya HC Health centre Government 33.56 -10.11 193
A20* Chitipa STA Nthengatenga Mahowe HC Health centre Government 33.69 -10.18 75
A21* Chitipa STA Lwangwa Msumbe HC Health centre CHAM 33.68 -9.75 11
A22* Rumphi TA Mwalweni Livingstonia Mission Hosp. District hospital CHAM 34.11 -10.60 313
A23* Rumphi TA Mwalweni Chitimba HC Health centre Government 34.17 -10.60 279
A24* Rumphi TA Mwalweni Luwuchi HC Health centre CHAM 34.19 -10.68 225

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 Karonga TA Kyungu Mlare HP Health Post Government 34.04 -10.17 485 (271-778)
F2 Karonga TA Wasambo Hara Disp. Dispensary Government 34.17 -10.49 405 (283-575)
F3 Karonga TA Mwirang’ombe NGARA Health Post Government 34.10 -10.23 366 (204-597)
F4 Karonga TA Wasambo GONTHAMINGA Health Post Government 34.13 -10.40 266 (184-381)
F5 Karonga TA Wasambo TILOLA Health Post Government 34.18 -10.33 229 (149-328)
F6 Karonga TA Mwirang’ombe CHIHEPUSHA Health Post Government 34.11 -10.33 211 (139-313)
F7 Karonga TA Wasambo ULIWA Health Post Government 34.21 -10.45 245 (171-342)
F8 Karonga TA Kilupula CHIKUTU Health Post Government 33.73 -9.77 72 (43-114)
F9 Karonga TA Mwakaboko NGISI Health Post Government 33.72 -9.59 63 (36-102)
F10 Karonga TA Kyungu KAYELEKELA Health Post Government 33.69 -9.97 60 (31-103)
F11 Karonga TA Kyungu VILAULE Health Post Government 33.77 -9.94 45 (28-69)
F12 Karonga TA Kyungu MALUNGO Health Post Government 33.91 -9.89 12 (8-17)
F13 Karonga TA Kyungu LUPASO Health Post Government 33.85 -9.93 8 (5-11)
F14 Karonga TA Wasambo Wovwe Escom Clinic Clinic Company 34.08 -10.44 2 (1-3)
F15 Karonga Nyika National Park-Karonga Wovwe HP Health Post Government 34.09 -10.56 0 (0-0)
F16 Karonga TA Wasambo Sangiro HC Health Centre CHAM 34.21 -10.52 0 (0-0)
F17 Karonga Karonga Town OLD Hosp. Health Post Government 33.94 -9.93 0 (0-0)
F18 Karonga TA Kyungu SILU Health Post Government 33.82 -9.94 5 (3-7)
F19* Chitipa TA Mwabulambya NACHIPANGAPANGA Health Post Government 33.38 -9.87 140 (82-221)
F20* Chitipa TA Mwenemisuku SOKOLA Health Post Government 33.58 -9.72 61 (33-97)
F21* Chitipa STA Lwangwa ITULO Health Post Government 33.60 -9.68 58 (33-94)
F22* Chitipa STA Nthengatenga KOPAKOPA Health Post Government 33.70 -10.14 48 (24-85)
F23* Chitipa TA Mwenemisuku CHIPWERA Health Post Government 33.52 -9.77 59 (33-96)
F24* Chitipa TA Mwenewenya MPEMBA Health Post Government 33.52 -10.13 32 (18-54)
F25* Chitipa TA Mwabulambya CHENDO Health Post Government 33.41 -9.88 138 (80-224)
F26* Chitipa TA Mwenewenya Chisenga HP Health Post Government 33.39 -9.97 28 (16-47)
F27* Rumphi TA Mwalweni Mchenga Clinic Clinic Company 34.14 -10.70 91 (59-134)
F28* Rumphi TA Mwalweni Khondowe HC Health Centre Government 34.17 -10.59 4 (2-5)

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