Overview (Kasungu)

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.

Kasungu 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 Kasungu, September 2020.
Total PLHIV (all ages) 23,284 (19,994–27,259)
HIV prevalence, age 15-49 years 3.9% (3.4%–4.6%)
Total patients receiving ART 27,802
Average walking time to nearest ART (minutes) 65 (62–67)
Number PLHIV > 60 minutes walking time 13,116 (11,239–15,290)
Percentage PLHIV > 60 minutes walking time 55.2% (52.7%–57.7%)

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 Kasungu Kasungu Boma Kasungu District Hosp. District hospital Government 33.48 -13.04 6552
A2 Kasungu TA Wimbe St Andrews Clinic Special CHAM 33.67 -13.03 1176
A3 Kasungu TA Njombwa Bua Disp. Dispensary Government 33.54 -13.29 937
A4 Kasungu TA Kaluluma Nkhamenya Community Hosp. District hospital CHAM 33.50 -12.57 854
A5 Kasungu TA Santhe Santhe HC Health centre Government 33.39 -13.47 758
A6 Kasungu TA Kawamba Kawamba HC Health centre Government 33.34 -13.30 659
A7 Kasungu TA Kaluluma Kaluluma Rural Hosp. Rural/Community Government 33.52 -12.58 593
A8 Kasungu TA Chidzuma Khola HC Health centre CHAM 33.32 -13.34 505
A9 Kasungu TA Kawamba Kawinga HC Health centre Government 33.34 -13.30 487
A10 Kasungu TA Chulu Chulu HC Health centre Government 33.31 -12.82 483
A11 Kasungu Kasungu Boma FPAM Clinic Kasungu Health centre NGO 33.48 -13.04 474
A12 Kasungu TA Simlemba Simulemba HC Health centre Government 33.68 -12.74 396
A13 Kasungu TA Wimbe Mnyanja HC Health centre Government 33.67 -13.03 378
A14 Kasungu TA Kapelula Kapelula HC Health centre Government 33.87 -12.88 353
A15 Kasungu STA Chisinga Mpepa HC Health centre Government 33.33 -12.62 337
A16 Kasungu TA Wimbe Mtunthama HC Health centre Government 33.68 -13.03 331
A17 Kasungu Kasungu Boma Kasalika HC Health centre Government 33.50 -13.04 323
A18 Kasungu TA Chilowamatambe Chamwabvi Disp. Dispensary Government 33.69 -13.11 323
A19 Kasungu TA Kawamba Kamboni HC Health centre Government 33.18 -13.31 296
A20 Kasungu TA Lukwa Linyangwa HC Health centre Government 33.30 -13.14 294
A21 Kasungu Kasungu Boma Katchale HC Health centre Government 33.48 -13.04 282
A22 Kasungu STA Mphomwa Dwangwa HC Health centre Government 33.45 -12.88 281
A23 Kasungu TA Kaomba Gogode Disp. Health centre Government 33.56 -12.89 239
A24 Kasungu STA M’nyanja Ofesi Disp. Health centre Government 33.55 -12.78 231
A25 Kasungu TA Wimbe Wimbe HC Health centre Government 33.69 -12.99 229
A26 Kasungu TA Wimbe St Augustine HC Health centre CHAM 33.78 -12.92 192
A27 Kasungu TA Wimbe St Faith Anglican Clinic Health centre CHAM 33.80 -12.93 169
A28 Kasungu TA Santhe Mkhota Rural Growth HC Health centre Government 33.34 -13.57 158
A29 Kasungu TA Njombwa Mziza HC Health centre Government 33.50 -13.28 158
A30 Kasungu STA Chisikwa Lodjwa HC Health centre Government 33.53 -12.42 140
A31 Kasungu STA Mdunga Mdunga HC Health centre Government 33.85 -12.99 132
A32* Mzimba South TA Mzikubola Jenda HC Health centre Government 33.55 -12.35 1235
A33* Mzimba South TA Mabulabo Luwelezi HC Health centre Government 33.64 -12.49 445
A34* Mzimba South TA Mabulabo Emfeni HC Health centre Government 33.61 -12.59 295
A35* Mzimba South TA Khosolo Gwaza Jere Mkoma HC Health centre Government 33.78 -12.61 238
A36* Mzimba South STA Levi Jere Katimbira HC Health centre Government 33.61 -12.35 186
A37* Ntchisi TA Chilooko Malomo HC Health centre Government 33.84 -13.15 890
A38* Ntchisi TA Chilooko Malambo St Theresa HC Health centre CHAM 33.76 -13.21 123
A39* Dowa TA Chakhaza Madisi Mission Hosp. District hospital CHAM 33.61 -13.41 1620
A40* Dowa TA Chakhaza Bowe HC Health centre Government 33.68 -13.28 364
A41* Dowa TA Kayembe Mbingwa HC Health centre Government 33.51 -13.54 235
A42* Dowa TA Chakhaza Chizolowondo HC Health centre Government 33.51 -13.46 205
A43* Dowa TA Kayembe Chisepo HC Health centre Government 33.47 -13.63 128
A44* Lilongwe TA Khongoni Malembo HC Lilongwe Health centre Government 33.41 -13.62 308
A45* Mchinji TA Dambe Kapiri Mission Hosp. District hospital CHAM 33.17 -13.56 2576
A46* Mchinji STA Gumba Gumba HC Health centre Government 33.11 -13.42 234

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 Kasungu Kasungu Boma Kasungu Prison Clinic Government 33.46 -13.02 309 (213-437)
F2 Kasungu STA M’nyanja MAFUPHIZI Health Post Government 33.44 -12.71 177 (101-289)
F3 Kasungu TA Wimbe Kapyanga HP Health Post Government 33.79 -12.82 169 (95-284)
F4 Kasungu STA Chisinga Newa / Mpasazi HC Health Centre Government 33.38 -12.58 168 (97-267)
F5 Kasungu STA M’nyanja Thupa HC Health Centre Government 33.39 -12.68 97 (53-165)
F6 Kasungu TA Wimbe Kamuzu Academy Clinic Clinic Company 33.69 -13.03 17 (12-24)
F7 Kasungu Kasungu National Park Lifupa Disp. Dispensary Government 33.15 -13.05 2 (1-5)
F8 Kasungu TA Wimbe Chamama HC Health Centre Government 33.78 -12.92 0 (0-0)
F9 Kasungu STA Chisinga Ntepa HC Health Centre Government 33.33 -12.62 0 (0-0)
F10 Kasungu Kasungu Boma BLM Kasungu Special NGO 33.48 -13.04 0 (0-0)
F11 Kasungu STA Chisikwa Livwezi HC Health Centre Government 33.53 -12.42 0 (0-0)
F12* Mzimba South TA Khosolo Gwaza Jere MGOZA Health Post Government 33.83 -12.67 116 (61-192)
F13* Dowa TA Chakhaza MTAMBALIKA Health Post Other 33.60 -13.28 252 (173-366)
F14* Dowa TA Kayembe MONDWE Health Post Government 33.44 -13.49 185 (128-255)
F15* Mchinji STA Gumba Chimwamkango HC Health Centre Government 32.99 -13.40 190 (107-314)
F16* Mchinji STA Gumba MALEWA Health Post Government 33.03 -13.43 179 (106-285)
F17* Mchinji TA Mkanda KATUTULA Health Post Government 32.90 -13.44 141 (78-228)
F18* Mchinji TA Dambe Our Lady of Mount Carmel Rural Rural/Community CHAM 33.17 -13.56 0 (0-0)

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