Overview (Machinga)

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.

Machinga 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 Machinga, September 2020.
Total PLHIV (all ages) 31,683 (27,891–36,303)
HIV prevalence, age 15-49 years 6.6% (5.8%–7.6%)
Total patients receiving ART 54,179
Average walking time to nearest ART (minutes) 51 (49–54)
Number PLHIV > 60 minutes walking time 10,452 (8,765–12,323)
Percentage PLHIV > 60 minutes walking time 32.0% (29.3%–34.9%)

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 Machinga Liwonde Town Machinga District Hosp. District hospital Government 35.23 -15.06 8773
A2 Machinga TA Kawinga Ntaja HC Health centre Government 35.53 -14.87 3450
A3 Machinga TA Mlomba Nsanama HC Health centre Government 35.49 -14.99 1994
A4 Machinga TA Chikweo Chikweo HC Health centre Government 35.67 -14.76 1568
A5 Machinga TA Mlomba Nayuchi HC Health centre Government 35.53 -14.98 1491
A6 Machinga STA Nchinguza Namanja HC Health centre Government 35.68 -14.96 1264
A7 Machinga TA Nyambi Nyambi HC Health centre Government 35.57 -14.69 1222
A8 Machinga TA Ngokwe Ngokwe HC Health centre Government 35.80 -14.71 1161
A9 Machinga TA Liwonde Namandanje HC Health centre CHAM 35.48 -14.88 1070
A10 Machinga TA Kapoloma Nayinunje HC Health centre Government 35.57 -14.74 1062
A11 Machinga TA Nkoola Mpiri HC Health centre Government 35.61 -14.77 976
A12 Machinga TA Liwonde Mangamba HC Health centre Government 35.44 -14.79 928
A13 Machinga TA Nkula Gawanani HC Health centre CHAM 35.20 -15.22 927
A14 Machinga TA Mlomba Ntholowa HC Health centre CHAM 35.57 -14.99 870
A15 Machinga TA Mposa Mposa HC Health centre CHAM 35.52 -15.15 857
A16 Machinga TA Mlomba Mlomba HC Health centre Government 35.48 -15.02 710
A17 Machinga Machinga Boma Machinga HC Health centre Government 35.30 -15.18 689
A18 Machinga TA Nyambi Mkwepere HC Dispensary Government 35.64 -14.60 645
A19 Machinga TA Chamba Chamba Disp. Dispensary Government 35.42 -15.20 501
A20 Machinga TA Kawinga Kayembe HC Health centre Government 35.57 -14.85 289
A21 Machinga TA Liwonde Mbonechera HC Health centre Government 35.48 -14.89 202
A22* Mangochi TA Mbwana Nyambi Mulibwanji Hosp. Rural/Community CHAM 35.59 -14.51 1306
A23* Mangochi TA Mbwana Nyambi Mkumba HC Health centre Government 35.53 -14.59 883
A24* Mangochi TA Chowe Malombe HC Health centre Government 35.35 -14.63 870
A25* Mangochi STA Chiunda Chiunda HC Dispensary Government 35.44 -14.78 778
A26* Mangochi TA Mbwana Nyambi Somba HC Health centre Government 35.54 -14.65 366
A27* Mangochi TA Mbwana Nyambi Sinyala HC Health centre Government 35.58 -14.58 123
A28* Zomba TA Malemia St Lukes Mission Hosp. District hospital CHAM 35.35 -15.21 3715
A29* Zomba TA Malemia Domasi Rural Hosp. Rural/Community Government 35.40 -15.28 2381
A30* Zomba TA Kuntumanji Namasalima HC Zomba Health centre Government 35.49 -15.23 1438
A31* Zomba TA Kuntumanji Bimbi HC Health centre Government 35.48 -15.31 1319
A32* Zomba STA Nkapita Nkasala HC Health centre Government 35.22 -15.33 825
A33* Zomba TA Mlumbe Chilipa HC Zomba Health centre CHAM 35.12 -15.32 665
A34* Zomba TA Malemia Machinjiri HC Health centre Government 35.42 -15.23 560
A35* Zomba STA Nkapita Mmambo HC Health centre Government 35.16 -15.26 551
A36* Zomba TA Malemia H. Parker Sharp HC (Domasi CCAP) Health centre CHAM 35.36 -15.30 237
A37* Balaka TA Kalembo Kalembo HC Health centre Government 35.18 -14.86 1880
A38* Balaka TA Kalembo Namdumbo HC Health centre Government 35.23 -14.85 1050
A39* Balaka TA Kalembo Ulongwe HC Health centre CHAM 35.18 -14.86 992
A40* Balaka TA Nkaya Utale 2 HC Health centre Government 35.07 -15.17 879
A41* Balaka TA Amidu Namanolo HC Health centre Government 35.19 -15.00 809
A42* Balaka TA Nkaya Phimbi HC Health centre Government 35.11 -15.25 807
A43* Balaka TA Msamala Kwitanda HC Health centre Government 35.09 -15.06 683
A44* Balaka TA Nkaya Utale 1 HC Health centre CHAM 35.06 -15.18 413

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 Machinga STA Nsanama MOLIPA Health Post Government 35.39 -15.05 851 (585-1182)
F2 Machinga TA Chikweo Chipolonga HP Health Post Government 35.69 -14.86 804 (524-1151)
F3 Machinga TA Kawinga CHAPUSA Health Post Government 35.61 -14.94 448 (314-613)
F4 Machinga STA Nchinguza LIKHONYOWA Health Post Government 35.79 -14.96 447 (220-815)
F5 Machinga STA Nsanama CHISUWI Health Post Government 35.46 -14.97 425 (293-598)
F6 Machinga TA Kawinga CHITUNDU Health Post Government 35.65 -14.92 534 (347-777)
F7 Machinga Liwonde Town Liwonde Health Information Special NGO 35.22 -15.07 104 (79-137)
F8 Machinga STA Chesale CHIMBIRA Health Post Government 35.81 -14.60 97 (51-165)
F9 Machinga TA Kawinga MBANIRA Health Post Government 35.60 -14.98 254 (181-344)
F10 Machinga Liwonde Town BLM Liwonde Special NGO 35.23 -15.07 104 (79-137)
F11* Mangochi STA Chiunda Mbalama Disp. Dispensary Government 35.50 -14.71 527 (361-748)
F12* Zomba TA Malemia Zomba Forestry Disp. Dispensary Other 35.29 -15.36 35 (27-45)
F13* Zomba TA Malemia H Parker Sharp Disp. Health Centre CHAM 35.36 -15.30 0 (0-0)
F14* Zomba TA Malemia Compassionate Mission Clinic Clinic NGO 35.39 -15.32 0 (0-0)
F15* Balaka TA Msamala DZIWE Health Post Government 35.14 -15.10 486 (348-638)
F16* Balaka TA Amidu Mwima HP Health Centre Government 35.19 -15.00 0 (0-0)

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