Overview (Mangochi)

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.

Mangochi 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 Mangochi, September 2020.
Total PLHIV (all ages) 61,355 (55,203–68,114)
HIV prevalence, age 15-49 years 8.2% (7.4%–9.1%)
Total patients receiving ART 68,268
Average walking time to nearest ART (minutes) 53 (51–55)
Number PLHIV > 60 minutes walking time 23,340 (20,616–26,428)
Percentage PLHIV > 60 minutes walking time 37.3% (35.2%–39.4%)

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 Mangochi Mangochi Town Mangochi District Hosp. District hospital Government 35.26 -14.48 8472
A2 Mangochi Monkey Bay Urban Monkeybay Community Hosp. Rural/Community Government 34.91 -14.09 2660
A3 Mangochi TA Mponda Koche HC Health centre CHAM 35.14 -14.33 2583
A4 Mangochi TA Chimwala Kukalanga HC Health centre Government 35.18 -14.64 2461
A5 Mangochi TA Chowe St Martins Mission Hosp. District hospital CHAM 35.29 -14.35 1718
A6 Mangochi TA Nankumba Malembo HC Mangochi Health centre Government 34.83 -14.24 1459
A7 Mangochi TA Jalasi Jalasi HC Health centre Government 35.44 -14.36 1432
A8 Mangochi TA Makanjila Makanjira HC Health centre Government 35.05 -13.72 1411
A9 Mangochi TA Jalasi Namwera HC Health centre Government 35.50 -14.36 1346
A10 Mangochi TA Mponda Mpondasi HC Health centre CHAM 35.24 -14.45 1322
A11 Mangochi TA Mbwana Nyambi Mulibwanji Hosp. Rural/Community CHAM 35.59 -14.51 1306
A12 Mangochi TA Namabvi Lungwena HC Health centre Government 35.25 -14.24 1300
A13 Mangochi STA Lulanga Lulanga HC Health centre CHAM 34.92 -13.69 1220
A14 Mangochi TA Chilipa Chilipa HC Mangochi Health centre Government 34.97 -14.70 1198
A15 Mangochi TA Nankumba Chipwaila HC Health centre Government 34.87 -14.47 1174
A16 Mangochi TA Nankumba Nkope HC Health centre CHAM 35.04 -14.20 1160
A17 Mangochi TA Jalasi Chiponde HC Health centre Government 35.60 -14.37 1138
A18 Mangochi TA Nankumba Nankumba HC Health centre Government 34.82 -14.37 1097
A19 Mangochi Monkey Bay Urban Malawi Army Marine Camp Hosp. Dispensary Other 34.92 -14.07 971
A20 Mangochi TA Nankumba Billy Riordan Memorial Health Clinic Health centre NGO 34.84 -14.03 953
A21 Mangochi TA Namabvi Namalaka HC Health centre CHAM 35.19 -14.12 905
A22 Mangochi TA Mbwana Nyambi Mkumba HC Health centre Government 35.53 -14.59 883
A23 Mangochi TA Chowe Malombe HC Health centre Government 35.35 -14.63 870
A24 Mangochi TA Chimwala Mtimabii HC Health centre Government 35.08 -14.61 794
A25 Mangochi STA Chiunda Chiunda HC Dispensary Government 35.44 -14.78 778
A26 Mangochi TA Chowe Malukula HC Health centre Government 35.36 -14.44 757
A27 Mangochi TA Katuli Lugola HC Health centre CHAM 35.29 -13.99 673
A28 Mangochi TA Chowe Mase HC Health centre CHAM 35.36 -14.58 641
A29 Mangochi TA Nankumba Chilonga HC Health centre Government 34.87 -14.46 571
A30 Mangochi TA Mbwana Nyambi Nangalamu HC Health centre Government 35.67 -14.47 562
A31 Mangochi TA Mponda Katete Community Hosp. Rural/Community CHAM 35.04 -14.52 559
A32 Mangochi STA Ntonda Phirilongwe HC Health centre Government 34.90 -14.59 515
A33 Mangochi TA Katuli Kaundu HC Health centre CHAM 35.44 -14.18 514
A34 Mangochi TA Mponda Mehboob Clinic Health centre NGO 35.24 -14.46 489
A35 Mangochi TA Chowe Chikole HC Dispensary Government 35.38 -14.42 484
A36 Mangochi TA Katuli Luwalika HC Health centre CHAM 35.47 -14.24 402
A37 Mangochi TA Nankumba Nankhwali HC Health centre CHAM 34.84 -14.14 387
A38 Mangochi TA Jalasi Sister Martha Hosp. Health centre CHAM 35.54 -14.39 367
A39 Mangochi TA Mbwana Nyambi Somba HC Health centre Government 35.54 -14.65 366
A40 Mangochi TA Mbwana Nyambi Nancholi Disp. Dispensary Government 35.59 -14.48 344
A41 Mangochi TA Jalasi Chiumbangame HC Health centre Government 35.56 -14.32 314
A42 Mangochi TA Namabvi Kadango Disp. Dispensary Private 35.19 -14.06 300
A43 Mangochi TA Mbwana Nyambi Sinyala HC Health centre Government 35.58 -14.58 123
A44 Mangochi TA Jalasi Iba HC Health centre Government 35.40 -14.31 120
A45 Mangochi TA Mponda FPAM Clinic Mangochi Special NGO 35.25 -14.47 24
A46* Dedza TA Kachindamoto Kavuzi HC Health centre Private 34.63 -14.29 371
A47* Ntcheu TA Makwangwala Bilira HC Health centre Government 34.85 -14.83 1442
A48* Ntcheu TA Goodson Ganya Bwanje HC Health centre Government 34.77 -14.65 1034
A49* Ntcheu TA Goodson Ganya Sharpe Valley HC Special CHAM 34.74 -14.61 709
A50* Ntcheu TA Makwangwala Chikande HC Health centre Government 34.91 -14.77 541
A51* Ntcheu STA Mkutumula Kalimanjira HC Health centre Government 34.91 -14.87 257
A52* Machinga TA Kawinga Ntaja HC Health centre Government 35.53 -14.87 3450
A53* Machinga TA Nyambi Nyambi HC Health centre Government 35.57 -14.69 1222
A54* Machinga TA Liwonde Namandanje HC Health centre CHAM 35.48 -14.88 1070
A55* Machinga TA Kapoloma Nayinunje HC Health centre Government 35.57 -14.74 1062
A56* Machinga TA Nkoola Mpiri HC Health centre Government 35.61 -14.77 976
A57* Machinga TA Liwonde Mangamba HC Health centre Government 35.44 -14.79 928
A58* Machinga TA Nyambi Mkwepere HC Dispensary Government 35.64 -14.60 645
A59* Machinga TA Kawinga Kayembe HC Health centre Government 35.57 -14.85 289
A60* Machinga TA Liwonde Mbonechera HC Health centre Government 35.48 -14.89 202
A61* Balaka TA Kalembo Kalembo HC Health centre Government 35.18 -14.86 1880
A62* Balaka TA Kalembo Namdumbo HC Health centre Government 35.23 -14.85 1050
A63* Balaka STA Kachenga Kapire Dream Centre Health centre NGO 35.00 -14.79 1025
A64* Balaka TA Kalembo Ulongwe HC Health centre CHAM 35.18 -14.86 992

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 Mangochi TA Chimwala Assalam Clinic Clinic CHAM 35.19 -14.55 1487 (1054-1982)
F2 Mangochi STA Chiunda Mbalama Disp. Dispensary Government 35.50 -14.71 527 (361-748)
F3 Mangochi TA Chimwala Ngala HP Health Post Government 35.08 -14.66 391 (267-549)
F4 Mangochi TA Chimwala MWATAKATA Health Post Government 35.11 -14.76 379 (255-532)
F5 Mangochi TA Chimwala NGATALA Health Post Government 35.08 -14.66 391 (267-549)
F6 Mangochi TA Makanjila LUKOLOMA Dispensary Government 35.10 -13.83 250 (128-439)
F7 Mangochi TA Mponda MAONI Health Post CHAM 35.00 -14.51 119 (74-178)
F8 Mangochi TA Makanjila Maleta HP Health Post Government 35.26 -13.93 117 (68-189)
F9 Mangochi Mangochi Town BLM Mangochi Special NGO 35.26 -14.48 308 (223-411)
F10 Mangochi TA Chimwala St. Johns Seminary Clinic CHAM 35.18 -14.55 1315 (932-1754)
F11 Mangochi TA Mponda Maldeco Fisheries Clinic Clinic Government 35.15 -14.33 0 (0-0)
F12* Ntcheu TA Goodson Ganya Solomon Village Clinic Clinic CHAM 34.87 -14.71 538 (362-734)
F13* Ntcheu TA Masasa Phanga Disp. Dispensary Government 34.72 -14.34 211 (139-316)
F14* Machinga STA Chesale CHIMBIRA Health Post Government 35.81 -14.60 97 (51-165)
F15* Balaka STA Kachenga Nambira HP Health Post Government 35.06 -14.80 368 (244-512)
F16* Balaka STA Kachenga Kapire HC Health Centre CHAM 35.00 -14.79 0 (0-0)

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