Overview (Mchinji)

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.

Mchinji 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 Mchinji, September 2020.
Total PLHIV (all ages) 19,792 (16,559–23,495)
HIV prevalence, age 15-49 years 4.7% (3.9%–5.6%)
Total patients receiving ART 24,533
Average walking time to nearest ART (minutes) 58 (55–62)
Number PLHIV > 60 minutes walking time 8,089 (6,730–9,640)
Percentage PLHIV > 60 minutes walking time 41.9% (39.3%–44.7%)

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 Mchinji Mchinji Boma Mchinji District Hosp. District hospital Government 32.89 -13.80 4768
A2 Mchinji TA Dambe Kapiri Mission Hosp. District hospital CHAM 33.17 -13.56 2576
A3 Mchinji TA Mkanda Mkanda HC Health centre Government 32.96 -13.51 2085
A4 Mchinji TA Mavwere Nkhwazi HC Health centre Government 33.23 -13.92 1353
A5 Mchinji TA Zulu Kochilira HC Health centre Government 33.04 -13.78 1179
A6 Mchinji TA Zulu Guillime Mission Hosp. Rural/Community CHAM 33.08 -13.89 987
A7 Mchinji TA Zulu Ludzi St Josephs HC Health centre CHAM 32.99 -13.76 844
A8 Mchinji TA Mkanda Kaigwazanga HC Health centre Government 32.93 -13.63 766
A9 Mchinji TA Mlonyeni Tembwe HC Health centre Government 33.06 -13.90 696
A10 Mchinji TA Mduwa Mikundi HC Health centre Government 33.14 -13.71 646
A11 Mchinji TA Mavwere Kapanga HC Health centre Government 33.31 -14.06 487
A12 Mchinji TA Kapondo Chipumi HC Health centre Government 33.08 -13.63 474
A13 Mchinji TA Simphasi Chioshya HC Health centre Government 33.17 -13.80 454
A14 Mchinji STA Gumba Gumba HC Health centre Government 33.11 -13.42 234
A15 Mchinji STA Nyoka Home of Hope Clinic Special NGO 32.90 -13.72 85
A16 Mchinji TA Mavwere Namizana HC Health centre Government 33.25 -14.00 30
A17* Kasungu TA Kawamba Kamboni HC Health centre Government 33.18 -13.31 296
A18* Kasungu TA Santhe Mkhota Rural Growth HC Health centre Government 33.34 -13.57 158
A19* Lilongwe TA Kalolo St Gabriel Mission Hosp. District hospital CHAM 33.35 -13.98 2724
A20* Lilongwe TA Kalolo Chileka HC Lilongwe Static Art Health centre Government 33.39 -14.02 1101
A21* Lilongwe TA Kalolo Nthondo HC Lilongwe Health centre Government 33.45 -14.03 838
A22* Lilongwe TA Khongoni Khongoni HC Health centre Government 33.37 -13.77 754
A23* Lilongwe TA Khongoni Chilobwe Majiga HC Health centre Government 33.37 -13.85 325
A24* Lilongwe TA Khongoni Malembo HC Lilongwe Health centre Government 33.41 -13.62 308
A25* Lilongwe TA Kalolo Ming’ongo HC Health centre Government 33.45 -14.08 204
A26* Lilongwe TA Kalolo Mbang’ombe 1 HC Health centre Government 33.38 -14.17 161

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 Mchinji STA Pitala PITALA Health Post Government 33.03 -13.55 423 (291-601)
F2 Mchinji TA Kazyozyo Kazyozyo HC Health Centre Government 32.86 -13.58 287 (172-459)
F3 Mchinji TA Mkanda MWASE Health Post Government 32.86 -13.47 206 (109-356)
F4 Mchinji STA Gumba Chimwamkango HC Health Centre Government 32.99 -13.40 190 (107-314)
F5 Mchinji STA Gumba MALEWA Health Post Government 33.03 -13.43 179 (106-285)
F6 Mchinji Mchinji Boma BLM Mchinji Special NGO 32.89 -13.80 94 (65-133)
F7 Mchinji TA Mkanda KATUTULA Health Post Government 32.90 -13.44 141 (78-228)
F8 Mchinji TA Mavwere MTANGA Health Post Other 33.26 -13.92 97 (64-141)
F9 Mchinji TA Mavwere Waliranji Health Centre Government 33.27 -13.97 86 (59-120)
F10 Mchinji STA Nyoka NYOKA Health Post Government 32.91 -13.70 17 (12-24)
F11 Mchinji TA Mavwere Namizana Police Disp. Dispensary Other 33.25 -14.00 0 (0-0)
F12 Mchinji TA Dambe Our Lady of Mount Carmel Rural Rural/Community CHAM 33.17 -13.56 0 (0-0)
F13* Lilongwe TA Kalolo Chiwe HC Health Centre CHAM 33.40 -13.91 387 (267-537)
F14* Lilongwe TA Kalolo Lemwe HC Health Centre Government 33.34 -13.89 329 (215-470)
F15* Lilongwe TA Masumbankhunda Dzalanyama/Kapombeza Health Centre Government 33.44 -14.25 67 (37-112)

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