Overview (Mulanje)

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.

Mulanje 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 Mulanje, September 2020.
Total PLHIV (all ages) 72,784 (65,353–80,510)
HIV prevalence, age 15-49 years 15.3% (13.7%–16.9%)
Total patients receiving ART 129,591
Average walking time to nearest ART (minutes) 36 (35–37)
Number PLHIV > 60 minutes walking time 8,030 (7,049–9,104)
Percentage PLHIV > 60 minutes walking time 11.4% (10.6%–12.2%)

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 Mulanje Mulanje Boma Mulanje District Hosp. District hospital Government 35.51 -16.03 8685
A2 Mulanje TA Chikumbu Mulanje Mission Hosp. District hospital CHAM 35.46 -16.02 6725
A3 Mulanje TA Laston Njema Namasalima HC Mulanje Health centre CHAM 35.72 -16.08 4381
A4 Mulanje TA Nthiramanja Chonde HC Health centre Government 35.32 -16.00 4064
A5 Mulanje TA Juma Thuchila HC Health centre Government 35.36 -15.92 3940
A6 Mulanje TA Laston Njema Muloza HC Health centre Government 35.76 -16.06 2673
A7 Mulanje TA Mabuka Mpala HC Health centre Government 35.52 -16.14 2591
A8 Mulanje TA Chikumbu Mbiza HC Health centre Government 35.35 -16.09 2476
A9 Mulanje TA Mabuka Milonde HC Health centre Government 35.48 -16.10 2384
A10 Mulanje TA Chikumbu Chisitu HC Health centre Government 35.43 -16.00 2229
A11 Mulanje STA Sunganinzeru Mimosa Disp. Dispensary Government 35.61 -16.09 2074
A12 Mulanje TA Nkanda Chambe HC Health centre Government 35.49 -15.90 2028
A13 Mulanje TA Nkanda Kambenje HC Health centre Government 35.56 -15.85 1926
A14 Mulanje TA Nkanda Mulomba HC Health centre Government 35.51 -15.77 1594
A15 Mulanje STA Tombondiya Chinyama HC Health centre Government 35.34 -16.16 1510
A16 Mulanje TA Laston Njema Naphimba HC Health centre Government 35.68 -16.03 1486
A17 Mulanje STA Sunganinzeru Bondo HC Health centre Government 35.61 -16.04 1176
A18 Mulanje TA Juma Namphungo HC Health centre Government 35.35 -15.80 1157
A19 Mulanje TA Juma Namulenga HC Health centre CHAM 35.33 -15.87 1155
A20 Mulanje STA Sunganinzeru Lujeri HC Health centre Private 35.66 -16.03 1090
A21 Mulanje STA Tombondiya Makapwa HC Health centre CHAM 35.28 -16.18 782
A22 Mulanje TA Mabuka Dzenje Mat. Special Government 35.41 -16.12 738
A23 Mulanje TA Mabuka Thembe HC Dispensary CHAM 35.43 -16.09 496
A24 Mulanje TA Juma Mkomaola HC Health centre Government 35.37 -15.72 478
A25 Mulanje STA Sunganinzeru Ruo Disp. Dispensary Private 35.67 -16.09 274
A26* Zomba TA Mwambo Matiya HC Health centre CHAM 35.55 -15.53 2643
A27* Zomba TA Mbiza Mayaka HC Health centre CHAM 35.37 -15.57 2134
A28* Zomba STA Ngwelero Ngwelero HC Health centre Government 35.43 -15.67 1508
A29* Zomba STA Ntholowa Nasawa HC Health centre Government 35.26 -15.60 1234
A30* Phalombe TA Kaduya Migowi HC Health centre Government 35.69 -15.72 3960
A31* Phalombe TA Nkhulambe Sukasanje HC Health centre CHAM 35.77 -15.93 3838
A32* Phalombe TA Mkhumba Phalombe Mission Hospital Holy Family District hospital CHAM 35.62 -15.82 3784
A33* Phalombe TA Nkhulambe Nkhulambe HC Health centre Government 35.75 -15.86 3588
A34* Phalombe Phalombe Boma Phalombe HC Health centre Government 35.65 -15.81 2889
A35* Phalombe TA Jenala Chitekesa HC Health centre Government 35.57 -15.55 2828
A36* Phalombe TA Jenala Nkhwayi HC Health centre Government 35.63 -15.61 1847
A37* Phalombe TA Mkhumba Mpasa HC Health centre Government 35.61 -15.76 1800
A38* Phalombe TA Nazombe Nazombe HC (Gogo Nazombe) Health centre Government 35.77 -15.75 1688
A39* Phalombe TA Jenala Mwanga HC Health centre CHAM 35.53 -15.65 1134
A40* Phalombe TA Nazombe Chiringa Mat. Special Government 35.77 -15.77 740
A41* Phalombe TA Nazombe Chiringa CHAM HC Health centre CHAM 35.76 -15.77 728
A42* Phalombe TA Nkhulambe Mulungu Alinafe Clinic Health centre NGO 35.82 -15.86 363
A43* Chiradzulu STA Mpunga Namitambo HC Health centre Government 35.27 -15.84 5334
A44* Chiradzulu STA Sandareki Milepa HC Health centre Government 35.32 -15.69 3946
A45* Chiradzulu TA Nkalo Nkalo HC Health centre Government 35.31 -15.97 3277
A46* Chiradzulu TA Kadewere Chileka HC Blantyre Health centre Government 35.24 -15.68 2686
A47* Chiradzulu TA Kadewere Ndunde HC Health centre Government 35.23 -15.70 2390
A48* Chiradzulu TA Kadewere Thumbwe HC Health centre Government 35.25 -15.77 2338
A49* Chiradzulu STA Sandareki Mauwa HC Health centre Government 35.25 -15.65 2323
A50* Chiradzulu TA Nkalo Chimwawa HC Health centre Government 35.26 -15.91 481
A51* Chiradzulu STA Onga PIM HC Health centre CHAM 35.19 -15.75 236
A52* Thyolo TA Kapichi Khonjeni HC Health centre Government 35.27 -16.10 4188
A53* Thyolo TA Nanseta Mangunda HC Health centre Government 35.26 -16.03 3225
A54* Thyolo TA Chimaliro Chisoka HC Health centre Government 35.21 -15.94 1512
A55* Thyolo STA Mbawela Zoa HC Health centre Government 35.20 -16.24 1219
A56* Thyolo TA Kapichi Mitengo HC St Joseph Health centre CHAM 35.25 -16.11 970
A57* Thyolo TA Chimaliro Chingazi HC Health centre CHAM 35.21 -15.92 648

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 Mulanje TA Nkanda DEMULA Health Post CHAM 35.48 -15.96 605 (455-790)
F2 Mulanje TA Mabuka Sayama Clinic Clinic Company 35.55 -16.07 578 (449-719)
F3 Mulanje TA Chikumbu KHAYA Health Post CHAM 35.39 -15.99 595 (461-752)
F4 Mulanje STA Sunganinzeru CHILINGWE Dispensary Company 35.65 -16.00 544 (395-720)
F5 Mulanje TA Juma KAMWENDO Health Post Government 35.48 -15.67 408 (311-513)
F6 Mulanje TA Chikumbu LUWANJE Health Post CHAM 35.42 -15.99 552 (438-677)
F7 Mulanje TA Laston Njema Chisambo Estate Clinic Clinic Company 35.71 -16.04 250 (193-321)
F8 Mulanje TA Laston Njema Phwazi Estate Clinic Clinic Company 35.68 -16.02 159 (119-207)
F9 Mulanje STA Sunganinzeru CHIKULI Dispensary Company 35.65 -16.05 76 (58-95)
F10 Mulanje TA Chikumbu MSITHE Health Post CHAM 35.41 -16.00 336 (261-424)
F11 Mulanje TA Laston Njema BLOOMFIELD Dispensary Company 35.67 -16.06 74 (56-93)
F12 Mulanje TA Mabuka Lauderdale Estate Clinic Clinic Company 35.54 -16.04 479 (371-599)
F13 Mulanje TA Laston Njema Limbuli Estate Clinic Clinic Company 35.72 -16.06 130 (101-166)
F14 Mulanje TA Chikumbu BLM Mulanje Special NGO 35.46 -16.02 0 (0-0)
F15 Mulanje STA Sunganinzeru Eldorado Estate Clinic Clinic Company 35.61 -16.07 36 (27-45)
F16 Mulanje Mulanje Boma Esparanza Estate Clinic Clinic Company 35.50 -16.03 39 (30-50)
F17 Mulanje TA Mabuka Glenorchy Estate Clinic Clinic Company 35.48 -15.98 586 (438-767)
F18 Mulanje STA Sunganinzeru Likanga Estate Clinic Clinic Company 35.59 -16.08 162 (123-207)
F19 Mulanje STA Sunganinzeru Thornwood Estate Clinic Clinic Company 35.63 -16.07 36 (27-45)
F20 Mulanje TA Laston Njema NSUWADZI Dispensary Company 35.68 -16.08 36 (27-45)
F21 Mulanje TA Mabuka KHONGOLONI Dispensary Company 35.53 -16.13 95 (73-121)
F22 Mulanje TA Mabuka CHIBATHI Health Post CHAM 35.48 -16.07 0 (0-0)
F23 Mulanje TA Mabuka MISANJO Health Post CHAM 35.48 -16.09 0 (0-0)
F24 Mulanje TA Mabuka SALAMBA Health Post CHAM 35.46 -16.11 0 (0-0)
F25 Mulanje TA Mabuka EKHAMUNO Health Post CHAM 35.46 -16.07 0 (0-0)
F26 Mulanje TA Chikumbu NGOLOWERA Health Post CHAM 35.45 -16.05 0 (0-0)
F27* Zomba TA Mwambo HUNGER Dispensary CHAM 35.47 -15.50 466 (346-613)
F28* Phalombe TA Mkhumba Waruma Health Post Government 35.55 -15.77 191 (145-249)
F29* Phalombe TA Nazombe Nambiti 2 HP Health Centre Government 35.76 -15.80 19 (14-24)
F30* Phalombe TA Nazombe Nambiti 1 HC Health Centre Government 35.78 -15.75 0 (0-0)
F31* Phalombe TA Mkhumba Holy Family Mission Hosp. District hospital CHAM 35.62 -15.82 0 (0-0)
F32* Phalombe TA Nazombe Chiringa HC Health Centre CHAM 35.76 -15.77 0 (0-0)
F33* Phalombe TA Nazombe Chiringa HC Health Centre Government 35.76 -15.77 0 (0-0)
F34* Chiradzulu STA Onga Providence Industrial Mission HC Health Centre CHAM 35.19 -15.75 0 (0-0)
F35* Chiradzulu STA Onga P.I.M HC Special Government 35.19 -15.75 0 (0-0)
F36* Thyolo STA Mbawela SANDAMA Health Post Government 35.30 -16.21 127 (88-178)
F37* Thyolo TA Kapichi Mafisi HC Clinic Company 35.25 -16.07 144 (110-183)
F38* Thyolo TA Kapichi Kumadzi Disp. Dispensary Company 35.29 -16.10 29 (23-37)
F39* Thyolo TA Ngolongoliwa SAMU Health Post Government 35.23 -15.98 0 (0-0)

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