Overview (Mzimba North)

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.

Mzimba North 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 Mzimba North, September 2020.
Total PLHIV (all ages) 11,207 (9,274–13,134)
HIV prevalence, age 15-49 years 5.8% (4.8%–6.7%)
Total patients receiving ART 34,981
Average walking time to nearest ART (minutes) 55 (53–57)
Number PLHIV > 60 minutes walking time 4,383 (3,590–5,287)
Percentage PLHIV > 60 minutes walking time 39.2% (36.8%–41.8%)

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 Mzimba North TA Mtwalo Ekwendeni Mission Hosp. District hospital CHAM 33.88 -11.20 2816
A2 Mzimba North TA Mpherembe Mpherembe HC Health centre Government 33.61 -11.29 813
A3 Mzimba North TA Mtwalo Engucwini HP Health post Government 33.82 -11.20 630
A4 Mzimba North TA Mpherembe Thunduwike HC Health centre Government 33.58 -11.18 593
A5 Mzimba North TA Mtwalo Kafukule HC Health centre Government 33.63 -11.46 528
A6 Mzimba North TA Mtwalo Enukweni HC Health centre Government 33.89 -11.18 424
A7 Mzimba North TA Mtwalo Kamwe HC Health centre Government 33.79 -11.10 406
A8 Mzimba North TA Mtwalo Mtwalo HC Health centre Government 33.75 -11.40 286
A9 Mzimba North TA Jaravikuba Munthali Bwengu HC Health centre Government 33.92 -11.06 278
A10 Mzimba North TA Mpherembe Kabwafu HC Health centre Government 33.53 -11.31 266
A11 Mzimba North TA Jaravikuba Munthali Luzi HC Health centre Government 33.96 -11.00 264
A12 Mzimba North TA Mtwalo Khuyukuyu HC Health centre Government 33.91 -11.22 238
A13 Mzimba North TA Mtwalo Emsizini HC Health centre Private 33.82 -11.44 222
A14 Mzimba North TA Mpherembe Manolo HC Health centre Government 33.61 -11.29 211
A15 Mzimba North TA Mtwalo Kaweche HC Health centre Government 33.87 -11.34 199
A16 Mzimba North TA Mtwalo Choma HC Health centre Government 33.99 -11.31 171
A17 Mzimba North TA Mpherembe Malidadi HC Health centre Government 33.50 -11.23 166
A18 Mzimba North TA Mtwalo Njuyu HC Health centre Government 33.63 -11.46 145
A19 Mzimba North TA Mtwalo Luvwere HC Health centre Government 33.67 -11.39 139
A20 Mzimba North TA Mtwalo Enukweni Mission HC Health centre CHAM 33.89 -11.18 102
A21* Nkhatabay TA Timbiri Chisala HC Health centre Government 34.12 -11.57 310
A22* Nkhatabay TA Timbiri Luwazi HC Health centre CHAM 34.15 -11.52 197
A23* Nkhatabay STA Nyaluwanga Chikwina HC Health centre Government 34.17 -11.40 159
A24* Nkhatabay TA M’bwana Bula HC Health centre Government 34.12 -11.22 80
A25* Rumphi Rumphi Boma Rumphi District Hosp. District hospital Government 33.85 -11.02 2914
A26* Rumphi TA Chikulamayembe Bolero Rural Hosp. Rural/Community Government 33.74 -10.98 1486
A27* Rumphi TA Katumbi Katsekera HC Health centre Government 33.52 -10.81 1048
A28* Rumphi TA Mwahenga Mhuju Rural Hosp. Rural/Community Government 34.00 -10.87 622
A29* Rumphi TA Chikulamayembe Mwazisi HC Health centre Government 33.58 -10.94 420
A30* Rumphi TA Mwankhunikira Mzokoto HC Health centre Government 34.03 -10.91 327
A31* Rumphi TA Mwankhunikira Mphompha HC Health centre Government 34.07 -11.01 201
A32* Rumphi STA Chisovya Ng’onga HC Health centre Government 33.94 -10.94 174
A33* Rumphi TA Mwankhunikira Nthenje Disp. Dispensary CHAM 33.99 -10.92 129
A34* Rumphi Rumphi Boma BLM Rumphi Special NGO 33.86 -11.02 54
A35* Mzimba South TA Kampingo Sibande Lunjika HC Health centre CHAM 33.69 -11.76 399
A36* Mzimba South TA Chindi Mzambazi Community Hosp. Rural/Community CHAM 33.43 -11.43 389
A37* Mzimba South TA Chindi Mbalachanda HC Health centre Government 33.37 -11.36 338
A38* Mzimba South TA Chindi Mzalangwe HC Health centre Government 33.57 -11.61 273
A39* Mzimba South TA Chindi Mtende HC Health centre Government 33.55 -11.50 187
A40* Mzimba South TA Kampingo Sibande Matuli HC Health centre Government 33.90 -11.49 103
A41* Mzuzu City Luwinga Ward Mzuzu Central Hosp. Central hospital Government 34.00 -11.43 5402
A42* Mzuzu City Masasa Ward Mzuzu HC Health centre Government 34.01 -11.46 3877
A43* Mzuzu City Katawa Ward St John’s Mission Hosp. District hospital CHAM 34.03 -11.45 2781
A44* Mzuzu City Masasa Ward MACRO Mzuzu Special NGO 34.01 -11.47 2729
A45* Mzuzu City Jombo - Kaning’ina Ward Moyale Barracks HC Special Other 34.04 -11.46 672
A46* Mzuzu City Nkhorongo - Lupaso Ward Nkhorongo HC Health centre CHAM 33.98 -11.39 425
A47* Mzuzu City Masasa Ward Mzuzu Central Prison Special Other 34.02 -11.46 179
A48* Mzuzu City Masasa Ward FPAM Clinic Mzuzu Health centre NGO 34.02 -11.46 125
A49* Mzuzu City Jombo - Kaning’ina Ward St John of God Clinic Special CHAM 34.01 -11.46 84

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 Mzimba North TA Mtwalo MADISE I Health Post Government 33.78 -11.26 275 (163-428)
F2 Mzimba North TA Mtwalo Ekwaiweni Disp. Dispensary Government 33.90 -11.42 206 (143-281)
F3 Mzimba North TA Mtwalo KAPANGAMAWE Health Post Government 33.68 -11.45 90 (56-133)
F4 Mzimba North TA Mtwalo CHILUKWA Health Post CHAM 33.82 -11.29 164 (104-246)
F5 Mzimba North TA Mtwalo GOWOKA Health Post Government 33.63 -11.52 81 (52-124)
F6 Mzimba North TA Jaravikuba Munthali KATOPE Health Post Government 34.01 -11.07 75 (48-112)
F7 Mzimba North TA Mtwalo ST ANNE’S Health Post Government 33.59 -11.49 42 (28-60)
F8 Mzimba North TA Jaravikuba Munthali CHOLOLO Health Post Government 33.97 -11.01 35 (22-53)
F9 Mzimba North TA Mtwalo KAMANDA Health Post Government 34.03 -11.15 22 (12-36)
F10 Mzimba North TA Mtwalo Nkhuyukuyu HC Health Centre Government 33.91 -11.22 20 (13-29)
F11 Mzimba North TA Mtwalo CHAGOMA Health Post Government 33.81 -11.21 65 (38-101)
F12* Rumphi Nyika National Park THAZIMA Health Post Government 33.59 -10.83 151 (95-230)
F13* Rumphi TA Mwankhunikira PHUNO Health Post Government 34.07 -11.03 10 (6-15)
F14* Rumphi Rumphi Boma St Patricks HC Health Centre CHAM 33.87 -11.02 0 (0-0)
F15* Mzimba South TA Kampingo Sibande Lusangazi Disp. Dispensary Government 33.94 -11.50 304 (206-415)
F16* Mzimba South TA Kampingo Sibande MPHOFWA Health Post Government 33.62 -11.68 210 (137-304)
F17* Mzuzu City Zolozolo East Ward Zolozolo HP Health Post Government 34.02 -11.44 6 (4-8)
F18* Mzuzu City Masasa Ward Escom, Mzuzu Clinic Government 34.02 -11.46 0 (0-0)
F19* Mzuzu City Katawa Ward Mary Mount Clinic Clinic CHAM 34.04 -11.44 6 (4-8)
F20* Mzuzu City Luwinga Ward Mzuzu Sobo Clinic Clinic Company 34.01 -11.42 0 (0-0)
F21* Mzuzu City Jombo - Kaning’ina Ward Mzuzu Police Clinic Special Other 34.02 -11.46 0 (0-0)
F22* Mzuzu City Jombo - Kaning’ina Ward BLM Mzuzu Special NGO 34.02 -11.46 0 (0-0)

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