Overview (Nkhatabay)

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.

Nkhatabay 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 Nkhatabay, September 2020.
Total PLHIV (all ages) 14,362 (12,039–17,096)
HIV prevalence, age 15-49 years 7.1% (6.0%–8.5%)
Total patients receiving ART 33,447
Average walking time to nearest ART (minutes) 66 (63–70)
Number PLHIV > 60 minutes walking time 5,723 (4,808–6,687)
Percentage PLHIV > 60 minutes walking time 41.7% (39.4%–43.9%)

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 Nkhatabay TA Kabunduli Kawale HC Health centre Government 34.11 -11.64 4200
A2 Nkhatabay Nkhatabay Boma Nkhatabay District Hosp. District hospital Government 34.30 -11.60 3195
A3 Nkhatabay TA Malanda Chintheche Rural Hosp. Rural/Community Government 34.17 -11.83 2054
A4 Nkhatabay TA Fukamapiri Kande HC Health centre Government 34.11 -11.94 664
A5 Nkhatabay TA Fukamapiri Kachere HC Health centre Government 34.05 -12.00 661
A6 Nkhatabay TA Timbiri Mpamba HC Health centre Government 34.20 -11.55 579
A7 Nkhatabay TA Fukamalaza Maula HC Health centre Government 34.24 -11.73 557
A8 Nkhatabay TA Zilakoma Liuzi HC Health centre Government 34.02 -12.19 505
A9 Nkhatabay TA M’bwana Usisya HC Health centre Government 34.21 -11.24 486
A10 Nkhatabay TA Kabunduli Mzenga HC Health centre Government 34.08 -11.73 333
A11 Nkhatabay TA Mankhambira Chilambwe HC Health centre CHAM 34.32 -11.69 313
A12 Nkhatabay TA Timbiri Chisala HC Health centre Government 34.12 -11.57 310
A13 Nkhatabay TA Timbiri Luwazi HC Health centre CHAM 34.15 -11.52 197
A14 Nkhatabay STA Nyaluwanga Chikwina HC Health centre Government 34.17 -11.40 159
A15 Nkhatabay TA Kabunduli Nthungwa HC Health centre Government 33.80 -11.66 155
A16 Nkhatabay TA Kabunduli Chitheka HC Health centre Government 33.95 -11.70 106
A17 Nkhatabay TA M’bwana Bula HC Health centre Government 34.12 -11.22 80
A18 Nkhatabay TA Kabunduli Chesamu HC Health centre Government 34.02 -11.85 31
A19* Rumphi TA Mwankhunikira Mphompha HC Health centre Government 34.07 -11.01 201
A20* Mzimba North TA Mtwalo Khuyukuyu HC Health centre Government 33.91 -11.22 238
A21* Mzimba North TA Mtwalo Emsizini HC Health centre Private 33.82 -11.44 222
A22* Mzimba North TA Mtwalo Choma HC Health centre Government 33.99 -11.31 171
A23* Mzimba South TA Kampingo Sibande Lunjika HC Health centre CHAM 33.69 -11.76 399
A24* Mzimba South TA Kampingo Sibande Chikangawa HC Health centre Other 33.80 -11.84 245
A25* Mzimba South TA Kampingo Sibande Raiply Clinic Health centre Private 33.76 -11.92 216
A26* Mzimba South TA Mzikubola Luwawa HC Health centre Government 33.72 -12.11 103
A27* Mzimba South TA Kampingo Sibande Matuli HC Health centre Government 33.90 -11.49 103
A28* Mzuzu City Luwinga Ward Mzuzu Central Hosp. Central hospital Government 34.00 -11.43 5402
A29* Mzuzu City Masasa Ward Mzuzu HC Health centre Government 34.01 -11.46 3877
A30* Mzuzu City Katawa Ward St John’s Mission Hosp. District hospital CHAM 34.03 -11.45 2781
A31* Mzuzu City Masasa Ward MACRO Mzuzu Special NGO 34.01 -11.47 2729
A32* Mzuzu City Jombo - Kaning’ina Ward Moyale Barracks HC Special Other 34.04 -11.46 672
A33* Mzuzu City Nkhorongo - Lupaso Ward Nkhorongo HC Health centre CHAM 33.98 -11.39 425
A34* Mzuzu City Masasa Ward Mzuzu Central Prison Special Other 34.02 -11.46 179
A35* Mzuzu City Masasa Ward FPAM Clinic Mzuzu Health centre NGO 34.02 -11.46 125
A36* Mzuzu City Jombo - Kaning’ina Ward St John of God Clinic Special CHAM 34.01 -11.46 84
A37* Nkhotakota TA Kafuzila Dwambazi Rural Hosp. Rural/Community Government 33.99 -12.23 690

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 Nkhatabay TA Mankhambira Vizara Plantation Private Special Private 34.26 -11.67 472 (323-658)
F2 Nkhatabay TA Zilakoma TUKOMBO Health Post Government 34.05 -12.08 227 (138-360)
F3 Nkhatabay TA Timbiri Chombe Estate Disp. Dispensary Company 34.21 -11.65 416 (281-583)
F4 Nkhatabay TA Timbiri Thoto Disp. Dispensary Government 34.28 -11.45 66 (34-106)
F5 Nkhatabay TA Fukamapiri Mwaya Disp. Dispensary Government 34.08 -11.98 52 (37-72)
F6 Nkhatabay Nkhatabay Boma BLM Nkhatabay Special NGO 34.30 -11.61 76 (54-104)
F7 Nkhatabay TA Kabunduli Kawalazi Estate Clinic Clinic Company 34.11 -11.64 0 (0-0)
F8 Nkhatabay TA Boghoyo Ruarwe Disp. Dispensary Government 34.23 -11.11 0 (0-0)
F9 Nkhatabay TA Kabunduli Kawalazi Plantataion Private Special Private 34.11 -11.64 0 (0-0)
F10* Rumphi TA Mwankhunikira PHUNO Health Post Government 34.07 -11.03 10 (6-15)
F11* Rumphi STA Chapinduka Tcharo Disp. Dispensary CHAM 34.22 -10.96 0 (0-0)
F12* Mzimba North TA Mtwalo Ekwaiweni Disp. Dispensary Government 33.90 -11.42 206 (143-281)
F13* Mzimba North TA Jaravikuba Munthali KATOPE Health Post Government 34.01 -11.07 75 (48-112)
F14* Mzimba North TA Mtwalo KAMANDA Health Post Government 34.03 -11.15 22 (12-36)
F15* Mzimba North TA Mtwalo Nkhuyukuyu HC Health Centre Government 33.91 -11.22 20 (13-29)
F16* Mzimba South TA Kampingo Sibande Lusangazi Disp. Dispensary Government 33.94 -11.50 304 (206-415)
F17* Mzimba South TA Kampingo Sibande MPHOFWA Health Post Government 33.62 -11.68 210 (137-304)
F18* Mzuzu City Zolozolo East Ward Zolozolo HP Health Post Government 34.02 -11.44 6 (4-8)
F19* Mzuzu City Masasa Ward Escom, Mzuzu Clinic Government 34.02 -11.46 0 (0-0)
F20* Mzuzu City Katawa Ward Mary Mount Clinic Clinic CHAM 34.04 -11.44 6 (4-8)
F21* Mzuzu City Luwinga Ward Mzuzu Sobo Clinic Clinic Company 34.01 -11.42 0 (0-0)
F22* Mzuzu City Jombo - Kaning’ina Ward Mzuzu Police Clinic Special Other 34.02 -11.46 0 (0-0)
F23* Mzuzu City Jombo - Kaning’ina Ward BLM Mzuzu Special NGO 34.02 -11.46 0 (0-0)

Copyright © 2022 Imperial College London. MRC Centre for Global Infectious Disease Analysis. All rights reserved.