Overview (Nkhotakota)

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.

Nkhotakota 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 Nkhotakota, September 2020.
Total PLHIV (all ages) 16,025 (13,700–18,652)
HIV prevalence, age 15-49 years 5.9% (5.0%–6.8%)
Total patients receiving ART 17,861
Average walking time to nearest ART (minutes) 47 (45–49)
Number PLHIV > 60 minutes walking time 5,095 (4,295–5,964)
Percentage PLHIV > 60 minutes walking time 31.5% (29.5%–33.9%)

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 Nkhotakota Nkhotakota Boma Nkhotakota District Hosp. District hospital Government 34.29 -12.93 2619
A2 Nkhotakota TA Kanyenda Dwangwa Matiki Clinic Special Private 34.15 -12.50 1636
A3 Nkhotakota Nkhotakota Boma St Anne’s Mission Hosp. District hospital CHAM 34.30 -12.93 1322
A4 Nkhotakota TA Kanyenda Nkhunga HC Health centre Government 34.11 -12.48 1066
A5 Nkhotakota TA Mwadzama Alinafe Community Hosp. Rural/Community CHAM 34.24 -13.39 897
A6 Nkhotakota TA Kafuzila Dwambazi Rural Hosp. Rural/Community Government 33.99 -12.23 690
A7 Nkhotakota TA Kanyenda Katowo HC Health centre Government 34.22 -12.76 686
A8 Nkhotakota TA Kanyenda Ngala HC Health centre Government 34.07 -12.37 600
A9 Nkhotakota TA Mwadzama Kapili HC Health centre CHAM 34.31 -13.22 533
A10 Nkhotakota TA Kanyenda Msenjere HC Health centre Government 34.17 -12.73 523
A11 Nkhotakota TA Kanyenda Liwaladzi HC Health centre CHAM 34.17 -12.62 489
A12 Nkhotakota TA Mwadzama Mwansambo HC Health centre Government 34.13 -13.50 334
A13 Nkhotakota TA Kanyenda Dwangwa Cane Growers Association Clinic Health centre Private 34.12 -12.52 311
A14 Nkhotakota TA Mphonde Bua HC Health centre Government 34.21 -12.80 281
A15 Nkhotakota TA Mwadzama Malowa HC Health centre Government 34.25 -13.18 277
A16 Nkhotakota TA Malenga Chanzi Mpamantha HC Health centre Government 34.25 -13.07 211
A17 Nkhotakota STA Kalimanjira Chididi HC Nkhotakota Health centre CHAM 34.31 -13.09 187
A18 Nkhotakota TA Mwadzama Benga HC Health centre Government 34.27 -13.37 158
A19 Nkhotakota TA Mwadzama Mtosa HC Health centre Government 34.27 -13.44 151
A20 Nkhotakota Nkhotakota Boma World Medical Fund Other hospital NGO 34.28 -12.92 100
A21* Nkhatabay TA Zilakoma Liuzi HC Health centre Government 34.02 -12.19 505
A22* Mzimba South TA Khosolo Gwaza Jere Mkoma HC Health centre Government 33.78 -12.61 238
A23* Mzimba South TA Khosolo Gwaza Jere Kabuwa HC Health centre Government 34.07 -12.52 214
A24* Mzimba South TA Khosolo Gwaza Jere Khosolo HC Health centre Government 33.79 -12.44 152
A25* Mzimba South TA Mzikubola Hoho HC Health centre Government 33.69 -12.28 128
A26* Mzimba South TA Mzikubola Luwawa HC Health centre Government 33.72 -12.11 103
A27* Mzimba South TA Khosolo Gwaza Jere Msese HC Health centre Government 33.74 -12.36 74
A28* Kasungu TA Kapelula Kapelula HC Health centre Government 33.87 -12.88 353
A29* Kasungu TA Wimbe St Augustine HC Health centre CHAM 33.78 -12.92 192
A30* Kasungu TA Wimbe St Faith Anglican Clinic Health centre CHAM 33.80 -12.93 169
A31* Kasungu STA Mdunga Mdunga HC Health centre Government 33.85 -12.99 132
A32* Ntchisi TA Chilooko Malomo HC Health centre Government 33.84 -13.15 890
A33* Ntchisi TA Kasakula Kangolwa HC Health centre Government 34.07 -13.37 323
A34* Ntchisi TA Nthondo Nthondo HC Health centre Government 34.02 -13.25 215
A35* Ntchisi TA Chikho Mzandu HC Health centre Government 34.03 -13.49 130
A36* Ntchisi TA Nthondo Mndinda HC Health centre Government 34.06 -13.25 12
A37* Salima TA Khombedza Thavite HC Health centre CHAM 34.26 -13.50 583
A38* Salima TA Mwanza Makiyoni HC Health centre Government 34.20 -13.59 377

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 Nkhotakota TA Kanyenda Kawongozi HC Health Centre Government 34.05 -12.44 268 (176-384)
F2 Nkhotakota TA Kanyenda Ukasi Clinic Clinic Company 34.16 -12.53 156 (107-220)
F3 Nkhotakota TA Kanyenda Matiki HC Health Centre Private 34.15 -12.50 80 (52-117)
F4 Nkhotakota TA Kanyenda Kasasa Clinic Clinic Company 34.12 -12.54 65 (43-94)
F5 Nkhotakota Nkhotakota Boma BLM Nkhotakota Special NGO 34.28 -12.92 43 (29-62)
F6 Nkhotakota TA Kanyenda Nyamvuu Clinic Clinic Company 34.14 -12.48 25 (17-35)
F7 Nkhotakota Nkhotakota Boma NASO (Nkhotakota Aids Support Clinic NGO 34.28 -12.93 43 (29-62)
F8 Nkhotakota TA Kanyenda Central 3 Clinic Clinic Company 34.13 -12.50 0 (0-0)
F9 Nkhotakota TA Kanyenda BLM Dwangwa Special NGO 34.11 -12.51 0 (0-0)
F10* Mzimba South TA Mzikubola LUVIRI Health Post Government 33.67 -12.20 231 (130-360)
F11* Mzimba South TA Khosolo Gwaza Jere MGOZA Health Post Government 33.83 -12.67 116 (61-192)
F12* Mzimba South TA Khosolo Gwaza Jere LUPACHI Health Post Government 33.78 -12.32 48 (26-79)
F13* Kasungu TA Wimbe Kapyanga HP Health Post Government 33.79 -12.82 169 (95-284)
F14* Kasungu TA Wimbe Chamama HC Health Centre Government 33.78 -12.92 0 (0-0)
F15* Ntchisi TA Nthondo Mndinda Disp. Dispensary Government 34.06 -13.25 0 (0-0)
F16* Dowa TA Msakambewa MATEKENYA Dispensary Government 34.05 -13.56 177 (121-251)

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