Overview (Ntcheu)

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.

Ntcheu 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 Ntcheu, September 2020.
Total PLHIV (all ages) 31,600 (27,947–35,279)
HIV prevalence, age 15-49 years 6.7% (6.0%–7.5%)
Total patients receiving ART 58,127
Average walking time to nearest ART (minutes) 47 (45–49)
Number PLHIV > 60 minutes walking time 9,690 (8,354–11,228)
Percentage PLHIV > 60 minutes walking time 30.3% (28.3%–32.4%)

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 Ntcheu Ntcheu Boma Ntcheu District Hosp. District hospital Government 34.64 -14.82 5627
A2 Ntcheu TA Mpando Katuli HC Health centre Government 34.64 -15.03 2202
A3 Ntcheu STA Tsikulamowa Sister Theresa Community Hospital Mikoke Rural/Community CHAM 34.83 -15.00 1597
A4 Ntcheu TA Makwangwala Bilira HC Health centre Government 34.85 -14.83 1442
A5 Ntcheu TA Chakhumbira Lizulu HC Health centre Government 34.47 -14.52 1289
A6 Ntcheu TA Makwangwala Nsiyaludzu HC Health centre Government 34.87 -14.94 1129
A7 Ntcheu TA Kwataine Nsipe HC Health centre CHAM 34.75 -14.86 1059
A8 Ntcheu Ntcheu Boma Biriwiri HC Health centre Government 34.64 -14.82 1039
A9 Ntcheu TA Goodson Ganya Bwanje HC Health centre Government 34.77 -14.65 1034
A10 Ntcheu TA Njolomole Mphepozinai Disp. Dispensary Government 34.66 -14.74 782
A11 Ntcheu TA Phambala Mtonda HC Health centre CHAM 34.75 -15.02 722
A12 Ntcheu TA Goodson Ganya Kandeu HC Health centre Government 34.62 -14.60 713
A13 Ntcheu TA Goodson Ganya Sharpe Valley HC Special CHAM 34.74 -14.61 709
A14 Ntcheu TA Goodson Ganya Ganya HC Health centre CHAM 34.62 -14.61 671
A15 Ntcheu TA Kwataine Dzunje Disp. Dispensary Government 34.74 -14.81 637
A16 Ntcheu STA Tsikulamowa Senzani HC Health centre CHAM 34.86 -15.08 618
A17 Ntcheu TA Mpando Nzama HC Health centre CHAM 34.59 -14.89 612
A18 Ntcheu TA Makwangwala Chikande HC Health centre Government 34.91 -14.77 541
A19 Ntcheu TA Njolomole Lakeview HC Health centre CHAM 34.55 -14.64 540
A20 Ntcheu TA Champiti Champiti HC Health centre Government 34.73 -14.90 539
A21 Ntcheu TA Phambala Kapeni HC Health centre Government 34.77 -15.00 473
A22 Ntcheu Ntcheu Boma FPAM Clinic Ntcheu Health centre NGO 34.63 -14.81 399
A23 Ntcheu TA Njolomole Gowa Heath Centre Health centre CHAM 34.59 -14.70 389
A24 Ntcheu TA Njolomole Mlangeni HC Health centre Government 34.54 -14.68 360
A25 Ntcheu TA Mpando Tsangano HC Health centre CHAM 34.61 -15.17 350
A26 Ntcheu STA Tsikulamowa Manjawira Mat. Special Government 34.86 -15.01 336
A27 Ntcheu TA Masasa Mlanda HC Health centre CHAM 34.46 -14.48 334
A28 Ntcheu TA Masasa Masasa HC Health centre Government 34.42 -14.43 321
A29 Ntcheu TA Mpando Matanda HC Dispensary CHAM 34.67 -15.11 314
A30 Ntcheu STA Mkutumula Kalimanjira HC Health centre Government 34.91 -14.87 257
A31 Ntcheu TA Chakhumbira Chigodi HC Health centre CHAM 34.54 -14.49 213
A32 Ntcheu TA Mpando Doviko Disp. Health centre Government 34.59 -15.08 160
A33* Dedza Dedza Boma Dedza District Hosp. District hospital Government 34.33 -14.38 5282
A34* Dedza TA Kachindamoto Golomoti HC Health centre Government 34.60 -14.41 785
A35* Dedza TA Kamenya Gwaza Bembeke HC Health centre CHAM 34.42 -14.36 782
A36* Dedza TA Kachindamoto Kavuzi HC Health centre Private 34.63 -14.29 371
A37* Dedza TA Kachindamoto Mganja HC Health centre Government 34.52 -14.42 189
A38* Dedza Dedza Boma FPAM Clinic Dedza Health centre NGO 34.32 -14.39 171
A39* Mangochi TA Nankumba Malembo HC Mangochi Health centre Government 34.83 -14.24 1459
A40* Mangochi TA Chilipa Chilipa HC Mangochi Health centre Government 34.97 -14.70 1198
A41* Mangochi TA Nankumba Chipwaila HC Health centre Government 34.87 -14.47 1174
A42* Mangochi TA Nankumba Nankumba HC Health centre Government 34.82 -14.37 1097
A43* Mangochi TA Nankumba Chilonga HC Health centre Government 34.87 -14.46 571
A44* Mangochi STA Ntonda Phirilongwe HC Health centre Government 34.90 -14.59 515
A45* Balaka Balaka Town Balaka District Hosp. District hospital Government 34.95 -14.99 4272
A46* Balaka Balaka Town Balaka OPD HC Health centre Government 34.96 -14.99 2912
A47* Balaka TA Msamala Balaka Dream Clinic Special NGO 34.95 -15.00 2799
A48* Balaka STA Kachenga Mbera HC Health centre Government 35.05 -14.91 1693
A49* Balaka STA Phalula Phalula HC Health centre CHAM 34.89 -15.23 1516
A50* Balaka STA Kachenga Kapire Dream Centre Health centre NGO 35.00 -14.79 1025
A51* Balaka TA Chanthunya Kankao HC Health centre CHAM 34.92 -15.05 613
A52* Balaka Balaka Town Chimatilo HC Health centre Government 34.95 -14.99 119
A53* Neno TA Symon Likongwe Lisungwi Community Hosp. Health centre Government 34.77 -15.44 852
A54* Neno TA Dambe Msambe HC Health centre Government 34.61 -15.26 488
A55* Neno TA Symon Likongwe Midzemba HC Health centre Government 34.84 -15.35 424
A56* Neno TA Chekucheku Matandani HC Health centre Government 34.65 -15.33 412

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 Ntcheu TA Goodson Ganya Solomon Village Clinic Clinic CHAM 34.87 -14.71 538 (362-734)
F2 Ntcheu TA Mpando Dzonzi-Mvai HC Health Centre Government 34.64 -14.95 327 (225-456)
F3 Ntcheu TA Phambala Namisu Disp. Dispensary CHAM 34.78 -15.08 232 (165-321)
F4 Ntcheu TA Masasa Phanga Disp. Dispensary Government 34.72 -14.34 211 (139-316)
F5 Ntcheu TA Njolomole Muluma HC Health Centre CHAM 34.64 -14.72 165 (118-226)
F6 Ntcheu STA Tsikulamowa Machereza HP Health Post Government 34.85 -15.21 161 (102-233)
F7 Ntcheu STA Tsikulamowa Likudzi U5 Clinic HP Health Post Government 34.83 -15.11 207 (150-283)
F8 Ntcheu TA Mpando Kaloga Maternity Maternity Government 34.58 -14.91 143 (93-210)
F9 Ntcheu TA Kwataine Chiole Clinic Clinic CHAM 34.64 -14.80 41 (30-56)
F10 Ntcheu TA Njolomole Kampanje Maternity Special Government 34.59 -14.60 35 (24-48)
F11 Ntcheu Ntcheu Boma BLM Ntcheu Special Private 34.63 -14.81 4 (3-5)
F12 Ntcheu STA Tsikulamowa Matchereza HP Health Post Government 34.85 -15.21 161 (102-233)
F13* Dedza Dedza Boma BLM Dedza Special NGO 34.33 -14.38 2 (1-3)
F14* Balaka STA Kachenga Nambira HP Health Post Government 35.06 -14.80 368 (244-512)
F15* Balaka TA Chanthunya NYANYALA Health Post CHAM 34.92 -15.19 186 (136-248)
F16* Balaka TA Msamala BULEYA Health Post CHAM 34.93 -15.02 19 (15-24)
F17* Balaka Balaka Town BLM Balaka Special NGO 34.96 -14.99 0 (0-0)
F18* Balaka STA Kachenga Kapire HC Health Centre CHAM 35.00 -14.79 0 (0-0)
F19* Balaka TA Msamala Comfort Clinic Health Centre CHAM 34.95 -15.00 0 (0-0)
F20* Neno TA Symon Likongwe Mota-Engil Clinic - Mkwinda Ca Clinic Company 34.82 -15.41 628 (448-827)

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