Overview (Rumphi)

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.

Rumphi 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 Rumphi, September 2020.
Total PLHIV (all ages) 9,712 (8,008–11,685)
HIV prevalence, age 15-49 years 6.0% (4.9%–7.2%)
Total patients receiving ART 10,824
Average walking time to nearest ART (minutes) 53 (49–58)
Number PLHIV > 60 minutes walking time 3,164 (2,567–3,865)
Percentage PLHIV > 60 minutes walking time 33.2% (29.7%–36.7%)

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 Rumphi Rumphi Boma Rumphi District Hosp. District hospital Government 33.85 -11.02 2914
A2 Rumphi TA Chikulamayembe Bolero Rural Hosp. Rural/Community Government 33.74 -10.98 1486
A3 Rumphi TA Katumbi Katsekera HC Health centre Government 33.52 -10.81 1048
A4 Rumphi TA Mwahenga Mhuju Rural Hosp. Rural/Community Government 34.00 -10.87 622
A5 Rumphi TA Chikulamayembe Mwazisi HC Health centre Government 33.58 -10.94 420
A6 Rumphi TA Mwankhunikira Mzokoto HC Health centre Government 34.03 -10.91 327
A7 Rumphi TA Mwalweni Livingstonia Mission Hosp. District hospital CHAM 34.11 -10.60 313
A8 Rumphi TA Mwalweni Chitimba HC Health centre Government 34.17 -10.60 279
A9 Rumphi TA Mwamlowe Mlowe HC Health centre CHAM 34.19 -10.76 265
A10 Rumphi TA Mwalweni Luwuchi HC Health centre CHAM 34.19 -10.68 225
A11 Rumphi TA Mwankhunikira Mphompha HC Health centre Government 34.07 -11.01 201
A12 Rumphi STA Kachulu Lura HC Health centre Government 34.04 -10.72 179
A13 Rumphi STA Chisovya Ng’onga HC Health centre Government 33.94 -10.94 174
A14 Rumphi TA Mwankhunikira Nthenje Disp. Dispensary CHAM 33.99 -10.92 129
A15 Rumphi Rumphi Boma BLM Rumphi Special NGO 33.86 -11.02 54
A16* Karonga TA Wasambo Fulirwa HC Health centre Government 34.11 -10.45 249
A17* Karonga TA Wasambo Sangilo HC Health centre CHAM 34.21 -10.52 241
A18* Karonga TA Wasambo Lwezga HC Health centre Government 34.18 -10.57 157
A19* Mzimba North TA Mpherembe Thunduwike HC Health centre Government 33.58 -11.18 593
A20* Mzimba North TA Mtwalo Kamwe HC Health centre Government 33.79 -11.10 406
A21* Mzimba North TA Jaravikuba Munthali Bwengu HC Health centre Government 33.92 -11.06 278
A22* Mzimba North TA Jaravikuba Munthali Luzi HC Health centre Government 33.96 -11.00 264

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 Rumphi Nyika National Park THAZIMA Health Post Government 33.59 -10.83 151 (95-230)
F2 Rumphi TA Mwalweni Jalawe HC Health Centre Government 34.16 -10.73 144 (93-213)
F3 Rumphi TA Mwalweni NKHOMBOLI Health Post Government 34.04 -10.78 121 (74-183)
F4 Rumphi TA Mwamlowe Zunga HP Health Post CHAM 34.21 -10.85 64 (34-105)
F5 Rumphi TA Katumbi Chisimuka HC Health Centre Government 33.56 -10.77 43 (23-71)
F6 Rumphi TA Mwankhunikira Phwezi Private Clinic Clinic NGO 34.04 -10.89 34 (21-50)
F7 Rumphi STA Kachulu KASONKHWE Health Post Government 34.08 -10.73 25 (16-37)
F8 Rumphi TA Mwalweni Mchenga Clinic Clinic Company 34.14 -10.70 91 (59-134)
F9 Rumphi TA Mwankhunikira PHUNO Health Post Government 34.07 -11.03 10 (6-15)
F10 Rumphi TA Mwalweni Khondowe HC Health Centre Government 34.17 -10.59 4 (2-5)
F11 Rumphi Nyika National Park Chilinda Health Post Government 33.81 -10.59 4 (2-8)
F12 Rumphi STA Chapinduka Tcharo Disp. Dispensary CHAM 34.22 -10.96 0 (0-0)
F13 Rumphi Rumphi Boma St Patricks HC Health Centre CHAM 33.87 -11.02 0 (0-0)
F14* Karonga TA Wasambo Hara Disp. Dispensary Government 34.17 -10.49 405 (283-575)
F15* Karonga TA Wasambo Wovwe Escom Clinic Clinic Company 34.08 -10.44 2 (1-3)
F16* Karonga Nyika National Park-Karonga Wovwe HP Health Post Government 34.09 -10.56 0 (0-0)
F17* Karonga TA Wasambo Sangiro HC Health Centre CHAM 34.21 -10.52 0 (0-0)
F18* Nkhatabay TA Boghoyo Ruarwe Disp. Dispensary Government 34.23 -11.11 0 (0-0)
F19* Mzimba North TA Jaravikuba Munthali KATOPE Health Post Government 34.01 -11.07 75 (48-112)
F20* Mzimba North TA Jaravikuba Munthali CHOLOLO Health Post Government 33.97 -11.01 35 (22-53)
F21* Mzimba North TA Mtwalo KAMANDA Health Post Government 34.03 -11.15 22 (12-36)

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