Overview (Zomba)

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.

Zomba 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 Zomba, September 2020.
Total PLHIV (all ages) 58,753 (52,941–65,337)
HIV prevalence, age 15-49 years 11.6% (10.4%–12.9%)
Total patients receiving ART 111,934
Average walking time to nearest ART (minutes) 44 (41–47)
Number PLHIV > 60 minutes walking time 8,730 (7,477–10,088)
Percentage PLHIV > 60 minutes walking time 14.9% (13.6%–16.6%)

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 Zomba TA Mwambo Pirimiti HC Health centre CHAM 35.45 -15.48 4592
A2 Zomba TA Malemia St Lukes Mission Hosp. District hospital CHAM 35.35 -15.21 3715
A3 Zomba TA Mwambo Likangala HC Health centre Government 35.54 -15.43 3482
A4 Zomba TA Mwambo Matiya HC Health centre CHAM 35.55 -15.53 2643
A5 Zomba TA Malemia Domasi Rural Hosp. Rural/Community Government 35.40 -15.28 2381
A6 Zomba TA Mbiza Mayaka HC Health centre CHAM 35.37 -15.57 2134
A7 Zomba TA Mlumbe Thondwe HC Health centre Government 35.24 -15.48 1878
A8 Zomba TA Mlumbe Chipini HC Health centre CHAM 35.10 -15.39 1667
A9 Zomba STA Nkagula Makwapala HC Health centre Government 35.46 -15.37 1667
A10 Zomba STA Ngwelero Ngwelero HC Health centre Government 35.43 -15.67 1508
A11 Zomba TA Kuntumanji Namasalima HC Zomba Health centre Government 35.49 -15.23 1438
A12 Zomba TA Kuntumanji Bimbi HC Health centre Government 35.48 -15.31 1319
A13 Zomba TA Mwambo Chamba HC Health centre Government 35.52 -15.47 1287
A14 Zomba TA Chikowi Lambulira HC Health centre Government 35.34 -15.48 1249
A15 Zomba STA Ntholowa Nasawa HC Health centre Government 35.26 -15.60 1234
A16 Zomba STA Ntholowa Magomero HC Health centre CHAM 35.26 -15.56 1221
A17 Zomba TA Malemia Naisi HC Health centre Government 35.39 -15.36 1125
A18 Zomba TA Mlumbe Chingale HC Health centre Government 35.18 -15.40 933
A19 Zomba TA Mlumbe Namikango HC Health centre CHAM 35.24 -15.48 898
A20 Zomba STA Nkapita Nkasala HC Health centre Government 35.22 -15.33 825
A21 Zomba TA Mlumbe Chilipa HC Zomba Health centre CHAM 35.12 -15.32 665
A22 Zomba TA Malemia Machinjiri HC Health centre Government 35.42 -15.23 560
A23 Zomba STA Nkapita Mmambo HC Health centre Government 35.16 -15.26 551
A24 Zomba TA Mlumbe Mwandama HC Health centre Government 35.19 -15.50 484
A25 Zomba TA Mlumbe Changalume Barracks Clinic Special Other 35.21 -15.39 385
A26 Zomba TA Mlumbe Namadidi HC Health centre Government 35.25 -15.41 359
A27 Zomba TA Mlumbe Maera HC Health centre Government 35.13 -15.51 256
A28 Zomba TA Malemia H. Parker Sharp HC (Domasi CCAP) Health centre CHAM 35.36 -15.30 237
A29* Machinga TA Nkula Gawanani HC Health centre CHAM 35.20 -15.22 927
A30* Machinga TA Mposa Mposa HC Health centre CHAM 35.52 -15.15 857
A31* Machinga Machinga Boma Machinga HC Health centre Government 35.30 -15.18 689
A32* Machinga TA Chamba Chamba Disp. Dispensary Government 35.42 -15.20 501
A33* Mulanje TA Nkanda Mulomba HC Health centre Government 35.51 -15.77 1594
A34* Mulanje TA Juma Mkomaola HC Health centre Government 35.37 -15.72 478
A35* Phalombe TA Chiwalo Nambazo HC Health centre Government 35.82 -15.56 4655
A36* Phalombe TA Jenala Chitekesa HC Health centre Government 35.57 -15.55 2828
A37* Phalombe TA Jenala Nkhwayi HC Health centre Government 35.63 -15.61 1847
A38* Phalombe TA Jenala Mwanga HC Health centre CHAM 35.53 -15.65 1134
A39* Balaka TA Nkaya Utale 2 HC Health centre Government 35.07 -15.17 879
A40* Balaka TA Nkaya Phimbi HC Health centre Government 35.11 -15.25 807
A41* Balaka TA Nkaya Utale 1 HC Health centre CHAM 35.06 -15.18 413
A42* Zomba City Chambo Ward Zomba Central Hosp. Central hospital Government 35.31 -15.40 7213
A43* Zomba City Chirunga Ward Matawale HC Health centre Government 35.36 -15.39 3762
A44* Zomba City Zomba Central Ward Police College Hospital Zomba Rural/Community Other 35.33 -15.39 1352
A45* Zomba City Mtiya Ward Cobbe Barracks Hosp. Health centre Other 35.30 -15.39 1318
A46* Zomba City Zomba Central Ward City Clinic Zomba Health centre Government 35.32 -15.39 1317
A47* Zomba City Sadzi Ward Sadzi HC Health centre Government 35.32 -15.41 1051
A48* Zomba City Zomba Central Ward Zomba Central Prison Clinic Health centre Other 35.32 -15.40 742
A49* Zomba City Mtiya Ward Zilindo HC Health centre Government 35.30 -15.38 255
A50* Zomba City Zomba Central Ward BLM Zomba Special NGO 35.32 -15.39 157
A51* Zomba City Mbedza Ward Zomba Mental Hosp. Special Government 35.30 -15.40 79
A52* Chiradzulu Chiradzulu Boma Chiradzulu District Hosp. District hospital Government 35.19 -15.70 6637
A53* Chiradzulu STA Sandareki Milepa HC Health centre Government 35.32 -15.69 3946
A54* Chiradzulu TA Mpama Namadzi HC Health centre Government 35.19 -15.55 2934
A55* Chiradzulu TA Kadewere Chileka HC Blantyre Health centre Government 35.24 -15.68 2686
A56* Chiradzulu TA Mpama Mbulumbuzi HC Health centre Government 35.16 -15.64 2680
A57* Chiradzulu TA Kadewere Ndunde HC Health centre Government 35.23 -15.70 2390
A58* Chiradzulu TA Kadewere Thumbwe HC Health centre Government 35.25 -15.77 2338
A59* Chiradzulu STA Sandareki Mauwa HC Health centre Government 35.25 -15.65 2323
A60* Chiradzulu TA Chitera Chimvu HC Health post Government 35.12 -15.61 1169
A61* Chiradzulu TA Chitera Chitera HC Health centre Government 35.12 -15.61 1076
A62* Blantyre TA Makata Makhetha Clinic Dispensary Government 35.08 -15.63 1729
A63* Blantyre TA Lundu Lirangwe HC Health centre Government 35.03 -15.53 1714
A64* Blantyre TA Chigaru Mdeka HC Health centre Government 34.94 -15.47 1588
A65* Blantyre TA Chigaru Lundu HC Health centre Government 35.01 -15.42 1057
A66* Blantyre TA Makata Makata HC Lunzu Health centre Government 35.08 -15.63 760
A67* Blantyre TA Lundu Namikoko HC Dispensary Government 35.07 -15.49 466
A68* Neno TA Symon Likongwe Matope HC Health centre CHAM 34.95 -15.35 893

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 Zomba TA Mwambo Mikuyu Adult Clinic Special Government 35.42 -15.42 639 (493-804)
F2 Zomba TA Mkumbira Chisi HC Health Centre Government 35.61 -15.33 598 (364-939)
F3 Zomba TA Mkumbira LUNGAZI Health Post Government 35.85 -15.42 533 (245-968)
F4 Zomba TA Mwambo HUNGER Dispensary CHAM 35.47 -15.50 466 (346-613)
F5 Zomba TA Mkumbira CHINGUMA Health Post Government 35.80 -15.23 409 (197-727)
F6 Zomba TA Mwambo NAMALITHA Dispensary Other 35.49 -15.43 347 (265-439)
F7 Zomba TA Malemia Zomba Forestry Disp. Dispensary Other 35.29 -15.36 35 (27-45)
F8 Zomba TA Mkumbira NGOTANGOTA Health Post Government 35.82 -15.30 33 (15-60)
F9 Zomba STA Nkagula Airwing Disp. Dispensary Government 35.39 -15.39 233 (175-303)
F10 Zomba TA Mlumbe Thondwe Pastoral Centre Health Centre CHAM 35.22 -15.49 0 (0-0)
F11 Zomba TA Malemia H Parker Sharp Disp. Health Centre CHAM 35.36 -15.30 0 (0-0)
F12 Zomba TA Malemia Compassionate Mission Clinic Clinic NGO 35.39 -15.32 0 (0-0)
F13* Mulanje TA Juma KAMWENDO Health Post Government 35.48 -15.67 408 (311-513)
F14* Balaka TA Msamala DZIWE Health Post Government 35.14 -15.10 486 (348-638)
F15* Balaka TA Nkaya NJERENJE Health Post Government 35.05 -15.24 248 (176-334)
F16* Zomba City Mtiya Ward State House Disp. Dispensary Government 35.31 -15.38 0 (0-0)
F17* Chiradzulu TA Kadewere Mwanje DAPP Clinic Special NGO 35.20 -15.66 0 (0-0)
F18* Blantyre TA Kapeni Aquid Lifeline Project Clinic NGO 35.06 -15.62 73 (53-96)
F19* Blantyre TA Makata Makata Dispensary Ndirande Health Centre Government 35.08 -15.63 0 (0-0)

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