Malawi 2015-16

Recommendations

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Trends: The percentage of children under age 5 with haemoglobin levels
Table 12.1 Household possession of mosquito nets Percentage of households with at least one mosquito net (treated or untreated), insecticide-treated net (ITN), and long-lasting insecticidal net (LLIN); average number of nets, ITNs, and LLINs per household; and percentage of households with at least one net, ITN, and LLIN per two persons who stayed in the household last night, by background characteristics, Malawi DHS 2015-16 Background Characteristic Percentage of households with at least one mosquito net Any mosquito net Insecticidetreated mosquito net (ITN) 1 Longlasting insecticidal net (LLIN) Average number of nets per household Any mosquito net Insecticidetreated mosquito net (ITN) 1 Longlasting insecticidal net (LLIN) Number of households Percentage of households with at least one net for every two persons who stayed in the household last night Any mosquito net Insecticidetreated mosquito net (ITN) 1 Longlasting insecticidal net (LLIN) Number of households with at least one person who stayed in the household last night Residence Urban 69.6 62.8 61.6 1.5 1.2 1.2 4,042 40.9 33.4 32.1 4,024 Rural 61.4 55.8 55.4 1.1 1.0 0.9 22,319 24.7 21.7 21.4 22,286 Region Northern 64.2 57.6 57.0 1.2 1.1 1.1 2,960 27.9 24.2 23.8 2,955 Central 64.4 57.6 57.0 1.2 1.0 1.0 10,952 29.8 25.1 24.6 10,923 Southern 60.7 56.1 55.6 1.0 0.9 0.9 12,449 24.7 21.9 21.5 12,432 Wealth quintile Lowest 50.2 44.7 44.4 0.7 0.6 0.6 5,676 17.4 15.3 15.1 5,665 Second 60.0 53.6 53.4 0.9 0.8 0.8 5,446 22.8 19.5 19.3 5,439 Middle 63.3 59.0 58.7 1.1 1.0 1.0 5,141 23.8 21.4 21.3 5,134 Fourth 64.9 59.7 59.1 1.2 1.1 1.1 4,978 26.8 24.1 23.8 4,969 Highest 76.5 69.1 67.7 1.8 1.5 1.5 5,120 46.5 38.3 37.0 5,103 Total 62.7 56.9 56.4 1.1 1.0 1.0 26,361 27.2 23.5 23.1 26,310 1 An insecticide-treated net (ITN) is (1) a factory-treated net that does not require any further treatment (LLIN) or (2) a net that has been soaked with insecticide within the past 12 months. Table 12.2 Source of mosquito nets Percent distribution of mosquito nets by source of net, according to background characteristics, Malawi DHS 2015-16 Background characteristic Mass distribution campaign ANC visit At birth Immunisation visit Government health facility CHAM/ Mission health facility Private health facility Pharmacy Shop/ market Workplace Other Don’t know/ missing Total Number of mosquito nets Type of net ITN 1 33.3 16.6 11.6 2.9 16.8 0.6 2.5 0.1 11.5 0.9 2.7 0.5 100.0 26,192 Other 2 20.8 16.0 10.0 1.3 13.6 0.7 2.2 0.1 28.0 2.0 3.6 1.5 100.0 3,646 Residence Urban 21.0 11.5 8.1 1.8 14.9 0.2 1.1 0.3 34.2 2.7 2.9 1.3 100.0 5,967 Rural 34.5 17.8 12.2 2.9 16.8 0.7 2.8 0.1 8.4 0.6 2.7 0.5 100.0 23,870 Region Northern 16.8 18.9 16.4 5.0 20.4 1.2 1.6 0.1 14.6 1.2 2.9 0.9 100.0 3,677 Central 37.3 15.7 7.8 2.3 18.4 0.4 3.2 0.0 11.0 1.1 2.1 0.7 100.0 13,370 Southern 30.4 16.7 13.7 2.4 13.2 0.6 1.8 0.2 15.9 0.9 3.4 0.6 100.0 12,792 Wealth quintile Lowest 32.4 23.7 15.8 3.7 15.2 0.4 2.6 0.0 3.0 0.2 2.9 0.2 100.0 4,075 Second 35.1 21.5 14.3 2.7 15.9 0.5 2.3 0.0 4.7 0.2 2.2 0.6 100.0 5,126 Middle 35.6 17.6 12.7 3.2 17.8 0.8 2.8 0.0 6.2 0.4 2.5 0.4 100.0 5,566 Fourth 34.7 15.8 11.8 2.8 16.8 0.7 3.0 0.1 10.0 0.8 3.1 0.4 100.0 5,961 Highest 25.5 10.4 6.7 1.8 16.2 0.5 1.9 0.3 30.1 2.4 3.0 1.2 100.0 9,110 Total 31.8 16.5 11.4 2.7 16.4 0.6 2.4 0.1 13.6 1.0 2.8 0.7 100.0 29,838 ANC = Antenatal care. 1 An insecticide-treated net (ITN) is (1) a factory-treated net that does not require any further treatment (LLIN) or (2) a net that has been soaked with insecticide within the past 12 months. 2 Any net that is not an ITN. Malaria • 191
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Malawi Demographic and Health Surve
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The 2015-16 Malawi Demographic and
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4.3 Age at First Marriage .........
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13.9.1 Knowledge ..................
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TABLES AND FIGURES 1 INTRODUCTION A
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6 FERTILITY PREFERENCES ...........
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11 NUTRITION OF CHILDREN AND WOMEN
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Figure 14.1 HIV prevalence by age .
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Table A-3.8.1 Type of earnings: Wom
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Table A-16.9.1 Women’s participat
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FOREWORD T he 2016-16 Malawi Demogr
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LA LAM LLIN LPG MAD MDHS MICS PPHC
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Table 3.4.1 Exposure to mass media:
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Example 2: Prevalence and Treatment
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Example 3: Understanding Sampling W
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xxxii • Map of Malawi
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The information collected in the 20
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ecorded on the Biomarker Questionna
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1.5 PRETEST The pretest for the 201
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HOUSING CHARACTERISTICS AND 2 HOUSE
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About half of Malawian households (
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A total of 117,177 individuals stay
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Patterns by background characterist
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school. The attendance rate decline
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Table 2.3 Household sanitation faci
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Table 2.5 Wealth quintiles Percent
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Table 2.9 Household composition Per
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Table 2.11 Children’s living arra
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Table 2.12.2 Educational attainment
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Table 2.14.1 Child functioning and
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CHARACTERISTICS OF RESPONDENTS 3 Ke
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• Women and men living in urban a
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Women and men are most commonly emp
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Table 3.1 Background characteristic
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Table 3.3.1 Literacy: Women Percent
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Table 3.5.1 Internet usage: Women P
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Table 3.6.1 Employment status: Wome
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Table 3.7.1 Occupation: Women Perce
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Table 3.8 Type of employment: Women
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Table 3.10.1 Tobacco smoking: Women
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Table 3.11 Average number of cigare
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Table 3.13.2 Knowledge and attitude
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Figure 4.1 Marital status Percent d
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marriage. The median age at first i
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Table 4.1 Current marital status Pe
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Table 4.3 Age at first marriage Per
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Table 4.5 Age at first sexual inter
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Table 4.7.1 Recent sexual activity:
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FERTILITY 5 Key Findings Total
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5.3 BIRTH INTERVALS Median birth in
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5.5 AGE AT FIRST BIRTH Median age a
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LIST OF TABLES For more information
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Table 5.3.1 Trends in age-specific
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Table 5.6 Postpartum amenorrhea, ab
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Table 5.10 Median age at first birt
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Trends: The percentage of currently
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Trends: Since 1992, the proportion
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Table 6.1 Fertility preferences by
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Table 6.3 Ideal number of children
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Table 6.5 Fertility planning status
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Overall, the contraceptive prevalen
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Nearly 8 in 10 (79%) of all modern
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Seventy-eight percent of currently
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the survey (Table 7.16). Ten percen
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Table 7.3 Current use of contracept
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Table 7.7 Informed choice Among cur
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Table 7.12.1 Need and demand for fa
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Table 7.13 Decision-making about fa
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Table 7.16 Contact of nonusers with
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• Any method of measuring childho
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Table 8.3 Early childhood mortality
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Table 8.5 High-risk fertility behav
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9.1 ANTENATAL CARE COVERAGE AND CON
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Trends: Since 1992, the rates of C-
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9.7 PROBLEMS IN ACCESSING HEALTH CA
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Table 9.3 Components of antenatal c
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Table 9.5 Place of delivery Percent
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Table 9.7 Caesarean section Percent
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Table 9.10 Type of provider of firs
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Table 9.12 Type of provider of firs
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Table 9.14 Pregnancy outcomes Perce
Page 174 and 175: Table 9.16 Problems in accessing he
Page 176 and 177: childhood death. In the 2015-16 MDH
Page 178 and 179: • Vaccination coverage generally
Page 180 and 181: of giving the same or more food to
Page 182 and 183: Table 10.1 Child’s size and weigh
Page 184 and 185: Table 10.3 Vaccinations by backgrou
Page 186 and 187: Table 10.5 Prevalence and treatment
Page 188 and 189: Table 10.7 Prevalence and treatment
Page 190 and 191: Table 10.9 Oral rehydration therapy
Page 192 and 193: Table 10.11 Disposal of children’
Page 194 and 195: which the baby’s weight to be dis
Page 196 and 197: 11.2 INFANT AND YOUNG CHILD FEEDING
Page 198 and 199: have shown that plant-based complem
Page 200 and 201: 11.3 ANAEMIA PREVALENCE IN CHILDREN
Page 202 and 203: Information on BMI is presented in
Page 204 and 205: Table 11.1 Nutritional status of ch
Page 206 and 207: Table 11.3 Breastfeeding status acc
Page 208 and 209: Table 11.5 Foods and liquids consum
Page 210 and 211: Table 11.7 Prevalence of anaemia in
Page 212 and 213: Table 11.9 Micronutrient intake amo
Page 214 and 215: Table 11.11 Nutritional status of w
Page 216 and 217: Table 11.13 Micronutrient intake am
Page 218 and 219: The ownership and use of both treat
Page 220 and 221: 12.3 HOUSEHOLD ACCESS AND USE OF IT
Page 222 and 223: SP during routine ANC visits. Follo
Page 226 and 227: Table 12.3 Indoor residual spraying
Page 228 and 229: Table 12.7 Use of existing ITNs Per
Page 230 and 231: Table 12.11 Prevalence, diagnosis,
Page 232 and 233: Table 12.13 Type of antimalarial dr
Page 235 and 236: HIV/AIDS-RELATED KNOWLEDGE, 13 ATTI
Page 237 and 238: avoid getting HIV; 64% of women and
Page 239 and 240: Only 1% of all women reported havin
Page 241 and 242: Patterns by background characterist
Page 243 and 244: Forty-two percent of women and 41%
Page 245 and 246: 13.9.3 Premarital Sex The 2015-16 M
Page 247 and 248: Table 13.1 Knowledge of HIV prevent
Page 249 and 250: Table 13.4 Discriminatory attitudes
Page 251 and 252: Table 13.5.2 Multiple sexual partne
Page 253 and 254: Table 13.7.1 Coverage of prior HIV
Page 255 and 256: Table 13.8 Pregnant women counselle
Page 257 and 258: Table 13.10 Self-reported prevalenc
Page 259 and 260: Table 13.13 Premarital sexual inter
Page 261 and 262: Table 13.14.2 Multiple sexual partn
Page 263 and 264: HIV PREVALENCE 14 Key Findings HIV
Page 265 and 266: The HIV prevalence among women and
Page 267 and 268: Patterns by background characterist
Page 269 and 270: Table 14.1 Coverage of HIV testing
Page 271 and 272: Table 14.3 HIV prevalence according
Page 273 and 274: Table 14.5 HIV prevalence according
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Table 14.7 HIV prevalence among you
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Table 14.11 HIV prevalence by male
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ADULT AND MATERNAL MORTALITY 15 Key
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Trends: Table 15.3 shows the probab
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Table 15.1 Completeness of informat
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WOMEN’S EMPOWERMENT 16 Key Findin
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husbands while smaller proportions
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5% participate in neither decisions
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from 78% to 74%. The percentage of
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16.16 REPRODUCTIVE HEALTH CARE BY W
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Table 16.2.1 Control over women’s
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Table 16.4.1 Ownership of assets: W
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Table 16.5.2 Ownership of title or
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Table 16.7.1 Ownership and use of b
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Table 16.9.2 Men’s participation
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Table 16.10.2 Attitude toward wife
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Table 16.12 Ability to negotiate se
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Table 16.16 Reproductive health car
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harassment.” Most recently, the M
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• The experience of physical viol
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• Women’s experience of at leas
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women to have ever experienced spou
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• Women in urban areas are about
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Table 17.1 Experience of physical v
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Table 17.3 Persons committing physi
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Table 17.5 Age at first experience
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Table 17.9 Forms of spousal violenc
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Table 17.11 Spousal violence accord
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Table 17.13 Experience of spousal v
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Table 17.16 Violence by women again
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Table 17.18 Sources for help to sto
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World Health Organization (WHO) and
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Table A-2.3 Household sanitation fa
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Table A-2.7 Hand washing: Districts
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Table A-2.11 Children’s living ar
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Table A-2.12.2 Educational attainme
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Table A-3.2.1 Educational attainmen
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Table A-3.3.1 Literacy: Women by di
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Table A-3.4.1 Exposure to mass medi
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Table A-3.5.1 Internet usage: Women
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Table A-3.6.1 Employment status: Wo
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Table A-3.7.1 Occupation: Women by
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Table A-3.8.1 Type of earnings: Wom
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Table A-3.8.3 Continuity of employm
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Table A-3.13.1 Knowledge and attitu
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CHAPTER 4 MARRIAGE AND SEXUAL ACTIV
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Table A-4.4 Median age at first mar
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Table A-4.7.1 Recent sexual activit
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CHAPTER 5 FERTILITY Table A-5.2 Fer
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Table A-5.10 Median age at first bi
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CHAPTER 6 FERTILITY PREFERENCES Tab
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CHAPTER 7 FAMILY PLANNING Table A-7
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Table A-7.13 Decision-making about
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Table A-7.16 Contact of nonusers wi
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CHAPTER 9 MATERNAL HEALTH CARE Tabl
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Table A-9.4 Tetanus toxoid injectio
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Table A-9.6 Assistance during deliv
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Table A-9.9 Timing of first postnat
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Table A-9.11 Timing of first postna
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Table A-9.13 Content of postnatal c
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Table A-9.15 Prevalence of obstetri
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CHAPTER 10 CHILD HEALTH Table A-10.
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Table A-10.4 Possession and observa
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Table A-10.6 Prevalence and treatme
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Table A-10.8 Feeding practices duri
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Table A-10.10 Knowledge of ORS pack
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CHAPTER 11 NUTRITION OF CHILDREN AN
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Table A-11.2 Initial breastfeeding:
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Table A-11.7 Prevalence of anaemia
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Table A-11.9 Micronutrient intake a
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Table A-11.11 Nutritional status of
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Table A-11.13 Micronutrient intake
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Table A-12.2 Source of mosquito net
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Table A-12.6 Use of mosquito nets b
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Table A-12.8 Use of mosquito nets b
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Table A-12.10 Use of Intermittent P
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Table A-12.14 Haemoglobin
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Table A-13.4 Discriminatory attitud
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Table A-13.5.2 Multiple sexual part
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Table A-13.7.1 Coverage of prior HI
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Table A-13.8 Pregnant women counsel
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Table A-13.10 Self-reported prevale
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Table A-13.12 Age at first sexual i
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Table A-13.14.1 Multiple sexual par
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CHAPTER 14 HIV PREVALENCE Table A-1
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Table A-14.3 HIV prevalence: Distri
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CHAPTER 16 WOMEN’S EMPOWERMENT Ta
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Table A-16.4.1 Ownership of assets:
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Table A-16.5.1 Ownership of title o
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Table A-16.6.1 Ownership of title o
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Table A-16.7.1 Ownership and use of
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Table A-16.9.1 Women’s participat
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Table A-16.10.1 Attitude toward wif
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Table A-16.11 Attitudes toward nego
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CHAPTER 17 DOMESTIC VIOLENCE Table
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Table A-17.4 Experience of sexual v
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Table A-17.10 Spousal violence: Dis
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Table A-17.15 Violence by women aga
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SAMPLE DESIGN Appendix B B.1 INTROD
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two-stage stratified cluster sample
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Table B.1 Distribution of residenti
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Table B.4 Sample allocation of comp
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Table B.6 Sample implementation: Me
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Table B.8 Coverage of HIV testing b
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Table B.10 Coverage of HIV testing
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where h represents the stratum whic
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Table C.2 Sampling errors: Total sa
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Table C.4 Sampling errors: Rural sa
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Table C.6 Sampling errors: Central
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Table C.8 Sampling errors: Chitipa
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Table C.10 Sampling errors: Nkhatab
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Table C.12 Sampling errors: Mzimba
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Table C.14 Sampling errors: Kasungu
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Table C.16 Sampling errors: Ntchisi
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Table C.18 Sampling errors: Salima
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Table C.20 Sampling errors: Mchinji
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Table C.22 Sampling errors: Ntcheu
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Table C.24 Sampling errors: Maching
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Table C.26 Sampling errors: Chiradz
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Table C.28 Sampling errors: Mwanza
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Table C.30 Sampling errors: Mulanje
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Table C.32 Sampling errors: Chikwaw
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Table C.34 Sampling errors: Balaka
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Table C.36 Sampling errors for adul
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Table D.2.1 Age distribution of eli
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Table D.5 Reporting of age at death
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Table D.7 Nutritional status of chi
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SURVEY PERSONNEL Appendix E 2015-16
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Team Leaders Benson Mvula Grossveno
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Ireen Yohane Chisomo Mkwapatira Des
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2015-2016 MALAWI DEMOGRAPHIC AND HE
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INTRODUCTION AND CONSENT Hello. My
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HOUSEHOLD SCHEDULE IF AGE 0-17 YEAR
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HOUSEHOLD SCHEDULE IF AGE 0-17 YEAR
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HOUSEHOLD CHARACTERISTICS NO. QUEST
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HOUSEHOLD CHARACTERISTICS NO. QUEST
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MOSQUITO NETS NET #1 NET #2 NET #3
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ADDITIONAL HOUSEHOLD CHARACTERISTIC
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200 CHILD FUNCTIONING AND DISABILIT
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300 CHILD FUNCTIONING AND DISABILIT
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CHILD FUNCTIONING AND DISABILITY (A
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ELIGIBILITY AND CONSENT FOR THE MIC
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INTERVIEWER'S OBSERVATIONS TO BE FI
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WEIGHT, HEIGHT AND HEMOGLOBIN MEASU
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WEIGHT, HEIGHT AND HEMOGLOBIN MEASU
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WEIGHT, HEIGHT, HEMOGLOBIN MEASUREM
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HIV TESTING FOR MEN AGE 15-54 301 C
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SECTION 1. RESPONDENT'S BACKGROUND
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SECTION 2. REPRODUCTION NO. QUESTIO
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212 213 214 215 216 217 218 219 220
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SECTION 3. CONTRACEPTION 301 Now I
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SECTION 3. CONTRACEPTION NO. QUESTI
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SECTION 4. PREGNANCY AND POSTNATAL
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SECTION 5A. CHILD IMMUNIZATION (LAS
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SECTION 5A. CHILD IMMUNIZATION (LAS
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SECTION 5B. CHILD IMMUNIZATION (NEX
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SECTION 5B. CHILD IMMUNIZATION (NEX
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SECTION 6. CHILD HEALTH AND NUTRITI
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SECTION 7. MARRIAGE AND SEXUAL ACTI
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SECTION 8. FERTILITY PREFERENCES NO
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SECTION 9. HUSBAND'S BACKGROUND AND
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NO. QUESTIONS AND FILTERS SECTION 1
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SECTION 10. HIV/AIDS NO. QUESTIONS
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SECTION 10. HIV/AIDS NO. QUESTIONS
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SECTION 11. OTHER HEALTH ISSUES NO.
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SECTION MM. MATERNAL MORTALITY MODU
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SECTION 13. DOMESTIC VIOLENCE MODUL
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INSTRUCTIONS: COL. 1 COL. 2 ONLY ON
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SECTION 1. RESPONDENT'S BACKGROUND
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SECTION 3. CONTRACEPTION 301 Now I
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SECTION 6. EMPLOYMENT AND GENDER RO
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SECTION 7. HIV/AIDS NO. QUESTIONS A
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SECTION 7. HIV/AIDS NO. QUESTIONS A
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INTERVIEWER'S OBSERVATIONS TO BE FI
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MALAWI GOVERNEMNT NATIONAL STATISTI
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Malawi 2015-16

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