Malawi 2015-16

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Table 16.11 Attitudes toward negotiating safer sexual relations with husband Percentage of women and men age 15-49 who believe that a woman is justified in refusing to have sexual intercourse with her husband if she knows that he has sexual intercourse with other women, and percentage who believe that a woman is justified in asking that they use a condom if she knows that her husband has a sexually transmitted infection (STI), according to background characteristics, Malawi DHS 2015-16 Background characteristic Women Woman is justified in: Refusing to have sexual intercourse with her husband if she knows he has sex with other women Asking that they use a condom if she knows that her husband has an STI Number of women Men Woman is justified in: Refusing to have sexual intercourse with her husband if she knows he has sex with other women Asking that they use a condom if she knows that her husband has an STI Number of men Age 15-24 66.6 78.3 10,422 72.6 84.6 3,226 15-19 64.8 74.2 5,263 72.8 84.4 1,818 20-24 68.4 82.4 5,159 72.3 84.8 1,408 25-29 67.1 84.6 3,953 75.1 90.1 1,022 30-39 66.0 84.8 6,592 75.1 92.4 1,807 40-49 65.7 81.2 3,596 77.0 90.0 1,073 Marital status Never married 66.3 75.2 5,170 73.9 85.6 2,863 Ever had sex 71.2 83.0 2,294 74.6 87.7 1,846 Never had sex 62.4 69.0 2,877 72.7 81.8 1,018 Married/living together 66.3 83.0 16,130 74.5 90.1 4,030 Divorced/separated/ widowed 66.7 83.9 3,262 73.5 86.6 235 Residence Urban 74.5 87.1 4,496 83.4 93.5 1,340 Rural 64.6 80.2 20,066 72.1 87.0 5,788 Region Northern 62.5 78.2 2,838 61.4 82.4 922 Central 66.9 81.9 10,529 75.1 88.3 3,176 Southern 66.9 81.9 11,194 77.3 89.8 3,030 Education No education 58.1 75.2 2,977 70.2 80.1 375 Primary 64.4 80.4 15,245 71.6 86.1 4,153 Secondary 73.9 86.3 5,598 77.7 92.4 2,249 More than secondary 83.9 91.0 742 88.3 94.0 351 Wealth quintile Lowest 60.5 77.8 4,745 72.8 85.4 1,134 Second 65.6 79.7 4,692 72.3 84.7 1,325 Middle 64.3 80.7 4,635 69.9 87.6 1,409 Fourth 67.3 82.0 4,680 72.5 88.2 1,462 Highest 72.7 86.0 5,810 81.4 93.0 1,798 Total 15-49 66.4 81.5 24,562 74.2 88.2 7,128 50-54 na na na 76.4 85.2 350 Total 15-54 na na na 74.3 88.0 7,478 na = Not applicable. 274 • Women’s Empowerment
Table 16.12 Ability to negotiate sexual relations with husband Percentage of currently married women age 15-49 who can say no to their husband if they do not want to have sexual intercourse, and percentage who can ask their husband to use a condom, according to background characteristics, Malawi DHS 2015-16 Background characteristic Percentage who can say no to their husband if they do not want to have sexual intercourse Percentage who can ask their husband to use a condom Number of women Age 15-24 32.8 35.1 10,422 15-19 15.9 17.3 5,263 20-24 50.1 53.3 5,159 25-29 57.4 62.2 3,953 30-39 56.7 60.7 6,592 40-49 48.8 50.9 3,596 Residence Urban 45.5 47.9 4,496 Rural 45.5 48.8 20,066 Region Northern 43.9 49.9 2,838 Central 44.8 46.6 10,529 Southern 46.6 50.3 11,194 Education No education 48.4 49.2 2,977 Primary 46.2 49.7 15,245 Secondary 42.1 45.7 5,598 More than secondary 45.8 48.0 742 Wealth quintile Lowest 41.1 43.4 4,745 Second 49.0 52.2 4,692 Middle 46.7 49.7 4,635 Fourth 46.6 50.5 4,680 Highest 44.5 47.8 5,810 Total 15-49 45.5 48.7 24,562 Table 16.13 Indicators of women’s empowerment Percentage of currently married women age 15-49 who participate in all decision making and percentage who disagree with all reasons justifying wife-beating, according to value on each of the indicators of women’s empowerment, Malawi DHS 2015-16 Empowerment indicator Percentage who participate in all decision making Percentage who disagree with all the reasons justifying wifebeating Number of women Number of decisions in which women participate 1 0 na 80.9 2,438 1-2 na 82.0 6,120 3 na 86.5 7,573 Number of reasons for which wife-beating is justified 2 0 48.4 na 13,542 1-2 39.5 na 1,651 3-4 38.5 na 645 5 42.1 na 292 na = Not applicable. 1 See Table 16.9.1 for the list of decisions. 2 See Table 16.10.1 for the list of reasons. Women’s Empowerment • 275
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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
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Table 9.16 Problems in accessing he
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childhood death. In the 2015-16 MDH
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• Vaccination coverage generally
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of giving the same or more food to
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Table 10.1 Child’s size and weigh
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Table 10.3 Vaccinations by backgrou
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Table 10.5 Prevalence and treatment
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Table 10.7 Prevalence and treatment
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Table 10.9 Oral rehydration therapy
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Table 10.11 Disposal of children’
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which the baby’s weight to be dis
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11.2 INFANT AND YOUNG CHILD FEEDING
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have shown that plant-based complem
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11.3 ANAEMIA PREVALENCE IN CHILDREN
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Information on BMI is presented in
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Table 11.1 Nutritional status of ch
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Table 11.3 Breastfeeding status acc
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Table 11.5 Foods and liquids consum
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Table 11.7 Prevalence of anaemia in
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Table 11.9 Micronutrient intake amo
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Table 11.11 Nutritional status of w
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Table 11.13 Micronutrient intake am
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The ownership and use of both treat
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12.3 HOUSEHOLD ACCESS AND USE OF IT
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SP during routine ANC visits. Follo
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Trends: The percentage of children
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Table 12.3 Indoor residual spraying
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Table 12.7 Use of existing ITNs Per
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Table 12.11 Prevalence, diagnosis,
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Table 12.13 Type of antimalarial dr
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HIV/AIDS-RELATED KNOWLEDGE, 13 ATTI
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avoid getting HIV; 64% of women and
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Only 1% of all women reported havin
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Forty-two percent of women and 41%
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13.9.3 Premarital Sex The 2015-16 M
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Table 13.1 Knowledge of HIV prevent
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Table 13.4 Discriminatory attitudes
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Table 13.5.2 Multiple sexual partne
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Table 13.7.1 Coverage of prior HIV
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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
Page 275 and 276: Table 14.7 HIV prevalence among you
Page 277 and 278: Table 14.11 HIV prevalence by male
Page 279 and 280: ADULT AND MATERNAL MORTALITY 15 Key
Page 281 and 282: Trends: Table 15.3 shows the probab
Page 283 and 284: Table 15.1 Completeness of informat
Page 285 and 286: WOMEN’S EMPOWERMENT 16 Key Findin
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Page 289 and 290: Patterns by background characterist
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Page 293 and 294: from 78% to 74%. The percentage of
Page 295 and 296: 16.16 REPRODUCTIVE HEALTH CARE BY W
Page 297 and 298: Table 16.2.1 Control over women’s
Page 299 and 300: Table 16.4.1 Ownership of assets: W
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Page 303 and 304: Table 16.7.1 Ownership and use of b
Page 305 and 306: Table 16.9.2 Men’s participation
Page 307: Table 16.10.2 Attitude toward wife
Page 311: Table 16.16 Reproductive health car
Page 314 and 315: harassment.” Most recently, the M
Page 316 and 317: • The experience of physical viol
Page 318 and 319: • Women’s experience of at leas
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Page 324 and 325: Table 17.1 Experience of physical v
Page 326 and 327: Table 17.3 Persons committing physi
Page 328 and 329: Table 17.5 Age at first experience
Page 330 and 331: Table 17.9 Forms of spousal violenc
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Page 334 and 335: Table 17.13 Experience of spousal v
Page 336 and 337: Table 17.16 Violence by women again
Page 338 and 339: Table 17.18 Sources for help to sto
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Page 342 and 343: Table A-2.3 Household sanitation fa
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Page 346 and 347: Table A-2.11 Children’s living ar
Page 348 and 349: Table A-2.12.2 Educational attainme
Page 350 and 351: Table A-3.2.1 Educational attainmen
Page 352 and 353: Table A-3.3.1 Literacy: Women by di
Page 354 and 355: Table A-3.4.1 Exposure to mass medi
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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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