Malawi 2015-16

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Table 17.16 Violence by women against their husband according to husband’s characteristics and empowerment indicators Percentage of ever-married women age 15-49 who have committed physical violence against their current or most recent husband/partner when he was not already beating or physically hurting her, ever and in the past 12 months, according to their husband’s characteristics, Malawi DHS 2015-16 Background characteristic Ever 1 Percentage who have committed physical violence against their husband/partner In the past 12 months Number of evermarried women Husband’s/partner’s education 2 No education 1.6 1.3 395 Primary 3.8 2.4 2,273 Secondary 2.8 1.8 1,225 More than secondary 10.1 3.7 218 Husband’s/partner’s alcohol consumption Does not drink 2.3 1.5 3,446 Drinks/never gets drunk 3.8 1.7 104 Gets drunk sometimes 5.9 3.0 898 Gets drunk very often 9.8 5.8 536 Spousal education difference 2 Husband better educated 4.2 2.1 2,410 Wife better educated 2.9 2.1 918 Both equally educated 2.2 1.9 553 Neither educated 1.3 1.3 182 Spousal age difference 2 Wife older 3.2 1.9 175 Wife is same age 1.4 0.6 157 Wife’s 1-4 years younger 2.6 1.7 1,798 Wife’s 5-9 years younger 4.5 2.5 1,444 Wife’s 10+ years younger 5.3 3.1 597 Number of marital control behaviours displayed by husband/partner 3 0 1.3 0.8 1,423 1-2 3.7 1.9 2,373 3-4 6.8 4.0 971 5 8.2 7.0 217 Number of decisions in which women participate 4 0 2.0 1.1 578 1-2 3.7 2.1 1,540 3 4.0 2.5 2,052 Number of reasons for which wifebeating is justified 5 0 3.6 2.1 4,245 1-2 4.8 2.9 461 3-4 5.2 4.5 201 5 3.9 1.9 77 Woman’s father beat her mother Yes 6.8 4.2 1,261 No 2.7 1.5 3,401 Don’t know/missing 3.8 2.6 321 Woman afraid of husband/partner Most of the time afraid 7.0 4.7 966 Sometimes afraid 3.3 2.2 1,767 Never afraid 2.8 1.2 2,250 Total 3.8 2.2 4,984 Note: Husband/partner refers to the current husband/partner for currently married women and the most recent husband/partner for divorced, separated, or widowed women. Total includes 61 ever-married women with missing information on husband’s/partner’s education and 108 ever-married women with missing information on spousal education difference. 1 Includes in the past 12 months. 2 Includes only currently married women. 3 According to the wife’s report. See Table 17.8 for list of behaviours. 4 According to the wife’s report. Includes only currently married women. See Table 16.9.1 for list of decisions. 5 According to the wife’s report. See Table 16.10.1 for list of reasons. 302 • Domestic Violence
Table 17.17 Help seeking to stop violence Percent distribution of women age 15-49 who have ever experienced physical or sexual violence by their help-seeking behaviour, according to type of violence and background characteristics, Malawi DHS 2015-16 Background characteristic Sought help to stop violence Never sought help but told someone Never sought help, never told anyone Total Number of women who have ever experienced any physical or sexual violence Type of violence experienced Physical only 35.1 11.8 53.1 100.0 1,322 Sexual only 29.7 6.8 63.5 100.0 469 Physical and sexual 54.5 10.6 35.0 100.0 844 Age 15-19 45.1 9.5 45.5 100.0 412 20-24 38.4 11.2 50.4 100.0 549 25-29 39.4 12.5 48.0 100.0 517 30-39 39.8 8.9 51.3 100.0 763 40-49 40.3 11.2 48.5 100.0 394 Religion Anglican 39.7 9.8 50.5 100.0 466 Catholic 50.5 8.8 40.7 100.0 392 CCAP 1 41.1 16.1 42.8 100.0 60 Muslim 44.7 12.5 42.8 100.0 189 Seventh Day Adventist/ Baptist 38.4 11.4 50.2 100.0 1,238 Other Christian 33.3 7.9 58.8 100.0 269 No religion * * * 100.0 22 Ethnic group Chewa 41.7 9.3 49.1 100.0 906 Lomwe 35.7 8.2 56.0 100.0 257 Mang’anja 43.4 12.9 43.6 100.0 556 Ngoni 35.1 5.4 59.5 100.0 49 Nkhonde 37.1 9.6 53.3 100.0 332 Nyanja 42.0 6.4 51.6 100.0 88 Sena (25.9) (3.7) (70.4) 100.0 35 Tonga 41.0 13.0 46.0 100.0 284 Tombuka 38.7 17.3 44.0 100.0 70 Yao (60.0) (8.6) (31.4) 100.0 21 Other 25.9 21.4 52.7 100.0 38 Residence Urban 38.7 12.9 48.4 100.0 511 Rural 40.7 10.0 49.3 100.0 2,125 Region Northern 34.9 7.8 57.3 100.0 347 Central 43.0 7.7 49.3 100.0 1,145 Southern 39.3 14.2 46.5 100.0 1,145 Marital status Never married 44.1 14.8 41.1 100.0 375 Married or living together 37.6 9.0 53.3 100.0 1,820 Divorced/separated/ widowed 48.1 13.2 38.7 100.0 441 Number of living children 0 43.6 12.2 44.1 100.0 454 1-2 40.7 10.7 48.6 100.0 899 3-4 38.2 10.8 50.9 100.0 779 5+ 39.9 8.2 51.9 100.0 505 Employment Employed for cash 45.1 9.1 45.8 100.0 749 Employed not for cash 39.9 10.8 49.3 100.0 1,178 Not employed 36.0 11.5 52.5 100.0 709 Education No education 35.0 13.2 51.7 100.0 276 Primary 40.4 8.8 50.8 100.0 1,714 Secondary 43.0 14.6 42.4 100.0 552 More than secondary 38.2 11.2 50.6 100.0 94 Wealth quintile Lowest 38.2 8.6 53.1 100.0 523 Second 44.6 11.0 44.4 100.0 498 Middle 33.4 9.6 57.1 100.0 499 Fourth 45.5 10.1 44.4 100.0 493 Highest 40.1 12.9 47.0 100.0 623 Total 40.3 10.5 49.1 100.0 2,636 Note: Women can report more than one source from which they sought help. Figures in parentheses are based on 25- 49 unweighted cases. An asterisk indicates that a figure is based on fewer than 25 unweighted cases and has been suppressed. 1 Church of Central Africa Presbyterian Domestic Violence • 303
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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
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Table 13.10 Self-reported prevalenc
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Table 13.13 Premarital sexual inter
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Table 13.14.2 Multiple sexual partn
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HIV PREVALENCE 14 Key Findings HIV
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The HIV prevalence among women and
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Table 14.1 Coverage of HIV testing
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Table 14.3 HIV prevalence according
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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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Page 305 and 306: Table 16.9.2 Men’s participation
Page 307 and 308: Table 16.10.2 Attitude toward wife
Page 309 and 310: Table 16.12 Ability to negotiate se
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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
Page 332 and 333: Table 17.11 Spousal violence accord
Page 334 and 335: Table 17.13 Experience of spousal v
Page 338 and 339: Table 17.18 Sources for help to sto
Page 340 and 341: World Health Organization (WHO) and
Page 342 and 343: Table A-2.3 Household sanitation fa
Page 344 and 345: Table A-2.7 Hand washing: Districts
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
Page 356 and 357: Table A-3.5.1 Internet usage: Women
Page 358 and 359: Table A-3.6.1 Employment status: Wo
Page 360 and 361: Table A-3.7.1 Occupation: Women by
Page 362 and 363: Table A-3.8.1 Type of earnings: Wom
Page 364 and 365: Table A-3.8.3 Continuity of employm
Page 366 and 367: Table A-3.13.1 Knowledge and attitu
Page 368 and 369: CHAPTER 4 MARRIAGE AND SEXUAL ACTIV
Page 370 and 371: Table A-4.4 Median age at first mar
Page 372 and 373: Table A-4.7.1 Recent sexual activit
Page 374 and 375: CHAPTER 5 FERTILITY Table A-5.2 Fer
Page 376 and 377: Table A-5.10 Median age at first bi
Page 378 and 379: CHAPTER 6 FERTILITY PREFERENCES Tab
Page 380 and 381: CHAPTER 7 FAMILY PLANNING Table A-7
Page 382 and 383: Table A-7.13 Decision-making about
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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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