Malawi 2015-16

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CHAPTER 11 NUTRITION OF CHILDREN AND WOMEN Table A-11.1 Nutritional status of children: Districts Percentage of children under age 5 classified as malnourished according to three anthropometric indices of nutritional status: height-for-age, weight-for-height, and weight-for-age, according to district, Malawi DHS 2015-16 District Percentage below -3 SD Height-for-age 1 Weight-for-height Weight-for-age Percentage below -2 SD 2 Mean Z- score (SD) Number of children Percentage below -3 SD Percentage below -2 SD 2 Percentage above +2 SD Mean Z- score (SD) Number of children Percentage below -3 SD Percentage below -2 SD 2 Percentage above +2 SD Mean Z- score (SD) Northern Chitipa 8.7 33.0 -1.6 55 0.3 1.2 4.3 0.2 57 0.7 14.1 1.8 -0.8 56 Karonga 6.8 28.4 -1.4 104 0.3 2.2 5.2 0.1 105 2.2 9.2 1.4 -0.7 105 Likoma 5.3 24.6 -1.3 4 1.0 3.8 4.4 0.1 4 2.8 9.1 0.6 -0.6 4 Mzimba 11.9 38.9 -1.7 330 0.4 2.7 7.7 0.3 332 2.0 11.5 0.7 -0.8 330 Nkhata Bay 8.3 32.5 -1.5 75 0.0 0.1 4.6 0.3 76 1.1 4.9 0.0 -0.7 77 Rumphi 10.3 32.1 -1.3 65 0.5 1.5 1.4 -0.1 66 2.0 13.6 1.6 -0.8 65 Total 10.2 35.1 -1.6 633 0.3 2.1 6.0 0.2 639 1.8 10.7 0.9 -0.7 637 Central Dedza 14.3 42.8 -1.8 224 0.0 2.6 4.9 0.1 224 3.2 15.3 1.1 -0.9 228 Dowa 11.4 39.0 -1.6 249 0.0 1.0 4.7 0.2 251 1.5 9.7 1.1 -0.8 251 Kasungu 6.3 36.3 -1.5 269 0.5 2.4 3.6 0.2 276 1.8 7.1 0.6 -0.8 275 Lilongwe 7.6 36.6 -1.5 804 0.4 1.6 4.1 0.3 817 1.6 8.8 2.1 -0.6 814 Mchinji 11.3 44.0 -1.8 196 0.1 3.1 6.1 0.2 199 3.8 11.5 1.3 -0.9 198 Nkhotakota 13.2 33.2 -1.6 130 0.9 1.8 5.6 0.1 132 2.0 13.5 1.1 -0.8 130 Ntcheu 10.7 41.6 -1.6 226 0.5 3.5 5.2 0.0 225 2.4 12.2 1.4 -0.9 227 Ntchisi 7.4 39.5 -1.6 113 0.1 1.7 2.2 0.2 117 2.7 11.1 1.7 -0.8 118 Salima 12.5 34.5 -1.5 203 0.5 1.4 2.4 0.1 204 2.2 12.8 1.3 -0.8 204 Total 9.8 38.2 -1.6 2,413 0.3 2.0 4.3 0.2 2,444 2.1 10.5 1.5 -0.8 2,445 Southern Balaka 12.2 32.6 -1.5 156 0.0 0.6 3.5 0.1 156 1.1 12.9 1.2 -0.8 156 Blantyre 7.4 33.2 -1.4 364 1.3 3.1 3.0 0.1 367 3.3 9.1 0.4 -0.7 366 Chikhwawa 11.5 32.6 -1.3 183 1.5 4.9 2.8 -0.1 185 4.5 13.0 2.0 -0.9 187 Chiradzulu 7.6 33.2 -1.3 98 0.8 6.2 4.7 0.1 101 2.7 12.1 5.4 -0.6 101 Machinga 9.9 38.5 -1.5 268 0.8 3.4 3.6 -0.0 268 4.0 16.4 1.3 -0.9 275 Number of children (Continued…) 376 • Appendix A
Table A-11.1—Continued Height-for-age 1 Weight-for-height Weight-for-age District Percentage below -3 SD Percentage below -2 SD 2 Mean Z- score (SD) Number of children Percentage below -3 SD Percentage below -2 SD 2 Percentage above +2 SD Mean Z- score (SD) Number of children Percentage below -3 SD Percentage below -2 SD 2 Percentage above +2 SD Mean Z- score (SD) Number of children Mangochi 21.4 45.4 -1.9 435 0.0 1.7 7.7 0.3 448 2.4 12.9 1.3 -0.9 453 Mulanje 15.0 36.5 -1.6 227 0.0 4.1 4.8 0.1 232 5.9 16.7 0.5 -0.9 230 Mwanza 12.2 31.0 -1.2 41 1.6 7.1 5.7 0.0 41 4.4 14.4 1.0 -0.8 42 Neno 18.8 45.4 -1.6 60 2.0 4.1 4.1 -0.0 60 4.4 17.3 0.2 -0.9 61 Nsanje 11.0 31.6 -1.2 95 1.8 8.7 1.8 -0.2 96 0.6 17.5 1.5 -0.8 97 Phalombe 6.3 31.4 -1.4 171 0.0 2.3 3.2 -0.0 174 0.6 11.0 1.3 -0.8 172 Thyolo 14.8 35.6 -1.5 205 0.0 3.4 2.5 -0.0 202 3.4 13.9 0.0 -0.9 203 Zomba 9.2 36.4 -1.5 358 2.0 4.6 5.8 0.1 351 1.9 10.9 2.5 -0.8 359 Total 12.4 36.6 -1.5 2,661 0.8 3.5 4.5 0.1 2,681 3.0 13.0 1.3 -0.8 2,704 Total 11.0 37.1 -1.5 5,707 0.6 2.7 4.5 0.1 5,764 2.5 11.7 1.3 -0.8 5,786 Note: Each index is expressed in standard deviation units (SD) from the median of the WHO Child Growth Standards. 1 Recumbent length is measured for children under age 2; standing height is measured for all other children. 2 Includes children who are below –3 standard deviations (SD) from the WHO Growth Standards population median. 3 Excludes children whose mothers were not interviewed. 4 First-born twins (triplets and other multiple births) are counted as first births because they do not have a previous birth interval. 5 Includes children whose mothers are deceased. 6 Excludes children whose mothers were not weighed and measured, children whose mothers were not interviewed, and children whose mothers are pregnant or gave birth within the preceding 2 months. Mother’s nutritional status in terms of BMI (body mass index) is presented in Table 11.11. 7 For women who are not interviewed, information is taken from the Household Questionnaire. Excludes children whose mothers are not listed in the Household Questionnaire. Appendix A • 377
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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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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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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
Page 384 and 385: Table A-7.16 Contact of nonusers wi
Page 386 and 387: CHAPTER 9 MATERNAL HEALTH CARE Tabl
Page 388 and 389: Table A-9.4 Tetanus toxoid injectio
Page 390 and 391: Table A-9.6 Assistance during deliv
Page 392 and 393: Table A-9.9 Timing of first postnat
Page 394 and 395: Table A-9.11 Timing of first postna
Page 396 and 397: Table A-9.13 Content of postnatal c
Page 398 and 399: Table A-9.15 Prevalence of obstetri
Page 400 and 401: CHAPTER 10 CHILD HEALTH Table A-10.
Page 402 and 403: Table A-10.4 Possession and observa
Page 404 and 405: Table A-10.6 Prevalence and treatme
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Page 416 and 417: Table A-11.9 Micronutrient intake a
Page 418 and 419: Table A-11.11 Nutritional status of
Page 420 and 421: Table A-11.13 Micronutrient intake
Page 422 and 423: Table A-12.2 Source of mosquito net
Page 424 and 425: Table A-12.6 Use of mosquito nets b
Page 426 and 427: Table A-12.8 Use of mosquito nets b
Page 428 and 429: Table A-12.10 Use of Intermittent P
Page 430 and 431: Table A-12.14 Haemoglobin
Page 432 and 433: Table A-13.4 Discriminatory attitud
Page 434 and 435: Table A-13.5.2 Multiple sexual part
Page 436 and 437: Table A-13.7.1 Coverage of prior HI
Page 438 and 439: Table A-13.8 Pregnant women counsel
Page 440 and 441: Table A-13.10 Self-reported prevale
Page 442 and 443: Table A-13.12 Age at first sexual i
Page 444 and 445: Table A-13.14.1 Multiple sexual par
Page 446 and 447: CHAPTER 14 HIV PREVALENCE Table A-1
Page 448 and 449: Table A-14.3 HIV prevalence: Distri
Page 450 and 451: CHAPTER 16 WOMEN’S EMPOWERMENT Ta
Page 452 and 453: Table A-16.4.1 Ownership of assets:
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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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