Malawi 2015-16

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Table A-12.2 Source of mosquito nets: Districts Percent distribution of mosquito nets by source of net, according to district, Malawi DHS 2015-16 District ANC visit At birth Mass distribution campaign Immunization visit Government health facility CHAM/ Mission health facility Private health facility Shop/ market Pharmacy Workplace Other Don’t know/ missing Total Number of mosquito nets Northern Chitipa 26.8 22.4 13.7 5.4 17.6 0.3 2.6 0.1 7.8 1.0 2.0 0.4 100.0 324 Karonga 13.2 18.5 14.8 4.1 26.6 1.4 1.9 0.0 13.5 2.2 2.6 1.2 100.0 785 Likoma 79.6 2.8 2.7 1.8 2.2 2.6 0.3 0.1 5.1 0.6 1.0 1.1 100.0 50 Mzimba 16.5 17.3 17.6 6.2 20.2 0.8 1.3 0.1 15.9 0.6 2.5 0.7 100.0 1,649 Nkhata Bay 8.1 24.2 14.6 3.1 16.7 2.8 3.1 0.1 19.9 1.1 5.9 0.5 100.0 454 Rumphi 18.7 19.0 20.3 4.2 17.7 1.4 0.1 0.0 12.3 1.5 2.8 2.0 100.0 415 Total 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 Dedza 33.1 14.4 8.9 0.9 25.7 0.6 8.1 0.0 4.7 0.0 3.0 0.5 100.0 1,179 Dowa 51.7 8.7 7.5 7.6 17.7 0.6 2.1 0.0 2.5 0.3 0.7 0.6 100.0 1,761 Kasungu 29.2 24.6 6.2 2.8 20.5 0.0 0.9 0.0 11.0 0.2 2.6 1.8 100.0 937 Lilongwe 21.3 18.0 6.2 1.5 23.9 0.4 1.2 0.0 21.4 2.3 3.0 0.6 100.0 4,607 Mchinji 72.0 9.2 5.9 1.7 7.4 0.1 0.5 0.0 2.1 0.1 1.0 0.1 100.0 1,398 Nkhotakota 63.3 11.3 4.2 0.5 12.4 0.1 1.8 0.3 4.4 0.8 0.9 0.1 100.0 1,177 Ntcheu 40.7 12.3 13.1 0.9 9.5 0.2 15.2 0.1 5.0 0.8 1.0 1.2 100.0 1,163 Ntchisi 26.8 29.7 17.8 3.1 8.4 0.2 2.6 0.2 8.5 0.3 2.3 0.3 100.0 430 Salima 12.5 26.0 14.3 2.6 21.3 0.7 2.2 0.0 14.7 1.3 3.0 1.3 100.0 717 Total 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 Balaka 36.0 11.9 16.5 1.5 15.6 0.3 5.5 0.2 9.0 0.2 2.3 0.8 100.0 697 Blantyre 28.8 13.3 10.3 2.8 9.7 0.2 1.8 0.5 28.0 1.3 1.7 1.6 100.0 2,320 Chikhwawa 18.7 24.6 13.8 3.6 10.4 0.0 1.8 0.0 21.0 3.0 3.0 0.1 100.0 716 Chiradzulu 29.6 19.1 14.0 2.4 15.3 0.5 1.9 0.0 11.7 0.9 4.0 0.6 100.0 562 Machinga 18.4 21.9 24.5 2.8 8.6 0.6 0.2 0.2 19.5 0.7 2.6 0.2 100.0 905 Mangochi 21.0 27.1 15.5 1.9 12.7 0.2 0.5 0.2 18.0 0.1 2.5 0.2 100.0 1,308 Mulanje 17.3 19.0 16.5 3.7 19.1 2.2 4.0 0.1 10.7 1.1 6.2 0.1 100.0 1,141 Mwanza 85.1 3.7 3.4 0.6 0.6 0.1 0.2 0.0 3.6 1.2 1.3 0.4 100.0 346 Neno 61.0 8.8 9.6 2.9 8.7 1.0 2.3 0.0 2.9 0.6 1.1 1.2 100.0 398 Nsanje 20.3 20.2 13.0 3.5 10.8 1.2 4.0 0.4 19.3 0.6 5.2 1.4 100.0 448 Phalombe 70.8 5.7 5.2 1.2 10.1 0.7 1.3 0.0 3.2 0.1 1.3 0.4 100.0 1,292 Thyolo 20.8 23.4 17.7 2.2 16.1 0.1 0.0 0.0 11.2 1.5 5.7 1.1 100.0 910 Zomba 17.0 15.2 15.9 2.1 21.3 1.1 1.9 0.0 18.3 0.8 6.3 0.0 100.0 1,750 Total 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 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 388 • Appendix A
Table A-12.3 Indoor residual spraying against mosquitoes: Districts Percentage of households in which someone has come into the dwelling to spray the interior walls against mosquitoes (IRS) in the past 12 months, the percentage of households with at least one ITN and/or IRS in the past 12 months, and the percentage of households with at least one ITN for every two persons and/or IRS in the past 12 months, according to district, Malawi DHS 2015-16 District Percentage of households with IRS 1 in the past 12 months Percentage of households with at least one ITN 2 and/or IRS 1 in the past 12 months Percentage of households with at least one ITN 2 for every two persons and/or IRS 1 in the past 12 months Number of households Northern Chitipa 0.2 56.0 25.9 270 Karonga 34.4 77.6 54.2 512 Likoma 0.0 50.1 33.0 19 Mzimba 1.2 54.0 22.0 1,515 Nkhata Bay 4.4 60.4 25.8 349 Rumphi 0.7 59.9 24.5 295 Total 7.2 59.6 28.7 2,960 Central Dedza 4.2 60.3 27.1 1,212 Dowa 0.4 74.8 34.3 1,179 Kasungu 1.2 51.1 18.4 1,045 Lilongwe 4.8 51.5 24.6 3,998 Mchinji 27.7 83.2 51.7 766 Nkhotakota 10.2 85.6 54.8 523 Ntcheu 0.2 56.2 28.5 1,014 Ntchisi 0.2 48.0 16.6 473 Salima 19.7 59.4 33.1 742 Total 6.2 59.6 29.2 10,952 Southern Balaka 1.5 59.3 22.0 671 Blantyre 0.4 59.1 29.1 1,999 Chikhwawa 17.2 54.1 30.2 853 Chiradzulu 4.2 58.7 25.8 608 Machinga 1.0 56.6 18.8 991 Mangochi 5.2 50.4 18.5 1,656 Mulanje 5.6 55.9 21.7 1,243 Mwanza 0.1 78.0 46.0 204 Neno 2.0 71.6 33.0 261 Nsanje 7.5 61.4 25.3 426 Phalombe 1.0 71.6 34.6 700 Thyolo 0.5 43.6 17.9 1,297 Zomba 0.7 64.6 25.5 1,542 Total 3.3 57.5 24.6 12,449 Total 4.9 58.6 27.0 26,361 1 Indoor residual spraying (IRS) is limited to spraying conducted by a government, private or nongovernmental organization 2 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 Appendix A • 389
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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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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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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
Page 406 and 407: Table A-10.8 Feeding practices duri
Page 408 and 409: Table A-10.10 Knowledge of ORS pack
Page 410 and 411: CHAPTER 11 NUTRITION OF CHILDREN AN
Page 412 and 413: Table A-11.2 Initial breastfeeding:
Page 414 and 415: Table A-11.7 Prevalence of anaemia
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 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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Page 460 and 461: Table A-16.9.1 Women’s participat
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Page 464 and 465: Table A-16.11 Attitudes toward nego
Page 466 and 467: CHAPTER 17 DOMESTIC VIOLENCE Table
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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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