Malawi 2015-16

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Table A-12.8 Use of mosquito nets by children: Districts Percentage of children under age 5 who, the night before the survey, slept under a mosquito net (treated or untreated), under an insecticide-treated net (ITN), under a long-lasting insecticidal net (LLIN), and under an ITN or in a dwelling in which the interior walls have been sprayed against mosquitoes (IRS) in the past 12 months; and among children under age 5 in households with at least one ITN, the percentage who slept under an ITN the night before the survey, according to district, Malawi DHS 2015-16 District Percentage who slept under any mosquito net last night Children under age 5 in all households Percentage who slept under an ITN 1 last night Percentage who slept under an LLIN last night Percentage who slept under an ITN 1 last night or in a dwelling sprayed with IRS 2 in the past 12 months Number of children Children under age 5 in households with at least one ITN 1 Percentage who slept under an ITN 1 last night Number of children Northern Chitipa 42.8 34.4 32.2 34.4 171 56.3 104 Karonga 64.9 59.2 57.2 73.3 344 78.9 258 Likoma 63.2 31.6 30.5 31.6 11 58.3 6 Mzimba 49.0 43.5 42.0 44.4 1,071 71.5 652 Nkhata Bay 47.4 39.5 35.7 40.2 252 64.2 155 Rumphi 43.0 36.7 34.4 37.4 215 58.0 136 Total 50.4 44.1 42.1 47.1 2,064 69.4 1,312 Central Dedza 38.8 35.7 35.7 38.0 743 60.2 441 Dowa 62.9 60.9 60.3 60.9 710 75.6 572 Kasungu 38.8 37.4 35.2 38.0 776 68.9 421 Lilongwe 42.5 31.0 29.2 33.9 2,528 61.1 1,283 Mchinji 67.8 58.5 43.8 68.7 578 72.2 468 Nkhotakota 71.7 68.9 50.1 71.3 402 80.2 345 Ntcheu 53.6 50.1 49.4 50.4 666 78.4 426 Ntchisi 45.2 41.2 40.4 41.2 353 71.6 203 Salima 43.6 37.9 34.5 51.4 596 69.4 326 Total 48.5 42.1 38.6 45.4 7,352 68.9 4,485 Southern Balaka 46.4 44.0 43.3 45.3 458 67.4 299 Blantyre 53.1 50.0 40.9 50.2 1,184 74.6 794 Chikhwawa 36.5 33.6 32.4 44.2 561 62.1 303 Chiradzulu 47.1 44.3 43.1 48.2 337 70.0 213 Machinga 45.1 42.1 38.4 42.4 836 68.9 511 Mangochi 36.8 33.6 31.5 37.5 1,351 63.6 714 Mulanje 45.8 38.8 34.3 42.0 733 61.7 461 Mwanza 67.6 64.5 63.9 64.5 118 77.9 97 Neno 54.9 49.6 25.9 49.8 196 67.4 144 Nsanje 48.2 44.5 39.8 49.0 318 68.5 207 Phalombe 62.1 48.0 17.6 48.3 518 67.7 367 Thyolo 33.1 31.3 30.3 31.6 666 67.0 311 Zomba 61.2 56.7 53.9 57.2 998 78.8 719 Total 47.2 43.0 37.4 45.2 8,274 69.3 5,140 Total 48.1 42.7 38.4 45.5 17,691 69.1 10,937 Note: Table is based on children who stayed in the household the night before the interview. 1 An insecticide-treated net (ITN) is (1) a factory-treated net that does not require any further treatment (LLIN) or (2) a net that has been soaked with insecticide within the past 12 months 2 Indoor residual spraying (IRS) is limited to spraying conducted by a government, private, or non-governmental organization 392 • Appendix A
Table A-12.9 Use of mosquito nets by pregnant women: Districts Percentages of pregnant women age 15-49 who, the night before the survey, slept under a mosquito net (treated or untreated), under an insecticidetreated net (ITN), under a long-lasting insecticidal net (LLIN), and under an ITN or in a dwelling in which the interior walls have been sprayed against mosquitoes (IRS) in the past 12 months; and among pregnant women age 15-49 in households with at least one ITN, the percentage who slept under an ITN the night before the survey, according to district, Malawi DHS 2015-16 District Percentage who slept under any mosquito net last night Among pregnant women age 15-49 in all households Percentage who slept under an ITN 1 last night Percentage who slept under an LLIN last night Percentage who slept under an ITN 1 last night or in a dwelling sprayed with IRS 2 in the past 12 months Number of women Among pregnant women age 15- 49 in households with at least one ITN 1 Percentage who slept under an ITN 1 last night Northern Chitipa 44.2 40.4 36.1 40.4 18 (59.0) 12 Karonga 60.4 59.5 59.5 70.8 41 (78.7) 31 Likoma (81.4) (34.0) (34.0) (34.0) 1 * 1 Mzimba 51.1 40.2 40.2 40.2 123 64.8 76 Nkhata Bay 41.6 38.1 32.7 38.1 27 (64.0) 16 Rumphi 44.3 39.3 39.3 39.3 20 (57.0) 14 Total 50.7 43.3 42.3 45.3 230 66.4 150 Central Dedza 46.4 42.5 42.5 44.0 81 63.4 54 Dowa 61.6 61.6 61.6 61.6 64 (73.4) 54 Kasungu 61.8 61.1 55.9 68.8 69 (88.5) 48 Lilongwe 39.5 28.8 28.8 31.9 340 52.4 187 Mchinji 63.2 55.2 39.3 64.8 62 67.2 51 Nkhotakota 80.6 75.3 49.2 83.9 41 86.7 36 Ntcheu 40.9 37.5 34.4 37.5 69 (62.5) 42 Ntchisi 59.3 54.6 49.3 54.6 39 (89.2) 24 Salima 53.5 52.6 44.4 64.0 63 77.2 43 Total 49.7 43.4 39.4 47.5 828 66.9 537 Southern Balaka 54.8 47.0 47.0 47.0 54 (84.4) 30 Blantyre (59.2) (56.7) (50.0) (56.7) 91 (84.7) 61 Chikhwawa 37.3 33.1 31.4 42.3 49 (58.1) 28 Chiradzulu 53.4 49.7 47.9 49.7 36 (68.4) 26 Machinga 41.8 40.5 37.5 40.5 82 67.1 49 Mangochi 37.3 36.2 36.2 37.4 153 64.3 86 Mulanje 52.6 46.1 43.7 50.4 68 (62.1) 50 Mwanza (56.2) (54.6) (54.6) (54.6) 10 (74.3) 7 Neno 56.8 51.8 31.3 51.8 21 (80.1) 14 Nsanje 56.8 52.5 45.9 56.5 29 (73.7) 21 Phalombe 62.0 53.9 22.8 53.9 53 71.4 40 Thyolo 36.7 34.8 31.1 34.8 73 (72.6) 35 Zomba 57.8 47.7 44.0 47.7 108 68.7 75 Total 48.9 44.5 39.6 45.8 827 70.4 523 Total 49.5 43.9 39.8 46.5 1,885 68.3 1,210 Number of women Note: Table is based on women who stayed in the household the night before the interview. 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 An insecticide-treated net (ITN) is (1) a factory-treated net that does not require any further treatment (LLIN) or (2) a net that has been soaked with insecticide within the past 12 months 2 Indoor residual spraying (IRS) is limited to spraying conducted by a government, private or non-governmental organization Appendix A • 393
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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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Table A-4.7.1 Recent sexual activit
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CHAPTER 5 FERTILITY Table A-5.2 Fer
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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 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 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:
Page 454 and 455: Table A-16.5.1 Ownership of title o
Page 456 and 457: Table A-16.6.1 Ownership of title o
Page 458 and 459: Table A-16.7.1 Ownership and use of
Page 460 and 461: Table A-16.9.1 Women’s participat
Page 462 and 463: Table A-16.10.1 Attitude toward wif
Page 464 and 465: Table A-16.11 Attitudes toward nego
Page 466 and 467: CHAPTER 17 DOMESTIC VIOLENCE Table
Page 468 and 469: Table A-17.4 Experience of sexual v
Page 470 and 471: Table A-17.10 Spousal violence: Dis
Page 472 and 473: Table A-17.15 Violence by women aga
Page 475 and 476: 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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