Malawi 2015-16

Recommendations

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Table C.28 Sampling errors: Mwanza sample, Malawi DHS 2015-16 Variable Value (R) Standard error (SE) WOMEN Number of cases Design Relative Confidence limits Unweighted (N) Weighted (WN) effect (DEFT) error (SE/R) R-2SE R+2SE Urban residence 0.169 0.016 701 171 1.152 0.097 0.136 0.201 Literacy 0.694 0.032 701 171 1.830 0.046 0.630 0.758 No education 0.163 0.021 701 171 1.475 0.126 0.122 0.204 Secondary or higher education 0.216 0.025 701 171 1.609 0.116 0.166 0.267 Never married (never in union) 0.221 0.020 701 171 1.260 0.089 0.182 0.261 Currently married (in union) 0.666 0.027 701 171 1.512 0.040 0.613 0.720 Married before age 20 0.672 0.019 538 131 0.954 0.029 0.633 0.711 Had sexual intercourse before age 18 0.610 0.028 538 131 1.352 0.047 0.553 0.667 Currently pregnant 0.056 0.007 701 171 0.843 0.131 0.041 0.070 Children ever born 2.801 0.096 701 171 1.043 0.034 2.609 2.993 Children surviving 2.523 0.093 701 171 1.159 0.037 2.337 2.709 Children ever born to women age 40-49 6.118 0.203 94 23 1.023 0.033 5.711 6.525 Currently using any method 0.601 0.025 461 114 1.091 0.041 0.551 0.651 Currently using a modern method 0.597 0.024 461 114 1.067 0.041 0.548 0.646 Currently using pill 0.029 0.009 461 114 1.171 0.314 0.011 0.048 Currently using IUD 0.014 0.005 461 114 0.938 0.372 0.003 0.024 Currently using condoms 0.016 0.007 461 114 1.129 0.415 0.003 0.029 Currently using injectables 0.358 0.027 461 114 1.195 0.075 0.304 0.411 Currently using implants 0.123 0.018 461 114 1.192 0.149 0.086 0.159 Currently using female sterilisation 0.057 0.012 461 114 1.135 0.215 0.033 0.082 Using public sector source 0.960 0.011 306 76 0.953 0.011 0.938 0.981 Want no more children 0.511 0.027 461 114 1.159 0.053 0.457 0.565 Want to delay next birth at least 2 years 0.300 0.021 461 114 0.992 0.071 0.258 0.343 Ideal number of children 3.737 0.053 694 170 0.996 0.014 3.631 3.842 Mothers received antenatal care for last birth 0.976 0.014 374 95 1.797 0.014 0.948 1.004 Mothers protected against tetanus for last birth 0.823 0.025 374 95 1.298 0.031 0.773 0.874 Births with skilled attendant at delivery 0.967 0.009 457 117 0.972 0.009 0.950 0.984 Had diarrhoea in the last 2 weeks 0.144 0.022 439 112 1.352 0.155 0.099 0.188 Treated with ORS 0.619 0.074 64 16 1.211 0.119 0.472 0.766 Sought medical treatment for diarrhoea 0.622 0.053 64 16 0.870 0.085 0.516 0.727 Vaccination card seen 0.708 0.049 107 27 1.101 0.070 0.609 0.806 Received BCG vaccination 0.986 0.011 107 27 0.918 0.011 0.964 1.007 Received DPT vaccination (3 doses) 0.962 0.017 107 27 0.914 0.017 0.928 0.995 Received polio vaccination (3 doses) 0.928 0.024 107 27 0.975 0.026 0.879 0.977 Received pneumococcal vaccination (3 doses) 0.952 0.021 107 27 1.019 0.022 0.910 0.994 Received rotavirus vaccination (3 doses) 0.967 0.016 107 27 0.932 0.017 0.935 0.999 Received measles vaccination 0.986 0.011 107 27 0.918 0.011 0.964 1.007 Received all vaccinations 0.913 0.025 107 27 0.933 0.027 0.863 0.963 Height-for-age (-2SD) 0.310 0.033 156 41 0.817 0.107 0.244 0.376 Weight-for-height (-2SD) 0.071 0.023 157 41 1.175 0.327 0.024 0.117 Weight-for-age (-2SD) 0.144 0.029 163 42 0.955 0.200 0.086 0.201 Prevalence of anaemia (children 6-59 months) 0.590 0.058 144 37 1.387 0.098 0.474 0.705 Prevalence of anaemia (women 15-49) 0.435 0.042 216 54 1.254 0.096 0.351 0.518 Body Mass Index (BMI)
Table C.29 Sampling errors: Thyolo sample, Malawi DHS 2015-16 Variable Value (R) Standard error (SE) WOMEN Number of cases Design Relative Confidence limits Unweighted (N) Weighted (WN) effect (DEFT) error (SE/R) R-2SE R+2SE Urban residence 0.028 0.004 945 1,123 0.720 0.137 0.021 0.036 Literacy 0.740 0.021 945 1,123 1.455 0.028 0.699 0.782 No education 0.133 0.015 945 1,123 1.377 0.115 0.102 0.163 Secondary or higher education 0.229 0.029 945 1,123 2.087 0.125 0.172 0.286 Never married (never in union) 0.220 0.015 945 1,123 1.124 0.069 0.190 0.250 Currently married (in union) 0.618 0.020 945 1,123 1.239 0.032 0.579 0.657 Married before age 20 0.740 0.020 728 868 1.208 0.027 0.701 0.779 Had sexual intercourse before age 18 0.673 0.022 728 868 1.290 0.033 0.628 0.718 Currently pregnant 0.064 0.009 945 1,123 1.155 0.144 0.046 0.083 Children ever born 2.711 0.084 945 1,123 1.097 0.031 2.543 2.878 Children surviving 2.414 0.080 945 1,123 1.211 0.033 2.253 2.575 Children ever born to women age 40-49 5.367 0.177 155 180 0.911 0.033 5.013 5.722 Currently using any method 0.590 0.023 573 694 1.112 0.039 0.544 0.636 Currently using a modern method 0.587 0.022 573 694 1.089 0.038 0.542 0.631 Currently using pill 0.020 0.006 573 694 1.016 0.299 0.008 0.032 Currently using IUD 0.010 0.004 573 694 0.946 0.404 0.002 0.017 Currently using condoms 0.036 0.008 573 694 1.057 0.229 0.020 0.052 Currently using injectables 0.344 0.023 573 694 1.179 0.068 0.297 0.390 Currently using implants 0.062 0.012 573 694 1.175 0.191 0.038 0.086 Currently using female sterilisation 0.112 0.015 573 694 1.130 0.133 0.082 0.142 Using public sector source 0.794 0.032 430 520 1.639 0.040 0.730 0.859 Want no more children 0.546 0.027 573 694 1.293 0.049 0.492 0.600 Want to delay next birth at least 2 years 0.308 0.026 573 694 1.325 0.083 0.257 0.359 Ideal number of children 3.457 0.061 936 1,113 1.230 0.018 3.335 3.580 Mothers received antenatal care for last birth 0.949 0.017 447 542 1.627 0.018 0.916 0.983 Mothers protected against tetanus for last birth 0.918 0.017 447 542 1.300 0.018 0.884 0.951 Births with skilled attendant at delivery 0.926 0.019 533 649 1.524 0.020 0.889 0.964 Had diarrhoea in the last 2 weeks 0.263 0.021 511 625 1.079 0.079 0.222 0.305 Treated with ORS 0.703 0.049 135 164 1.200 0.069 0.606 0.801 Sought medical treatment for diarrhoea 0.650 0.058 135 164 1.425 0.090 0.533 0.767 Vaccination card seen 0.828 0.051 90 108 1.282 0.061 0.727 0.930 Received BCG vaccination 0.892 0.043 90 108 1.305 0.048 0.806 0.977 Received DPT vaccination (3 doses) 0.914 0.043 90 108 1.466 0.047 0.828 1.001 Received polio vaccination (3 doses) 0.861 0.047 90 108 1.291 0.055 0.767 0.955 Received pneumococcal vaccination (3 doses) 0.904 0.043 90 108 1.404 0.048 0.817 0.991 Received rotavirus vaccination (3 doses) 0.904 0.043 90 108 1.402 0.048 0.817 0.991 Received measles vaccination 0.905 0.046 90 108 1.497 0.051 0.812 0.997 Received all vaccinations 0.824 0.047 90 108 1.172 0.057 0.730 0.918 Height-for-age (-2SD) 0.356 0.048 168 205 1.229 0.135 0.260 0.453 Weight-for-height (-2SD) 0.034 0.015 166 202 1.048 0.430 0.005 0.063 Weight-for-age (-2SD) 0.139 0.031 167 203 1.053 0.221 0.078 0.201 Prevalence of anaemia (children 6-59 months) 0.496 0.048 151 185 1.171 0.098 0.399 0.593 Prevalence of anaemia (women 15-49) 0.356 0.037 325 390 1.404 0.104 0.282 0.430 Body Mass Index (BMI)
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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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Table A-5.10 Median age at first bi
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CHAPTER 6 FERTILITY PREFERENCES Tab
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CHAPTER 7 FAMILY PLANNING Table A-7
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Table A-7.13 Decision-making about
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Table A-7.16 Contact of nonusers wi
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CHAPTER 9 MATERNAL HEALTH CARE Tabl
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Table A-9.4 Tetanus toxoid injectio
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Table A-9.6 Assistance during deliv
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Table A-9.9 Timing of first postnat
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Table A-9.11 Timing of first postna
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Table A-9.13 Content of postnatal c
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Table A-9.15 Prevalence of obstetri
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CHAPTER 10 CHILD HEALTH Table A-10.
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Table A-10.4 Possession and observa
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Table A-10.6 Prevalence and treatme
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Table A-10.8 Feeding practices duri
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Table A-10.10 Knowledge of ORS pack
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CHAPTER 11 NUTRITION OF CHILDREN AN
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Table A-11.2 Initial breastfeeding:
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Table A-11.7 Prevalence of anaemia
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Table A-11.9 Micronutrient intake a
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Table A-11.11 Nutritional status of
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Table A-11.13 Micronutrient intake
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Table A-12.2 Source of mosquito net
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Table A-12.6 Use of mosquito nets b
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Table A-12.8 Use of mosquito nets b
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Table A-12.10 Use of Intermittent P
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Table A-12.14 Haemoglobin
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Table A-13.4 Discriminatory attitud
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Table A-13.5.2 Multiple sexual part
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Table A-13.7.1 Coverage of prior HI
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Table A-13.8 Pregnant women counsel
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Table A-13.10 Self-reported prevale
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Table A-13.12 Age at first sexual i
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Table A-13.14.1 Multiple sexual par
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CHAPTER 14 HIV PREVALENCE Table A-1
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Table A-14.3 HIV prevalence: Distri
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CHAPTER 16 WOMEN’S EMPOWERMENT Ta
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Table A-16.4.1 Ownership of assets:
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Table A-16.5.1 Ownership of title o
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Table A-16.6.1 Ownership of title o
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Table A-16.7.1 Ownership and use of
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Table A-16.9.1 Women’s participat
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Table A-16.10.1 Attitude toward wif
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Table A-16.11 Attitudes toward nego
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CHAPTER 17 DOMESTIC VIOLENCE Table
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Page 475 and 476: SAMPLE DESIGN Appendix B B.1 INTROD
Page 477 and 478: two-stage stratified cluster sample
Page 479 and 480: Table B.1 Distribution of residenti
Page 481 and 482: Table B.4 Sample allocation of comp
Page 483 and 484: Table B.6 Sample implementation: Me
Page 485 and 486: Table B.8 Coverage of HIV testing b
Page 487: Table B.10 Coverage of HIV testing
Page 490 and 491: where h represents the stratum whic
Page 492 and 493: Table C.2 Sampling errors: Total sa
Page 494 and 495: Table C.4 Sampling errors: Rural sa
Page 496 and 497: Table C.6 Sampling errors: Central
Page 498 and 499: Table C.8 Sampling errors: Chitipa
Page 500 and 501: Table C.10 Sampling errors: Nkhatab
Page 502 and 503: Table C.12 Sampling errors: Mzimba
Page 504 and 505: Table C.14 Sampling errors: Kasungu
Page 506 and 507: Table C.16 Sampling errors: Ntchisi
Page 508 and 509: Table C.18 Sampling errors: Salima
Page 510 and 511: Table C.20 Sampling errors: Mchinji
Page 512 and 513: Table C.22 Sampling errors: Ntcheu
Page 514 and 515: Table C.24 Sampling errors: Maching
Page 516 and 517: Table C.26 Sampling errors: Chiradz
Page 520 and 521: Table C.30 Sampling errors: Mulanje
Page 522 and 523: Table C.32 Sampling errors: Chikwaw
Page 524 and 525: Table C.34 Sampling errors: Balaka
Page 526 and 527: Table C.36 Sampling errors for adul
Page 528 and 529: Table D.2.1 Age distribution of eli
Page 530 and 531: Table D.5 Reporting of age at death
Page 532 and 533: Table D.7 Nutritional status of chi
Page 535 and 536: SURVEY PERSONNEL Appendix E 2015-16
Page 537 and 538: Team Leaders Benson Mvula Grossveno
Page 539: Ireen Yohane Chisomo Mkwapatira Des
Page 543 and 544: 2015-2016 MALAWI DEMOGRAPHIC AND HE
Page 545 and 546: INTRODUCTION AND CONSENT Hello. My
Page 547 and 548: HOUSEHOLD SCHEDULE IF AGE 0-17 YEAR
Page 549 and 550: HOUSEHOLD SCHEDULE IF AGE 0-17 YEAR
Page 551 and 552: HOUSEHOLD CHARACTERISTICS NO. QUEST
Page 553 and 554: HOUSEHOLD CHARACTERISTICS NO. QUEST
Page 555 and 556: MOSQUITO NETS NET #1 NET #2 NET #3
Page 557 and 558: ADDITIONAL HOUSEHOLD CHARACTERISTIC
Page 559 and 560: 200 CHILD FUNCTIONING AND DISABILIT
Page 561 and 562: 300 CHILD FUNCTIONING AND DISABILIT
Page 563 and 564: CHILD FUNCTIONING AND DISABILITY (A
Page 565 and 566: ELIGIBILITY AND CONSENT FOR THE MIC
Page 567 and 568: INTERVIEWER'S OBSERVATIONS TO BE FI
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2015-2016 MALAWI DEMOGRAPHIC AND HE
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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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