Malawi 2015-16

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Field Editors Shaina Chaula Mtisunge Chipeta Kennedy Chirwa Jonathan Mbewe Allen Kilembe Caleb Sawasawa Wongani Khonje Chimwemwe Amini Naomi Muhamba Dalani Matemba Witness Pindani Yacinta Chikopa Hilda Banda Enumerators Fides Mwale Chikondi Magola Christina Chilongo Menard Kaunda Jaqueline Howa Josophine Soko Regina K Ngosi Wilson Tchongwe Esnath Ngwira Euster Kachingwe Beulah Chitsulo Mtisunge Msusa Patience Zgambo Priscilla Mwenda Queen Harawa Yamikani Chinoko Martha Nguluwe Mickness Mtete Sellah Mwalweni Winston Zimba Mericy Standy Mirriam Njolomole Mwai Singano William Mwenda Ellen Muva Mwiza Msiska Gladys Banda Kondwani Nyirenda Mwayi Chiumbuzo Sara Mang'oma Andrew Newiri AliKo B. Msukwa Alinafe Liwani Amanda Mkulichi Andrew Kuntembwe Rose Chanachi Sokalawo Phambana Vitumbiko Kumwenda Chisomo Phiri Patricia Eliya Patricia Kuyenda Patricia Namate Norman Kanzota Iness Chamango Mark Malata Thokozani Chiutsa Phiri Chisomo Chalusa Paul Mchikoma Tamanda Saindi Gerald Phiri Nkhawazatha Musowa Timothy Alinafe Kaleke Ruth Chunga Lonely Mandiwa Jethro Banda Olive Masaka Deborah Kainja Emmily Ganiza Nellie Makanjira Samuel Hara Tapiwa Machinjiri Theresa Chinkhuku Thokozani Mhango Clemence Zgambo Rita-Leah Mkombe Pilirani Chisembe Rebecca Sakanjira Steven Kadango Loveness Mahata Loveness Tsirizani Lumbani Mgawi Khumbo Mande Maria Dowe Martha Alufeyo Martha Namukopwe William Chidzanja Sarah Gomera Ivy Stambuli Jacquline Bango Jonathan kaphiri Thokozani Mdyetseni Christina Ndalama Christina Sande Emmanuel Chikonso Anastasia Banda Angella Chimangeni Isha Amasi John Chimombo Mary Lizimba Mary Ndasewampangi Mary Njaidi William Andrea Eleanor Nyirenda Elizabeth Seula Esther Mchawa Enock Sakanjira Mphatso Bwinja Mphatso Chiphwanya Mphatso Sukali Anderson Katengeza Annie Chunda Richard Phiri Elizabeth Mijere Esther Kaniche Rajiv Patel Patricia Limbani Ferestia Liwonde Harriet Mchila Alice Chimenya Willys Almson Christina Jim Issa Chakuuma Fatsani Phiri Funny Manjakayisi Hannah Chiwanda Imraan Sajidu Lasul Grant Lilly Tsambalikagwa Linly Katuma Yamikani Phiri Getrude Maniwa Phiri Getrude Moffat Grace Malili Rajiv Patrick Patel Madalitso Ngwira Magret Gwazeni Maria Banda Kondwani Makomola Wezzie Banda Edwina Manyozo Phiri Egnet Salima Emmanuel Kampango Janet Saidi Jenala Mavumbe Jennet Chenjerani Joseph Malizani Lumbidzai Dimba Lusayo Moyo Lydia Chazama Lucious Moffat Mpenda Mtawali Mary Nyalugwe Memory Jamu Memory Makuta Sydney Matiyasi Caroline Haji Cecelia Mdeza Charity Banda Allan Menyamenya Ellen Mchize Ellen Phiri Fanny Muthema Gersom Mtotha Joana Chiomba Josephine Bandawe Lobina Pemba 504 • Appendix E
Ireen Yohane Chisomo Mkwapatira Desire Chikafutwa Edina Ndalama Ellard Yesaya Thokozani Khumbanyiwa Biomarker Technicians Gradys Banda Yohane Solomon Tayamika Tambala Lumbani Ndovi Esther Nkhoma Mphatso Bukhu Shalom Kaunda Chimwemwe Luhanga Grace S. Kalua Francis Mussa Susan Chimenya Ndaona Mitole Maureen Kalua Mike Nyirenda Mayankho Kazembe Gabriel Nyondo Stelia Boti Shalom Mwalwanda Slyvia Nyaka Amon Maganga Francis Nkonde Bakhita Ngozo Prince Chizito Albert Mussa Edina Sharme Ndhlovu Francis Mtengapanji Annie Palanjeta Beatrice Malidadi Clement Chitimbe Charity Mwandimange Chimwemwe Mtambalika Thokozani Mkwaila Veronica Jali Chikumbutso Chiweza Omega Mkandawire Joseph M. Steven Thabu Kumwenda Lyson Mofolo Wesa Mlonga Steven Alfred Glory Nkosi Frank Mandala Ulemu Chiyenda Ganizani Paul Agnes Jarafi Chancy Chimatiro Liness Chinyamunyamu Frank Duwa Lucy kalonga Wellington Chikuni Thokozani Kumwembe Augrey Chombo Jane Gama Paul Chirambo Bibiana Dzimbiri Sydney Kubwalo Veronica Likhaluwe Joseph Nambera Esther Phiri Yvonne N. Kapali Fanny Mkwiyo Felix Basikolo Alinafe Kalua Patrice B. Mwamlima Tiwonge Chisale Madalitso Mataya Esther Hamuza Jimmy Mwatero Mphatso Sayenda Solomon Obet Julius Eliza Kansinjiro Aubrey Malizani Chrissy Nchocholo Bright Zgambo Thokozani Ngomba Khumbo Nyirenda Salome Kamtambo Vincent Limbani Ruth Muula William Sedinala Jane Chafunya Tamala Ntande Taonga Mwase-Vuma Felistus Kanjira Jack Mavuka Martha Chisale Frederick Mtoto ICF Jean de Dieu Bizimana Albert Themme Peter Aka Dean Garrett Michelle Gamber Mahmoud Elkasabi Bernard Barrère Geofrey Lutwama Abdou Sarr Michel Toukam Jeremy Taglieri Joanna Lowell Lia Florey Joy Fishel Trevor Croft Sara Head Sunita Kishor Chris Gramer Diane Stoy Matt Pagan Trinadh Dontamsetti Sally Zweimueller Survey Manager Data Processing Specialist Biomarker Specialist Biomarker Specialist Survey Manager Sampling Specialist Deputy Director Data Processing Consultant Data Processing Consultant Biomarker Consultant Technical Reviewer Technical Reviewer Technical Reviewer Technical Reviewer Technical Reviewer Technical Reviewer Technical Reviewer Report Production Specialist Editor GIS Specialist GIS Specialist Communications Specialist Appendix E • 505
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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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Table A-17.4 Experience of sexual v
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Table A-17.10 Spousal violence: Dis
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Table A-17.15 Violence by women aga
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SAMPLE DESIGN Appendix B B.1 INTROD
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two-stage stratified cluster sample
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Table B.1 Distribution of residenti
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Table B.4 Sample allocation of comp
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Table B.6 Sample implementation: Me
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Table B.8 Coverage of HIV testing b
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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 518 and 519: Table C.28 Sampling errors: Mwanza
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: Team Leaders Benson Mvula Grossveno
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
Page 571 and 572: WEIGHT, HEIGHT AND HEMOGLOBIN MEASU
Page 573 and 574: WEIGHT, HEIGHT AND HEMOGLOBIN MEASU
Page 575 and 576: WEIGHT, HEIGHT, HEMOGLOBIN MEASUREM
Page 581 and 582: 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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2015-2016 MALAWI DEMOGRAPHIC AND HE
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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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