Malawi 2015-16

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CHILD 3 CHILD 4 303 LINE NUMBER FROM COLUMN 1. LINE LINE NUMBER ..................... NUMBER ..................... NAME FROM COLUMN 2. NAME NAME 3<strong>16</strong> Does (NAME) have difficulty YES . . . . . . . . . . . . . . . . . . . . . 1 YES . . . . . . . . . . . . . . . . . . . . . 1 communicating using his/her usual NO . . . . . . . . . . . . . . . . . . . . . 2 NO . . . . . . . . . . . . . . . . . . . . . 2 language, for example understanding or (SKIP TO 318) (SKIP TO 318) being understood? DON'T KNOW . . . . . . . . . . . . . 8 DON'T KNOW . . . . . . . . . . . . . 8 317 Would you say that (NAME) has some SOME DIFFICULTY . . . . . . . . . . 1 SOME DIFFICULTY . . . . . . . . . . 1 difficulty communicating, a lot of difficultly, A LOT OF DIFFICULTY . . . . . . . 2 A LOT OF DIFFICULTY . . . . . . . 2 or can he/she not communicate at all? CAN'T COMMUNICATE AT ALL 3 CAN'T COMMUNICATE AT ALL 3 DON'T KNOW . . . . . . . . . . . . . 8 DON'T KNOW . . . . . . . . . . . . . 8 318 Does (NAME) have difficulty remembering YES . . . . . . . . . . . . . . . . . . . . . 1 YES . . . . . . . . . . . . . . . . . . . . . 1 or concentrating? NO . . . . . . . . . . . . . . . . . . . . . 2 NO . . . . . . . . . . . . . . . . . . . . . 2 (SKIP TO 320) (SKIP TO 320) DON'T KNOW . . . . . . . . . . . . . 8 DON'T KNOW . . . . . . . . . . . . . 8 319 Would you say that (NAME) has some SOME DIFFICULTY . . . . . . . . . . 1 SOME DIFFICULTY . . . . . . . . . . 1 difficulty remembering or concentrating, a A LOT OF DIFFICULTY . . . . . . . 2 A LOT OF DIFFICULTY . . . . . . . 2 lot of difficulty, or can he/she not CAN'T REM./CONCENT. AT ALL 3 CAN'T REM./CONCENT. AT ALL 3 remember or concentrate at all? DON'T KNOW . . . . . . . . . . . . . 8 DON'T KNOW . . . . . . . . . . . . . 8 320 Does (NAME) have difficulty walking or YES . . . . . . . . . . . . . . . . . . . . . 1 YES . . . . . . . . . . . . . . . . . . . . . 1 climbing steps? NO . . . . . . . . . . . . . . . . . . . . . 2 NO . . . . . . . . . . . . . . . . . . . . . 2 (SKIP TO 322) (SKIP TO 322) DON'T KNOW . . . . . . . . . . . . . 8 DON'T KNOW . . . . . . . . . . . . . 8 321 Would you say that (NAME) has some SOME DIFFICULTY . . . . . . . . . . 1 SOME DIFFICULTY . . . . . . . . . . 1 difficulty walking or climbing steps, a lot of A LOT OF DIFFICULTY . . . . . . . 2 A LOT OF DIFFICULTY . . . . . . . 2 difficulty, or can he/she not walk or climb CAN'T WALK/CLIMB AT ALL 3 CAN'T WALK/CLIMB AT ALL 3 steps at all? DON'T KNOW . . . . . . . . . . . . . 8 DON'T KNOW . . . . . . . . . . . . . 8 322 Does (NAME) have difficulty washing all YES . . . . . . . . . . . . . . . . . . . . . 1 YES . . . . . . . . . . . . . . . . . . . . . 1 over or dressing? NO . . . . . . . . . . . . . . . . . . . . . 2 NO . . . . . . . . . . . . . . . . . . . . . 2 (SKIP TO 324) (SKIP TO 324) DON'T KNOW . . . . . . . . . . . . . 8 DON'T KNOW . . . . . . . . . . . . . 8 323 Would you say that (NAME) has some SOME DIFFICULTY . . . . . . . . . . 1 SOME DIFFICULTY . . . . . . . . . . 1 difficulty washing all over or dressing, a lot A LOT OF DIFFICULTY . . . . . . . 2 A LOT OF DIFFICULTY . . . . . . . 2 of difficultly, or can he/she not wash all CAN'T WASH/DRESS AT ALL . . 3 CAN'T WASH/DRESS AT ALL . . 3 over or dress at all? DON'T KNOW . . . . . . . . . . . . . 8 DON'T KNOW . . . . . . . . . . . . . 8 324 GO BACK TO 306 IN NEXT COLUMN OF THIS QUESTIONNAIRE; IF NO MORE CHILDREN, GO TO 401. GO BACK TO 306 IN THE FIRST COLUMN OF A NEW QUESTIONNAIRE; IF NO MORE CHILDREN, GO TO 401. 530 • Appendix F
ELIGIBILITY AND CONSENT FOR THE MICRONUTRIENT SURVEY NO. 401 CHECK FRONT COVER HOUSEHOLD SELECTED HOUSEHOLD FOR THE MICRONUTRIENT SURVEY NOT SELECTED MICRONUTRIENT SURVEY 404 402 a) AFFIX THE FIRST HOUSEHOLD BAR CODE TO a) BAR CODE THE MICRONUTRIENT QUESTIONNAIIRE TRANSMITTAL SHEET AND RECORD THE CODE b) CHECK COL. 7 IN THE LIST OF HOUSEHOLD b) TOTAL ELIGIBLE PRESCHOOL MEMBERS AND WRITE THE TOTAL NUMBER OF (0-5 YRS) CHILDREN AGE 0-5 YEARS. c) IF HOUSEHOLD IS NOT SELECTED FOR c) TOTAL ELIGIBLE SCHOOL-AGE SCHOOL-AGE CHILDREN'S SURVEY: RECORD (6-14 YRS) "95" IF HOUSEHOLD IS SELECTED FOR SCHOOL- AGE CHILDREN'S SURVEY: CHECK COL. 7 IN THE LIST OF HOUSEHOLD MEMBERS AND WRITE THE TOTAL NUMBER OF CHILDREN AGE 6-14 YEARS. d) IF HOUSEHOLD IS NOT SELECTED FOR d) TOTAL ELIGIBLE WOMEN WOMEN'S SURVEY: RECORD "95" (15-49 YRS) HOUSEHOLD IS SELECTED FOR WOMEN'S SURVEY: CHECK COL. 7 IN THE LIST OF HOUSEHOLD MEMBERS AND WRITE THE TOTAL NUMBER OF WOMEN AGE 15-49 YEARS. e) IF HOUSEHOLD IS NOT SELECTED FOR MEN'S e) TOTAL ELIGIBLE MEN SURVEY, RECORD "95" (20-54 YRS) IF HOUSEHOLD IS SELECTED FOR MEN'S SURVEY: CHECK COL. 7 IN THE LIST OF HOUSEHOLD MEMBERS AND WRITE THE TOTAL NUMBER OF MEN AGE 20-54 YEARS. Appendix F • 531
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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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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
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 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: CHILD FUNCTIONING AND DISABILITY (A
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
Page 589 and 590: SECTION 1. RESPONDENT'S BACKGROUND
Page 591 and 592: SECTION 2. REPRODUCTION NO. QUESTIO
Page 593 and 594: 212 213 214 215 216 217 218 219 220
Page 595 and 596: SECTION 2. REPRODUCTION NO. QUESTIO
Page 597 and 598: SECTION 3. CONTRACEPTION 301 Now I
Page 599 and 600: SECTION 3. CONTRACEPTION NO. QUESTI
Page 605 and 606: 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 2. REPRODUCTION NO. QUESTIO
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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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