Malawi 2015-16

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SECTION 4. PREGNANCY AND POSTNATAL CARE 401 CHECK 224: ONE OR MORE BIRTHS IN 2010-2015 NO BIRTHS IN 2010-2015 648 402 CHECK 215. RECORD THE BIRTH HISTORY NUMBER IN 403 AND THE NAME AND SURVIVAL STATUS IN 404 FOR EACH BIRTH IN 2010-2015. ASK THE QUESTIONS ABOUT ALL OF THESE BIRTHS. BEGIN WITH THE LAST BIRTH.IF THERE ARE MORE THAN 2 BIRTHS, USE LAST COLUMN OF ADDITIONAL QUESTIONNAIRE(S). Now I would like to ask some questions about your children born in the last five years. (We will talk about each separately.) 403 BIRTH HISTORY NUMBER FROM 212 IN BIRTH HISTORY. LAST BIRTH NEXT-TO-LAST BIRTH BIRTH BIRTH HISTORY HISTORY NUMBER . . . . . . . . . . . NUMBER . . . . . . . . . . . 404 FROM 212 AND 216: NAME NAME LIVING DEAD LIVING DEAD 405 When you got pregnant with (NAME), did YES . . . . . . . . . . . . . . . . . . . . . . 1 YES . . . . . . . . . . . . . . . . . . . . . . 1 you want to get pregnant at that time? (SKIP TO 408) (SKIP TO 426) NO . . . . . . . . . . . . . . . . . . . . . . 2 NO . . . . . . . . . . . . . . . . . . . . . . 2 406 CHECK 208: ONLY ONE BIRTH a) Did you want to b) have a baby later on, or did you not want any children? MORE THAN ONE BIRTH Did you want to have a baby later on, or did you not want any more children? LATER . . . . . . . . . . . . . . . . . . . 1 LATER . . . . . . . . . . . . . . . . . . . 1 NO MORE/NONE . . . . . . . . . . . 2 NO MORE/NONE . . . . . . . . . . . 2 (SKIP TO 408) (SKIP TO 426) 407 How much longer did you want to wait? MONTHS . . . . . . . . 1 MONTHS . . . . . . . . 1 YEARS . . . . . . . . 2 YEARS . . . . . . . . 2 DON'T KNOW . . . . . . . . . . . . . . 998 DON'T KNOW . . . . . . . . . . . . . . 998 408 Did you see anyone for antenatal care for YES . . . . . . . . . . . . . . . . . . . . . . 1 this pregnancy? NO . . . . . . . . . . . . . . . . . . . . . . 2 (SKIP TO 414) 409 Whom did you see? Anyone else? HEALTH PERSONNEL DOCTOR/CLINICAL OFFICER/MEDICAL ASSISTANT . . . . . . . . A NURSE/MIDWIFE . . . . . . . . B PROBE TO IDENTIFY EACH TYPE OF PATIENT ATTENDANT . . . . . C PERSON AND RECORD ALL HSA . . . . . . . . . . . . . . . . . . . D MENTIONED. OTHER PERSON TRADITIONAL BIRTH ATTENDANT . . . . . . . . . . . E OTHER (SPECIFY) X 570 • Appendix F
SECTION 4. PREGNANCY AND POSTNATAL CARE LAST BIRTH NEXT-TO-LAST BIRTH NO. QUESTIONS AND FILTERS NAME NAME 410 Where did you receive antenatal care for HOME this pregnancy? HER HOME . . . . . . . . . . . . . . A OTHER HOME . . . . . . . . . . . B Anywhere else? PUBLIC SECTOR GOVERNMENT HOSPITAL . . C PROBE TO IDENTIFY THE TYPE OF SOURCE. GOVERNMENT HEALTH CENTER . . . . . . . . . . . . . . D GOVERNMENT HEALTH POST . . . . . . . . . . . . . . E IF UNABLE TO DETERMINE IF PUBLIC MOBILE CLINIC . . . . . . . . F OR PRIVATE SECTOR, WRITE THE OTHER PUBLIC SECTOR NAME OF THE PLACE. G (SPECIFY) (NAME OF PLACE) CHAM/MISSION HOSPITAL . . . . . . . . . . . . . . H HEALTH CENTER . . . . . . . . I PRIVATE MEDICAL SECTOR PRIVATE HOSPITAL/ CLINIC . . . . . . . . . . . . . . J MOBILE CLINIC . . . . . . . . K OTHER PRIVATE MEDICAL SECTOR (SPECIFY) L BLM . . . . . . . . . . . . . . . . . . . . . . M OTHER (SPECIFY) X 411 How many months pregnant were you when you first received antenatal care for this pregnancy? MONTHS . . . . . . . . . . . DON'T KNOW . . . . . . . . . . . . . . 98 412 How many times did you receive NUMBER antenatal care during this pregnancy? OF TIMES . . . . . DON'T KNOW . . . . . . . . . . . . . . 98 413 As part of your antenatal care during this pregnancy, were any of the following done at least once: YES a) Was your blood pressure measured? a) BP . . . . . . . . . . . 1 2 NO b) Did you give a urine sample? b) URINE . . . . . . . . 1 2 c) Did you give a blood sample? c) BLOOD . . . . . . . . 1 2 d) Was your height measured? d) HEIGHT . . . . . . . . 1 2 e) Were you weighed? e) WEIGHT . . . . . . . . 1 2 f) Was the fetal heartbeat checked? f) HEART . . . . . . . . 1 2 414 415 g) Did you receive information on what foods to eat? During this pregnancy, were you given an injection in the arm to prevent the baby from getting tetanus, that is, convulsions after birth? During this pregnancy, how many times did you get a tetanus injection? g) FOODS . . . . . . . . 1 2 YES . . . . . . . . . . . . . . . . . . . . . . 1 NO . . . . . . . . . . . . . . . . . . . . . . 2 (SKIP TO 417) DON'T KNOW . . . . . . . . . . . . . . 8 TIMES . . . . . . . . . . . . . . . . DON'T KNOW . . . . . . . . . . . . . . 8 416 CHECK 415: 2 OR MORE OTHER TIMES (SKIP TO 420) Appendix F • 571
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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
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Table C.24 Sampling errors: Maching
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Table C.26 Sampling errors: Chiradz
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Table C.28 Sampling errors: Mwanza
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Table C.30 Sampling errors: Mulanje
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Table C.32 Sampling errors: Chikwaw
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Table C.34 Sampling errors: Balaka
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Table C.36 Sampling errors for adul
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Table D.2.1 Age distribution of eli
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Table D.5 Reporting of age at death
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Table D.7 Nutritional status of chi
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SURVEY PERSONNEL Appendix E 2015-16
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Team Leaders Benson Mvula Grossveno
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Ireen Yohane Chisomo Mkwapatira Des
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2015-2016 MALAWI DEMOGRAPHIC AND HE
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INTRODUCTION AND CONSENT Hello. My
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HOUSEHOLD SCHEDULE IF AGE 0-17 YEAR
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HOUSEHOLD SCHEDULE IF AGE 0-17 YEAR
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HOUSEHOLD CHARACTERISTICS NO. QUEST
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 569 and 570: 2015-2016 MALAWI DEMOGRAPHIC AND HE
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 587 and 588: 2015-2016 MALAWI DEMOGRAPHIC AND HE
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 601 and 602: SECTION 3. CONTRACEPTION NO. QUESTI
Page 603: SECTION 3. CONTRACEPTION NO. QUESTI
Page 607 and 608: SECTION 4. PREGNANCY AND POSTNATAL
Page 615 and 616: SECTION 5A. CHILD IMMUNIZATION (LAS
Page 617 and 618: SECTION 5A. CHILD IMMUNIZATION (LAS
Page 619 and 620: SECTION 5B. CHILD IMMUNIZATION (NEX
Page 621 and 622: SECTION 5B. CHILD IMMUNIZATION (NEX
Page 623 and 624: SECTION 6. CHILD HEALTH AND NUTRITI
Page 635 and 636: SECTION 7. MARRIAGE AND SEXUAL ACTI
Page 637 and 638: SECTION 7. MARRIAGE AND SEXUAL ACTI
Page 639 and 640: SECTION 8. FERTILITY PREFERENCES NO
Page 641 and 642: SECTION 8. FERTILITY PREFERENCES NO
Page 643 and 644: SECTION 9. HUSBAND'S BACKGROUND AND
Page 645 and 646: NO. QUESTIONS AND FILTERS SECTION 1
Page 647 and 648: SECTION 10. HIV/AIDS NO. QUESTIONS
Page 649 and 650: SECTION 10. HIV/AIDS NO. QUESTIONS
Page 651 and 652: SECTION 11. OTHER HEALTH ISSUES NO.
Page 653 and 654: 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 4. MARRIAGE AND SEXUAL ACTI
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SECTION 5. FERTILITY PREFERENCES NO
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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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SECTION 8. OTHER HEALTH ISSUES NO.
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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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