Malawi 2015-16

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SECTION 4. PREGNANCY AND POSTNATAL CARE LAST BIRTH NEXT-TO-LAST BIRTH NO. QUESTIONS AND FILTERS NAME NAME 417 At any time before this pregnancy, did YES . . . . . . . . . . . . . . . . . . . . . . 1 you receive any tetanus injections? NO . . . . . . . . . . . . . . . . . . . . . . 2 (SKIP TO 420) DON'T KNOW . . . . . . . . . . . . . . 8 418 Before this pregnancy, how many times did you receive a tetanus injection? IF 7 OR MORE TIMES, RECORD '7'. TIMES . . . . . . . . . . . . . . . . DON'T KNOW . . . . . . . . . . . . . . 8 419 CHECK 418: ONLY ONE a) How many years b) ago did you receive that tetanus injection? MORE THAN ONE How many years ago did you receive the last tetanus injection prior to this pregnancy? YEARS AGO . . . . . 420 421 During this pregnancy, were you given or did you buy any iron tablets? SHOW TABLETS. During the whole pregnancy, for how many days did you take the tablets? IF ANSWER IS NOT NUMERIC, PROBE FOR APPROXIMATE NUMBER OF DAYS. YES . . . . . . . . . . . . . . . . . . . . . . 1 NO . . . . . . . . . . . . . . . . . . . . . . 2 (SKIP TO 422) DON'T KNOW . . . . . . . . . . . . . . 8 DAYS . . . . . DON'T KNOW . . . . . . . . . . . . . . 998 422 During this pregnancy, did you take any YES . . . . . . . . . . . . . . . . . . . . . . 1 drug for intestinal worms? NO . . . . . . . . . . . . . . . . . . . . . . 2 DON'T KNOW . . . . . . . . . . . . . . 8 423 During this pregnancy, did you take YES . . . . . . . . . . . . . . . . . . . . . . 1 SP/Fansidar to keep you from getting NO . . . . . . . . . . . . . . . . . . . . . . 2 malaria? (SKIP TO 426) DON'T KNOW . . . . . . . . . . . . . . 8 424 How many times did you take SP/Fansidar during this pregnancy? TIMES . . . . . . . . . . . 425 Did you get the SP/Fansidar during any antenatal care visit, during another visit to a health facility or from another source? IF MORE THAN ONE SOURCE, RECORD THE HIGHEST SOURCE ON THE LIST. ANTENATAL VISIT . . . . . . . . . . . 1 ANOTHER FACILITY VISIT . . . . . 2 OTHER SOURCE . . . . . . . . . . . 6 426 When (NAME) was born, was (NAME) VERY LARGE . . . . . . . . . . . . . . 1 VERY LARGE . . . . . . . . . . . . . . 1 very large, larger than average, average, LARGER THAN LARGER THAN smaller than average, or very small? AVERAGE . . . . . . . . . . . . . . 2 AVERAGE . . . . . . . . . . . . . . 2 AVERAGE . . . . . . . . . . . . . . . . 3 AVERAGE . . . . . . . . . . . . . . . . 3 SMALLER THAN SMALLER THAN AVERAGE . . . . . . . . . . . . . . 4 AVERAGE . . . . . . . . . . . . . . 4 VERY SMALL . . . . . . . . . . . . . . 5 VERY SMALL . . . . . . . . . . . . . . 5 DON'T KNOW . . . . . . . . . . . . . . 8 DON'T KNOW . . . . . . . . . . . . . . 8 427 Was (NAME) weighed at birth? YES . . . . . . . . . . . . . . . . . . . . . . 1 YES . . . . . . . . . . . . . . . . . . . . . . 1 NO . . . . . . . . . . . . . . . . . . . . . . 2 NO . . . . . . . . . . . . . . . . . . . . . . 2 (SKIP TO 429) (SKIP TO 429) DON'T KNOW . . . . . . . . . . . . . . 8 DON'T KNOW . . . . . . . . . . . . . . 8 572 • Appendix F
SECTION 4. PREGNANCY AND POSTNATAL CARE LAST BIRTH NEXT-TO-LAST BIRTH NO. QUESTIONS AND FILTERS NAME NAME 428 How much did (NAME) weigh? KG FROM CARD KG FROM CARD 1 . 1 . RECORD WEIGHT IN KILOGRAMS FROM HEALTH CARD, IF AVAILABLE. KG FROM RECALL KG FROM RECALL 2 . 2 . DON'T KNOW . . . . . . . . . . . 99998 DON'T KNOW . . . . . . . . . . . 99998 429 Who assisted with the delivery of HEALTH PERSONNEL HEALTH PERSONNEL (NAME)? DOCTOR/CLINICAL DOCTOR/CLINICAL OFFICER/MEDICAL OFFICER/MEDICAL Anyone else? ASSISTANT . . . . . . . . . . . A ASSISTANT . . . . . . . . . . . A NURSE/MIDWIFE . . . . . . . . B NURSE/MIDWIFE . . . . . . . . B PROBE FOR THE TYPE(S) OF PATIENT ATTENDANT . . . . . C PATIENT ATTENDANT . . . . . C PERSON(S) AND RECORD ALL MENTIONED. OTHER PERSON OTHER PERSON TRADITIONAL BIRTH TRADITIONAL BIRTH IF RESPONDENT SAYS NO ONE ATTENDANT . . . . . . . . . . . D ATTENDANT . . . . . . . . . . . D ASSISTED, PROBE TO DETERMINE RELATIVE/FRIEND . . . . . . . . E RELATIVE/FRIEND . . . . . . . . E WHETHER ANY ADULTS WERE OTHER OTHER PRESENT AT THE DELIVERY. X X (SPECIFY) (SPECIFY) NO ONE ASSISTED . . . . . . . . Y NO ONE ASSISTED . . . . . . . . Y 430 Where did you give birth to (NAME)? HOME HOME HER HOME . . . . . . . . . . . . . . 11 HER HOME . . . . . . . . . . . . . . 11 (SKIP TO 434) (SKIP TO 434) OTHER HOME . . . . . . . . . . . 12 OTHER HOME . . . . . . . . . . . 12 PROBE TO IDENTIFY THE TYPE OF SOURCE. PUBLIC SECTOR PUBLIC SECTOR GOVERNMENT HOSPITAL . . 21 GOVERNMENT HOSPITAL . . 21 IF UNABLE TO DETERMINE IF PUBLIC GOVERNMENT HEALTH GOVERNMENT HEALTH OR PRIVATE SECTOR, WRITE THE CENTER . . . . . . . . . . . . . . 22 CENTER . . . . . . . . . . . . . . 22 NAME OF THE PLACE. GOVERNMENT HEALTH GOVERNMENT HEALTH POST/OUTREACH . . . . . 23 POST/OUTREACH . . . . . 23 OTHER PUBLIC SECTOR OTHER PUBLIC SECTOR (NAME OF PLACE) 26 26 (SPECIFY) (SPECIFY) CHAM/MISSION CHAM/MISSION HOSPITAL . . . . . . . . . . . . . . 31 HOSPITAL . . . . . . . . . . . . . . 31 HEALTH CENTER . . . . . . . . 32 HEALTH CENTER . . . . . . . . 32 PRIVATE MEDICAL SECTOR PRIVATE MEDICAL SECTOR PRIVATE HOSPITAL/ PRIVATE HOSPITAL/ CLINIC . . . . . . . . . . . . . . 41 CLINIC . . . . . . . . . . . . . . 41 OTHER PRIVATE OTHER PRIVATE MEDICAL SECTOR MEDICAL SECTOR (SPECIFY) 46 46 (SPECIFY) BLM . . . . . . . . . . . . . . . . . . . . . . 51 BLM . . . . . . . . . . . . . . . . . . . . . . 51 431 How long after (NAME) was delivered did you stay there? IF LESS THAN ONE DAY, RECORD HOURS; IF LESS THAN ONE WEEK, RECORD DAYS. OTHER 96 OTHER 96 (SPECIFY) (SPECIFY) (SKIP TO 434) (SKIP TO 434) HOURS . . . . . . . . 1 DAYS . . . . . . . . 2 WEEKS . . . . . . . . 3 DON'T KNOW . . . . . . . . . . . . . . 998 Appendix F • 573
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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
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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
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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: SECTION 4. PREGNANCY AND POSTNATAL
Page 609 and 610: 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.
Page 655 and 656: 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
Page 675 and 676:
Page 677 and 678:
Page 679 and 680:
SECTION 5. FERTILITY PREFERENCES NO
Page 681 and 682:
SECTION 6. EMPLOYMENT AND GENDER RO
Page 683 and 684:
SECTION 7. HIV/AIDS NO. QUESTIONS A
Page 685 and 686:
SECTION 7. HIV/AIDS NO. QUESTIONS A
Page 687 and 688:
SECTION 8. OTHER HEALTH ISSUES NO.
Page 689 and 690:
INTERVIEWER'S OBSERVATIONS TO BE FI
Page 691 and 692:
MALAWI GOVERNEMNT NATIONAL STATISTI
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Malawi 2015-16

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