Malawi 2015-16

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SECTION 9. HUSBAND'S BACKGROUND AND WOMAN'S WORK NO. QUESTIONS AND FILTERS CODING CATEGORIES SKIP 901 CHECK 701: CURRENTLY MARRIED/ LIVING WITH A MAN NOT IN UNION 909 902 How old was your (husband/partner) on his last birthday? AGE IN COMPLETED YEARS . . . . . . . 903 Did your (husband/partner) ever attend school? YES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 NO . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 906 904 What was the highest level of school he attended: PRIMARY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 primary, secondary, or higher? SECONDARY . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 HIGHER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 DON'T KNOW . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 906 905 What was the highest [FORM/YEAR] he completed at that level? IF COMPLETED LESS THAN ONE YEAR AT THAT LEVEL, RECORD '00'. [GRADE/FORM/YEAR] . . . . . . . . . . . . . DON'T KNOW . . . . . . . . . . . . . . . . . . . . . . . . . . . 98 906 Has your (husband/partner) done any work in the last 7 YES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 908 days? NO . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 DON'T KNOW . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 907 Has your (husband/partner) done any work in the last YES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 12 months? NO . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 DON'T KNOW . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 909 908 What is your (husband's/partner's) occupation? That is, what kind of work does he mainly do? 909 Aside from your own housework, have you done any YES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 913 work in the last seven days? NO . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 910 As you know, some women take up jobs for which they are paid in cash or kind. Others sell things, have a small business or work on the family farm or in the family business. In the last seven days, have you done any of these things or any other work? YES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 913 NO . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 911 Although you did not work in the last seven days, do you have any job or business from which you were absent for leave, illness, vacation, maternity leave, or any other such reason? YES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 913 NO . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 912 Have you done any work in the last 12 months? YES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 NO . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 917 913 What is your occupation? That is, what kind of work do you mainly do? 608 • Appendix F
SECTION 9. HUSBAND'S BACKGROUND AND WOMAN'S WORK NO. QUESTIONS AND FILTERS CODING CATEGORIES SKIP 914 Do you do this work for a member of your family, for FOR FAMILY MEMBER . . . . . . . . . . . . . . . . . . . . . 1 someone else, or are you self-employed? FOR SOMEONE ELSE . . . . . . . . . . . . . . . . . . . . . 2 SELF-EMPLOYED . . . . . . . . . . . . . . . . . . . . . . . . 3 915 Do you usually work throughout the year, or do you THROUGHOUT THE YEAR . . . . . . . . . . . . . . . . 1 work seasonally, or only once in a while? SEASONALLY/PART OF THE YEAR . . . . . . . . . . 2 ONCE IN A WHILE . . . . . . . . . . . . . . . . . . . . . . . . 3 9<strong>16</strong> Are you paid in cash or kind for this work or are you not CASH ONLY . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 paid at all? CASH AND KIND . . . . . . . . . . . . . . . . . . . . . . . . 2 IN KIND ONLY . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 NOT PAID . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 917 CHECK 701: CURRENTLY MARRIED/LIVING NOT IN UNION 925 WITH A MAN 918 CHECK 9<strong>16</strong>: CODE '1' OR '2' CIRCLED OTHER 921 919 Who usually decides how the money you earn will be RESPONDENT . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 used: you, your (husband/partner), or you and your HUSBAND/PARTNER . . . . . . . . . . . . . . . . . . . . . 2 (husband/partner) jointly? RESPONDENT AND HUSBAND/PARTNER JOINTLY . . . . . . . . . . 3 OTHER 6 (SPECIFY) 920 Would you say that the money that you earn is more MORE THAN HIM . . . . . . . . . . . . . . . . . . . . . . . . 1 than what your (husband/partner) earns, less than what LESS THAN HIM . . . . . . . . . . . . . . . . . . . . . . . . 2 he earns, or about the same? ABOUT THE SAME . . . . . . . . . . . . . . . . . . . . . . . . 3 HUSBAND/PARTNER HAS NO EARNINGS . . . . . . . . . . . . . . . . . . . . . . . . 4 922 DON'T KNOW . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 921 Who usually decides how your (husband's/partner's) RESPONDENT . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 earnings will be used: you, your (husband/partner), or HUSBAND/PARTNER . . . . . . . . . . . . . . . . . . . . . 2 you and your (husband/partner) jointly? RESPONDENT AND HUSBAND/PARTNER JOINTLY . . . . . . . . . . 3 HUSBAND/PARTNER HAS NO EARNINGS . . . . . . . . . . . . . . . . . . . . . . . . 4 OTHER 6 (SPECIFY) 922 Who usually makes decisions about health care for RESPONDENT . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 yourself: you, your (husband/partner), you and your HUSBAND/PARTNER . . . . . . . . . . . . . . . . . . . . . 2 (husband/partner) jointly, or someone else? RESPONDENT AND HUSBAND/PARTNER JOINTLY . . . . . . . . . . 3 SOMEONE ELSE . . . . . . . . . . . . . . . . . . . . . . . . 4 OTHER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 923 Who usually makes decisions about making major RESPONDENT . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 household purchases:you, your (husband/partner), you HUSBAND/PARTNER . . . . . . . . . . . . . . . . . . . . . 2 and your (husband/partner) jointly, or someone else? RESPONDENT AND HUSBAND/PARTNER JOINTLY . . . . . . . . . . 3 SOMEONE ELSE . . . . . . . . . . . . . . . . . . . . . . . . 4 OTHER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 Appendix F • 609
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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
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MOSQUITO NETS NET #1 NET #2 NET #3
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ADDITIONAL HOUSEHOLD CHARACTERISTIC
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200 CHILD FUNCTIONING AND DISABILIT
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300 CHILD FUNCTIONING AND DISABILIT
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CHILD FUNCTIONING AND DISABILITY (A
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ELIGIBILITY AND CONSENT FOR THE MIC
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INTERVIEWER'S OBSERVATIONS TO BE FI
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WEIGHT, HEIGHT AND HEMOGLOBIN MEASU
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WEIGHT, HEIGHT AND HEMOGLOBIN MEASU
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WEIGHT, HEIGHT, HEMOGLOBIN MEASUREM
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HIV TESTING FOR MEN AGE 15-54 301 C
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SECTION 1. RESPONDENT'S BACKGROUND
Page 591 and 592: SECTION 2. REPRODUCTION NO. QUESTIO
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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
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 639 and 640: SECTION 8. FERTILITY PREFERENCES NO
Page 641: SECTION 8. FERTILITY PREFERENCES NO
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 655 and 656: SECTION MM. MATERNAL MORTALITY MODU
Page 657 and 658: SECTION 13. DOMESTIC VIOLENCE MODUL
Page 663 and 664: INSTRUCTIONS: COL. 1 COL. 2 ONLY ON
Page 665 and 666: 2015-2016 MALAWI DEMOGRAPHIC AND HE
Page 667 and 668: SECTION 1. RESPONDENT'S BACKGROUND
Page 671 and 672: SECTION 3. CONTRACEPTION 301 Now I
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 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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