Malawi 2015-16

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INTRODUCTION AND CONSENT Hello. My name is _______________________________________. I am working with The National Statistical Office. We are conducting a survey about health and other topics all over <strong>Malawi</strong>. The information we collect will help the government to plan health services. Your household was selected for the survey. The questions usually take about 20 minutes. All of the answers you give will be confidential and will not be shared with anyone other than members of our survey team. You don't have to be in the survey, but we hope you will agree to answer the questions since your views are important. If I ask you any question you don't want to answer, just let me know and I will go on to the next question or you can stop the interview at any time. In case you need more information about the survey, you may contact the person listed on the card that has already been given to your household. Do you have any questions? May I begin the interview now? SIGNATURE OF INTERVIEWER DATE RESPONDENT AGREES RESPONDENT DOES NOT AGREE TO BE INTERVIEWED . . 1 TO BE INTERVIEWED . . 2 END SECTION 1. RESPONDENT'S BACKGROUND NO. QUESTIONS AND FILTERS CODING CATEGORIES SKIP 101 RECORD THE TIME. HOURS . . . . . . . . . . . . . . . . . . . . . . . . MINUTES . . . . . . . . . . . . . . . . . . . . . . . . 102 How long have you been living continuously in (NAME OF CURRENT CITY, TOWN OR VILLAGE OF RESIDENCE)? IF LESS THAN ONE YEAR, RECORD ‘00’ YEARS. YEARS . . . . . . . . . . . . . . . . . . . . . . . . ALWAYS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 95 VISITOR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 96 105 103 Just before you moved here, did you live in a city, in a CITY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 town, or in a rural area? TOWN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 RURAL AREA . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 104 Before you moved here, which REGION did you live in? NOTHERN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 01 CENTRAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 02 SOUTHERN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 03 OUTSIDE OF MALAWI . . . . . . . . . . . . . . . . . . . . . 96 105 In what month and year were you born? MONTH . . . . . . . . . . . . . . . . . . . . . . . . DON'T KNOW MONTH . . . . . . . . . . . . . . . . . . . . . 98 106 How old were you at your last birthday? COMPARE AND CORRECT 105 AND/OR 106 IF INCONSISTENT. YEAR . . . . . . . . . . . . . . . . DON'T KNOW YEAR . . . . . . . . . . . . . . . . . . . 9998 AGE IN COMPLETED YEARS . . . . . . . 107 Have you ever attended school? YES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 NO . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 111 108 What is the highest level of school you attended: PRIMARY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 primary, secondary, or higher? SECONDARY . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 HIGHER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 632 • Appendix F
SECTION 1. RESPONDENT'S BACKGROUND NO. QUESTIONS AND FILTERS CODING CATEGORIES SKIP 109 What is the highest [FORM/YEAR] you completed at that level? IF COMPLETED LESS THAN ONE YEAR AT THAT LEVEL, RECORD '00'. [GRADE/FORM/YEAR] . . . . . . . . . . . . . 110 CHECK 108: PRIMARY OR SECONDARY HIGHER 113 111 Now I would like you to read this sentence to me. CANNOT READ AT ALL . . . . . . . . . . . . . . . . . . . 1 SHOW CARD TO RESPONDENT. ABLE TO READ ONLY PART OF THE SENTENCE. . . . . . . . . . . . . . . . . . . . . . . . 2 ABLE TO READ WHOLE SENTENCE . . . . . . . . . . 3 IF RESPONDENT CANNOT READ WHOLE SENTENCE, NO CARD WITH REQUIRED LANGUAGE 4 PROBE: Can you read any part of the sentence to me? (SPECIFY LANGUAGE) BLIND/VISUALLY IMPAIRED . . . . . . . . . . . . . . . . 5 112 CHECK 111: CODE '2', '3' CODE '1' OR '5' OR '4' CIRCLED 114 CIRCLED 113 Do you read a newspaper or magazine at least once a AT LEAST ONCE A WEEK . . . . . . . . . . . . . . . . . . . 1 week, less than once a week or not at all? LESS THAN ONCE A WEEK . . . . . . . . . . . . . . . . 2 NOT AT ALL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 114 Do you listen to the radio at least once a week, less AT LEAST ONCE A WEEK . . . . . . . . . . . . . . . . . . . 1 than once a week or not at all? LESS THAN ONCE A WEEK . . . . . . . . . . . . . . . . 2 NOT AT ALL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 115 Do you watch television at least once a week, less than AT LEAST ONCE A WEEK . . . . . . . . . . . . . . . . . . . 1 once a week or not at all? LESS THAN ONCE A WEEK . . . . . . . . . . . . . . . . 2 NOT AT ALL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 1<strong>16</strong> Do you own a mobile telephone? YES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 NO . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 118 117 Do you use your mobile phone for any financial YES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 transactions? NO . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 118 Do you have an account in a bank or other financial YES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 institution that you yourself use? NO . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 119 Have you ever used the internet? YES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 NO . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 122 IF NECESSARY, PROBE FOR USE FROM ANY LOCATION, WITH ANY DEVICE. 120 In the last 12 months, have you used the internet? IF NECESSARY, PROBE FOR USE FROM ANY LOCATION, WITH ANY DEVICE. YES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 NO . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 122 121 During the last one month, how often did you use the ALMOST EVERY DAY . . . . . . . . . . . . . . . . . . . . . 1 internet: almost every day, at least once a week, less AT LEAST ONCE A WEEK . . . . . . . . . . . . . . . . . . . 2 than once a week, or not at all? LESS THAN ONCE A WEEK . . . . . . . . . . . . . . . . 3 NOT AT ALL . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 Appendix F • 633
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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
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SECTION 2. REPRODUCTION NO. QUESTIO
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212 213 214 215 216 217 218 219 220
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SECTION 2. REPRODUCTION NO. QUESTIO
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SECTION 3. CONTRACEPTION 301 Now I
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SECTION 3. CONTRACEPTION NO. QUESTI
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SECTION 4. PREGNANCY AND POSTNATAL
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Page 615 and 616: SECTION 5A. CHILD IMMUNIZATION (LAS
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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 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 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: 2015-2016 MALAWI DEMOGRAPHIC AND HE
Page 669 and 670: SECTION 2. REPRODUCTION NO. QUESTIO
Page 671 and 672: SECTION 3. CONTRACEPTION 301 Now I
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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