Malawi 2015-16

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Table 3.4.1 Exposure to mass media: Women Percentage of women age 15-49 who are exposed to specific media on a weekly basis, according to background characteristics, Malawi DHS 2015-16 Background characteristic Reads a newspaper at least once a week Watches television at least once a week Listens to the radio at least once a week Accesses all three media at least once a week Accesses none of the three media at least once a week Number of women Age 15-19 9.8 11.5 26.4 2.1 64.7 5,263 20-24 8.9 11.5 31.2 2.2 61.1 5,159 25-29 9.5 14.2 33.0 2.4 57.8 3,953 30-34 7.7 11.1 32.7 2.4 61.5 3,668 35-39 7.0 10.6 29.1 2.4 65.0 2,924 40-44 6.1 9.8 28.5 1.8 66.6 2,029 45-49 4.5 9.5 28.0 1.8 68.7 1,567 Residence Urban 17.1 39.2 42.3 7.2 37.6 4,496 Rural 6.3 5.3 27.2 1.1 68.5 20,066 Region Northern 10.0 16.5 33.2 3.5 58.1 2,838 Central 8.5 10.4 31.7 1.8 60.2 10,529 Southern 7.6 11.3 27.6 2.2 66.4 11,194 Education No education 0.3 2.4 17.4 0.0 81.1 2,977 Primary 5.5 5.5 27.1 0.6 68.1 15,245 Secondary 15.3 26.0 42.2 5.5 44.7 5,598 More than secondary 43.2 61.9 48.0 19.5 17.3 742 Wealth quintile Lowest 3.4 1.0 12.5 0.1 85.0 4,745 Second 4.2 1.7 22.8 0.1 74.1 4,692 Middle 6.0 2.7 26.9 0.4 69.0 4,635 Fourth 7.1 4.4 34.4 0.7 60.5 4,680 Highest 18.2 40.7 49.0 8.2 32.6 5,810 Total 8.3 11.5 30.0 2.2 62.8 24,562 Table 3.4.2 Exposure to mass media: Men Percentage of men age 15-49 who are exposed to specific media on a weekly basis, according to background characteristics, Malawi DHS 2015-16 Background characteristic Reads a newspaper at least once a week Watches television at least once a week Listens to the radio at least once a week Accesses all three media at least once a week Accesses none of the three media at least once a week Number of men Age 15-19 11.1 17.2 40.2 2.7 50.2 1,818 20-24 17.1 19.6 52.4 6.1 39.3 1,408 25-29 15.7 16.5 52.3 5.3 41.7 1,022 30-34 16.9 18.2 52.0 8.0 42.7 925 35-39 18.1 22.2 56.4 8.9 36.8 882 40-44 12.9 14.7 49.8 5.8 45.1 624 45-49 14.7 14.9 48.9 4.5 43.2 450 Residence Urban 29.6 46.7 57.9 16.7 26.3 1,340 Rural 11.6 11.3 47.3 3.0 47.2 5,788 Region Northern 13.6 22.7 47.7 4.9 43.0 922 Central 17.7 18.2 55.3 6.6 37.8 3,176 Southern 12.5 16.3 43.4 4.8 49.2 3,030 Education No education 0.7 6.7 36.2 0.1 60.8 375 Primary 8.5 10.6 43.7 1.6 50.4 4,153 Secondary 22.5 26.9 58.9 9.7 32.0 2,249 More than secondary 58.0 59.5 67.6 31.9 12.7 351 Wealth quintile Lowest 6.3 5.0 28.9 0.6 66.8 1,134 Second 9.6 5.8 44.4 1.4 51.1 1,325 Middle 9.9 8.9 46.4 1.5 47.4 1,409 Fourth 14.6 12.0 54.4 4.2 39.4 1,462 Highest 28.6 47.0 63.8 16.1 22.8 1,798 Total 15-49 15.0 18.0 49.3 5.6 43.3 7,128 50-54 11.1 12.6 43.9 5.3 51.6 350 Total 15-54 14.8 17.7 49.0 5.6 43.7 7,478 40 • Characteristics of Respondents
Table 3.5.1 Internet usage: Women Percentage of women age 15-49 who have ever used the Internet, and percentage who have used the Internet in the past 12 months; and among women who have used the Internet in the past 12 months, percent distribution by frequency of Internet use in the past month, according to background characteristics, Malawi DHS 2015-16 Background characteristic Ever used the internet Used the Internet in the past 12 months Number of women Among women who have used the Internet in the past 12 months, percentage who, in the past month, used the Internet: Almost every day At least once a week Less than once a week Not at all Missing Total Number of women Age 15-19 4.7 4.1 5,263 46.5 32.9 16.2 4.4 0.0 100.0 216 20-24 10.1 8.6 5,159 56.9 25.8 9.7 7.6 0.0 100.0 445 25-29 8.3 7.5 3,953 65.7 17.6 10.4 6.4 0.0 100.0 295 30-34 6.1 5.3 3,668 57.3 29.0 10.8 2.8 0.0 100.0 194 35-39 4.1 3.6 2,924 65.3 26.2 7.6 0.8 0.0 100.0 106 40-44 3.6 3.1 2,029 55.5 18.0 22.8 3.6 0.0 100.0 63 45-49 2.4 2.1 1,567 (66.6) (22.5) (9.8) (1.1) (0.0) (100.0) 33 Residence Urban 23.3 21.2 4,496 61.8 23.2 10.4 4.7 0.0 100.0 953 Rural 2.5 2.0 20,066 49.2 30.0 14.1 6.6 0.0 100.0 399 Region Northern 7.5 6.4 2,838 57.7 25.6 12.0 4.8 0.0 100.0 181 Central 7.4 6.7 10,529 61.0 22.4 12.0 4.6 0.0 100.0 707 Southern 5.0 4.1 11,194 53.8 29.2 10.5 6.4 0.0 100.0 464 Education No education 0.0 0.0 2,977 * * * * * * 1 Primary 0.7 0.4 15,245 27.6 17.4 40.1 14.9 0.0 100.0 56 Secondary 15.3 13.0 5,598 47.5 32.1 13.3 7.1 0.0 100.0 729 More than secondary 79.5 76.2 742 74.8 17.0 6.3 1.9 0.0 100.0 565 Wealth quintile Lowest 0.3 0.2 4,745 * * * * * * 10 Second 0.4 0.3 4,692 * * * * * * 12 Middle 0.8 0.5 4,635 (39.0) (25.6) (31.0) (4.4) (0.0) (100.0) 24 Fourth 2.5 1.8 4,680 37.2 33.8 18.7 10.3 0.0 100.0 84 Highest 23.4 21.0 5,810 60.4 24.3 10.5 4.8 0.0 100.0 1,222 Total 6.3 5.5 24,562 58.1 25.2 11.5 5.3 0.0 100.0 1,352 Note: Figures in parentheses are based on 25-49 unweighted cases. An asterisk indicates that a figure is based on fewer than 25 unweighted cases and has been suppressed. Characteristics of Respondents • 41
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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
Page 23: FOREWORD T he 2016-16 Malawi Demogr
Page 26 and 27: LA LAM LLIN LPG MAD MDHS MICS PPHC
Page 28 and 29: Table 3.4.1 Exposure to mass media:
Page 30 and 31: Example 2: Prevalence and Treatment
Page 32 and 33: Example 3: Understanding Sampling W
Page 34 and 35: xxxii • Map of Malawi
Page 36 and 37: The information collected in the 20
Page 38 and 39: ecorded on the Biomarker Questionna
Page 40 and 41: 1.5 PRETEST The pretest for the 201
Page 43 and 44: HOUSING CHARACTERISTICS AND 2 HOUSE
Page 45 and 46: About half of Malawian households (
Page 47 and 48: A total of 117,177 individuals stay
Page 49 and 50: Patterns by background characterist
Page 51 and 52: school. The attendance rate decline
Page 53 and 54: Table 2.3 Household sanitation faci
Page 55 and 56: Table 2.5 Wealth quintiles Percent
Page 57 and 58: Table 2.9 Household composition Per
Page 59 and 60: Table 2.11 Children’s living arra
Page 61 and 62: Table 2.12.2 Educational attainment
Page 63 and 64: Table 2.14.1 Child functioning and
Page 65 and 66: CHARACTERISTICS OF RESPONDENTS 3 Ke
Page 67 and 68: • Women and men living in urban a
Page 69 and 70: Women and men are most commonly emp
Page 71 and 72: Table 3.1 Background characteristic
Page 73: Table 3.3.1 Literacy: Women Percent
Page 77 and 78: Table 3.6.1 Employment status: Wome
Page 79 and 80: Table 3.7.1 Occupation: Women Perce
Page 81 and 82: Table 3.8 Type of employment: Women
Page 83 and 84: Table 3.10.1 Tobacco smoking: Women
Page 85 and 86: Table 3.11 Average number of cigare
Page 87: Table 3.13.2 Knowledge and attitude
Page 90 and 91: Figure 4.1 Marital status Percent d
Page 92 and 93: marriage. The median age at first i
Page 94 and 95: Table 4.1 Current marital status Pe
Page 96 and 97: Table 4.3 Age at first marriage Per
Page 98 and 99: Table 4.5 Age at first sexual inter
Page 100 and 101: Table 4.7.1 Recent sexual activity:
Page 103 and 104: FERTILITY 5 Key Findings Total
Page 105 and 106: 5.3 BIRTH INTERVALS Median birth in
Page 107 and 108: 5.5 AGE AT FIRST BIRTH Median age a
Page 109 and 110: LIST OF TABLES For more information
Page 111 and 112: Table 5.3.1 Trends in age-specific
Page 113 and 114: Table 5.6 Postpartum amenorrhea, ab
Page 115: Table 5.10 Median age at first birt
Page 118 and 119: Trends: The percentage of currently
Page 120 and 121: Trends: Since 1992, the proportion
Page 122 and 123: 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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Patterns by background characterist
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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 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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SECTION 5A. CHILD IMMUNIZATION (LAS
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SECTION 5A. CHILD IMMUNIZATION (LAS
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SECTION 5B. CHILD IMMUNIZATION (NEX
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SECTION 5B. CHILD IMMUNIZATION (NEX
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SECTION 6. CHILD HEALTH AND NUTRITI
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SECTION 7. MARRIAGE AND SEXUAL ACTI
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SECTION 8. FERTILITY PREFERENCES NO
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SECTION 9. HUSBAND'S BACKGROUND AND
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NO. QUESTIONS AND FILTERS SECTION 1
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SECTION 10. HIV/AIDS NO. QUESTIONS
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SECTION 10. HIV/AIDS NO. QUESTIONS
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SECTION 11. OTHER HEALTH ISSUES NO.
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SECTION MM. MATERNAL MORTALITY MODU
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SECTION 13. DOMESTIC VIOLENCE MODUL
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INSTRUCTIONS: COL. 1 COL. 2 ONLY ON
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SECTION 1. RESPONDENT'S BACKGROUND
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SECTION 3. CONTRACEPTION 301 Now I
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SECTION 6. EMPLOYMENT AND GENDER RO
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SECTION 7. HIV/AIDS NO. QUESTIONS A
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SECTION 7. HIV/AIDS NO. QUESTIONS A
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INTERVIEWER'S OBSERVATIONS TO BE FI
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MALAWI GOVERNEMNT NATIONAL STATISTI
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Malawi 2015-16

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