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Table 3 Gap analysis showing the proportion of health needs met by the Essential Health Package - Malawi 2008

From: Assessing the use of an essential health package in a sector wide approach in Malawi

Interventions of the existing Essential Health Package National Incidence Levels derived from Burden of Disease estimates Total burden to be met by the EHP as cases per 1000 of the population Provision in 2007/8 as cases per 1000 of the population The gap between need and delivery (ratio of provision to need)
   a b b/a
Full immunization   58.5 41.9 0.72
Measles   45.1 39.4 0.87
ARI in under-5s 1,829,077 140 68.1 0.49
Malaria - bednets 1,200,000 91.8 91.8 1.00
Malaria - under 5 2,238,248 171.3 195.7 1.14
Malaria - 5 and over 1,932,413 147.9 208.2 1.41
Antenatal Care 797,313 61 45.7 0.75
Normal Delivery 637,850 43.9 22.7 0.52
Delivery complications 115,786 10.4 3.2 0.31
Newborn Complications 127,570 9.8 0.8 0.08
Abortion Complications 55,481 4.2 1.4 0.33
Treatment of Syphilis in Pregnancy 31,095 2.4 2.2 0.92
Postpartum Care 637,850 48.8 13 0.27
Condoms 12,301 6.5 5 0.77
Oral Contraceptive Pill 10,854 7.8 6 0.77
Depo-provera injection 100,582 9.4 7.2 0.77
Norplant 2,894 0.1 0.1 1.00
IUCD 724 0.1 0.1 1.00
Bilateral Tubular Ligation   2.9 2.1 0.72
Vasectomy   0.1 0.1 1.00
Passive Case Detection   6.2 4.4 0.71
Treatment -smear negative and extra-pulmonary TB   3.6 2.6 0.72
Treatment -smear positive TB   0.9 0.6 0.67
Treatment - relapsed cases   0.2 0.2 1.00
Treatment of Dehydration in U5s 3,815,318 292 25.5 0.09
Case management in Cholera   0.1 0.1 1.00
Case management of Dysentery   14.2 8.5 0.60
HIV Testing & Counselling (HTC) 1,191,648 91.2 54.7 0.60
Management of OIs 261,325 20 12 0.60
Screening/treatment of syphilis 148,956 11.4 6.8 0.60
Prevention of MTC transmission 78,137 12.2 0.6 0.05
Testing and Treatment of Other STIs 436,676 33.4 12.8 0.38
CBHBC 37,892 2.9 0.8 0.28
ARV (adult) 79,200 5.6 3.4 0.61
ARV (child) 10,800 0.8 0.5 0.63
ARV Supplementary Feeding (adult) 79,200 1 0.6 0.60
ARV Supplementary Feeding (child) 10,800 0.9 0.5 0.56
Diagnosis and Case Management 4,401,521 11.5 6.9 0.60
Mass Treatment 352,647 27 16.2 0.60
Growth Monitoring of U5 Children 2,383,085 182.4 183.2 1.00
Micronutrient supplementation 2,383,085 182.4 109.4 0.60
Severe Acute Malnutrition (Inpatient) 44,162 3.4 1.4 0.41
Moderate Acute Malnutrition (Outpatient) 40,375 3.1 2.5 0.81
Supplementary Feeding 244,732 18.7 7.7 0.41
Treatment of conjunctivitis   45.6 27.3 0.60
Acute otitis media in under 5s 1,089,317 7.3 4.4 0.60
Scabies - 62.6 37.6 0.60
Treatment of Fractures and Dislocations 164,244 12.6 10.1 0.80
Treatment of Wounds 213,765 16.4 15.3 0.93
Total interventions   1931.6 1311.3 0.68