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Ntchisi is served by a District hospital located at the capital and several health centres in its peripherals.The majority of the health facilities are government run.However there are other facilities run by missions or churches like in the case of Mpherere, Chinthembwe and malambo health centres.The government run health centres include Malomo rural hospital,Kansonga,Mkhuzi, Nthondo, Mzandu and Kangolwa health centres. Chafumbwa health centre is still under construction.
Ntchisi has several education institutions ranging from nursery,primary,secondary and terciary.It has two full boarding secondary schools,Mbomba and Ntchisi <formery Ntchisi Boys>.Others are community secondary school like,Malomo,Kanjiwa,Gwangwa,Mphere,Chinthembwe,Mawiri, Kayoyo and Kasakula community day secondary schools.There are other private secondary schools like Kondwani private schools. However,there are some private tertiary institutions that technical and academic levels.
The major part of the population in Ntchisi live on subsistence agriculture.The most popular crops are Tobacco,Maize,Soya,Groundnuts,Cassava,Peas,Beans and Sorghum.There is also a growing number of commercial dairy farming.The common livestock in Ntchisi include Cattle,Goats,pigs and chickens.
Ntchisi has one of the worst road networks,wit only one tarmac road from Mponela to the capital commonly known as Ntchisi boma.The rest of the road are dry weather roads.The population is served by privately owned minbuses and some pickups that travel to the most remote areas.However,there is a National bus company which operates routine between the capital city Lilongwe and Ntchisi boma. Airports: There is only one unpaved airport in Ntchisi.
One of the tourist attraction is its gigantic ntchisi mountain and its surrounding forest reserve which is one of the biggest forest reserves in Malawi.There are several lodging sites in Ntchisi including Ntchisi Lodge.