Use of serology to validate health facility-based data for prioritizing IRS in the central highlands of Madagascar

Objectives

The primary objective of this protocol is to identify the simplest and most cost-effective methods for characterizing transmission intensity in Madagascar for the purposes of IRS stratification.

School-based malaria serology surveys will be used as a gold standard to validate the recently implemented approach of using health facility-based and routinely reported malaria incidence data to prioritize communes for focalized IRS, in addition to evaluating the performance of several additional potential measures of transmission intensity.