id author title date pages extension mime words sentences flesch summary cache txt cord-102296-0zzy8fjf Hyde, E. Estimating the local spatio-temporal distribution of disease from routine health information systems: the case of malaria in rural Madagascar 2020-08-18 .txt text/plain 8761 416 45 The goal of this study was to estimate the unobserved burden of malaria missed by routine passive surveillance in a rural district of Madagascar to produce realistic incidence estimates across space and time, less sensitive to heterogeneous health care access. Passive surveillance is especially unsuited to estimate local malaria burdens for remote populations in rural areas, as health centers are sparsely distributed and health care utilization tends to decrease exponentially as distance to a health facility increases [19] [20] [21] [22] . Thus, innovations are needed to improve the use of passive surveillance data in high transmission areas in order to increase the ability of local control programs to track disease dynamics within a health district, efficiently deploy resources, and target interventions to high-risk populations. Using the example of malaria in a poor rural district of Madagascar, we show that adjusted incidence estimates were less biased by differences in financial and geographic access to health care between populations. ./cache/cord-102296-0zzy8fjf.txt ./txt/cord-102296-0zzy8fjf.txt