In the context of malaria elimination, 'High Burden to High Impact' (HBHI) strategy has been adopted by India in its high-burden states. The 'stratification' pillar in HBHI focuses on:
- A Increasing indoor residual spraying coverage uniformly across all areas
- B Geospatial mapping of malaria burden to target interventions precisely ✓
- C Mass drug administration with primaquine in high-burden states
- D Recruitment of ASHA workers specifically for malaria surveillance
Correct answer: B. Geospatial mapping of malaria burden to target interventions precisely
Explanation
The HBHI approach (WHO-endorsed, adopted by India in high-burden states) has four pillars: political will, data-driven stratification (geospatial mapping to identify high-risk populations), optimal package of interventions, and transformed financing. Stratification guides where to target LLINs, IRS, and rapid diagnostic testing resources.
Reference: Park's Textbook of Preventive and Social Medicine, 27th ed.
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