Summary Brief: Pathogen Pathways Study for Children Under Two Years in the FIOVANA Intervention Areas of Southeastern Madagascar

This brief summarizes the Pathogen Pathways Study for Children Under Two Years in the USAID FIOVANA Intervention Areas of Southeastern Madagascar. The primary objective of this research is to identify the most important pathway(s) for fecal pathogen exposure among young children in Southeastern Madagascar. Results will inform the development and refinement of appropriate interventions to improve health. Specifically, this research aims to answer two key research questions:

1. What are the main ingestion pathways of fecal pathogens (both human and animal) for children under the age of two in implementation areas of the FIOVANA project? 
2. What interventions could potentially interrupt these transmission pathways, considering the specific implementation challenges (e.g., topography and climate) and unique cultural and social norms of Southeastern Madagascar?