Plasmodium vivax is responsible for the majority of malaria cases found in South East Asia and other regions outside Africa. To achieve malaria elimination by 2030, the transmission-blocking vaccine (TBV) has been identified as a potential tool to be integrated into the malaria elimination package. As transmission-blocking immunity (TBI) can be induced after episodes of malaria, this study aimed to identify and characterize the naturally acquired transmission-blocking immunity in the endemic population. In total, 39 P. vivax patient plasma samples were examined by the direct membrane feeding assay to determine the level of naturally-acquired transmission-blocking activity. Among these, 25 showed 10%-100% transmission-blocking activity. The blocking activity against heterologous isolates was identified in 20 out of 25 plasma samples. Using the AlphaScreen platform, these plasma samples were screened against a panel of 342 P. vivax recombinant proteins to identify vaccine targets whose total IgG or IgM response is associated with transmission-blocking. New targets were identified, along with the well-established vaccine candidate Pvs230 which provides the validation for the screening approach.