Marriott Nliwasa

In the Malawian language Chichewa, the proverb “Tsabola wakale sawawa” is literally translated as “Old pepper is not hot” and can be interpreted as meaning that, as the world changes, new solutions are needed. For low-income countries like Malawi that are heavily dependent on donor aid, the world has indeed rapidly changed.

Summary Background Community-based active case-finding interventions might identify and treat more people with tuberculosis disease than standard case detection. We aimed to assess whether active case-finding interventions can affect tuberculosis epidemiology in the wider community.