A new PLOS study looks at how people in Malawi’s Lilongwe and Balaka districts understand leprosy, how they respond to it, and how easily they can access care. The research comes decades after Malawi reached national elimination status for leprosy in 1994, showing that the disease remains a public health concern in some areas.

According to the study summary, new leprosy cases are still being reported in several districts, including people who are diagnosed with Grade 2 disabilities. That pattern suggests some cases are being found late, despite the country’s earlier progress in reducing the overall burden of the disease.

The survey focused on community knowledge, attitudes and practices, along with healthcare access. By examining what people know about leprosy and how they seek help, the research aims to identify barriers that may contribute to delayed diagnosis, ongoing transmission, or poor treatment access.

The study adds to evidence that disease elimination at the national level does not always mean the problem has disappeared locally. In districts where cases continue to appear, improving awareness, reducing missed or delayed diagnoses, and strengthening access to care remain important parts of leprosy control.