Of the 13 million people in Malawi (1) 85% are rural and the country has high burden of under-five morbidity and mortality due to preventable infectious diseases. Respiratory, febrile and diarrhea diseases are the top 3 morbidity and mortality illnesses in most developing countries (2) . Acute medical care has greatly improved these conditions, but widespread and uncontrolled use of antibiotics threatens to reverse gains achieved so far. Drug sensitivity tests are a prerequisite to guide prescription practices.