 There was an estimated 20-40% decline in tuberculosis case detection in the Southeast Asia region, SEA region, during 2020 due to COVID-19 outbreak. This is over and above a million people with TB who were missed each year prior to the pandemic. Active case-finding, ACF, for TB has been gaining considerable interest and investment in the SEA region. This article was authored by Alka Uggarwal Singh, Jacob Cresswell, and Vinit Bhadia.