Home Emergencies: preparadness and response Injury prevention Child protection HIV and AIDS Malaria Hygiene Coughs, colds and more serious illnesses Diarrhoea Immunization Nutrition and growth Breastfeeding Child development and early learning Safe motherhood and newborn health Timing births

The Mother and Child Health and Education Trust



Follow MotherChild on Twitter  Connect with MotherChild on Facebook  Subscribe to HealthPhone on YouTube
Facts for Life


Supporting Information


Wherever malaria is present, children are in danger. A child with a fever should be examined immediately by a trained health worker and receive an appropriate antimalarial treatment as soon as possible if diagnosed with malaria. Artemisinin-based combination therapies (ACTs) are recommended by WHO for treatment of Plasmodium falciparum malaria. It is the most serious type of malaria and causes nearly all malaria deaths.

Why it is important - All key messages - Resources

Malaria should be suspected if anyone in the family has a fever, or if young children refuse to eat or have vomiting, diarrhoea, drowsiness or fits.

A child with a fever believed to be caused by malaria needs immediate antimalarial treatment as recommended by a trained health worker. If possible, the child should be tested with a Rapid Diagnostic Test (RDT) or microscopy (laboratory diagnosis involving the examination of the person's blood under a microscope) to confirm the malaria infection. RDTs are inexpensive and increasingly available.

If a child with a malarial fever is not treated within a day, she or he might die. ACTs are recommended by WHO for treatment of Plasmodium falciparum malaria. A trained health worker can advise on what type of ACT treatment is best and how long it should be taken in accordance with national guidelines.

Malaria usually causes a high fever and chills. A child with a high fever should be kept cool for as long as the fever persists by:

  • sponging or bathing the child with tepid water (cool, not cold)
  • providing treatment with antipyretics (medication that prevents or reduces fever), such as paracetemol or ibuprofen, but not aspirin.

Keeping the fever from going too high is important to prevent convulsions, which could lead to disabilities.

A child with malaria needs to take the full course of treatment, even if the fever disappears rapidly. If the treatment is not completed, the malaria could become more severe and difficult to cure. Incomplete treatment regimens can also lead to the development of drug resistance among people in the local area.

If the malaria symptoms continue after treatment, the child should be taken to a health centre or hospital. The problem may be:

  • the child is not receiving enough medicine
  • the child has an illness other than malaria
  • the malaria is resistant to the medicine, and another medicine is needed.

Health-care providers have the responsibility to ensure that parents and caregivers are well informed about ways to prevent malaria and the best practices for caring for a child with malaria.

Foreword  •  Purpose  •  Structure  •  Essential Messages  •  Guide for Using Facts for Life   •  Glossary  •  Contact

The Mother and Child Health and Education Trust
a U.S. 501(c)(3) non profit organization
our portals and sites
HealthPhone™ Mobile Apps
Guide to Child Care
Community Video
Kyunki-Jeena Issi Ka Naam Hai
Rehydration Project
Successful Breastfeeding
Disaster Relief
Community Radio
AIDS action
Polio Free
Health Education to Villages
Breast Crawl
Education for Girls
A Simple Solution
Diarrhoea: 7 Point Plan
HIV and Breastfeeding
Rights of the Child
Mother and Child Nutrition
Mother and Child Health
Facts for Life
Education for Boys
Child Protector
Ebola Resources