(a) Danger signs for urgent referral	(b) Other signs for referral
Refer using emergency referral form if child shows any of the following symptoms: Convulsions or fits now or within the past 2 days Coma/loss of consciousness Patient is confused or very sleepy; cannot be woken Extreme weakness – unable to stand or sit without support Very Hot – with temperature of 38.5°C or more Very Cold – with temperature of 35.0°C or less Vomiting everything – cannot keep down food or drink Not able to drink or breastfeed Severe anaemia – very pale palms, fingernails, eyelids Yellow eyes Difficulty in breathing Severe dehydration – sunken eyes, sunken fontanelle, skin pinch, coated tongue	Refer using ordinary referral form if child shows any of the following symptoms: Fever that has lasted for more than 7 days Fever with measured temperature of 37°C or more and a negative malaria test result Vomiting and diarrhoea Blood in faeces or blood in urine Pain when passing urine, or frequent urination Wound or burns Skin abscess Painful swelling or lumps in the skin Ear infection (runny ear or child pulling at ear) Sticky or red eyes Fever in a baby <4 months old
If RDT result is positive	If RDT result is positive
Treat child (if older than 2 months) with rectal artesunate suppository prior to referral.	Treat child (if older than 4 months) with artemether–lumefantine tablets prior to referral.