“…In Malawi, ETAT has been implemented in tertiary and secondary hospitals [ 16 ], with discussions about integration with the IMCI programme and roll-out to primary care at the time of the study [ 17 ]. A pilot study in peri-urban primary care in Malawi suggested implementation is feasible and increased accuracy of referrals; however, this study used a digital tool with decision support [ 18 , 19 ]. Given primary care facilities are mostly staffed by lower cadres of healthcare workers and varying resources, assessing the current capacity to deliver ETAT in this context is needed.…”