For children under 12 months presenting with malaria, what is the recommended action?

The recommended action for children under 12 months presenting with malaria is to refer urgently. In this age group, malaria can lead to severe complications quite rapidly, and younger children are particularly vulnerable to the life-threatening effects of the disease. Prompt referral ensures that these children receive the necessary specialized care that may include parenteral treatment, fluid management, and close monitoring to prevent deterioration.

Additionally, young infants often present with non-specific symptoms that could be obscured by other underlying conditions, making it critical to have them assessed and monitored in a facility equipped to handle severe cases. Therefore, this approach minimizes the risk of severe malaria and supports optimal outcomes for the child.