A minimum of 4284 children 2-59 months with fever but no malaria, pneumonia or diarrhea are required for this study. Based on the assumption that 30% of children with fever would be eligible for the study (no malaria, diarrhea, pneumonia or referral signs), a total of 16,333 children 2-59 months will need to be screened by the HEWs. With 12 months of data collection, this means that on average 1,361 children will need to be screened each month. Each health post see on average 16 children 2-59 months each month; hence 85 health posts (each with 2 HEWs) will need to be included in the study. The unit of randomization (cluster) will be the health centers that oversee 5 health posts each (with 10 HEWs). Therefore, a total of 18 health centers (clusters) will need to be included in the study, half of which will be randomly allocated to the intervention arm and half to the control, using restricted randomization to minimize the difference between the intervention and control clusters. Restricted randomization will be based on key indicators such as average cluster distance to nearest zonal referral hospital and number of unclassified fever in children under 5 seen by HEWs.