Cohen JL, Leslie HH, Saran I, et al. - As it is critical to provide appropriate clinical management of malaria in children for preventing progression to severe disease and for annihilating the continued high burden of malaria mortality, researchers here assessed the quality of care provided to children under 5 diagnosed with malaria across 9 sub-Saharan African countries. They employed data from the Service Provision Assessment (SPA) survey, which are nationally representative facility surveys capturing the quality of sick-child care, facility readiness, and provider and patient characteristics. In the data set, 24,756 direct clinical observations of outpatient sick-child visits were recorded across 9 countries, including Uganda (2007), Rwanda (2007), Namibia (2009), Kenya (2010), Malawi (2013), Senegal (2013–2017), Ethiopia (2014), Tanzania (2015), and Democratic Republic of the Congo (2018). A blood test diagnosis, as well as receipt of appropriate antimalarial treatment, was reported in 32.5% of children diagnosed with malaria. The 9 countries have significant gaps in the quality of care for pediatric malaria despite increases in the distribution of malaria tests and effective antimalarial medications. These gaps in quality of care seemed to have no correlation with health worker training and facility supplies of diagnostic tests and effective antimalarials. For 2013–2018 surveys, somewhat better clinical management was reported relative to the earlier years because of higher rates of blood test diagnosis.