Mphwatiwa T, et al. – Authors undertook this qualitative study investigating experiences and perceptions of users and implementers of a programme of school–based malaria case management via a first–aid kit—the Learner Treatment Kit (LTK)—implemented as part of a cluster–randomized controlled trial in Zomba district, Malawi. In this study, training teachers to test for and treat uncomplicated malaria in schools was well received by both users and implementers alike, and was perceived by the majority of stakeholders to be a valuable programme. For the success of such a programme, critical factors identified were ensuring an effective supervisory system, a reliable supply chain, and the training of greater numbers of teachers per school to manage high consultation numbers, especially during the peak malaria transmission season.