Malawi has a predominantly young population, with approximately 52% aged less than 18 years. Population projections indicate that this figure is expected to double by 2050. While the threat of infectious diseases has diminished, NCDs now constitute a significant portion of the disease burden in Malawi (figures 1a and 1b). In 1990, NCDs and injuries combined accounted for 33% of the total disability-adjusted life years (DALYs) among 5 to 19-year-olds in Malawi. By 2019, this rate had risen to 46%. Despite the pressing need to respond to this epidemiological shift, healthcare workers are ill-prepared to address the changing health needs. Inadequate and outdated training opportunities and resources for preventing, diagnosing, and treating child NCDs contribute to a lack of skills among healthcare workers to effectively identify, manage, or refer children with chronic conditions. Another challenge is that existing guidelines for NCD management primarily target adults leaving out NCDs among children and adolescents. This poses a particular challenge for those working in the field of child healthcare.