Abstract Acute respiratory infections (ARIs) are the main reason of death among kids less than five years in India. Emergence of more modern pathogenic organisms, reemergence of ailment previously managed, huge spread antibiotic resistance, and suboptimal immunization coverage even after many innovative efforts are major factors responsible for excessive incidence of ARI. Drastic reduction inside the burden of ARI by using lowvalue interventions together with hand washing, breast feeding, availability of speedy and viable array of diagnostics, and advent of pentavalent vaccine under national Immunization schedule are ongoing are vital for discount of ARI