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Abstract Background Community Acquired Pneumonia (CAP) is the leading cause of childhood morbidity and mortality worldwide including India. Many of these deaths can be averted by creating awareness in community about early symptoms of CAP and by ensuring availability of round the clock, quality health care. The objective was to assess the effectiveness of an innovative package of orienting doctors and community health workers about community perceptions on CAP barriers to qualified health care seeking, plus infrastructural strengthening by (i) providing “Pneumonia Drug Kit” (PDK) (ii) establishing “Pneumonia Management Corner” (PMC) at additional primary health center (PHCs) and (iii) “Pneumonia Management Unit” (PMU) at Community health center (CHCs) along with one of 4 different behavior change communication interventions: 1.Organizing Childhood Pneumonia Awareness Sessions (PAS) for caregivers of children