Pneumonia is the leading cause of death among children under 11 months of age, accounting for 14.5% of the cases. In the 12–59-month age group, pneumonia was ranked as the second most common cause of death, with a proportion of approximately 5.05%. The Rokan Hilir District, located in Riau Province, has a high prevalence of under-five pneumonia (2.04 %). This prevalence surpasses the regional…