 The study aimed to determine the cost of childhood pneumococcal infections under five years of age and provide data for future health economy studies. Direct costs for hospitalised patients with pneumonia and pneumococcal meningitis included healthcare services, while indirect costs included work loss and transportation expenses. Data from 130 children were analysed, revealing that medication cost, indirect cost, and total cost were significantly higher in pneumonia patients aged greater than or equal to 36 months compared to those aged less than 36 months. Direct cost of AOM was significantly higher in the younger age group. The study suggests that preventive actions, such as vaccination, should be conducted regularly to reduce treatment costs associated with hospitalisation and advanced disease. This article was offered by MemetSign, Yasmin Osserexi, Cuba ACAC, and others. We are article.tv, links in the description below.