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Background An estimated 1.2 million children under five years of age die each year in India, with pneumonia and diarrhea among the leading causes. Increasing care-seeking is important to reduce mortality and morbidity from these causes. This paper explores the determinants and patterns of care-seeking for childhood illness in rural Pune district, India. Methods Mothers having at least one child less then 5 years from the study area of the Vadu Health and Demographic Surveillance System were enrolled in a prospective cohort study. Hou