Table 2 Keys knowledge gaps regarding paediatric ARIs in Morocco

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lack of consistent and homogeneous case definitions for ARI within the different sources of data (primary health care, district and University Hospitals )

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Absence of a systematic microbiological surveillance for the etiology of ARI in the hospital setting

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Generalized absence of data for the etiology of non-severe ARI within the community

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Poor assessment of viral etiology of ARI

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Lack of evidence on the role of air pollution as a contributor to the incidence and the severity of ARI

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Lack of investigation on the social determinants of ARI and the access to care

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Evidence-based data is produced depending on the focus of interest of the clinical wards and the research laboratories.

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There is no evaluation or control of the effectiveness and adequacy of the antibiotics prescribed for ARI

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The local risk factors for ARI have been poorly explored.

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The epidemiological indicators which could permit the study of the impact of the introduction of conjugate pneumococcal vaccines are not collected

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Lack of a strategic long term ARI plan at the research and policy level.