Background: Global action plans to tackle antimicrobial resistance include implementation of antimicrobial stewardship, but little is known about the dispensing practices of antibiotics of community pharmacists in low and middle-income countries. In this study, we aim to assess the dispensing of antibiotics for paediatric use in pharmacies in the City of Goma, capital of North Kivu province.Method: Between June and December 2017, we performed a cross-sectional questionnaire-based survey with pharmacy managers about antibiotic dispensing to the paediatric population.Result: Among a total of 225 pharmacies identified, 84% were managed by nurses. 70% of pharmacy managers had absolved secondary school. Only 10% of pharmacies were owned by pharmacists or physicians. 76% of antibiotics for children were prescribed after families asking for them and only 21% after a recommendation from the pharmacy manager. Amoxicillin/clavulanic acid was the most commonly dispensed antibiotic - 78% cases. 81% of pharmacy managers had no supervision by a pharmacist from the pharmacy division. There was no significant difference in requiring or not between a physician prescription to deliver antibiotics in children and the qualifications of pharmacy managers (P=0. 28), their level of school education (P=0.42).Conclusion: Our findings suggest that there is a lack of regulation and consistency in the approach to dispensing antibiotics in children. A policy is needed to regulate the dispensing of antibiotics along with education and training to reduce the risk of antibiotic resistance.