Today, home care is an essential response in the city, where the biomedical offer is strongnand in the countyside. In order to contribute to the improvement of survival of children aged 0-59 mois in the Lwiro region, we conducted a desciptive cross-sectorial stady from January 1 to December 32, 2020, on 198 cases of children aged 0-59 months with a diagnosis of maleria at admission.The explanatory variables were sex, age, reasons for consultation, nature and characteristics of the treatment at home, general condition of the patient, decision of the management. We used Epi Info software version 7.2.0.1.for data processing and analysis. The chi-square test with a significance level of 5% was performed to study the relationship between the independent and dependent variables. The age group of 12 to 23 months (32,3%) of cases was the most affected by malaria. The sex ratio was 1. The majority of cases were treated at home (91%). The first recourse of parents before the consultation was the of herbs, paracetamol, throat scraping and the section of the eyeglass. Home treatment remains an underlying cause of all cases of complicaions attributed to ma malaria in our surveys. It constitutes a real obstacle for the early management of malaria and its complications.

Cerebral malaria is one of the major and deadly complications of malaria. The present study aims at describing the clinical presentation and laboratory findings of cerebral malaria in children in Lwiro.
All patients admitted in the paediatric ward of Lwiro Pediatric Hospital with malaria who presented neurological signs. 150 cases were enrolled in all, making up 34.6% of all admissions. The mean age was 4.7 years; the peak age of these patients was 0-5 years. The sex ratio was 0.9. Convulsions and coma with preceding hyperthermia were present in more than 90% of the patients. The proportion of patients with cerebral malaria only was 71.3% followed by cerebral malaria associated to anemia 21.3% and to respiratory distress 7.4%. 15 patients had hypoglycaemia on admission. There were no neurological sequels at discharge and 23 children died (15.3%). Delay in diagnosis and initiation of treatement with quinine adversely affected the prognosis of cerebral malaria in the study group.

A prospective study of 23 children with bacterial meningitis was conducted at Lwiro Hospital in South- Kivu DRC from 1 January 2012 to 28 February 2013.The proportion of bacterial meningitis among all admitted patient was 4.5%.The mean age was 4.1 years. The peak age of these patients was 5-11 years. The sex ratio was 0.9. Meningocoques were seen in 56.5% followed by pneumocoques in 34.8% and meningitis with Haemophilus influenzae 8.7%.Neurological sequelae were seen in 21.7% patients. The commonest antibiotic used for getting a quick sterilization of the cephalo-spinal liquid was Cefotaxime or Ceftriaxone. Mortality of bacterial meningitis was 13%.

A prospective study of 215 children with febrile seizures was conducted at Lwiro hospital in Eastern of DRC, from 1 January to 31 December 2013.The proportion of febrile seizures among all admitted patient was 6%. The peak age of these patients was 12-17 months. There was a family history of febrile seizure in 32.7%. The sex ratio was 0.9.The mean temperature on admission was 38.8