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.