This work aimed to contribute to the identification of the socio-economic determinants of use of curative services in the MWANA health zone, during the year 2023. The data being collected by survey questionnaire at 311. The data were entered and analyzed in Excel and using JASP 0.18.1.0 software (descriptive statistics, binomial test and CHAPIRO WILK test. To obtain the results, we randomly selected two sub-Villages in each area of health Once in the AS, the direction to take was drawn at random by the so-called «bottle» method. With the random number table, the investigators had to draw a house at random. and start the survey with this house They had to continue the survey with the second closest house and so on until reaching the required number of households. The results show that the Prayer Room is the subject of the first therapeutic recourse with 41% of our respondents followed by pharmaceutical pharmacies and health structures not integrated by the area, then it allowed us to describe the socio-economic characteristics of the households such as non-membership of mutual health insurance (95.5%), poverty (75.7%), religious belief (73%) and low level of education (64.4%) negatively impacting use of curative services the health zone; 81% of expenses are oriented towards health for respondents who used the integrated curative service and only 26% are oriented towards health for respondents who used informal routes.

This study on the evolution of the use of curative services from 2018 to 2022 in the province of South Kivu aimed to contribute to improving access to curative services based on observed trends and obstacles identified during the evolution; It is retrospective descriptive with systematic sampling so that the data linked to new cases received in 627 health areas of the 34 health zones of the province having regularly reported during the 5 years of study were converted into rates according to the formula of new cases received divided by the total population times 100. The results found relate to the linear trend rate of the use of curative services in the province with an average of 53%; WALUNGU, MWANA and KADUTU are the least used health zones in the province with proportionally 29%, 29% and 22%; comparable to the 5 years chosen for this study 3 Health zones have a downward trend these are FIZI, MINOVA and KIMBI-LULENGE, 3 Zones have an ascending trend these are ITOMBWE, HAUT PLATEAU and MUBUMBANO, 3 Zones of health each had an exceptionally higher rate during one of the five years of study compared to other years (LULINGU, KAMITUGA and KABARE). The MAPIMO Health Area of ​​the LULINGU Health Zone is the most used in the province with a 414% rate of use of curative services followed by the BARAKA Health Area of ​​the FIZI Health Zone with 234 % of use and all come from rural health zones and in addition to 133 Health Areas with low use of months of 35% the least used is the Health Area of KABUYE from the IBANDA health zone with 8% followed by the BUHOLO 2 health area from the KADUTU health zone with 9% use of curative services and all come from urban health zones.