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.