Malaria remains a word problem and a major preoccupation of public health for tropical countries, particularly for Africa’s Sub-Saharan countries. Released International financing to fight against malaria clearly increased going from more less U.S. $ 100 million in 2000 to U.S. $ 1.94 billion in 2013. It is worth mentioning the DRC and Nigeria, all on their own represent the heaviest burden of malaria, 40% of the world total. In South Kivu, about one million of new cases are recorded every year, according to the WHO office in Bukavu. The release of the proportion of school absenteeism due to malaria can realize his tragic contribution to ruin education and even the development of the student. After the surveys were conducted in schools with clinics, it emerges that malaria alone takes 30.8% of school absenteeism. Stakeholders and the public should be better informed of the consequences and enforce measures to prevent malaria.

Context: Malaria remains a word problem and a major preoccupation of public health for tropical countries, particularly for Africa’s Sub-Saharan countries. Released International financing to fight against malaria clearly increased going from more less U.S. $ 100 million in 2000 to U.S. $ 1.94 billion in 2013. It is worth mentioning the DRC and Nigeria, all on their own represent the heaviest burden of malaria, 40% of the world total. In South Kivu, about one million of new cases are recorded every year, according to the WHO office in Bukavu. Objective: To analyze the risk Methodology: by a cohort study of 3,337 people observed in 422 households from January fist to December 31 th 2013. The last approach was completed by economic analysis from Audibert method. The data were collected from households, BCZS, hospitals and schools. Results: the people who do not sleep under mosquito-nets filled with insecticide are more than twice exposed (RR : 2.5 ) to malaria than those sleeping under mosquito-nets filled with insecticide; the people sleeping under ITN, but living in a non-cleaned up environment are more than four times (RR : 4.2 ) exposed to malaria than those sleeping under ITN, but living in a cleaned up environment. Conclusion: the cleaning up of environment combined with the use of ITN constitutes a very efficient strategy. It can be added that the Remediation joined the use of IBD and reveals the very effective strategy. He added only use of ITN is also efficient in the reduction of morbidity.