Acta Scientific MEDICAL SCIENCES (ISSN: 2582-0931) Volume 5 Issue 10 October 2021 Determinants of Using the Modern Health Care in the Bagira Health Zone: Cases of Children Under 5 Years Old with Malaria Eugène Kwamba 1,5,6 , Christian Molima 1 , Johanna Karemere 2 , Safari Joseph Balegamire 3,4 and Hermès Karemere 1,7 * 1 Regional School of Public Health, Catholic University of Bukavu (UCB), Bukavu, South Kivu, Democratic Republic of Congo 2 National Malaria Control Program, DRC Ministry of Health, Kinshasa, Gombe, Demo- cratic Republic of Congo 3 Department of Medicine Social and Preventive, E School of Public Health, Montreal Uni- versity, Montreal, Quebec, Canada 4 Department of Nutrition, Natural Sciences Research Center of Lwiro, Bukavu, Demo- cratic Republic of Congo 5 General Reference Hospital (GRH) of Mweka, Mweka/Tshikapa, Kasaï, Democratic Re- public of Congo 6 Higher Institute of Medical Techniques (ISTM), Kakenge/Kasaï, Mweka/Tshikapa, Kasaï, Democratic Republic of Congo 7 Université du Cinquantenaire de Lwiro, Sud-Kivu, Democratic Republic of Congo *Corresponding Author: Hermès Karemere, Regional School of Public Health, Catholic University of Bukavu (UCB), Bukavu, South Kivu, Democratic Republic of Congo. Research Article Received: July 09, 2021 Published: September 28, 2021 © All rights are reserved by Hermès Kare- mere., et al. Abstract Introduction: Bagira Health area is characterized by a decline in the rate of use of curative health care between 2014 and 2018 while the prevalence of malaria was on the rise. This statement justifies the present study, which identified the specific determinants of the use of malaria-related children under 5 years in the Health area. Methodology: This is a cross- sectional analysis conducted in the Bagira Health area. An investigation was conducted with 303 households from the systematic, two-degree, systematized random sampling technique. The Data analysis used descriptive statistics and the Logit multinomial model. Results: The specific determinants identified in the use of health care in the case of malaria in the less than five years in the health area of Bagira are: the orphan parental status (19.70% of the probability of access to the public health center); the knowledge of antimalaria by parents (24% of the probability of access to public health cent e rs); follow-up at home (70.30% probability of use of the private health center) and the method of payment including the per-slice package (73.40% of the probability that private centers are used). Conclusion: The continued improvement of the quality of care, taking into account the determinants identified with a particular focus on the follow-up of sick children during and after treatment, should be strengthened in order to increase the use of curative care in Bagira. Keywords: Determinants; Health Services; Malaria; Logit Multinomial Model; Children Under 5 Years; South-Kivu; Democratic Re- public of Congo Citation: Hermès Karemere., et al. “Determinants of Using the Modern Health Care in the Bagira Health Zone: Cases of Children Under 5 Years Old with Malaria". Acta Scientific Medical Sciences 5.10 (2021): 172-181.