Background and Aim: This cross-sectional study aimed to analyze the associations between different types of housing, management, and facilities on the prevalence of lame, causing lesions in smallholder dairy farms in Algeria. Materials and Methods: The on-site investigation took place between December 2012 and May 2015. All cows were locomotion scored on a four-point scale, and foot lesions causing lame were diagnosed and recorded. Factors related to the farm and the cows' conditions were also assessed. The association between the possible risk factors and lame lesions was assessed using univariate analysis. Results: Of the 349 cows evaluated, 13% were lame (lameness score ≥2), with higher lameness values recorded for the hind feet than for the forefeet. Cows without lameness were classified as healthy. The two most frequent lesion diagnoses observed in lame cows were interdigital dermatitis/heel horn erosion (ID/HE; 39%) and interdigital phlegmon (IP; 35%), followed by traumatic lesions (T; 11%), digital dermatitis (DD; 8.7%), and laminitis-related diseases (L; 6.5%). The risk of being lame was increased in large herds with cows of the Holstein breed, and those in the third parity and above. Tie housing, concrete floor, concentrate feeding, zero-grazing, and the use of foot trimming occasionally were associated with increased risk for the presence of lame lesions. The region and footbathing frequency had no association with the prevalence of lame lesions (p≥0.05). Conclusion: These results have important implications; they indicate that several aspects of housing, management, and facility design are common protective factors for the prevalence of lame lesions. These factors should be maintained correctly to not only reduce the number of lame cows in these herds but also decrease the direct and indirect costs associated with cases of lameness.