For some kids yes and others never get them. A child that is prone to rashes will get them no matter how often you change them or what diaper or cream you use. There is a good chance this child has sensitive skin - burns easily in the summer, gets dry and rough in the winter, marks easily or there are food sensitivities that do make the urine extra irritating.

There are a couple kinds of diaper cream that is ok to use when in cloth diapers - mainly the burts bees or a similar waxy brand that once cleaned would put a layer between wet and skin. With the one I had in cloth when it would get out of control. Finally the solution that worked was to use disposables at my house and slather on the cream and then he did cloth at home and no cream.