This study was led in order to evaluate the health risks related to water, hygiene and cleansing in the two surfaces of health of kalehe in the east of the Democratic Republic of Congo (RDC).Several factors make difficult the control of the management of the urban cleansing and the access to drinking water. Within the framework of this study, investigations spares and of observation were realized to evaluate the impact of basic hygiene and the supply drinking water. It arises that the problem of the availability of drinking water in the two surfaces of continuous health selected to be a major concern for the population. Domestic waste is badly managed with causes of the absence of infrastructures of hygiene and basic cleansing, a lack of synergy of action of the actors. Concerning the other conveniences of the habitat, approximately 54, 8 % of the households do not have latrines with presence of the excrements in the court (69, 9 %). For the evacuation of the household refuse (56, 2%) throw them in the rivers what degrades the environment in these two surfaces of health of the zone of health of kalehe. A sensitizing of the population in the management of domestic waste to avoid the diseases due to the bad management of waste and the good management of water is recommended. The persistence of such practices is likely to increase the environmental and medical problems.