Résumé : The objective of this work is to assess the factors associated with the water quality ofhousehold wells, suggest solutions to improve it, and study the prevalence of water-bornediseases in this community. The quality of well water and the prevalence of waterbornediseases in the municipality were studied by analysis of the microbiological indicatorscurrently used to assess drinking-water quality and the retrospective study of waterbornediseases treated in the local health centres. The wells surveyed were contaminated byEscherichia coli, Klebsiella pneumonia, Staphylococcus aureus, Salmonella spp,Clostridium perfringens and fecal streptococci, at prevalences of 12.5, 12.2, 12.2, 12.1,12 and 11.1%, respectively. The high rates of diarrhea, urinary infections, typhoid fever andabdominal pain found in the retrospective study were consistent with the results of thewell-water quality assessment. These results showed that human activity has stronglyinfluenced water quality, especially the lack of sanitation in the different districts and neighbourhoods. Other factors affecting the vulnerability of well water include poor wastemanagement by households, the low depth of the water table, the nature of the soil, andthe permeability of the aquifer used. Improvement in water quality, sanitation, andpersonal hygiene will make it possible to reduce considerably the propagation of thesediseases and several others. It is therefore important to provide these populations with thenecessary equipment for an adequate drinking water supply, but also to promote healtheducation to avoid water pollution. The search for solutions to these problems will lead toa plan for future action.