Objective: To determine the hygienic-sanitary conditions of rural houses in a municipality of the Colombian Caribbean zone to identify characteristics and socioeconomic conditions regarding public health. Method: A cross-sectional descriptive epidemiological study was carried out in 32 different dwellings in a rural municipality belonging to the department of Bolívar, located in the northern area of the Department of Bolívar, which, through the application of hygienic-sanitary inspections, sought to determine their current status against as indicated by sectoral and national policies that deal with public health. Within the population of 73,169 inhabitants according to DANE projections, representing 3.4% of the departmental population. The main motivation for the development of this project is based on the fact that almost half of the world's population lacks basic sanitation to protect their environment from human fecal contamination. Building a latrine is the first step on the sanitation ladder in developing countries where the majority of the population defecates in open or public areas. Public health programs to improve sanitation have consistently framed promotional messages in terms of preventing fecal-oral diseases and largely do not motivate changes in sanitation behavior. In this community there are at least 500 families residing for 18 years, with topographic difficulties, but with access to basic public services. Whereas the public health plan proposes projections to improve the health conditions of the population by focusing attention on the most vulnerable groups and applying a comprehensive care model based on the risk approach, continuous improvement of the quality of care and the promotion of participation and social control. Results: The deficiencies found in most of the homes are related to poor lighting elements, the appearance of structural failures and inappropriate habits for cleaning and waste management in general. The findings made in this project will be published in a scientific journal, a book chapter, and a scientific outreach event. Conclusions: Most of the anomalies found, both in houses and access roads, are of a structural nature, facilities, poor waste management and difficulties in the provision of drinking water next to the sectored toilet in green areas. It is very important to be trained and trained in good hygiene practices, deratization, and fumigation and to multiply the information in the younger population of the community about these practices.