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Sanitation is a fundamental basis for health and human development. The use of latrines interrupts the transmission of feco-oral diseases. Improved health stems from the proper use of latrines, not simply their physical presence. The best way to achieve this is to use hygienic, well-maintained latrines on a regular basis. Methodologies: a cross-sectional study of 240 systematically selected households was conducted during January 2019. The sociodemographic characteristics of household heads were described, latrine coverage and use were described, the level of knowledge, attitudes and practices of latrine use were described, and factors associated with latrine use were determined.Results: Latrine coverage in the MIKOPE rural health zone was 44.2% (95% CI:37.9-50.4) and latrine use in the MIKOPE rural health zone was 42.2%. Latrine use in the household was associated with the occupation of the head of household {(OR 3,188[1,773-5,733] p=0.001)