The hygiene and sanitation department of the municipality functions well by ensuring cleanliness and community works in Ndu town, hold statutory meetings (3 times/ yr), advice and supports environmental activities in the council (forestation, watershed protection), and organizes clean up campaigns.

It is noticed within the municipality that the level of hygiene and sanitation however is reducing as time goes by because the number of trash cans have become few compared to the fast growing population. Formal training and Knowledge on hygiene, sanitation and environmental management amongst committee members is very lacking. This deficiency is aggravated by the absence of relevant in service training for the committee members.

Ndu municipality has 27 private, mission and government health units. These health units are spread all over the territory as presented in table 10 below