Abstract Objective: To analyze the results of the Water Quality Risk Index for Human Consumption in Urban Areas of the Department of Bolívar. Materials and methods: A descriptive investigation was developed, with the objective of evaluating the compliance of the physical, chemical and microbiological characteristics of water for human consumption. The direct observation technique was used whose results are based on the application of the standardized measuring instrument authorized by the Ministry of Social Protection in Colombia - IRCA for estimating compliance with acceptable parameters established in current regulations. Results: It was found that of the 46 municipalities in the department of Bolívar, study focus 18 presents water that is not suitable for human consumption that requires special surveillance and 3 municipalities have sanitary waters that require maximum, special and detailed surveillance. Conclusions: The need to establish alternatives by the competent entities that improve the quality of water for consumption in some municipalities of Bolívar and implement strategies for the prevention of waterborne diseases was evidenced.