Ikengo is in Équateur Province, on the left bank of the Congo River about 20 kilometres (12 mi) southwest of Mbandaka.

[2] One of the main health problems in Ikengo is the lack of clean water, leading to illnesses such as diarrhea.

Malaria and acute respiratory infections are also common.

In 2021 the United Nations Development Programme (UNDP) handed over a health center in Ikengo to the local authorities.

Due to its accessibility by canoe it served several nearby health zones.