Introduction: The increasing of the number of the students remains a problem in high colleges in the Democratic Republic of Congo. Confronted to a big number of students, diverse challenges are raised up in order to reach the level that we normally have to attend. This approach had fixed the inventory of fixtures on the number of the students is concerned and yet identify the challenge on it. Method: A transversal descriptive approach has been applied. Different data had been collected in the honors lists and in the register-book. From 1992 to 2016, 33.690 students were enrolled. Besides, 18 teachers have participated to our research. Results: In nursing, a sensitive increasing of a peak of 400 students from 2007 has been observed. In 2008, 1167 students in G1, 769 students in G2 and 539 students in G3 have been enrolled as a peak. In midwife section, in spite of the reformation, the number of students in different degrees remains high with a peak of 110 students in G1 in2009; of 137 students in G2 in 2010 and of 130 students in G3 in 2011. In EASI, the graduate cycle has enrolled more students in 2003 (a peak of more than 200 students). In the path of laboratory, nutrition and Management health Institution, the number of students was increasing every year. In the degrees where the approach of competency is applied, the ratio between teacher and students was of 1/13 in nursing and 1/29 in midwife. In training, the ratio was of 1/33. Conclusion: As far as the challenge is concerned, we have noticed the increasing of the number of students, the weak number of head of training and educated teachers in approach of competency, difficulty in applying teaching methods when the group of students to teach is increased and overweight in work.