The restoration of the impaired stream ecosystem is an important part of river policies in Ministry of Environment (MoE). However, the diagnosing the impairment sources of stream ecosystem has been omitted on the current river projects and policies. This phenomena lead the remaining impairment sources keep influencing on negative effects on streams. Hence, it is critical to construct a diagnosis system of impairment sources in order to increase the efficiency of various river restoration projects and policies. Moreover, it is also important to understand the relative impact of socio-economic factors of the impairment of stream ecosystems so as to build a domestic diagnosis system in place. Therefore, the study aims to analyse the relative effects of socio-economic factors which are the source of the stream ecosystem impairments through implementing the Analytic Hierarchy Process (AHP). In order to achieve the goal, a list of socio-economic factors influencing the stream health has been derived. On the basis of the derived causes list, AHP questionnaire were carried out to the experts of aquatic ecology. The study results could be implemented to analysing the relative influence of socio-economic impairment causes in domestic stream environments. In addition, more case study investigation is needed to cross-check if the derived impairment causes and weights are applied in the field as well as to develop more reliable indicators.