Abstract: Waste management is an environmental challenge for many countries around the world. Management of municipal solid waste is especially critical for cities in the developing world, mainly because of insufficient municipal institutional capability, low bureaucratic competence, and poorly developed infrastructure. Fast urbanization in the developing world has led to increasing generation beyond the capacity that the cities can collect, transport, dispose, and handle the adverse impacts. In this study, an assessment of integrated solid waste management (ISWM) practice was conducted in Adama City, Oromia, Ethiopia, one of the rapidly urbanizing cities in the country. However, the city has been threatened by difficulties in delivering proper solid waste management (SWM) service effectively and efficiently.