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This study focuses on identifying the factors contributing to poor waste and sanitation management in slums, particularly emphasising the role of local assemblies in Ghana. Using a qualitative methodology, 21 individuals were selected from five different slum communities in Ghana to participate in the study. Results showed that a lack of knowledge among residents was a key factor contributing to the issue and that the local assemblies were not effectively enforcing waste and sanitation bylaws.  Lack of knowledge of residents regarding the consequences of indiscriminate waste disposal is a major cause of waste and sanitation issues in slums. Additionally, the study highlighted the importance of stakeholder collaboration in addressing the problem. By promoting attitudinal change, enforcing bylaws and working with stakeholders, sustainable waste and sanitation management in slums can be achieved. The implication is that there is the need for the local assemblies to roll out targeted education and awareness programmes to inform the citizenry about the significance of effective waste management practices, the health implications about poor waste management and the impact of arbitrary waste disposal on the environment. This study provides valuable insight into waste and sanitation issues in developing countries, particularly from the perspective of policy implementers and end users.

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