This document summarizes domestic waste management strategies in Accra, Ghana. It discusses the current approaches used, which include privatization of waste collection, controlled dumping, composting, recycling, and incineration. However, these approaches have been inadequate due to rapid population growth, poor infrastructure, and unequal waste collection between high- and low-income areas. This has led to environmental health risks like diseases from improper waste disposal. The most vulnerable populations bear the greatest risks. Improved governance and enforcement of laws is needed to effectively address Accra's growing waste management challenges.