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The ever increasing amount of solid waste (SW) generated which is exacerbated by lack of proper waste management system is of growing concern worldwide and in major cities in developing countries due to its social, economic and environmental implications. This study attempts to describe the aspects of solid waste management (SWM) in Adama, one of the fast urbanizing cities in Ethiopia, and highlights the challenges thereof. Data were gathered through interview supplemented by field observation and self-administered questionnaire. Then, the data were analyzed using the Statistical Package for Social Science (SPSS) software. In addition, secondary data were gathered from documents. Findings revealed that the current SWM practice couldn’t cope with the fast urbanizing needs and the rapid population growth exhibited by the city. Besides, major factors contributing to the inefficient system were identified. The study would provide practical insights to decision makers in developing a sustainable SWM system leading to minimized risk in the city.