The introduction of appropriate solid waste management (SWM) strategies can foster the mitigation of waste open dumping and burning in low-income developing cities. In this work, the SWM system in Gulu (Uganda) has been studied, and a material flow analysis, also of informal flows of waste, has been carried out. Moreover, the effectiveness of the SWM system of St. Mary's Lacor Hospital in Gulu was evaluated. Waste has been characterized and a material flow analysis allowed to highlight the difference with the current situation in the remaining part of Gulu. The sustainable practices already implemented in the hospital compound were studied to be replicated in Gulu to mitigate SWM impact in terms of global warming potential. Inadequate financial resources pose a hurdle for Gulu municipality in managing municipal solid waste (MSW) effectively. The SWM system of the hospital demonstrated both financial and managerial competence, paving the way to promote waste recycling actions acting as a hub for fostering sustainable and health-conscious valourization technologies, while discouraging waste open burning and dumping. This study estimated that the total CO2-eq emissions from open dumping and open burning avoided in 2030-2050, if Gulu would appropriately dispose of MSW by 2030, are equal to about 17,000 metric tonnes per year (t year-1). This work suggests appropriate strategies to mitigate waste open burning in low-middle income countries. The results can be helpful for waste management planners and practitioners providing important information for the use of appropriate technologies in low-middle income developing cities.
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