A rise in population and urbanization demanded that a robust fecal sludge management (FSM) value chain be used to restructure the sanitation system throughout the world securely. A significant global need exists to adopt efficient and sustainable FSM. On-site sanitation systems (OSS) produce fecal sludge (FS). FS is produced when excreta and blackwater are combined and stored or treated, either alone or in combination with greywater. FS can be semisolid or slurry and raw or partially digested. Critical examination of FS characteristics, i.e., biochemical oxygen demand (BOD), chemical oxygen demand (COD), total solids (TS), and pathogen count, varies from 600-56,836mg/l, 6656 to 201,200mg/l, 830-123,000mg/l, and 105 to 109 E. coli/l of FS respectively. Helminth eggs range from 2500-25,000/l of FS. Public health and the environment are negatively impacted by septic tank overflows and the careless discharge of FS into open spaces affecting groundwater quality, water bodies, irrigation fields, open drains, places outside villages, etc. Thus, deciding on a proper treatment technology for FS before discharging it into open land or reusing FS is essential to create a pollution-free environment. This paper highlights the practices adopted for FSM under its different processes, such as collecting, characterization, treating, and reusing of on-site FS and bibliometric analysis on documents on fecal sludge. A thorough analysis has been carried out by reviewing all important literature available globally.
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