Indian cities are suffering from inefficient policy execution owing to the country's rapid urbanization, which in turn causes haphazard expansion and poor management. The inefficient management of wastewater is one issue that results from ineffective mechanisms Shedding light on the health impacts of mismanaged wastewater, this paper is carried out with the aim of identifying the degrees of vulnerability pertaining to municipal wastewater disposal and management of public health and the environment. The paper involves understanding wastewater management in the city, resulting in the identification of related Urban Challenges, followed by the analysis of public perception and health-related issues faced by them through a questionnaire-based structured survey of a highly impacted residential zone A sample of 528 HH was collected and conclusions were drawn. After identifying the major causes of improper wastewater disposal and its impacts on human health and the environment, the governance structure for wastewater management and government initiatives are discussed and the gaps are identified. The paper concludes with feasible recommendations and proposals.