<?xml version="1.0" encoding="UTF-8"?><!DOCTYPE article PUBLIC "-//NLM//DTD JATS (Z39.96) Journal Publishing DTD v1.2 20190208//EN" "http://jats.nlm.nih.gov/publishing/1.2/JATS-journalpublishing1.dtd"><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" article-type="other" dtd-version="1.2" xml:lang="en">
    <front>
        <journal-meta>
            <journal-id journal-id-type="pmc">F1000Research</journal-id>
            <journal-title-group>
                <journal-title>F1000Research</journal-title>
            </journal-title-group>
            <issn pub-type="epub">2046-1402</issn>
            <publisher>
                <publisher-name>F1000 Research Limited</publisher-name>
                <publisher-loc>London, UK</publisher-loc>
            </publisher>
        </journal-meta>
        <article-meta>
            <article-id pub-id-type="doi">10.12688/f1000research.166745.1</article-id>
            <article-categories>
                <subj-group subj-group-type="heading">
                    <subject>Policy Brief</subject>
                </subj-group>
                <subj-group>
                    <subject>Articles</subject>
                </subj-group>
            </article-categories>
            <title-group>
                <article-title>Reforming Urban Solid Waste Management in Amhara Regional State: Policy Analysis and Strategic Recommendations for Institutional Strengthening, Inclusion, and Coordination</article-title>
                <fn-group content-type="pub-status">
                    <fn>
                        <p>[version 1; peer review: 1 not approved]</p>
                    </fn>
                </fn-group>
            </title-group>
            <contrib-group>
                <contrib contrib-type="author" corresp="yes">
                    <name>
                        <surname>Teku</surname>
                        <given-names>Degfie</given-names>
                    </name>
                    <role content-type="http://credit.niso.org/">Conceptualization</role>
                    <role content-type="http://credit.niso.org/">Formal Analysis</role>
                    <role content-type="http://credit.niso.org/">Methodology</role>
                    <role content-type="http://credit.niso.org/">Resources</role>
                    <role content-type="http://credit.niso.org/">Visualization</role>
                    <role content-type="http://credit.niso.org/">Writing &#x2013; Review &amp; Editing</role>
                    <uri content-type="orcid">https://orcid.org/0009-0005-8003-8432</uri>
                    <xref ref-type="corresp" rid="c1">a</xref>
                    <xref ref-type="aff" rid="a1">1</xref>
                </contrib>
                <contrib contrib-type="author" corresp="no">
                    <name>
                        <surname>Getu</surname>
                        <given-names>Tesfaye</given-names>
                    </name>
                    <role content-type="http://credit.niso.org/">Formal Analysis</role>
                    <role content-type="http://credit.niso.org/">Resources</role>
                    <role content-type="http://credit.niso.org/">Supervision</role>
                    <role content-type="http://credit.niso.org/">Writing &#x2013; Original Draft Preparation</role>
                    <xref ref-type="aff" rid="a1">1</xref>
                </contrib>
                <contrib contrib-type="author" corresp="no">
                    <name>
                        <surname>Taye</surname>
                        <given-names>Andualem</given-names>
                    </name>
                    <role content-type="http://credit.niso.org/">Conceptualization</role>
                    <role content-type="http://credit.niso.org/">Resources</role>
                    <role content-type="http://credit.niso.org/">Writing &#x2013; Original Draft Preparation</role>
                    <uri content-type="orcid">https://orcid.org/0009-0005-8003-3658</uri>
                    <xref ref-type="aff" rid="a1">1</xref>
                </contrib>
                <contrib contrib-type="author" corresp="no">
                    <name>
                        <surname>Wubshet</surname>
                        <given-names>Muluwork</given-names>
                    </name>
                    <role content-type="http://credit.niso.org/">Conceptualization</role>
                    <role content-type="http://credit.niso.org/">Resources</role>
                    <role content-type="http://credit.niso.org/">Writing &#x2013; Review &amp; Editing</role>
                    <xref ref-type="aff" rid="a1">1</xref>
                </contrib>
                <contrib contrib-type="author" corresp="no">
                    <name>
                        <surname>Ashagrie</surname>
                        <given-names>Kindnew</given-names>
                    </name>
                    <role content-type="http://credit.niso.org/">Conceptualization</role>
                    <role content-type="http://credit.niso.org/">Methodology</role>
                    <role content-type="http://credit.niso.org/">Resources</role>
                    <role content-type="http://credit.niso.org/">Visualization</role>
                    <xref ref-type="aff" rid="a1">1</xref>
                </contrib>
                <aff id="a1">
                    <label>1</label>Mekdela Amba University, Tulu Awlya, South Wollo Zone, Ethiopia</aff>
            </contrib-group>
            <author-notes>
                <corresp id="c1">
                    <label>a</label>
                    <email xlink:href="mailto:degfie2023@gmail.com">degfie2023@gmail.com</email>
                </corresp>
                <fn fn-type="conflict">
                    <p>No competing interests were disclosed.</p>
                </fn>
            </author-notes>
            <pub-date pub-type="epub">
                <day>1</day>
                <month>8</month>
                <year>2025</year>
            </pub-date>
            <pub-date pub-type="collection">
                <year>2025</year>
            </pub-date>
            <volume>14</volume>
            <elocation-id>754</elocation-id>
            <history>
                <date date-type="accepted">
                    <day>26</day>
                    <month>7</month>
                    <year>2025</year>
                </date>
            </history>
            <permissions>
                <copyright-statement>Copyright: &#x00a9; 2025 Teku D et al.</copyright-statement>
                <copyright-year>2025</copyright-year>
                <license xlink:href="https://creativecommons.org/licenses/by/4.0/">
                    <license-p>This is an open access article distributed under the terms of the Creative Commons Attribution Licence, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
                </license>
            </permissions>
            <self-uri content-type="pdf" xlink:href="https://f1000research.com/articles/14-754/pdf"/>
            <abstract>
                <p>Urban Solid Waste Management (USWM) in Amhara Regional State faces critical challenges stemming from rapid urbanization, informal settlement growth, and limited municipal capacity. Service delivery, particularly in low-income areas, is hampered by fragmented institutional mandates and weak local implementation of national frameworks such as Proclamation No. 513/2007 and the National Urban Sanitation Strategy. This has led to public health risks, environmental degradation, and disproportionate burdens on vulnerable groups. This brief evaluates three policy options: (1) incremental improvements in municipal capacity, (2) integration of informal waste actors into formal systems, and (3) establishment of a unified regional coordinating body. A hybrid strategy combining Options 2 and 3 is recommended to promote inclusive governance and systemic coordination. Effective reform will require legal harmonization, stakeholder engagement, capacity-building, and financing. If implemented, this approach can enhance service delivery, empower informal workers, and support cleaner, more equitable urban environments in Amhara.</p>
            </abstract>
            <kwd-group kwd-group-type="author">
                <kwd>Urban Solid Waste Management</kwd>
                <kwd>Policy Reform</kwd>
                <kwd>Institutional Coordination</kwd>
                <kwd>Informal Waste Sector</kwd>
                <kwd>Sustainable Urban Development</kwd>
            </kwd-group>
            <funding-group>
                <funding-statement>The author(s) declared that no grants were involved in supporting this work.</funding-statement>
            </funding-group>
        </article-meta>
    </front>
    <body>
        <sec id="sec1" sec-type="intro">
            <title>1. Introduction</title>
            <p>Urban Solid Waste Management (USWM) in Ethiopia&#x2019;s Amhara Regional State presents a growing public service challenge.
                <sup>
                    <xref ref-type="bibr" rid="ref1">1</xref>
                </sup> Rapid urbanization, population growth, and increased consumption have overwhelmed existing waste management systems, especially in cities such as Bahir Dar, Dessie, and Debre Berhan.
                <sup>
                    <xref ref-type="bibr" rid="ref2">2</xref>
                </sup> Despite the adoption of national policies such as Proclamation No. 513/2007 and the National Urban Sanitation Strategy, municipal enforcement remains weak, infrastructure is underdeveloped, and institutional mandates are fragmented.
                <sup>
                    <xref ref-type="bibr" rid="ref3">3</xref>
                </sup> Municipalities operate without cohesive bylaws, and regulatory responsibilities are dispersed across health, sanitation, and environmental sectors.
                <sup>
                    <xref ref-type="bibr" rid="ref4">4</xref>
                </sup> Informal waste pickers mainly women and youth are systematically excluded from formal systems despite playing a significant role in waste recovery.
                <sup>
                    <xref ref-type="bibr" rid="ref1">1</xref>,
                    <xref ref-type="bibr" rid="ref3">3</xref>
                </sup> Chronic underfunding, capacity shortfalls, and low public engagement exacerbate the crisis, posing escalating public health, environmental, and economic risks.
                <sup>
                    <xref ref-type="bibr" rid="ref5">5</xref>
                </sup> This policy brief presents a critical analysis of current gaps in urban solid waste management across the region and proposes actionable reforms to promote institutional coordination, equity, and environmental sustainability.</p>
            <sec id="sec2">
                <title>1.1 Objectives
</title>
                <p>

                    <list list-type="order">
                        <list-item>
                            <label>1.</label>
                            <p>To evaluate the current state of solid waste disposal in urban centers of Amhara Regional State</p>
                        </list-item>
                        <list-item>
                            <label>2.</label>
                            <p>To assess the adequacy and enforcement of existing legal and institutional frameworks</p>
                        </list-item>
                        <list-item>
                            <label>3.</label>
                            <p>To analyze the socio-economic and environmental consequences of ineffective solid waste disposal</p>
                        </list-item>
                        <list-item>
                            <label>4.</label>
                            <p>To investigate disparities in waste management service delivery across urban neighborhoods</p>
                        </list-item>
                        <list-item>
                            <label>5.</label>
                            <p>To identify policy and operational barriers to effective stakeholder engagement</p>
                        </list-item>
                    </list>
                </p>
            </sec>
        </sec>
        <sec id="sec3" sec-type="methods">
            <title>2. Methods</title>
            <p>This policy brief uses a mixed-methods approach, combining secondary data analysis and stakeholder consultations. Sources include government policies, municipal records, and reports from development partners. Quantitative data on service coverage, staffing, and budgets were analyzed alongside qualitative insights from municipal officials, health experts, and informal waste workers. The assessment focused on five key areas: waste practices, institutional capacity, socio-economic and environmental impacts, service disparities, and stakeholder engagement. 
                <xref ref-type="fig" rid="f1">
Figure 1</xref> illustrates the thematic framework guiding the analysis.</p>
            <fig fig-type="figure" id="f1" orientation="portrait" position="float">
                <label>
Figure 1. </label>
                <caption>
                    <title>Analytical framework for assessing urban solid waste management in Amhara Regional State.</title>
                </caption>
                <graphic id="gr1" orientation="portrait" position="float" xlink:href="https://f1000research-files.f1000.com/manuscripts/183780/9fb66cb3-d22c-44c1-91b4-46da4aacf587_figure1.gif"/>
            </fig>
        </sec>
        <sec id="sec4">
            <title>3. Policy outcomes and implications</title>
            <sec id="sec5">
                <title>3.1 Current state of solid waste disposal in Amhara Regional State</title>
                <p>Urban solid waste management in Amhara Regional State faces critical challenges due to rapid urbanization, weak institutional capacity, and outdated infrastructure.
                    <sup>
                        <xref ref-type="bibr" rid="ref6">6</xref>
                    </sup> Cities like Bahir Dar, Gondar, Dessie, and Debre Markos generate 1,500&#x2013;2,000 metric tons of waste daily, yet only 50&#x2013;60% is collected, and less than half of that is safely disposed.
                    <sup>
                        <xref ref-type="bibr" rid="ref7">7</xref>
                    </sup> 
                    <xref ref-type="fig" rid="f2">
Figure 2</xref> illustrates that organic waste mainly food and agricultural residue makes up 65&#x2013;70% of the total waste stream, indicating missed opportunities for composting and bio-recovery. Poor collection practices, aging fleets (e.g., Gondar operates with fewer than 10 trucks for over 350,000 residents), and widespread open dumping contribute to severe health and environmental risks.
                    <sup>
                        <xref ref-type="bibr" rid="ref8">8</xref>
                    </sup> Over 70% of urban centers lack sanitary landfills, making current disposal practices unsustainable.
                    <sup>
                        <xref ref-type="bibr" rid="ref9">9</xref>
                    </sup> As shown in 
                    <xref ref-type="table" rid="T1">
Table 1</xref>, a significant portion of waste in key cities remains either uncollected or is collected but unsafely managed, further heightening public health threats and environmental degradation across the region.</p>
                <fig fig-type="figure" id="f2" orientation="portrait" position="float">
                    <label>
Figure 2. </label>
                    <caption>
                        <title>Waste composition in urban areas of Amhara Regional State.
                            <sup>
                                <xref ref-type="bibr" rid="ref7">7</xref>,
                                <xref ref-type="bibr" rid="ref8">8</xref>
                            </sup>
                        </title>
                    </caption>
                    <graphic id="gr2" orientation="portrait" position="float" xlink:href="https://f1000research-files.f1000.com/manuscripts/183780/9fb66cb3-d22c-44c1-91b4-46da4aacf587_figure2.gif"/>
                </fig>
                <table-wrap id="T1" orientation="portrait" position="float">
                    <label>
Table 1. </label>
                    <caption>
                        <title>Estimated daily municipal solid waste flows in major urban centers of Amhara Region</title>
                        <p>(Source: Estimates derived from average per capita waste generation (~0.45 kg/person/day) and urban population data).</p>
                    </caption>
                    <table content-type="article-table" frame="hsides">
                        <thead>
                            <tr>
                                <th align="left" colspan="1" rowspan="1" valign="top">City</th>
                                <th align="left" colspan="1" rowspan="1" valign="top">Estimated daily Waste generation (t/day)</th>
                                <th align="left" colspan="1" rowspan="1" valign="top">Collected (t/day)</th>
                                <th align="left" colspan="1" rowspan="1" valign="top">Uncollected (t/day)</th>
                                <th align="left" colspan="1" rowspan="1" valign="top">Safely disposed (t/day)</th>
                                <th align="left" colspan="1" rowspan="1" valign="top">
Key notes</th>
                            </tr>
                        </thead>
                        <tbody>
                            <tr>
                                <td align="left" colspan="1" rowspan="1" valign="top">Bahir Dar</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">99</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">73 (74%)</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">26 (26%)</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">Minimal (&lt;10 t)</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">Collected mainly by private companies; lacks sanitary landfill.</td>
                            </tr>
                            <tr>
                                <td align="left" colspan="1" rowspan="1" valign="top">Gondar</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">157</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">80 (51%)</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">77 (49%)</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">Very low (&lt;5 t)</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">Limited infrastructure; disposal in open dumps.</td>
                            </tr>
                            <tr>
                                <td align="left" colspan="1" rowspan="1" valign="top">Dessie</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">90</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">50 (56%)</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">40 (44%)</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">&lt;5</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">Open dumping common; limited municipal capacity.</td>
                            </tr>
                            <tr>
                                <td align="left" colspan="1" rowspan="1" valign="top">Debre Markos</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">54</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">30 (55%)</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">24 (45%)</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">&lt;3</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">No proper disposal infrastructure.</td>
                            </tr>
                            <tr>
                                <td align="left" colspan="1" rowspan="1" valign="top">Debre Birhan</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">25</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">13 (52%)</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">12 (48%)</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">Negligible</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">No known safe disposal mechanisms.</td>
                            </tr>
                            <tr>
                                <td align="left" colspan="1" rowspan="1" valign="top">Debre Tabor</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">N/A</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">N/A</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">N/A</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">N/A</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">Reliable data not available.</td>
                            </tr>
                            <tr>
                                <td align="left" colspan="1" rowspan="1" valign="top">Enjibara</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">N/A</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">N/A</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">N/A</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">N/A</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">Reliable data not available.</td>
                            </tr>
                            <tr>
                                <td align="left" colspan="1" rowspan="1" valign="top">Woldiya</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">N/A</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">N/A</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">N/A</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">N/A</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">Reliable data not available.</td>
                            </tr>
                        </tbody>
                    </table>
                </table-wrap>
            </sec>
            <sec id="sec6">
                <title>3.2 Legal and institutional challenges</title>
                <p>Ethiopia&#x2019;s national waste laws provide a framework, but Amhara struggles with poor local implementation due to outdated bylaws, fragmented governance, underfunding, and weak enforcement.
                    <sup>
                        <xref ref-type="bibr" rid="ref10">10</xref>&#x2013;
                        <xref ref-type="bibr" rid="ref14">14</xref>
                    </sup> Only 3 of 11 zonal municipalities have enforceable ordinances, and staffing falls well below WHO standards. Budget allocations under 5% limit essential services.
                    <sup>
                        <xref ref-type="bibr" rid="ref15">15</xref>
                    </sup> Overlapping mandates and frequent institutional restructuring hinder coordination and innovation.
                    <sup>
                        <xref ref-type="bibr" rid="ref12">12</xref>,
                        <xref ref-type="bibr" rid="ref14">14</xref>
                    </sup> Behavioral challenges persist, with less than 10% of households practicing waste separation.
                    <sup>
                        <xref ref-type="bibr" rid="ref13">13</xref>
                    </sup> Informal waste workers mainly youth and women remain unrecognized and unprotected despite their vital recycling role.
                    <sup>
                        <xref ref-type="bibr" rid="ref1">1</xref>,
                        <xref ref-type="bibr" rid="ref5">5</xref>,
                        <xref ref-type="bibr" rid="ref16">16</xref>
                    </sup> These gaps underscore the urgent need for harmonized policies, strengthened institutions, better coordination, and inclusive approaches that empower informal actors and drive behavioral change. As shown in 
                    <xref ref-type="table" rid="T2">
Table 2</xref>, significant disparities exist in legal frameworks and institutional capacities for SWM across municipalities in ARS.</p>
                <table-wrap id="T2" orientation="portrait" position="float">
                    <label>
Table 2. </label>
                    <caption>
                        <title>Comparative analysis of Legal and Institutional Capacities for Solid Waste Management (SWM) in ARS [
                            <xref ref-type="bibr" rid="ref15">15</xref>,
                            <xref ref-type="bibr" rid="ref16">16</xref>].</title>
                    </caption>
                    <table content-type="article-table" frame="hsides">
                        <thead>
                            <tr>
                                <th align="left" colspan="1" rowspan="1" valign="top">
City</th>
                                <th align="left" colspan="1" rowspan="1" valign="top">
Existence of updated waste bylaws</th>
                                <th align="left" colspan="1" rowspan="1" valign="top">
Dedicated Waste Management Unit (WMU)</th>
                                <th align="left" colspan="1" rowspan="1" valign="top">
No. of environmental health inspectors</th>
                                <th align="left" colspan="1" rowspan="1" valign="top">
Budget allocation for SWM (% of Municipal budget)</th>
                                <th align="left" colspan="1" rowspan="1" valign="top">
Inter-agency coordination mechanism</th>
                                <th align="left" colspan="1" rowspan="1" valign="top">
Integration of informal sector</th>
                            </tr>
                        </thead>
                        <tbody>
                            <tr>
                                <td align="left" colspan="1" rowspan="1" valign="top">Bahir Dar</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">Yes (2021 revision)</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">Yes</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">5 (per 120,000 pop.)</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">6.2%</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">Weak Limited between health &amp; env&#x2019;t depts.</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">Informal workers unrecognized</td>
                            </tr>
                            <tr>
                                <td align="left" colspan="1" rowspan="1" valign="top">Gondar</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">Partial (outdated, 2013)</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">Yes</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">4 (per 180,000 pop.)</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">5.1%</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">Absent Siloed implementation</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">Marginally engaged through NGOs</td>
                            </tr>
                            <tr>
                                <td align="left" colspan="1" rowspan="1" valign="top">Dessie</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">No enforceable bylaws</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">Yes</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">2 (per 170,000 pop.)</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">3.4%</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">Ad hoc coordination</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">Excluded, work without PPE</td>
                            </tr>
                            <tr>
                                <td align="left" colspan="1" rowspan="1" valign="top">Debre Markos</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">Yes (draft pending ratification)</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">Limited staffing</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">3 (per 120,000 pop.)</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">4.7%</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">Weak inter-bureau alignment</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">Informal sector not mapped</td>
                            </tr>
                            <tr>
                                <td align="left" colspan="1" rowspan="1" valign="top">Debre Birhan</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">Yes (2020)</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">Yes (under Urban Services)</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">4 (per 140,000 pop.)</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">5.3%</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">Moderate through joint task forces</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">Largely unregulated</td>
                            </tr>
                            <tr>
                                <td align="left" colspan="1" rowspan="1" valign="top">Debre Tabor</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">No</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">No formal WMU</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">1 (per 80,000 pop.)</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">2.9%</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">Nonexistent</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">No formal engagement</td>
                            </tr>
                            <tr>
                                <td align="left" colspan="1" rowspan="1" valign="top">Woldiya</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">Partial (in review)</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">Basic unit exists</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">2 (per 100,000 pop.)</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">3.5%</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">Weak</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">Informal sector visible, unsupported</td>
                            </tr>
                            <tr>
                                <td align="left" colspan="1" rowspan="1" valign="top">Enjibara</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">No</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">No</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">0</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">&lt;2.5%</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">Nonexistent</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">No policy linkage</td>
                            </tr>
                        </tbody>
                    </table>
                </table-wrap>
            </sec>
            <sec id="sec7">
                <title>3.3 Socio-economic and environmental consequences</title>
                <p>Poor solid waste management in Amhara&#x2019;s cities has severe socio-economic and environmental impacts spreading diseases like cholera and malaria, polluting water bodies and farmland, worsening urban flooding, and degrading air quality.
                    <sup>
                        <xref ref-type="bibr" rid="ref17">17</xref>&#x2013;
                        <xref ref-type="bibr" rid="ref19">19</xref>
                    </sup> Informal settlements suffer the most due to poor sanitation and exposure to unregulated dumping. Informal waste workers, mostly women and youth, operate without legal or health protections despite their vital role in recycling.
                    <sup>
                        <xref ref-type="bibr" rid="ref20">20</xref>
                    </sup> Without inclusive, coordinated reforms, public health risks, inequality, and environmental damage will escalate. Urgent action is needed to integrate informal actors, strengthen safeguards, and support green, equitable waste systems.</p>
            </sec>
            <sec id="sec8">
                <title>3.4 Intra-urban disparities</title>
                <p>In Amhara&#x2019;s cities, solid waste services are deeply unequal formal neighborhoods receive regular collection, while over 70% of informal settlements lack access, leading to unsafe dumping and health risks.
                    <sup>
                        <xref ref-type="bibr" rid="ref21">21</xref>&#x2013;
                        <xref ref-type="bibr" rid="ref23">23</xref>
                    </sup> In cities like Dessie and Kombolcha, informal workers operate without protection, facing high injury and disease risks.
                    <sup>
                        <xref ref-type="bibr" rid="ref24">24</xref>
                    </sup> Smaller towns struggle with poor infrastructure and weak municipal capacity.
                    <sup>
                        <xref ref-type="bibr" rid="ref22">22</xref>,
                        <xref ref-type="bibr" rid="ref25">25</xref>&#x2013;
                        <xref ref-type="bibr" rid="ref27">27</xref>
                    </sup> These disparities rooted in systemic neglect and fragmented planning, demand urgent, inclusive policies to close service gaps and protect vulnerable communities and waste workers.
                    <sup>
                        <xref ref-type="bibr" rid="ref27">27</xref>&#x2013;
                        <xref ref-type="bibr" rid="ref29">29</xref>
                    </sup> As shown in 
                    <xref ref-type="fig" rid="f3">
Figure 3</xref>, waste generation has consistently outpaced service expansion from 2015 to 2024.</p>
                <fig fig-type="figure" id="f3" orientation="portrait" position="float">
                    <label>
Figure 3. </label>
                    <caption>
                        <title>Trend analysis on waste generation vs. service expansion (2015&#x2013;2024) (Analyzed from
                            <sup>
                                <xref ref-type="bibr" rid="ref30">30</xref>&#x2013;
                                <xref ref-type="bibr" rid="ref32">32</xref>
                            </sup>)</title>
                    </caption>
                    <graphic id="gr3" orientation="portrait" position="float" xlink:href="https://f1000research-files.f1000.com/manuscripts/183780/9fb66cb3-d22c-44c1-91b4-46da4aacf587_figure3.gif"/>
                </fig>
            </sec>
            <sec id="sec9">
                <title>3.5 Barriers to stakeholder engagement</title>
                <p>Urban solid waste management in Amhara is hindered by weak municipal commitment, poor coordination, and exclusion of key actors.
                    <sup>
                        <xref ref-type="bibr" rid="ref33">33</xref>,
                        <xref ref-type="bibr" rid="ref34">34</xref>
                    </sup> Informal waste pickers and cooperatives, despite their critical role, remain marginalized from formal systems, limiting innovation and equity.
                    <sup>
                        <xref ref-type="bibr" rid="ref24">24</xref>,
                        <xref ref-type="bibr" rid="ref27">27</xref>
                    </sup> Municipalities face financial and technical constraints that reduce stakeholder engagement and capacity-building efforts.
                    <sup>
                        <xref ref-type="bibr" rid="ref4">4</xref>
                    </sup> Community participation is low, especially in informal settlements, due to lack of sustained dialogue and awareness.
                    <sup>
                        <xref ref-type="bibr" rid="ref27">27</xref>
                    </sup> Private sector involvement is minimal, with regulatory hurdles limiting their role.
                    <sup>
                        <xref ref-type="bibr" rid="ref24">24</xref>
                    </sup> Youth-led cooperatives show promise but are constrained by funding and recognition gaps.
                    <sup>
                        <xref ref-type="bibr" rid="ref35">35</xref>,
                        <xref ref-type="bibr" rid="ref36">36</xref>
                    </sup> Addressing these challenges demands coordinated policies to build municipal capacity, integrate informal and youth actors, and incentivize private sector participation to ensure sustainable and equitable waste management.</p>
            </sec>
        </sec>
        <sec id="sec10">
            <title>4. Key findings
</title>
            <p>

                <list list-type="bullet">
                    <list-item>
                        <label>&#x261e;</label>
                        <p>Policy Implementation Gap: Most municipalities lack enforceable bylaws and operational guidelines, undermining the national solid waste policy framework.</p>
                    </list-item>
                    <list-item>
                        <label>&#x261e;</label>
                        <p>Institutional Fragmentation: Conflicting mandates between municipal, health, and environmental sectors cause operational inefficiencies and weak regulatory oversight.</p>
                    </list-item>
                    <list-item>
                        <label>&#x261e;</label>
                        <p>Capacity Constraints: Only 3 of 11 municipalities have dedicated environmental engineers; environmental health inspection rates fall far below global benchmarks.</p>
                    </list-item>
                    <list-item>
                        <label>&#x261e;</label>
                        <p>Chronic Underfunding: Waste management typically receives less than 5% of municipal budgets, restricting service expansion and infrastructure development.</p>
                    </list-item>
                    <list-item>
                        <label>&#x261e;</label>
                        <p>Data and Planning Deficits: Most cities lack real-time waste data, hindering evidence-based planning and monitoring.</p>
                    </list-item>
                    <list-item>
                        <label>&#x261e;</label>
                        <p>Public Health Risks: Poor waste disposal contributes to cholera, typhoid, and mosquito-borne outbreaks and exacerbates environmental degradation.</p>
                    </list-item>
                    <list-item>
                        <label>&#x261e;</label>
                        <p>Informal Sector Exclusion: Informal waste actors lack recognition, legal protection, and access to protective equipment or support mechanisms.</p>
                    </list-item>
                    <list-item>
                        <label>&#x261e;</label>
                        <p>Behavioral Barriers: Less than 10% of households engage in waste separation; community ownership and public participation remain minimal.</p>
                    </list-item>
                </list>
            </p>
        </sec>
        <sec id="sec11">
            <title>5. Policy implications
</title>
            <p>

                <list list-type="bullet">
                    <list-item>
                        <label>&#x261e;</label>
                        <p>

                            <bold>Legislative reform is urgent:</bold>
                        </p>
                    </list-item>
                </list>
            </p>
            <p>The absence of enforceable municipal bylaws and operational guidelines weakens the national policy framework, leaving solid waste systems vulnerable to legal ambiguity and inconsistent implementation. Clear, regionally adapted legislation is essential.
                <list list-type="bullet">
                    <list-item>
                        <label>&#x261e;</label>
                        <p>

                            <bold>Governance restructuring is needed:</bold>
                        </p>
                    </list-item>
                </list>
            </p>
            <p>Institutional fragmentation undermines efficiency and accountability. Without clarified mandates and inter-agency coordination, efforts remain siloed, hampering holistic urban waste management and weakening public trust.
                <list list-type="bullet">
                    <list-item>
                        <label>&#x261e;</label>
                        <p>

                            <bold>Investing in human capital is critical:</bold>
                        </p>
                    </list-item>
                </list>
            </p>
            <p>The severe shortage of skilled personnel, such as environmental engineers and health inspectors, limits municipalities&#x2019; ability to enforce standards and respond to public health threats. Capacity building must be prioritized.
                <list list-type="bullet">
                    <list-item>
                        <label>&#x261e;</label>
                        <p>

                            <bold>Sustainable financing must be secured:</bold>
                        </p>
                    </list-item>
                </list>
            </p>
            <p>Chronic underfunding not only limits infrastructure development but also threatens the continuity of basic services. Increased and ring-fenced funding for waste management is essential to ensure reliable service delivery.
                <list list-type="bullet">
                    <list-item>
                        <label>&#x261e;</label>
                        <p>

                            <bold>Planning gaps undermine efficiency:</bold>
                        </p>
                    </list-item>
                </list>
            </p>
            <p>Lack of real-time data weakens municipal planning, resource allocation, and monitoring systems. Digital data systems are crucial for responsive, data-driven decision-making and performance evaluation.
                <list list-type="bullet">
                    <list-item>
                        <label>&#x261e;</label>
                        <p>

                            <bold>Urban health is at stake:</bold>
                        </p>
                    </list-item>
                </list>
            </p>
            <p>Inadequate waste disposal heightens the risk of disease outbreaks and environmental hazards, placing a heavy burden on health systems, especially in underserved communities.
                <list list-type="bullet">
                    <list-item>
                        <label>&#x261e;</label>
                        <p>

                            <bold>Exclusion of informal workers worsens inequality:</bold>
                        </p>
                    </list-item>
                </list>
            </p>
            <p>The lack of legal recognition and protection for informal waste workers marginalizes a crucial labor force, missing an opportunity for inclusive, job-creating solutions in the green economy.
                <list list-type="bullet">
                    <list-item>
                        <label>&#x261e;</label>
                        <p>

                            <bold>Public engagement is essential:</bold>
                        </p>
                    </list-item>
                </list>
            </p>
            <p>Without community participation and behavior change, top-down interventions will have limited success. Public education and incentives for household-level waste segregation are key to long-term success.</p>
            <p>These implications reinforce the need for urgent, systemic, and inclusive reform in urban solid waste governance in Amhara Regional State.</p>
        </sec>
        <sec id="sec12">
            <title>6. Policy alternatives and evaluation</title>
            <p>Urban solid waste management (USWM) in the Amhara Region suffers from systemic inefficiencies rooted in institutional fragmentation, underdeveloped infrastructure, and the persistent exclusion of informal waste actors. While Ethiopia&#x2019;s national frameworks such as Proclamation No. 513/2007 and the Climate Resilient Green Economy (CRGE) strategy provide high-level direction, implementation at the regional and municipal levels remains weak and inconsistent. To resolve these challenges and promote inclusive, efficient, and sustainable waste governance, this brief evaluates three viable policy alternatives and recommends a combined pathway that balances ambition with feasibility.</p>
            <p>

                <bold>Option 1: Incremental strengthening of current municipal waste management systems</bold>
            </p>
            <p>This option focuses on improving the performance of existing municipal systems without major legal or structural reforms. It calls for modest increases in budget allocation, standardization of enforcement, and use of digital planning tools such as GIS to enhance waste collection, monitoring, and public health risk mapping.</p>
            <p>

                <bold>Concrete actions:</bold>

                <list list-type="bullet">
                    <list-item>
                        <label>&#x261e;</label>
                        <p>Increase annual municipal budgets for waste services.</p>
                    </list-item>
                    <list-item>
                        <label>&#x261e;</label>
                        <p>Revise and harmonize local sanitation and waste bylaws.</p>
                    </list-item>
                    <list-item>
                        <label>&#x261e;</label>
                        <p>Integrate digital waste tracking and GIS for real-time data monitoring.</p>
                    </list-item>
                </list>
            </p>
            <p>

                <bold>Merits:</bold>

                <list list-type="bullet">
                    <list-item>
                        <label>&#x261e;</label>
                        <p>Builds upon existing institutional knowledge and operational structures.</p>
                    </list-item>
                    <list-item>
                        <label>&#x261e;</label>
                        <p>Requires limited legal reform, enabling faster adoption.</p>
                    </list-item>
                    <list-item>
                        <label>&#x261e;</label>
                        <p>Politically palatable, with minimal institutional disruption.</p>
                    </list-item>
                </list>
            </p>
            <p>

                <bold>Demerits:</bold>

                <list list-type="bullet">
                    <list-item>
                        <label>&#x261e;</label>
                        <p>Offers only incremental improvements; unlikely to transform service equity or efficiency.</p>
                    </list-item>
                    <list-item>
                        <label>&#x261e;</label>
                        <p>Retains existing exclusion of informal waste workers.</p>
                    </list-item>
                    <list-item>
                        <label>&#x261e;</label>
                        <p>Remains vulnerable to political turnover and unstable funding flows.</p>
                    </list-item>
                </list>
            </p>
            <p>

                <bold>Implications:</bold>
            </p>
            <p>If adopted alone, this option risks prolonging inefficiencies, as it fails to address core governance issues. Improvements may be visible in service coverage but will likely remain unsustained and inequitable.</p>
            <p>

                <bold>Option 2: Formal integration of the informal waste sector into urban waste systems 
                    <italic toggle="yes">(Preferred option)</italic>
</bold>
            </p>
            <p>This option prioritizes the legal and operational inclusion of informal waste actors particularly women and youth within formal municipal systems. By formally recognizing these actors through legal amendments, cooperative models, and public-private-community partnerships, municipalities can unlock grassroots innovation and inclusive employment while expanding recycling and reducing landfill pressure.</p>
            <p>

                <bold>Concrete actions:</bold>

                <list list-type="bullet">
                    <list-item>
                        <label>&#x261e;</label>
                        <p>Amend municipal bylaws to legally recognize informal waste actors.</p>
                    </list-item>
                    <list-item>
                        <label>&#x261e;</label>
                        <p>Establish training, protective equipment provision, and microfinance access.</p>
                    </list-item>
                    <list-item>
                        <label>&#x261e;</label>
                        <p>Support the formation of cooperatives or social enterprises for collection and recycling.</p>
                    </list-item>
                    <list-item>
                        <label>&#x261e;</label>
                        <p>Build inclusive partnerships with NGOs and private firms to scale innovations.</p>
                    </list-item>
                </list>
            </p>
            <p>

                <bold>Merits:</bold>

                <list list-type="bullet">
                    <list-item>
                        <label>&#x261e;</label>
                        <p>Enhances environmental outcomes through expanded waste recovery and recycling.</p>
                    </list-item>
                    <list-item>
                        <label>&#x261e;</label>
                        <p>Creates green, dignified jobs, especially for marginalized urban populations.</p>
                    </list-item>
                    <list-item>
                        <label>&#x261e;</label>
                        <p>Attracts donor and climate financing aligned with SDG and CRGE targets.</p>
                    </list-item>
                </list>
            </p>
            <p>

                <bold>Demerits:</bold>

                <list list-type="bullet">
                    <list-item>
                        <label>&#x261e;</label>
                        <p>Demands sustained inter-agency coordination and capacity-building.</p>
                    </list-item>
                    <list-item>
                        <label>&#x261e;</label>
                        <p>May face resistance from formal operators or unions fearing competition.</p>
                    </list-item>
                    <list-item>
                        <label>&#x261e;</label>
                        <p>Requires upfront investments in systems, training, and behavior change campaigns.</p>
                    </list-item>
                </list>
            </p>
            <p>

                <bold>Implications:</bold>
            </p>
            <p>If implemented, this strategy can fundamentally shift waste governance toward inclusive sustainability. The environmental, economic, and social dividends particularly job creation and emissions reductions justify the upfront costs and coordination efforts.</p>
            <p>

                <bold>Option 3: Establishment of a unified legal urban waste coordination authority</bold>
            </p>
            <p>This bold institutional reform proposes the creation of a single, legally mandated coordinating body such as a Regional Waste Management Authority responsible for consolidating the fragmented mandates of health, environmental, and municipal institutions. The authority would oversee urban waste policy, planning, enforcement, and inter-agency collaboration.</p>
            <p>

                <bold>Concrete actions:</bold>

                <list list-type="bullet">
                    <list-item>
                        <label>&#x261e;</label>
                        <p>Draft and enact regional legislation mandating the new authority&#x2019;s formation.</p>
                    </list-item>
                    <list-item>
                        <label>&#x261e;</label>
                        <p>Redefine institutional roles to avoid jurisdictional overlaps.</p>
                    </list-item>
                    <list-item>
                        <label>&#x261e;</label>
                        <p>Develop integrated data platforms and M&amp;E systems across departments.</p>
                    </list-item>
                    <list-item>
                        <label>&#x261e;</label>
                        <p>Establish vertical policy linkages between federal, regional, and municipal levels.</p>
                    </list-item>
                </list>
            </p>
            <p>

                <bold>Merits:</bold>

                <list list-type="bullet">
                    <list-item>
                        <label>&#x261e;</label>
                        <p>Resolves mandate confusion and institutional rivalries.</p>
                    </list-item>
                    <list-item>
                        <label>&#x261e;</label>
                        <p>Strengthens enforcement, monitoring, and budget accountability.</p>
                    </list-item>
                    <list-item>
                        <label>&#x261e;</label>
                        <p>Improves coordination between planning, health, and environmental functions.</p>
                    </list-item>
                </list>
            </p>
            <p>

                <bold>Demerits:</bold>

                <list list-type="bullet">
                    <list-item>
                        <label>&#x261e;</label>
                        <p>Requires high-level political commitment and legal reform.</p>
                    </list-item>
                    <list-item>
                        <label>&#x261e;</label>
                        <p>Could trigger resistance from departments facing reduced influence.</p>
                    </list-item>
                    <list-item>
                        <label>&#x261e;</label>
                        <p>Needs strong change management and transition planning.</p>
                    </list-item>
                </list>
            </p>
            <p>

                <bold>Implications:</bold>
            </p>
            <p>Adopting this option would lay the foundation for systemic reform, improving governance efficiency and service integration. If unaccompanied by inclusive engagement (e.g., informal actor integration), however, it may fall short of social equity goals.</p>
            <sec id="sec13">
                <title>6.1 Synthesis and strategic recommendation</title>
                <p>While each option presents distinct advantages, they also carry trade-offs in terms of feasibility, cost, and inclusivity. Option 1 provides low-hanging administrative improvements but fails to tackle the root causes of dysfunction. Option 3 delivers institutional clarity but may take years to fully implement. 
                    <bold>Option 2</bold>, however, strikes a compelling balance by targeting environmental, economic and social objectives simultaneously making it the most 
                    <bold>transformative and inclusive path forward</bold>. Comparative analysis of these three alternative policies is given in 
                    <xref ref-type="table" rid="T3">
Table 3</xref>.</p>
                <table-wrap id="T3" orientation="portrait" position="float">
                    <label>
Table 3. </label>
                    <caption>
                        <title>Comparative analysis of policy options (Policy option matrix).</title>
                    </caption>
                    <table content-type="article-table" frame="hsides">
                        <thead>
                            <tr>
                                <th align="left" colspan="1" rowspan="1" valign="top">Criteria</th>
                                <th align="left" colspan="1" rowspan="1" valign="top">Option 1: Incremental Municipal strengthening</th>
                                <th align="left" colspan="1" rowspan="1" valign="top">Option 2: Integrate informal sector (Preferred)</th>
                                <th align="left" colspan="1" rowspan="1" valign="top">Option 3: Establish unified legal coordinating body</th>
                            </tr>
                        </thead>
                        <tbody>
                            <tr>
                                <td align="left" colspan="1" rowspan="1" valign="top">Clarity of Focus</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">Strengthens existing municipal services</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">Legally recognizes and integrates informal workers</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">Centralizes mandate to overcome fragmentation</td>
                            </tr>
                            <tr>
                                <td align="left" colspan="1" rowspan="1" valign="top">Measurability</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">Improved collection efficiency, minor bylaw updates</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">Trackable through formalization rates, recycling output</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">Efficiency gains via unified enforcement metrics</td>
                            </tr>
                            <tr>
                                <td align="left" colspan="1" rowspan="1" valign="top">Feasibility</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">Highly feasible using current capacities</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">Moderately feasible with training and stakeholder input</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">Moderate feasibility due to required legal reform</td>
                            </tr>
                            <tr>
                                <td align="left" colspan="1" rowspan="1" valign="top">Relevance to Problem</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">Addresses municipal inefficiency, not system gaps</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">Targets core equity, sustainability, and inclusion</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">Directly addresses institutional fragmentation</td>
                            </tr>
                            <tr>
                                <td align="left" colspan="1" rowspan="1" valign="top">Timeframe</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">Short-term (1&#x2013;2 years)</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">Medium-term (2&#x2013;3 years with phased scaling)</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">Medium to long-term (3&#x2013;5 years; requires legislation)</td>
                            </tr>
                            <tr>
                                <td align="left" colspan="1" rowspan="1" valign="top">Advantages</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">Politically safe; cost-effective improvements</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">High impact; socially inclusive; aligns with SDGs</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">Improves coordination, enforcement, and accountability</td>
                            </tr>
                            <tr>
                                <td align="left" colspan="1" rowspan="1" valign="top">Drawbacks</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">Limited impact; doesn&#x2019;t fix systemic governance</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">Potential resistance; needs capacity-building
</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">Complex to implement; bureaucratic resistance possible</td>
                            </tr>
                            <tr>
                                <td align="left" colspan="1" rowspan="1" valign="top">Readiness to Implement</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">Immediate requires minor procedural changes</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">Preparatory work needed (legal, pilot models, training)</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">Legislative drafting, clear mandate, interagency buy-in
</td>
                            </tr>
                            <tr>
                                <td align="left" colspan="1" rowspan="1" valign="top">Recommendation</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">Supportive but insufficient on its own</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">Primary vehicle for inclusive reform</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">Essential structural reform to sustain long-term gains</td>
                            </tr>
                        </tbody>
                    </table>
                </table-wrap>
                <p>Therefore, this brief proposes a hybrid strategy that:
                    <list list-type="order">
                        <list-item>
                            <label>1.</label>
                            <p>

                                <bold>Formally integrates informal waste actors (Option 2)</bold>&#x2014;as a near-term intervention to enhance equity, reduce landfill loads, and unlock climate-linked financing.</p>
                        </list-item>
                        <list-item>
                            <label>2.</label>
                            <p>

                                <bold>Establishes a unified waste governance body (Option 3)</bold>&#x2014;as a medium-term reform to harmonize mandates, coordinate enforcement, and consolidate fragmented institutions.</p>
                        </list-item>
                    </list>
                </p>
            </sec>
            <sec id="sec14">
                <title>6.2 Barriers to implementation and strategic responses</title>
                <p>Effective implementation of inclusive and sustainable urban waste management policies in the Amhara region faces several structural, legal, financial, and behavioral obstacles. These challenges, if left unaddressed, risk undermining the transformative potential of proposed reforms. 
                    <xref ref-type="table" rid="T4">
Table 4</xref> below summarizes the most critical implementation barriers alongside tailored strategic responses designed to mitigate risks, enhance institutional coherence, mobilize resources, and foster public participation. The proposed responses are actionable, locally adaptable, and aligned with long-term urban development and climate resilience goals.</p>
                <table-wrap id="T4" orientation="portrait" position="float">
                    <label>
Table 4. </label>
                    <caption>
                        <title>Summarizes of key barriers to implementation and strategic responses.</title>
                    </caption>
                    <table content-type="article-table" frame="hsides">
                        <thead>
                            <tr>
                                <th align="left" colspan="1" rowspan="1" valign="top">Barrier</th>
                                <th align="left" colspan="1" rowspan="1" valign="top">Strategic response</th>
                            </tr>
                        </thead>
                        <tbody>
                            <tr>
                                <td align="left" colspan="1" rowspan="1" valign="top">Institutional fragmentation</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">Enact regional proclamation to mandate a unified authority</td>
                            </tr>
                            <tr>
                                <td align="left" colspan="1" rowspan="1" valign="top">Legal ambiguity for informal actors</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">Amend municipal laws to codify recognition and regulation</td>
                            </tr>
                            <tr>
                                <td align="left" colspan="1" rowspan="1" valign="top">Resistance from vested interests</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">Implement change management programs and transitional planning</td>
                            </tr>
                            <tr>
                                <td align="left" colspan="1" rowspan="1" valign="top">Budget constraints</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">Leverage blended finance, carbon markets, and performance-based grants</td>
                            </tr>
                            <tr>
                                <td align="left" colspan="1" rowspan="1" valign="top">Low public engagement</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">Launch community education campaigns and school-based programs</td>
                            </tr>
                            <tr>
                                <td align="left" colspan="1" rowspan="1" valign="top">Data gaps</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">Build municipal GIS-based monitoring and evaluation platforms</td>
                            </tr>
                        </tbody>
                    </table>
                </table-wrap>
            </sec>
            <sec id="sec15">
                <title>6.3 Implications and call to action</title>
                <p>If fragmentation and informal sector exclusion persist, Amhara&#x2019;s cities will face rising waste, health crises, and governance failures that threaten national goals. A coordinated system empowering local actors can create cleaner cities, green jobs, and better spending. Without reform, urban health will worsen, inequality will deepen, and investor confidence will decline.</p>
            </sec>
            <sec id="sec16">
                <title>6.4 Actionable recommendations</title>
                <p>Here are actionable recommendations based on the key findings of the policy brief:
                    <list list-type="bullet">
                        <list-item>
                            <label>&#x261e;</label>
                            <p>

                                <bold>Strengthen legal and regulatory frameworks</bold>
                            </p>
                            <list list-type="bullet">
                                <list-item>
                                    <label>&#x2713;</label>
                                    <p>Develop and enforce updated local bylaws aligned with national solid waste policies to provide clear operational guidelines and accountability mechanisms.</p>
                                </list-item>
                            </list>
                        </list-item>
                        <list-item>
                            <label>&#x261e;</label>
                            <p>

                                <bold>Enhance institutional coordination</bold>
                            </p>
                            <list list-type="bullet">
                                <list-item>
                                    <label>&#x2713;</label>
                                    <p>Establish inter-agency coordination bodies to harmonize mandates across municipal, health, and environmental sectors, improving regulatory oversight and service efficiency.</p>
                                </list-item>
                            </list>
                        </list-item>
                        <list-item>
                            <label>&#x261e;</label>
                            <p>

                                <bold>Build technical capacity</bold>
                            </p>
                            <list list-type="bullet">
                                <list-item>
                                    <label>&#x2713;</label>
                                    <p>Recruit and train more environmental engineers and health inspectors to meet international standards and support effective waste management operations.</p>
                                </list-item>
                            </list>
                        </list-item>
                        <list-item>
                            <label>&#x261e;</label>
                            <p>

                                <bold>Increase budgetary allocation</bold>
                            </p>
                            <list list-type="bullet">
                                <list-item>
                                    <label>&#x2713;</label>
                                    <p>Allocate at least 10% of municipal budgets to waste management to expand services, upgrade infrastructure, and sustain operational needs.</p>
                                </list-item>
                            </list>
                        </list-item>
                        <list-item>
                            <label>&#x261e;</label>
                            <p>

                                <bold>Implement data-driven planning</bold>
                            </p>
                            <list list-type="bullet">
                                <list-item>
                                    <label>&#x2713;</label>
                                    <p>Introduce real-time waste monitoring systems and data management tools to support evidence-based decision-making and continuous performance evaluation.</p>
                                </list-item>
                            </list>
                        </list-item>
                        <list-item>
                            <label>&#x261e;</label>
                            <p>

                                <bold>Mitigate public health risks</bold>
                            </p>
                            <list list-type="bullet">
                                <list-item>
                                    <label>&#x2713;</label>
                                    <p>Prioritize safe waste disposal practices and infrastructure improvements to reduce disease outbreaks and environmental contamination.</p>
                                </list-item>
                            </list>
                        </list-item>
                        <list-item>
                            <label>&#x261e;</label>
                            <p>

                                <bold>Integrate informal waste sector</bold>
                            </p>
                            <list list-type="bullet">
                                <list-item>
                                    <label>&#x2713;</label>
                                    <p>Formally recognize and support informal waste workers by providing legal protection, access to PPE, training, and inclusion in municipal waste plans.</p>
                                </list-item>
                            </list>
                        </list-item>
                        <list-item>
                            <label>&#x261e;</label>
                            <p>

                                <bold>Promote community engagement and behavior change</bold>
                            </p>
                            <list list-type="bullet">
                                <list-item>
                                    <label>&#x2713;</label>
                                    <p>Launch sustained public education campaigns and incentivize household waste separation to enhance community ownership and participation in waste management.</p>
                                </list-item>
                            </list>
                        </list-item>
                    </list>
</p>
                <p>These recommendations aim to close policy gaps, improve governance, and foster inclusive, sustainable solid waste management in Amhara&#x2019;s urban centers.</p>
            </sec>
        </sec>
        <sec id="sec17" sec-type="conclusion">
            <title>7. Conclusion</title>
            <p>Amhara&#x2019;s growing urban waste crisis demands bold, integrated reform. Incremental improvements alone are insufficient formal integration of informal waste workers and establishment of a unified legal authority offer the most impactful path forward. This dual-track approach fosters institutional coherence, social equity, and alignment with Ethiopia&#x2019;s green growth goals, unlocking climate finance and green job opportunities. Without urgent action, fragmented services and urban inequalities will worsen. Now is the moment for policymakers to adopt inclusive, coordinated waste strategies that ensure healthier, more resilient cities for all.</p>
        </sec>
    </body>
    <back>
        <sec id="sec20" sec-type="data-availability">
            <title>Data availability</title>
            <p>No data associated with this article.</p>
        </sec>
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    <sub-article article-type="reviewer-report" id="report414791">
        <front-stub>
            <article-id pub-id-type="doi">10.5256/f1000research.183780.r414791</article-id>
            <title-group>
                <article-title>Reviewer response for version 1</article-title>
            </title-group>
            <contrib-group>
                <contrib contrib-type="author">
                    <name>
                        <surname>Marousek</surname>
                        <given-names>Josef</given-names>
                    </name>
                    <xref ref-type="aff" rid="r414791a1">1</xref>
                    <role>Referee</role>
                    <uri content-type="orcid">https://orcid.org/0000-0001-5175-1961</uri>
                </contrib>
                <aff id="r414791a1">
                    <label>1</label>Institute of Technology and Business, &#x010c;esk&#x00e9; Bud&#x011b;jovice, Czech Republic</aff>
            </contrib-group>
            <author-notes>
                <fn fn-type="conflict">
                    <p>
                        <bold>Competing interests: </bold>No competing interests were disclosed.</p>
                </fn>
            </author-notes>
            <pub-date pub-type="epub">
                <day>19</day>
                <month>9</month>
                <year>2025</year>
            </pub-date>
            <permissions>
                <copyright-statement>Copyright: &#x00a9; 2025 Marousek J</copyright-statement>
                <copyright-year>2025</copyright-year>
                <license xlink:href="https://creativecommons.org/licenses/by/4.0/">
                    <license-p>This is an open access peer review report distributed under the terms of the Creative Commons Attribution Licence, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
                </license>
            </permissions>
            <related-article ext-link-type="doi" id="relatedArticleReport414791" related-article-type="peer-reviewed-article" xlink:href="10.12688/f1000research.166745.1"/>
            <custom-meta-group>
                <custom-meta>
                    <meta-name>recommendation</meta-name>
                    <meta-value>reject</meta-value>
                </custom-meta>
            </custom-meta-group>
        </front-stub>
        <body>
            <p>Dear author(s),</p>
            <p> kindly adapt the manuscript for global audience (please understand that the vast majority of international readership never heard of "Amhara"; do not mention any locations; do not refer to any "national" legislations or strategies; higher level of generalization is needed) and resubmit. Make sure the research hypothesis is urgent and significant from global perspective.</p>
            <p>Does the paper provide a comprehensive overview of the policy and the context of its implementation in a way which is accessible to a general reader?</p>
            <p>No</p>
            <p>Is the discussion on the implications clearly and accurately presented and does it cite the current literature?</p>
            <p>No</p>
            <p>Are the recommendations made clear, balanced, and justified on the basis of the presented arguments?</p>
            <p>No</p>
            <p>Reviewer Expertise:</p>
            <p>waste management; sustainability; circular economy</p>
            <p>I confirm that I have read this submission and believe that I have an appropriate level of expertise to state that I do not consider it to be of an acceptable scientific standard, for reasons outlined above.</p>
        </body>
    </sub-article>
</article>
