Hyderabad, one of Pakistan’s rapidly urbanizing districts, faces a mounting solid waste management (SWM) crisis, with municipal systems collecting barely half of the 1,500–2,000 metric tons of daily waste. This study investigates the challenges and opportunities of SWM in the city through a mixed-methods design, combining household surveys (n = 385), statistical modeling, and comparative analysis of global best practices. Logistic regression results identify education and awareness as the strongest predictors of waste segregation: graduates are 2.86 times more likely to participate, and residents aware of recycling programs are 3.74 times more likely. Conversely, households with incomes below PKR 20,000 show disproportionately high reliance on open dumping (38.1%), revealing deep structural inequities. Cross-tabulation highlights the uneven distribution of municipal services, while waste composition analysis shows that organic (43.3%) and plastic (22.8%) discards dominate household waste streams. Despite 73.5% of respondents recognizing health risks, only 23.9% express willingness to pay for improved services, underscoring a governance and trust deficit. Drawing on successful international models—such as Sweden’s integrated recycling-energy systems, South Korea’s volume-based fees, and Brazil’s integration of informal waste pickers—the study proposes context-specific solutions for Hyderabad, including decentralized composting, incentivized waste reduction, and formalization of the informal recycling sector. The findings make a dual contribution: first, by offering one of the few empirical, regression-based assessments of SWM behavior in Pakistan; and second, by framing Hyderabad’s challenges within a comparative global perspective that yields actionable, locally adaptable strategies. The study underscores the critical role of education, equity, and governance reforms in advancing sustainable waste management. These insights hold relevance not only for Hyderabad but also for other mid-sized cities in developing regions struggling with parallel waste management crises.
Khoso et al. (Mon,) studied this question.