This document summarizes a study on institutional challenges around slum sanitation in Kampala, Uganda. It finds: 1) Sanitation governance is fragmented among different ministries, with no single entity considering it a core mandate. 2) There is a lack of a clear institutional framework for slum sanitation engagement with the private sector and unclear public-private roles. 3) Interventions by multiple actors involved in slum sanitation are not well-coordinated or harmonized.