The document discusses decentralized sanitation systems and fecal sludge management (FSM), highlighting the global scenario where 2.7 billion people rely on onsite sanitation technologies, and the urgent need for effective FSM due to environmental and health risks. It compares various sanitation options, including centralized and decentralized systems, and stresses the importance of community involvement and regulatory frameworks in addressing urban sanitation challenges. Lastly, it presents a way forward that includes developing city-wide sanitation plans and increasing public awareness to ensure sustainable sanitation and hygiene access for all.