The document discusses solid waste management challenges in Pakistan. It notes that solid waste generation is growing at 2.4% annually and averages 0.61 kg/person/day in cities. Food waste makes up 21.7% of solid waste composition on average. Most waste is improperly disposed through open dumping or burning. Only 52-69% of waste is collected in cities. The government aims to improve management through policies and a hospital waste plan, but more regulations and programs are still needed, especially in smaller towns. One example project piloted participatory management in a town through community organization, education, and improved collection infrastructure.