Background: Solid waste management remains a challenging problem in most developing countries including Pakistan despite consuming a larger portion of municipal budgets. Objective: This study aims to assess the solid waste management practices, and households’ willingness to pay for improved solid waste management in Khanozai Town, Balochistan.

Methods: A multistage sampling technique was used to collect the data from 741 households through a universal sampling technique. A purposive sampling method was used to select Khanozai Town. While using a mixed-methods approach, questionnaire and interview were the data collecting tools. Descriptive, inferential statistic (Binary logistic regression), and narrative analysis were used for the analysis of data.

Results: The results show that waste disposed at specified sites, at irregular sites, burning waste at homes as fuel, direct collection by Municipality, and using animal waste as fuel at homes were the significant solid waste management practices at households’ level. Open dumping and landfills were commonly practiced by the municipal committee Khanozai as waste disposal practices. The results of regression analysis showed that age, education level, household ownership status (income), family size, and satisfaction with municipal solid waste management have a positive association with willingness to pay for improved solid waste management in Khanozai. The findings revealed that the majority (62.1%) of the respondents were satisfied with the solid waste management services provided by Municipal Committee Khanozai. Only, 12.9% of the total households were dissatisfied to strongly dissatisfy with the services. In the case of public health importance, 18.6% and 63.8% of the respondents reported it as a top and medium priority problem of the town respectively. The narrative analysis revealed that 70-80% of the municipal fund is spent on solid waste management in Khanozai Town. Approximately, 0.45-kilogram waste is generated per capita per day. The operational capacity in terms of vehicles, human resources, and finances is insufficient and needs improvement. Conclusion: It is concluded that despite having insufficient operational capacity, limited human resource and insufficient funds, Municipal Committee Khanozai has been able to provide satisfactory solid waste management services at the household level in Khanozai Town. Keeping in view the willingness of the majority of households, the MC Khanozai is suggested to collect taxes for improved solid waste management in the town. The sufficiency of funds can enable the municipality to overcome its capacity issues and start door-to-door waste collection services in Khanozai.