Municipal solid waste management (MSWM) is considered an important public health, economic and environmental concern, especially in developing countries. This paper introduces the situation of MSWM in La Paz (Bolivia) in 2016, and is based on the Wasteaware indicators and waste flow analysis, useful tools for classifying and comparing waste treatment and management plans among other countries. Taking into account the lack of technology in waste treatment and the presence of a developed informal sector, the paper analyses the main strengths and weak points for implementing a sustainable MSWM. The research conducted revealed that the MSWM of La Paz is not efficient with regard to collection, recycling (8%), financial sustainability, and equity of the service. At the same time, local Government and stakeholders are interested in implementing new MSWM methods for improving the current sanitary state of the city and many efforts were made over the last ten years. In general terms, La Paz could be considered as a good study area for developing plans for waste valorization, becoming an example for a low-middle income developing big city of Latin America. The study provided a few considerations about the affordability of the methodology applied and critically analyzed the case study proposed.

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In the developing world, healthcare waste management is a human health and environmental burden that should be solved for improving sustainability. Solutions should be introduced in the short term, concerning management, planning, financial assistance and expertise. The paper introduces an indicator set for assessing healthcare waste management in developing cities, implemented in La Paz (Bolivia) as a case study. The objective is to suggest an integrated management tool as a first assessment technique to identify the prevailing problems with a healthcare waste management system. Results suggest that, in La Paz, the application of such indicators is useful for evaluating which priorities should be addressed for improving the healthcare waste management system. The tool was applied for introducing a study necessary for the application of new management plans, especially concerning healthcare waste treatment. The method can be replicated in other contexts worldwide, with a focus on the developing world, for comparing cities, management solutions and improvements carried out along the years. The approach is of interest for boosting sustainability and human health, improving the awareness of the actors and policy-makers involved in waste management.

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