Urban
growth in low- and middle-income countries has intensified
the need to expand sanitation infrastructure, especially in informal
settlements. Sanitation approaches for these settings remain understudied,
particularly regarding multidimensional social–ecological outcomes.
Guided by a conceptual framework (developed in parallel with this
study) re-envisioning sanitation as a human-derived resource system,
here we characterize existing and alternative sanitation scenarios
in an informal settlement in Kampala, Uganda. Combining two core research
approaches (household survey analysis, process modeling), we elucidate
factors associated with user satisfaction and evaluate each scenario’s
resource recovery potential, economic implications, and environmental
impacts. We find that existing user satisfaction is associated with
factors including cleaning frequency, sharing, and type of toilets,
and we demonstrate that alternative sanitation systems may offer multidimensional
improvements over existing latrines, drying beds, and lagoons. Transitioning
to anaerobic treatment could recover energy while reducing overall
net costs by 26–65% and greenhouse gas emissions by 38–59%.
Alternatively, replacing pit latrines with container-based facilities
greatly improves recovery potential in most cases (e.g., a 2- to 4-fold
increase for nitrogen) and reduces emissions by 46–79%, although
costs increase. Overall, this work illustrates how our conceptual
framework can guide empirical research, offering insight into sanitation
for informal settlements and more sustainable resource systems.