BACKGROUND: Poor solid waste management is a major public health and environmental concern in developing countries like Ethiopia. This study aimed to assess the status of household solid waste management and associated factors in Fiche town.

METHODS: A community-based cross-sectional study was conducted among 236 residents of Fiche town from January to March 2022. Both questionnaire and field observation was used to collect data from households in the town. Data were first checked manually for completeness, then coded and entered into SPSS version 20, then descriptive statistics such as frequency and percentage were done. Multivariate logistic regression analysis was done to assess the potential predictors of the outcome variable (P < .05).

RESULT: In the present study, 185 (78.4%), of residents uses improper solid waste management practices. Multivariable logistic regression analysis revealed that knowledge of reduce, reuse and recycle (3R) (adjusted odds ratio [AOR] = 6.61; 95% confidence interval [CI] 2.94, 14.87), access to door to door waste collection (AOR = 3.91; 95% CI 2.03, 7.51), treating waste as a resource (AOR = 3.06; 95% CI 1.47, 6.36) and knowledge about the rule and regulations of solid waste management (AOR = 6.49; 95% CI 3.09, 13.61) were found to be significantly associated with waste management practices.

CONCLUSION: Therefore, there is a need to raise awareness about solid waste management at the community level using different pieces of training. In addition, the city municipality needs to strengthen door to door waste collection services.