Over the years, there has been noticeable and steady mismatch between urban population growth and capacity for managing the corresponding increases in solid wastes. The local community is greatly concerned because it is aware of the clear link between poorly managed waste and the potential for the spread of diseases. This study was carried out to examine the solid waste management practices in Chinhoyi urban area and assess the impacts on the environment and human health. The study combined quantitative and qualitative data collected through fieldwork, questionnaires, interviews and document reviews. The population of Chinhoyi stands at about 60 000 generating more than 100 tons of waste per day. Results of the study include high percentage of uncollected waste, high levels of health and safety related problems such as lacerations, contusions, strain/sprains, and illness as well as noticeable deterioration of facilities and the environment. Issues affecting the effective management of waste are discussed. Recommendations based on the sustainable principle of integrated solid waste management are suggested. Sustainability requires the system to be environmentally effective, economically affordable, and socially acceptable.