This study assessed practices, methods and perceptions of solid waste management (SWM) in selected townships in Lusaka Zambia. The aim was to establish effectiveness of SWM in order to have a basis for advocating for measures to address issues related to improved solid waste management. Specifically, the research aimed to determine the socio-demographic and economic profiles of people, methods and practices of solid waste disposal and to obtain people's perception on solid waste management. The study targeted 120 respondents purposely selected from low, medium and high-density townships of Misisi, Kabwata and Ibex Hills in Lusaka, Zambia. The study collected data by use of a self-administered questionnaire through random sampling and was analysed through SPSS version 23. The findings of this study revealed that solid waste management was a challenge in Lusaka, Zambia. The majority of respondents (37.5%) stated that they generated all kinds of waste from their households and 51.6% stated that they had never heard of appropriate solid waste management. Of those that emptied waste in public waste bins, 35% stated that they walked 5-10 minutes to access public waste bins, 19.2% stated that public bins, which emptied weekly, were small and ever full. Fifty-two (52%) percent of respondents stated that there was a problem with solid waste disposal and 56.7% stated that solid waste disposal contributed to diseases in their area. This study concluded that there were challenges of solid waste management in terms of practices and methods in selected areas of Lusaka, Zambia.