Solid waste infrastructure management service in Nekemte town of Oromia Regional State (Ethiopia) is generally handled by the private waste collectors through contractual arrangement with the municipality which is not adequate. Hence the coverage of solid waste management services should be expanded up to cent percent population and geographical area of the town. However, strong control and monitoring mechanisms are required to be in place for effective solid waste infrastructure management. It is expected that with increase in population size and industrialization, solid waste management would be a major problem for the municipality in the future. In order to mitigate the consequent health and environmental impacts, the solid waste infrastructure management problems have to be properly addressed.