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Domestic waste management is becoming a serious global concern particularly in developing countries with unplanned urban settlements and multiple developmental projects. The ability to mange and control domestic wastes is one of the major indexes for accessing the level of development of any nation. This is because of the direct cum indirect link between domestic waste and the overall health of the citizens of any nation. Most developing countries are yet to understand the import of functional domestic waste management structures and its relevance in their development plan. Emphasis are rather shifted to structural and constructional works to the detriment of this very essential aspect of national growth and development. This study which assessed the perception, knowledge and practices of domestic waste management in one of the major cities of Nigeria, West Africa; recorded a high degree of backwardness in tackling domestic waste generated in the city and this can easily be equated to the level of development and general health of the people.