This report presents an analysis of the implementation and results of the SWITCH Africa Green programme in the integrated waste management (IWM) sector focusing on the participating countries: Burkina Faso, Ghana, Kenya, Mauritius, South Africa and Uganda. It covers the strategic interventions in the waste sector notably municipal solid waste management, e-waste management, waste to energy (e.g. biogas production and briquette production), as well as industrial symbiosis (IS). It analyses the results realised, cross cutting issues, challenges, lessons learnt and presents a set of recommendations. The report is informed by a SWITCH Africa Green programme survey carried out in May 2018, grantee reports, case studies, peer reviews and regional stakeholder consultations including a regional sector meeting held on 11-12 June 2019 in Accra, Ghana. The report is one of four sector reports, one for each of the priority sectors of the programme: agriculture, manufacturing, tourism and IWM.