The goal of the study was to determine how waste collection services in Kampala City's Nakawa Division relate to operational effectiveness and efficiency. The research problem was that many stakeholders have been complaining about the quality of waste collection services in Kampala as evidenced by the skips along the streets and in KCCA markets within Nakawa Division such as at Nakawa, Ntinda, Naguru and Kitintale markets. There have been increasing complaints on waste collection, which shows dissatisfaction with the waste management services. The objectives of the study were to examine the level of waste collection services in Nakawa Division, to examine the relationship between operational efficiency and waste collection services in Nakawa Division and to examine the relationship between operational effectiveness and domestic waste collection services in Nakawa Division. The quantitative data-driven study employed a cross-sectional design. The population comprised of 84,242 households of which 384 were selected from the various parishes in Nakawa division. A questionnaire was used to collect data from respondents who were selected using a simple random sampling method. Findings show that there is a problem with quality of services to collect garbage in Nakawa Division. More to that there is a positive significant relationship between operational efficiency and waste collection services (r=.640, p<.01), and there is a positive significant relationship between operational effectiveness and waste collection services (r=.502, p<.01). It was recommended that the management of KCCA needs to make it a priority, and to completely overhaul the garbage collection service in Kampala City. There is need to lobby for additional funding from the central government to the garbage collection service sector, mass sensitization efforts on garbage collection and management should be launched by KCCA, an internal survey of customer complaints needs to be undertaken and that KCCA should review all subcontracts it has with garbage collection firms.

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