 The study conducted in Zambia showed that poor healthcare waste management poses a serious risk to the health of healthcare workers, patients and communities. Despite the fact that the country has made progress towards improving healthcare waste management, there is still much work to be done. The study revealed that only 43% of facilities had a functioning incinerator on site, and that needle sticks were alarmingly high, with 31.3% of all respondents reporting a prior needle stick. Additionally, only 56.9% of facilities used an infectious waste bag, yellow, red or orange bin liner, and a black bag for general waste. Furthermore, only 37.3% of respondents reported receiving any sort of healthcare waste management training. These findings highlight the urgent need for improved healthcare waste management systems in Zambia. This article was authored by Colleen M. Leonard, Chipwela Chulwichuna, Justine M. Nkama, and others.