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A number of initiatives that promote healthy urban food and waste management systems are underway within urban areas in the region, and an EQUINET conceptual framework outlines the urban responses for food and waste management systems as key entry points to foster innovation, collaboration, accountability, literacy and system-wide change to support healthy people, healthy ecosystems and an inclusive, productive, regenerative and circular urban economy. This case study therefore seeks to document promising practices in Kariba. Integrated solid waste management was adopted by the Municipality in 2016, involving the community and all stakeholders in collaborative designing, planning and implementation of the programme. A Council resolution was adopted to facilitate the change in Council policy proposing that Integrated Solid Waste Management be adopted as an approach for the town. Interventions on urban waste have been integrated into one solid waste management programme in Kariba through multi-actor participation with high literacy, involving existing community structures and different age groups of people, and incorporating their aspirations for a clean town. Different interest groups select their own interventions on urban waste linking to food, energy and other urban needs, and deploy their own innovation, local knowledge systems. These are then integrated into the overall programme. The activities use affordable technologies and locally available materials, creating a demand for local goods. Information and communication technologies used in the programme have been important contributors to successful outcomes. Bringing diverse social groups together contributes to system wide and holistic awareness and links action on urban waste systems to a circular economy and climate justice.