In developing countries, the situation of the management and disposal of solid waste is critical and tends sometimes to deteriorate in a context of growing urbanization. In the absence of adequate resources, the valorisation of waste is scarcely implemented. Waste treatment remains problematic and results in the proliferation of illegal dumping subject to either an uncontrolled landfill or open burning. Throughout the Comoros and especially in large cities, despite a clear desire of national authorities, the household waste management remains a major problem and led the country to an unhealthy situation of extreme gravity. It was revealed that a series of failures related to the lack of financial resources and adequate budget, materials and techniques, waste management skills and awareness of the populations and the institutional and legal obstacles, largely explain the inefficiency of the system currently implemented in the Comoros. The study proposed in this paper is part of a contribution to improve the management of household waste in the Comoros, and has as objective, to perform an inventory of the management of solid household waste in Comoros and improve the current management system. Starting from a review of the literature and based on experiences and international models on the subject, this study provides institutional, legal, regulatory, technical and financial approaches to achieve effective and sustainable management of household waste solid Comoros.