The municipal solid waste causes substantial harm to the environment and human health if mismanaged. With a rapidly expanding human population and growing trend of urbanization, problems related to the management of municipal solid waste have become of considerable importance in Ethiopia from both environment and human safety. This urges for better understanding of the existing practices and problems of solid waste management in emerging towns of Ethiopia. This study therefore assessed the existing solid waste management practices and problems in Sekota town, Waghimra zone, NNNPR. Samples were selected using probabilistic and non- probabilistic techniques .The primary data were collected via questionnaires, interview, and field observations. Whereas the secondary data were extracted from different published and unpublished materials. A total of 95 respondents were used in the study. The findings of the study revealed that the main types of SW in Sekota are peels of vegetables, ash and dust, plastic, paper and cardboard, leaf and the physical composition of MSW in the city is composed from both biodegradable and non-degradable components, the current SWM practice of City is weak and also there is a problem on solid waste reduction strategy: separation, reuse, recycle, and resource recovery. According to the results different main factors that aggravate the existing poor status of SWM practice in the city. These are: socio-cultural, technical and institutional factors. To alleviate the problems the study suggest that. The current study showed that the solid waste production rate of Sekota town at the household level is 8,380.869 kg/day, 58,666kg/weak, 251,426kg/month and 3,0590,28.5 kg/year with 41,696 population of Sekota Town. The per capital solid waste generation rate is 0.201 kg/cap/day/25 households. The study employed binary logistic regression model to identify the factors that determine households decision to practice solid waste management in the study revealed that family size, education status, households perception towards SWM, and distance were the main factors that determine households decision to practice solid waste management in the study area. Poor municipal solid waste management is practiced in the town. Therefore, it is recommended that the municipal should develop good infrastructure, and prepare appropriate disposal sites where solid wastes can be disposed. Awareness raising among the inhabitants and also organizing the youth groups in small and micro enterprises in solid waste management activities is found to be important. Normal monitoring of the functionality of the system is also essential.