Given the huge differences between developed and developing countries in political structures, national priorities, socio-economic conditions, cultural traits, and financial resources, adoption of developed country's strategies for wastewater management is neither appropriate nor viable for developing countries. Environmental planners and decision makers need appropriate legislation to support and facilitate the development of successful wastewater management plans for developing countries. Moreover, the institutional framework must allow adaptation of the plan to meet changing national, regional, and local priorities. Considering the limitations of external and domestic financial resources in developing countries, it will be necessary to develop new innovative financial schemes. Besides, public awareness relating to the extent of adverse health impacts as a result of improper sanitation is minimal in these countries. Therefore, environmental education as well as public awareness and participation primarily of resource users should be given high priority to achieve sustainability. Providing local people with access to resources, education and information necessary to influence environmental issues that affect them is a necessity.