A total of 17 refuse collection vehicles now cruise the streets daily. 1,400 communal containers and 250 litter bins were placed throughout the city. Over 40 training courses in environmental management, finance and administration, health promotion, parliamentary elections, composting, English language, and many other subjects were attended by over 150 staff from the municipal Environmental Health Department, Workshop, and Finance/Accounting Department.

13 Gazan women were trained as health promoters. Their main tasks were to raise public awareness on environmental health issues, to encourage citizens to comply with waste collection procedures, and to empower both municipal staff and citizens to act jointly. The aim was not only to establish adequate and sustainable solid waste management practices, but also to engage citizens and the Municipality in a dialogue on how to re-build other municipal services such as electricity, sewerage and drainage, and street paving.

A 1997 socio-economic study indicated that approximately 90% of households had a very positive attitude to the solid waste management efforts with only 5% saying there had been no improvement.

Citizens started using the waste containers, sweeping in front of their doors, and participating actively in neighbourhood committees to discuss the neighbourhood's development needs beyond garbage.

Gaza City's Solid Waste Management's report to the WHO conference, 2000.