This paper is based on a study, which aim is to provide an overview of the current MSW management in the main cities in Somaliland and Puntland and to identify strategies to improve the present situation. In particular, this article illustrates assessments concerning waste collection and technical solutions identified for its improvement, whereas waste treatment and disposal phases will be discussed in a further paper. The survey, which has been carried out in close collaboration with local administrators and technicians, has shown that MSW management is very lacking and needs both structural and operational actions. Waste collection in the surveyed cities covers 65% of population at its best, whereas it is substantially absent in Gardo and Sheik. The extension of waste collection service to the entire population of each city would need investment costs varying between 17,500 USD for Sheik and 200,000 USD for Galkayo, whereas total operational costs would vary between 1.17 USD/ inh/y in Boroma and 5.73 USD/inh/y in Garowe. Anyway, technical interventions are necessary to provide a larger number of citizens with a regular waste collection service and they should be preceded and accompanied by public awareness campaigns on environmental protection and capacity building services addressed to local administrators and technicians.