One of the observable impacts of rapidly growing urbanization and economic development in emerging cities of developing nations is witnessed in drainage problems connected to poor sanitation. The objectives of this research are to examine the causes and extent of damage on drainage and poor sanitation systems in urban areas, highlight measures to improve health and living conditions of the residents, and propose measures to improve the economic functioning of the cities. Six (6) Local Government Areas (LGAs) in Lagos State, Southwest Nigeria were selected. The descriptive cross-sectional study identified 50 respondents from each LGA through careful selection. Data were collected through validated questionnaire, thorough observations and interviews with residents. The result of the investigation shows that ineffective drainage systems are basically associated with poor maintenance, indiscriminate dumping of refuse in drains, erection of building on drainage channels and alignments that inhibit the flow of water which leads to critical environmental hazards. The study suggests new approach that could be used to achieve sustainable and effective sanitation which would support government’s effort in upgrading urban services by preparing plans and feasibility studies, improving drainage maintenance procedures and effectively manage human waste dispos
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