Community-driven waste management programmes have emerged as a critical strategy for addressing environmental challenges in Nigerian cities. A mixed-methods approach combining quantitative data from monitoring stations and qualitative insights from community surveys was employed. Significant reductions in particulate matter (PM10) levels were observed, with a decrease of approximately 25% in polluted zones compared to baseline measurements. The programmes demonstrated substantial health benefits, including a reduction in respiratory and cardiovascular diseases by up to 30% among the target population. Policy makers should prioritise funding for waste management infrastructure and incentivize community participation through education campaigns and financial support.