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This study investigates the use of constructed wetlands as a cheaper and more effective alternative method of treating domestic wastewater in tropical environments. This book determines the technical viability of the model, with respect to treatment performance under different operating conditions and the economic competitiveness of technology in Uganda and across the region. The Pilot Constructed Wetland investigated in this study was situated at the National Water and Swerage Corporation's Jinja Sewage Works at Kirinya, Uganda. The study revealed the economic viability of constructed wetland systems in the tropical regions. These could be established at competitive costs with waste stabilisation ponds.