Few communities within the Madre de Dios region of Peru are recognized by local governments, and less are allocated the necessary resources to meet basic needs such as waste management. The aim of this study is to develop a toolkit to understand the amount of waste, the composition, the levels of water contamination, and the mentalities towards waste management, specifically within the Las Piedras district, in the Madre de Dios region, of Peru. The damaging effects of absent waste management and unsustainable landfills affect the environmental, social, and economic sectors of the surrounding environment. To raise awareness of waste management and find tangible solutions, the Waste Management Toolkit includes waste auditing, water sampling, and mentality survey strategies which were conducted in three remote communities, as well as within the Las Piedras Muncipality. Results have shown evidence of both human health and environmental health impacts from improper waste management due to burning, burial, and dumping practices. Mentality surveys have shown distrust in the local municipalities, a lack of education when it comes to waste management practices and impacts, as well a district wide absence of infrastructure to support waste systems. The Waste Management Toolkit has successfully led to the implementation of a communal waste pit in the community of Lucerna in the field season of 2016 and 2017, as well as in the community of Puerto Nuevo in Spring of 2018. The community of Boca Pariamanu has been studied and results have been reported to the local municipality in Spring of 2018 to support waste management systems since they are accessible from the closest large city, Puerto Maldonado to export waste. These three communities have become the pioneers within the region. Future endeavors will include the replication of the Waste Management Toolkit in surrounding communities and municipalities.