As an emergent technology, very few referenced works are found on AnDMBR. However, based on the previous work, the AnDMBR carry big potential for sewage treatment coupled at low cost. However, further investigations are still needed to be applied in Palestine, where sewage is concentrated with high solids content due to water shortage, and also temperature fluctuation due to the prevailing Mediterranean climate with hot dry summer and cold rainy winter. So far, the potential of the AnDMBR to remove pathogens is still to be investigated, and will be emphasized in this research, as the main innovative research item. Indeed, the potent bio-physical removal of pathogens from sewage might represent a breakthrough in technology development and innovation to treat sewage up to secondary level in terms of nitrogen content, and tertiary level in terms of pathogens and solids content. The effluent quality will be very attractive for treated effluent reuse in crops irrigation, at low cost and very low health and environmental risks, as no chemicals are used for disinfection, like chlorine.

As such, the main goal of this research is to assess the process performance of the AnDMBR for sewage treatment under Palestinian conditions in terms of (COD total and fractions, Volatile Fatty Acids (VFAs), ammonia, kjeldhal, phosphate) and process stability through monitoring the quantity of biogas produced (mainly CH4), sludge bed floatation, sludge wash-out, sludge stability, dewaterability, sludge methanogenic activity and sludge bed profile.