Tehran University of Medical Sciences

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Improving Governance of Tehran Municipality in Obesity Prevention: A Policy Brief; [بهبود کیفیت حکمرانی شهرداری تهران در پیشگیری از چاقی] Publisher



Edolati S ; Takian A ; Ghodsi D ; Rasam F ; Majdzadeh R ; Omidvar N
Authors

Source: Iranian Journal of Nutrition Sciences and Food Technology Published:2026


Abstract

The prevalence of overweight and obesity in Tehran is increasing and constitutes one of the most significant risk factors for non-communicable diseases, thereby necessitating multisectoral interventions. This policy brief was developed based on the findings of a comprehensive study examining the governance of Tehran Municipality’s obesity prevention programs through document review, stakeholder consultation, and priority-setting processes. Findings revealed weaknesses across five key governance dimensions, including accountability, evidence use, responsiveness, transparency, and participation. Furthermore, we propose that municipality neighborhood health centers adopt sustainable, neighborhood-based governance mechanisms, rather than fragmented and project-oriented activities, in order to move closer to the model of community-based organizations (CBOs). In addition, policy recommendations are presented to enhance the governance quality of obesity prevention clubs. © 2026, National Nutrition and Food Technology Research Institute. All rights reserved.