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Improving Governance of Tehran Municipality in Obesity Prevention: A Policy Brief
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S Edalati   , A Takian , D Ghodsi , F Rasam , N Omidvar * |
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Abstract: (190 Views) |
| 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. |
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| Keywords: Good governance, Municipality, Obesity prevention, Obesity prevention clubs |
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Full-Text [PDF 516 kb]
(82 Downloads)
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Article type: Brief Policy |
Subject:
nutrition
Received: 2026/05/26 | Accepted: 2026/01/30 | Published: 2026/06/1
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| References |
1. Bakhtiari A, Takian A, Majdzadeh R, Ostovar A, Afkar M, Rostamigooran N. Intersectoral collaboration in the management of non-communicable disease's risk factors in Iran: stakeholders and social network analysis. BMC public health. 2022;22(1):1-16. [ DOI:10.1186/s12889-022-14041-8] 2. Edalati S, Omidvar N, Takian A, Rasam F, Ghodsi D, Majdzadeh R. Participatory evaluation of municipal obesity prevention clubs in Tehran city: Strengths, challenges, and future direction. Front Public Health. 2023 Feb 16;11:1055210. [ DOI:10.3389/fpubh.2023.1055210] 3. Cities for Better Health. Creating and sustaining coalitions: building blocks for better health. [place unknown]: Cities for Better Health; 2026 [cited 2026 May 26]. Available from: https://www.citiesforbetterhealth.com/content/dam/nn_core/true-blue/cbh/pdf/creating-and-sustaining-coalitions-building-blocks-for-better-health.pdf 4. Edalati S. Participatory Evaluation and governance analysis of Tehran municipality policiesand programs in regard to obesity and overweight prevention [Doctoral Thesis]. Tehran, IR Iran:SBUMS; 2023 [Persian] 5. Wilson, Michael G., John N. Lavis, and Adrian Guta. "Community-based organizations in the health sector: a scoping review." Health research policy and systems 10.1 (2012): 36. [ DOI:10.1186/1478-4505-10-36] |
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