Increasing prevalence of overweight and obesity issues among both adults and children are being seen in cities where rapid urbanisation is taking place. This is causing the need for improvement in urban governance of food nutrition, with coordinated action across sectors within city governance.
Successful initiatives in India, Pakistan and Tanzania have improved food safety and hygiene in food markets and street vendors, and addressed urban malnutrition. This was through a multi-stakeholder and multi-level approach to facilitate decision making. Common challenges in the implementation of projects included mistrust from stakeholders (e.g. food vendors) and consumers and limited compliance with standards.