Introduction: Due to Irregular Growth and Expansion of cities, especially in developing countries, various issues and difficulties have arisen in different Economic, Social and Ecological Fields and various measurements and approaches in order to supply desirable conditions for today and future generations. Healthy City Approach is one these approaches as today it’s a new mechanism proposed by the World Health Organization and running of course, but assessing that what city is healthy or when comparing to other cities in what level of healthy is located, still remains as a complicated and ambiguous affair.

  Method: In this study, using Delphi Method and Entropy Method, the criteria and indicators of Healthy City Approach and Proportional Priority Rate of parameters mentioned above are determined, respectively. Then, in order to prioritize the urban settlements through Healthy City Approach, the methods of SAW, TOPSIS and LA have been applied. Considering that the results obtained by methods mentioned above didn’t have consistency in cases, therefore, in order to reach a general consensus, integration of Breda and Cap Land Methods were used for final prioritization.

  Findings: Evaluation and prioritization of urban settlements with healthy city approach in cities of Mazandaran indicating the city of Babol in Mazandaran province has allocated the first rank and city of Galoogah, Neka and Savadkoo have also allocated final rank to themselves. Next ranks, cities like Sari, Babol, and Noshahr after Babol enjoy more desirable condition, respectively, but instead cities of Joybar, Amol and Mahmood Abad, enjoy more undesirable conditions before cities of Galoogah, Neka and Savadkoo, respectively.