Introduction: One of the most important functions of municipalities as a public institution is to provide, maintain and promote the health of citizens. To improve the health of the community, we need to understand the function of the municipality in countries that affect the health and well-being of the population. Material and methods: This study is a comparative-descriptive study. After searching for databases and authoritative sources and documents, related research was introduced into the study. Considering the performance of municipalities in the provision of health services, 7 countries were selected as statistical samples. Finally, the comparative attitudes of selected countries based on the role of municipalities in providing health services, macroeconomic indicators and health economics were tabulated, compared and compared. Results: The municipalities of the selected countries ...