Background: Air pollution significantly impacts global health, contributing to approximately 3.7 million premature deaths annually. Ahvaz, as one of the most polluted cities in the world, experiences severe air pollution due to urbanization, industrial expansion, and transportation. This study aims to identify pollution sources, evaluate their impact through a hybrid SWOT-AHP analysis, and propose innovative air quality management strategies based on global best practices. Methods: A combination of emission inventory analysis, geographic information system (GIS) mapping, and a multi-criteria decision-making (MCDM) approach was applied to assess key pollution sources. SWOT analysis was integrated with the Analytical Hierarchy Process (AHP) to prioritize effective interventions for air quality improvement. Comparative analysis was conducted with cities such as Beijing, New Delhi, and Los Angeles to benchmark pollution control measures. Results: Nitrogen oxides (NOx) were identified as the most emitted pollutants in central Ahvaz, reaching 392 tons annually. Other major pollutants included carbon monoxide (CO) (89 tons/year), suspended particles (87 tons/year), and hydrocarbons (34 tons/year). The Ramin Power Plant accounted for 54% of SO2 emissions, while oil industries contributed to 82% of total pollutants. The hybrid SWOT-AHP analysis ranked “Implementing an advanced air pollution monitoring system and smart traffic management” as the most effective strategy. Benchmarking with other global cities revealed that implementing low-emission zones and transitioning to cleaner fuels significantly reduced air pollution levels. The AHP analysis prioritized strategies as Smart Monitoring System (46.7%)—The most effective approach, emphasizing real-time pollution tracking and traffic optimization. Next Clean Fuel Transition (27.7%)—Reducing emissions by shifting industries and vehicles to low-emission fuels. Low-Emission Zones (16.0%)—Establishing restricted zones to control vehicular pollution. And Urban Green Infrastructure (9.5%)—Expanding green spaces to enhance air quality. Conclusion: Strategic investments in pollution control technologies, combined with policy interventions such as emissions-based congestion pricing and green infrastructure expansion, are crucial for mitigating pollution in Ahvaz. The SWOT-AHP framework provided a structured approach to prioritizing actionable environmental management strategies based on feasibility and effectiveness.

1.         Kulick ER, Kaufman JD, Sack C. Ambient Air Pollution and Stroke: An Updated Review. Stroke. 2023; 54(3): 882–893. doi: 10.1161/strokeaha.122.035498

2.         Montone RA, Rinaldi R, Bonanni A, et al. Impact of air pollution on ischemic heart disease: Evidence, mechanisms, clinical perspectives. Atherosclerosis. 2023; 366: 22–31. doi: 10.1016/j.atherosclerosis.2023.01.013

3.         Amiri F, Jamali AA, Gharibvand LK. Tracing air pollution changes (CO, NO2, SO2, and HCHO) using GEE and Sentinel 5P images in Ahvaz, Iran. Environmental Monitoring and Assessment. 2023; 195(10). doi: 10.1007/s10661-023-11885-4

4.         Berg CD, Schiller JH, Boffetta P, et al. Air Pollution and Lung Cancer: A Review by International Association for the Study of Lung Cancer Early Detection and Screening Committee. Journal of Thoracic Oncology. 2023; 18(10): 1277–1289. doi: 10.1016/j.jtho.2023.05.024

5.         Choobkar N, Saffar AK, Norouzi H, et al. Seasonal and spatial zoning of air quality index and ambient air pollutants in ahvaz oil and gas factories with geographic information system. Environmental Engineering and Management Journal. 2023; 22(5): 957–968. doi: 10.30638/eemj.2023.077

6.         Sicard P, Agathokleous E, Anenberg SC, et al. Trends in urban air pollution over the last two decades: A global perspective. Science of The Total Environment. 2023; 858: 160064. doi: 10.1016/j.scitotenv.2022.160064

7.         Jahedi F, Jaafarzadeh Haghighi Fard N, Abdullatif Khafaie M, et al. Characterization of airborne microplastics and exposure assessment in the Mahshahr special economic zone, Northern Persian Gulf. Atmospheric Pollution Research. 2025; 16(9): 102585. doi: 10.1016/j.apr.2025.102585

8.         Haddad P, Kutlar Joss M, Weuve J, et al. Long-term exposure to traffic-related air pollution and stroke: a systematic review and meta-analysis. International Journal of Hygiene and Environmental Health. 2023; 247: 114079. doi: 10.1016/j.ijheh.2022.114079

9.         Olesiejuk K, Chałubiński M. How does particulate air pollution affect barrier functions and inflammatory activity of lung vascular endothelium? Allergy. 2023; 78(3): 629–638. doi: 10.1111/all.15630

10.      Lelieveld J, Haineset a, Burnett R, et al. Air pollution deaths attributable to fossil fuels: observational and modelling study. BMJ. 2023: 383. doi: 10.1136/bmj-2023-077784

11.      Shojaee Barjoee S, Malverdi E, Kouhkan M, et al. Health assessment of industrial ecosystems of Isfahan (Iran) using phytomonitoring: Chemometric, micromorphology, phytoremediation, air pollution tolerance and anticipated performance indices. Urban Climate. 2023; 48: 101394. doi: 10.1016/j.uclim.2022.101394

12.      Sadeghi HA, Sadeghi R. Temporal Analysis of Air Pollution Effects on Cardiovascular Diseases and Mortality in Ahvaz, Iran. International Journal of Population Issues. 2024; 1(2): 71–85. doi: 10.36312/ijpi.v1i2.1828

13.      Jahedi F, Dehdari Rad H, Goudarzi G, et al. Polycyclic aromatic hydrocarbons in PM1, PM2.5 and PM10 atmospheric particles: identification, sources, temporal and spatial variations. Journal of Environmental Health Science and Engineering. 2021; 19(1): 851–866. doi: 10.1007/s40201-021-00652-7

14.      Puyt RW, Lie FB, Wilderom CP. The origins of SWOT analysis. Long Range Planning. 2023; 56(3): 102304.

15.      Shinde PA, Abbas Q, Chodankar NR, et al. Strengths, weaknesses, opportunities, and threats (SWOT) analysis of supercapacitors: A review. Journal of Energy Chemistry. 2023; 79: 611–638. doi: 10.1016/j.jechem.2022.12.030

16.      Bozorg Ghasem Abadi RR, Mohammadi A, Moattar F. Development of a strategic plan through SWOT analysis to control traffic-borne air pollutants using CALINE4 model. International Journal of Human Capital in Urban Management. 2019; 4(2). doi: 10.22034/IJHCUM.2019.02.07

17.      Moghadam R, Jozi S A, Hejazi R, et al. A strategic management plan for reducing air pollution using the SWOT Model: A case study of district 2 of Tehran Municipality. Anthropogenic Pollution. 2021; 5(2). doi: 10.22034/ap.2021.1928790.1105

18.      Tanha F, Rangkooy H, Marzban M, et al. An Approach to the Control Management of Gaseous Pollutants Emissions from Power Plants Using Analytic Hierarchy Process (AHP). International Journal of Occupational Hygiene. 2015; 7(1): 27–31.

19.      Zhang J, Wu WW, Wang CY. Air Route Selection for Beijing Capital International Airport Based on an Improved TOPSIS Method. IOP Conference Series: Earth and Environmental Science. 2018; 189(6): 062022. doi: 10.1088/1755-1315/189/6/062022

20.      Ahmed AM, Zairi M, Almarri KS. SWOT analysis for Air China performance and its experience with quality. Benchmarking: An International Journal. 2006; 13(1/2): 160–173. doi: 10.1108/14635770610644655

21.      Guzman J. The Port of Los Angeles: From Mudflat to World Port (Master’s thesis). World Maritime University, Shanghai, China; 2013.

22.      Goswami A, Sen S. Geospatial Appraisal of Vegetation Health and Air Quality of Delhi During Pre-and Post-lockdown Phases Through a Multi-criteria Decision Model, in Temporal and Spatial Environmental Impact of the COVID-19 Pandemic. Springer; 2023. pp. 7–43.

23.      Pandya J, Sarkar D, Kaul DS. Application of Fuzzy Factor Comparison Method for Evaluation of Key Performance Indicators Affecting Air Quality in India: A Decision Matrix Approach for Mitigating Anthropogenic Pollution Sources. Journal of The Institution of Engineers (India): Series A. 2024; 106(1): 175–193. doi: 10.1007/s40030-024-00856-8

24.      Malik N, Singh V, Kumar K, et al. VOC source apportionment, reactivity, secondary transformations, and their prioritization using fuzzy-AHP method in a coal-mining city in India. Environmental Science and Pollution Research. 2024; 31(17): 25406-25423.

25.      Kazemi Z, Kazemi Z, Jafari AJ, et al. Estimating the health impacts of exposure to Air pollutants and the evaluation of changes in their concentration using a linear model in Iran. Toxicology Reports. 2024; 12: 56–64. doi: 10.1016/j.toxrep.2023.12.006

26.      Jaafarzadeh N, Nouhjah S, Shahbazian H, et al. The relationship between hot spots of air pollution and the incidence of gestational diabetes based on spatial analysis: A study on one of the most air-polluted metropolis of Iran. Environmental Health Engineering and Management. 2024; 11(1): 83–92. doi: 10.34172/ehem.2024.10

27.      Salmabadi H, Saeedi M, Roy A, et al. Quantifying the contribution of Middle Eastern dust sources to PM10 levels in Ahvaz, Southwest Iran. Atmospheric Research. 2023; 295: 106993. doi: 10.1016/j.atmosres.2023.106993

28.      Abadi RRBG, Mohammadi A, Moattar F. Development of a strategic plan through SWOT analysis to control traffic-borne air pollutants using CALINE4 model. International Journal of Human Capital in Urban Management. 2019; 4(2): 133–144. doi: 10.22034/IJHCUM.2019.02.07

29.      Moghadam R, Jozi S A, Hejazi R, et al. A strategic management plan for reducing air pollution using the SWOT Model: A case study of district 2 of Tehran Municipality. Anthropogenic Pollution. 2021; 5(2):85–92. doi: 10.22034/ap.2021.1928790.1105

30.      Prasetyawati ND, Tjiptowibisono S, Pranoto P, et al. Swot analysis of factors causing air pollution and recommended control efforts in the city of Yogyakarta, Indonesia. Environmental Health Engineering and Management. 2024; 11(1): 1–7. doi: 10.34172/ehem.2024.01

31.      Mohammad-Beigi H, Nouri J, Liaghati H. Strategic analysis of bus rapid transit system in improvement of public transportation: Case of Tehran, Iran. Modern Applied Science. 2015; 9(9): 169. doi: 10.5539/mas.v9n9p169

32.      Kebriaeezadeh S, Ghodduosi J, Alesheikh AA, et al. Presenting a Programme for Estrategical Managment to Control Air Pollution (Case Study: Isfahan). Environmental Researches. 2023; 14(27): 59–76. doi: 10.22034/eiap.2023.179288