Introduction: Local digital media, as an effective platform for reflecting citizens’ concerns and shaping public perceptions, play a significant role in highlighting issues related to urban solid waste management and environmental health. The present study was conducted to analyze the role of local digital media in reflecting the challenges of urban solid waste management and its associated health implications in Saveh City.Methods: This study was a qualitative descriptive–analytical research conducted using media content analysis. Content published in active local digital media of Saveh City between 2021 and 2023, related to urban waste management and environmental health, was purposively collected. After screening, the data were analyzed through descriptive and interpretive content analysis.Results:  Content analysis revealed that the dominant media themes included improper accumulation and dispersion of solid waste, associated environmental and public health impacts, and the performance of municipal waste collection services. The public perception reflected in the media was predominantly critical yet demand-oriented, emphasizing managerial shortcomings and environmental health risks. In parallel, a portion of the media content was devoted to reporting corrective actions and urban management improvement programs.Conclusion: Local digital media in Saveh City play a dual role in criticizing deficiencies and disseminating information about positive waste management initiatives. These media can serve as a complementary source for identifying health-related public concerns and enhancing communication between urban management and the local community.