Noncommunicable diseases (NCDs), such as cardiovascular disease, cancer, and diabetes, are the leading cause of mortality in the world. Every year, 41 million people die from NCDs, 15 million of them between the ages of 30 and 69. Despite the many proven solutions, progress has been slow and uneven globally. This document provides an overview of the NCD ecosystem, a description of primary findings, and recommendations for future action. Findings and recommendations are presented across four pillars—Access, Integrated Models of Care, Capacity Building, and Sustainability Efforts—to organize the information and analysis with a view toward the prioritization of gaps and opportunities for intervention and partnership, especially for non-state actors.

The landscape identifies several enabling factors required to address the key barriers impacting NCD care, alongside intervention opportunities with a specific focus on hypertension and diabetes. The enabling factors are organized into four quadrants adapted from the WHO’s NCD capacity domains and subsequently mapped along a pathway to scale to identify archetypes of country capacity levels. The assessment is timely as countries set their universal health coverage (UHC) roadmaps.