For people living with cardiometabolic diseases (CMD) in LMICs, services for screening, diagnosis, treatment, and referral are inadequate or unavailable at primary health care facilities and in the community. Health system responsiveness to noncommunicable diseases, including CMDs, is weakened by service delivery oriented to acute care and inadequate financing, infrastructure, and human resources.

In response to the challenges facing CMD care in low- and middle-income countries, the program will implement a person-centered primary health care model as a comprehensive systems-based approach featuring high-touch/high-tech interventions to increase retention and adherence to care. The interventions will focus on building capacity within the health system and community to support CMD care, awareness raising and demand generation, self-care and self-management support, and support for families and caregivers.  The project will prioritize partnerships with Ministries of Health and broader country stakeholders to ensure early program adoption and involvement throughout the project cycle, to support sustainability.