|Primary healthcare must be reoriented towards chronic care. This can be done readily in settings where HIV chronic care platforms have been established, as these provide an opportunity to jumpstart nascent NCD programmes. A recent partnership between the US President’s Emergency Plan for AIDS Relief and AstraZeneca, aimed at offering HIV/AIDS and hypertension services in an integrated manner, is a step in the right direction. Recent initiatives, such as the Defeat-NCD Partnership and Resolve, can help accelerate the integration of NCDs into primary healthcare.
||The recently launched Defeat-NCDs Partnership offers a supplies, procurement and distribution facility and a financing facility. Through the first facility a marketplace aims to make the provision of medicines, diagnostics, and equipment more cost-effective for poorer countries. It includes pooling the purchasing power of small countries who do not get value-for-money in their procurement and ensuring continuity of supplies. Pharma companies have expressed interest. The approach chosen by the Defeat-NCDs Partnership highlights that the quest for efficiency gains in cutting procurement costs or tackling inefficiencies in the supply chain is one way of making drugs more accessible and affordable for patients in developing countries.