Four New Countries Join the NCDI Poverty Network

The most recent additions to the Network are Eswatini, Lesotho, Niger, and Somaliland.


PEN-Plus countries follow a four-phase progression: Phase 1, Situation Analysis and Priority Setting (crimson); Phase 2, Delivery Model Design (orange); Phase 3: Initial Implementation (green); and Phase 4, National Scale-Up (pink).


In just the past several months, the NCDI Poverty Network has grown from 23 partner countries to 27.

The most recent additions are Eswatini, Lesotho, Niger, and Somaliland. All four are in Phase 1 of the Network’s Four-Phase Theory of Change. In this phase, each NCDI Poverty Commission analyzes its country’s noncommunicable disease landscape and sets priorities accordingly in preparation for implementing PEN-Plus, an integrated care-delivery model that enables low-income countries to deliver care to people living with severe, chronic noncommunicable diseases. Afghanistan is also a Phase 1 country.

An additional six countries—Benin, Burkina Faso, Cameroon, Democratic Republic of the Congo, Ghana, and Nigeria—recently advanced from Phase 1 to Phase 2, in which NCDI Poverty Commissions focus on delivery model design. Cambodia is also working in Phase 2.

Phase 3 countries—the ones that are actively implementing PEN-Plus—are Bangladesh, Ethiopia, Haiti, Kenya, Liberia, Mozambique, Nepal, Sierra Leone, Tanzania, Uganda, Zambia, and Zimbabwe, as well as the state of Chhattisgarh in India. Phase 3 countries use the expertise they have gained to develop a national operational plan; Zimbabwe and Nepal recently finalized their plans.

Rwanda, which pioneered PEN-Plus beginning in 2007, and Malawi are both in Phase 4, the national scale-up stage.

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Partners In Health Details a PEN-Plus Clinic Opening in Sierra Leone