Meeting in Dar es Salaam for the 3rd International Conference on PEN-Plus in Africa (ICPPA 2026), health experts, policymakers and partners renewed commitments to accelerate action against severe noncommunicable diseases and expand access to quality care across the African Region. They called for stronger political leadership, increased domestic investment and the scale-up of the African-led PEN-Plus model to reach the 2030 NCD targets.