Building on the WHO PEN package for common NCDs at primary health care facilities, the WHO PEN-Plus strategy delivers life-saving care for people with severe NCDs like type 1 diabetes, sickle cell disease, rheumatic heart disease, and congenital hearts disease. The WHO PEN-Plus empowers local health workers through specialized training, provides essential resources, and delivers patient-centered care, bringing crucial NCD services closer to home. With support from WHO and partners, countries are adopting the WHO PEN-Plus to decentralize care, mirroring the WHO's commitment to delivering on its health for all mandate.