The question, therefore, is no longer whether African countries should integrate NCD care into primary health care. The debate over whether NCDs belong in primary health care is largely over. Africa Has Already Proven That Integration WorksFor too long, NCD care in Africa was organised as a parallel service rather than an essential part of primary health care. They represent a growing recognition that chronic disease management belongs where most people first seek care, within strong, community-centred primary health care systems. It is an investment in universal health coverage, stronger primary health care, pandemic preparedness and long-term health security.