This document presents NCD Alliance’s (NCDA) response to the fourth High-Level Meeting of the UN General Assembly on NCDs and Mental Health (HLM4) and associated Political Declaration, which is scheduled to be approved* at HLM4 on 25 September 2025. It is intended to serve as a reflection on the document itself, while supporting advocates in their ongoing efforts with governments to accelerate national policy change.

* Adoption of the Political Declaration will take place during the General Assembly’s working sessions in late September or October.

WHAT's INSIDE?

• The brief serves as an advocacy tool to support civil society, policymakers, and stakeholders ahead of HLM4.
• It provides a detailed analysis of the Political Declaration expected to be approved during the meeting, highlighting both positive commitments and missed opportunities related to NCDs and mental health.
• The policy brief also outlines recommendations for governments and advocates to accelerate national action on NCDs and mental health, in alignment with Sustainable Development Goals (SDGs), particularly SDG target 3.4 (reduce premature NCD mortality) and SDG 3.8 (universal health coverage).