The Pacific region has some of the highest rates of non-communicable diseases (NCDs) and associated risk factors in the world. At the Joint Forum Economic and Pacific Health Ministers Meeting held in 2014, the ministers endorsed the Pacific NCD Roadmap, which provides specific policy, regulatory and tax measures that can be implemented by Pacific Island countries and territories (PICTs) to address NCDs. The ministers also agreed to report on progress against the roadmap at every Pacific health ministers’ meeting.