On 4th September 2025, the focus shifted to the voices and lived experiences of People Living with NCDs (PLWNCDs). Patients openly highlighted challenges such as frequent medicine stock-outs, high treatment costs, limited insurance coverage, stigma, and long travel distances to access care. Despite these barriers, participants shared stories of resilience, including running small businesses in soap making, honey production, and local food sales to sustain their treatment needs, initiatives that TANCDA has supported through entrepreneurship training. The day concluded with consensus on four national advocacy priorities: making NCD medicines and diagnostics more affordable, expanding insurance coverage to include NCD services, increasing community awareness and education, and ensuring screening tools are available in all health facilities. These priorities will shape Tanzania’s unified position at the upcoming UNHLM on NCDs.