The plan is government-led, supported by technical experts, civil society organisations and other relevant organisations. Cities Changing Diabetes was invited to sign the multisectoral pledge of commitment to fight NCDs (pictured below). 

The plan recognises the need for strong partnerships and multi-sectoral collaborations and advocates for strengthening capacity for implementation. The plan pointed to cultural and societal factors, which are contributory root causes of NCD prevalence. For example, urbanisation has increased the distance from farm to table in Gauteng, driving demand for unhealthy, processed foods. These consumption patterns and increasingly sedentary lifestyles have put the urban population at higher risk for obesity and other NCDs.