In 2015, five of the top ten causes of death on Guam were attributed to Non-Communicable Diseases (NCDs). These include heart disease, cancer, stroke, diabetes and hypertension. (Source: DPHSS Office of Vital Statistics, Death Certificates, 2015 adjusted). Tobacco use, poor dietary habits, being overweight or obese, lack of physical activity, living sedentary lifestyles coupled with high cholesterol, high blood sugar and high blood pressure are risk factors that contribute to high rates of chronic disease in Guam. Partnerships have been established through the NCD Consortium (NCDC), to address NCDs in our community and is currently made up of over 100 government, non-government and faith-based organizations. The purpose of this grant will be to reduce chronic diseases and its associated risk factors for persons living in Guam. This will be done through partnerships established through the NCD Consortium. During the First Year of the funding cycle, efforts will continue to strengthen the Leadership of the NCDC. Currently, the BCHS Administrator and the Action Team Leaders serve as the Steering Committee. Evaluation results of the Guam NCD Plan for 2014-2018 revealed that members of the NCDC were highly satisfied with the DPHSS’ leadership.