 The study found that there are significant differences in the organization of primary health care services for non-communicable diseases between northern and southern states in Nigeria. In the north, PHC facilities lacked physician presence and have fewer resources than their counterparts in the south. Additionally, the study revealed that the presence of civil society organizations and the involvement of physicians in the south helped to improve the organization of PHC services for non-communicable diseases. To address these disparities, the study recommends tailoring PHC reforms to the socio-political and economic variations across Nigeria. This article was authored by Wene and Simeon Agisagiri, Seiya Abimbola, Azeb Jebrisilisi-Tesema, and others.