 Ethiopia's primary healthcare system faces challenges in providing adequate care for non-communicable diseases, NCDs. Despite the growing prevalence of NCDs, there are few resources allocated to address this issue. This study found that the lack of political commitment and investment, as well as weak governance structures, intersectoral coordination, and funding for NCDs are major barriers to strengthening primary healthcare capacity to address NCDs. Additionally, the PHC workforce is not sufficiently trained or supported to provide NCD services in PHC facilities. This article was authored by Azeb Jebrasilisi-Tesema, Seya Bimbala, Afwark Mulejeda, and others.