MCB: Worked in University of South Africa as a professor in Department of health studies and currently working as Academic and Nursing consultant. Given the fact that chronic diseases causes illness for an extended amount of period and interrelated with infectious diseases, a comprehensive and coordinated health care approach is required. Effective practice. During 2017 there was a reconfiguration of Safeguarding Services as the two provider organisations merged. In life time, nearly each person succumbs to some sort of chronic disease and many develop complicated chronic diseases. Health sector transformation plan 2015/2016–2019/2020. The intermediate risk factors are the cause of common chronic diseases such hypertension, diabetes, heart and respiratory diseases . Considering the country’s set-up, 85% (n = 17) of the experts, agreed that case finding should be conducted for HIV/AIDS and 80% (n = 16) for TB. According to Maher et al. For this reason, a convincing approach that recognizes the reality and impact of chronic disease,works to prevent and control it over the lifetime and maintain healthy life style is essential . It is critical to focus on preventive services with a relatively high health impact and favorable cost effectiveness. The consensus was very useful and in line with the researcher’s premise that interventions are comprehensive when integrated as promotive, preventive and curative aspects in order to halt the progression of immediate risk factors to full blown diseases. ● Service development In integrated centres the opportunities to work with other professionals can improve the quality of staff practice. The opportunity for staff from different agencies to come together is beneficial for their development and ultimately for the children in their care. A nurse in accident and emergency is trained and resourced to screen for domestic violence, treat her client’s injury, provide counseling and refer her to external sources of legal advice. The experts were agreed on conducting periodic health examination for patients who are apparently not sick and advised to include the periodic health check-ups in the community or individual insurance system. The strong positive response by the experts indicating their approval of this framework, authenticates its applicability for chronic non-communicable, communicable, and nutrition-related diseases in the Ethiopian set-up and possibly applicable for other LMIS countries as well. “For example, they can use data and analytics generated by their patient services organization to help payers better understand the patient journey and how the therapy impacts patient outcomes. The factors that increases risk for HIV infection such unprotected sex with multiple partners and persons being treated for sexually transmitted are considered in the framework . The authors declare that they have no competing interests. Phase 2 applied the Delphi consensus seeking method, focused on validation of the phase 1 finding and reaching agreement on an integrated health service framework developed for improvement of health promotion and diseases prevention services at hospitals and health centres. Dermot M, Anthony DH, Rony Z, Don E. A global framework for action to improve the primary care response to chronic non-communicable diseases; a solution to a neglected problem. The Integrated Service Delivery Model (ISDM) is a team based, client- focused approach to provide health and social services. Imran OM, Folakemi O, Timothy R, Joe H, Jean-Marie D, Lynette D, Isaac FA. IntServ can for example be used to allow video and sound to reach the receiver without interruption. A healthy environment gives people the opportunity to make healthy choices and decreases their risk for heart disease, cancer, obesity, diabetes, respiratory diseases such as asthma, and injuries . 2011;378(9789):449–55. Twenty experts in areas of clinical and public health, worked in health promotion and diseases prevention field for more than 10 years in Ethiopia, participated in the two rounds of Delphi discussions (Table 1). The “causation framework” successfully explains the determinants of health and their effect on NCDs [18,19,20]. “Manufacturers typically treat these services independently instead of collectively,” she said. Institute for Clinical Systems Improvement (ICSI). Such call necessitates the development of an integrated health service (IHS) approach that incorporates health promotion, disease prevention and curative services. The result: compliance improved, while serving patients was easier to manage. Ethiopia Ministry of Health. Integrating promotive, preventive, and curative health care services at hospitals and health centers in Addis Ababa, Ethiopia. The health facilities indicated that they did not do case finding preventive care because of fear over patients’ willingness to accept the test; high patient flow; lack of laboratory facilities to conduct the tests; lack of awareness of the case finding approach, and their focus on patients’ complaints only.