Objective 1  Focus group discussion participants/implementation survey participants:  Inclusion:  18 years of age or older non-physician professional or lay/peer health care worker (HCW) involved with HIV and/or NCD service delivery.  Key Informant Interview (KII) participants:  18 years of age or older a senior Ministry of Health (MOH) policy maker or health official working at national level in Zambia involved in managing, coordinating, and/or overseeing health services for non-communicable diseases in Zambia.  In-depth interview participants:  emancipated HIV-infected adults 18 years of age or older have a documented cardio-metabolic condition  Exclusion:  any potential IDI, FGD, or KII participant if they are unwilling or unable to provide informed consent.  Objective 2:  Cross-sectional assessments:  Inclusion:  HIV-infected aged 18 years and older seeking care at either of the two ACHIEVE-supported pilot sites who are screened for and/or found to have evidence of one or more of the cardio-metabolic conditions or risk factors.  Nested cohort participants:  Inclusion:  documented HIV infection aged 18 years or older  have one or more cardio-metabolic conditions or risk factors:  obesity (defined as BMI > 30 kg/m^2); any current tobacco smoking; hypertension as defined by WHO PEN (i.e., systolic blood pressure (SBP) = 140 mmHg and/or diastolic blood pressure (DBP) = 90 mmHg); diabetes mellitus as defined by WHO PEN (i.e. random plasma glucose = 11.1 mmol/L, fasting plasma glucose = 7 mmol/L, and/or haemoglobin A1c = 48 mmol/mol); prediabetes (defined as having impaired fasting glucose of 6.1 to 6.9 mmol/L, impaired glucose tolerance with a two-hour, post-oral glucose tolerance test glucose =7.8 mmol/L but <11.1 mmol/L and a fasting plasma glucose <7.0 mmol/L, and/or haemoglobin A1c 42 to 48 mmol/mol); 6) dyslipidaemia (defined as total cholesterol >4 mmol/L or low density lipoprotein =6 mmol/L); and/or 7) personal history or medication use for heart disease, heart failure, stroke, or other cardio-metabolic complication (including but not limited to coronary artery disease, cerebrovascular disease, myocardial infarction, stroke, or peripheral vascular disease).  IDI participants:  HIV-infected 18 years of age who were enrolled in the nested cohort and had documented exposure to the TASKPEN intervention at a pilot site.  FGD participants:  18 years of age or older a non physician health care worker (NPHW) or community health worker (CHW)/ lay health provider involved with TASKPEN or integrated HIV/NCD service delivery generally familiar with HIV and/or NCD service delivery at their facility.  KII participants:  18 years of age or older a facility-level antiretroviral therapy (ART) or out-patient department (OPD) clinic manager/ in-charge or policy maker at district, provincial, or national level in Zambia; and generally familiar with HIV and/or NCD-related issues in their community.  Exclusion criteria:  For the nested cohort component, investigators will exclude:  adults who have no documented evidence of having established HIV care at the sites. people unlikely to remain at the site to the completion of the study follow-up. any potential IDI, FGD, or KII participant if they are unwilling or unable to provide written informed consent.