This report examines the health and economic impact of noncommunicable diseases (NCD) in Latin America and the Caribbean and the governance, design, and implementation of multisectoral policies to prevent these conditions. These include polices to improve diets, increase physical activity, and reduce tobacco use and alcohol abuse. The report focuses on how policy decisions involving multi-sectoral interventions to prevent health risk factors are taken, which stakeholders directly or indirectly participate in these decisions, which incentives they face, and what strategies they use in these processes.