Strengthening primary health care and preventive services would be essential to achieve the Healthy Islands Vision, progress towards universal health coverage (UHC) and attain the health-related Sustainable Development Goals (SDGs). The increasing complexity of delivering health services requires well-functioning and adequately resourced primary health care.  This necessitates the integration of both public health and clinical services with community outreach, and improving coverage of people-centered services. There are a number of indicators without baseline data. This is most commonly due to the fact that such data simply does not exist in those countries and global modelled estimations are not available. Variances in the scope and purpose of national data collection can result in differences among available data and affect comparability across countries and areas.  As a result, a Healthy Islands Monitoring Framework was developed to ensure harmonization and adherence to international standards, notably the SDGs, the UHC regional framework, the SDG Pacific Headline Indicators and the Dashboard for Noncommunicable Disease (NCD) Action, developed by the Pacific Monitoring Alliance for NCD Action (MANA).