Book excerpt: The WHO Framework is to support WHO and Members States in the meaningful engagement of people living with NCDs, mental health conditions and neurological conditions to co-create and enhance related policies, programmes and services. This Framework will contribute to the advancement of understanding, knowledge and action on meaningful engagement and other related participatory approaches. It provides practical guidance and actions on how to transition from intention to action to operationalize meaningful engagement. The target audience of the publication is WHO, Member States, relevant non-State actors and individuals with lived experience