The Multi-Country Western Pacific Integrated HIV/TB Programme, supported by the Global Fund, continued to face challenges throughout 2023, primarily as a result of the post- COVID-19 pandemic. The region is also one of the most prone to natural disasters. Vanuatu, Fiji, Tonga and Kiribati are all among the top 15 countries for disaster risk globally. Frequent cyclones, earthquakes and other natural disasters weaken and drain government resources. Yet despite these challenges, through close collaboration with partners and sub-recipients – including civil society organizations and ministries of health – and the adoption of innovative approaches, the programme succeeded in achieving 70 percent of its overall HIV and TB key performance indicator targets across the 11 countries (Cook Islands, Federated State of Micronesia, Kiribati, Nauru, Niue, Palau, Republic of Marshall Islands, Samoa, Tonga, Tuvalu and Vanuatu) till December 2023.