The Non-Communicable Disease Unit, Ministry of Health in Sri Lanka initiated the Healthy Lifestyle Centers (HLCs) in 2011, to address the lack of a structured non communicable disease (NCD) screening service through the lowest level of primary health-care institutions. The main service objective of the HLCs is to reduce the risk of NCDs of people more than 35-year-old by detecting risk factors early and improving access to specialized care for those with a higher risk of cardiovascular disease (CVD). The screened clients are managed at HLCs, based on the total-risk approach to assess their 10-year CVD risk, using the World Health Organization/International Society of Hypertension risk-prediction chart.