Visual Identity, Social Branding, and Advocacy: Development of the PEN-Plus Logo for Severe Non-Communicable Disease Care in Nepal.

Non-communicable diseases (NCDs), such as type 1 diabetes, rheumatic heart disease, and sickle cell disease, impose significant health and social burdens in Nepal, particularly among children and young adults. To strengthen visibility, reduce NCD-related stigma, and foster engagement with the PEN-Plus program, a participatory design process was adopted to develop a national logo. This article outlines and critically reflects on the rationale, participatory development process, and symbolism behind the PEN-Plus Nepal logo, situating it within the broader field of health communication and social branding. Drawing on behavioral science theories and participatory design principles, the PEN-Plus logo was co-created with patients, health workers, government representatives, and communication experts. Ministry of Health and Population, National Health Education, Information and Communication Center officially endorsed the PEN-Plus logo, which now serves as a unifying symbol to raise awareness, foster community ownership, and support long-term advocacy for equitable severe NCD care in Nepal.