The magnitude of blood pressure control and associated factors among hypertensive patients at selected health center, A.A, Ethiopia.

Background Hypertension is a major risk factor for stroke, contributing to high mortality and morbidity, particularly in low-income countries like Ethiopia. Studies indicate a rising incidence of stroke in developing nations, with intracerebral hemorrhage disproportionately affecting low-income populations. Assessing blood pressure control, and associated factors is essential for identifying key contributors to the increasing stroke burden and guiding targeted interventions. While most existing data come from hospital-based studies, this research focuses on primary healthcare facilities, where a significant proportion of hypertensive patients receive follow-up care. Future studies can explore additional contributing factors to the growing burden of stroke in developing countries. Methods A cross-sectional study was conducted using multi-stage sampling at selected health centers from October to December 2024. Data were collected via structured questionnaires and analyzed using SPSS version 25. A multiple logistic regression model was employed to determine factors associated with BP control. Results Of 348 patients, only 27.3% achieved the target Blood pressure of < 130/80 mmHg, while 35.1% fell into the category of 130/80–139/89 mmHg, and 35.9% had high BP (> 139/89 mmHg), indicating poor control. Factors significantly associated with BP control included adherence levels, frequency of BP monitoring, appointment frequency, education, income, and age. Lifestyle modifications such as exercise and dietary habits showed concerning trends but were not significant predictors in the regression model. A significant proportion of the patients are on monotherapy. Conclusion Poor blood pressure control underscores the urgent need for targeted interventions to reduce the burden of stroke and other hypertension-related complications in Ethiopia. Key strategies include enhancing patient education, improving access to healthcare, strengthening healthcare systems through regular follow-up appointments, and promoting home blood pressure monitoring. Additionally, promoting healthy lifestyle choices, addressing financial barriers, and optimizing treatment regimens to prevent therapeutic inertia are essential to improving hypertension management. These efforts can help mitigate the burden of stroke and other cardiovascular diseases. Further research, including longitudinal and qualitative studies, is recommended to explore underlying barriers, identify effective intervention strategies, and investigate other contributing factors beyond hypertension-related issues.