The presence of co-morbidity was an independent predictor of uncontrolled HTN. Studies have shown that hypertensive patients with co-morbidity have poorer blood pressure control than those without co-morbidity .Given this high risk, patients with co-morbidities should not be managed by primary-level care facilities that only offer a minimum package of activities/treatment [20, 29]. These results also suggest the need for guidelines on the management of HTN at the HC-level that include a global assessment of cardiovascular risk.