Task shifting in the DRC, is based on the Primary Health Care (PHC) model. The health center (HC), which is managed by a head nurse, is the first contact between patients and health system. HCs provide accessible and affordable primary health care. Patients requiring further care are referred from the HC to a General Referral Hospital (GRH) . Although a recent study carried out in HCs of Kinshasa found a low proportion of patients with controlled HTN , to the best of our knowledge, there have been no studies that have examined the association between task shifting and the management of HTN in the DRC. The aim of this study was to investigate the association between task shifting and the management of HTN by comparing HTN control in HCs and GRHs patients.