Purpose: This study is aimed at comparing blood pressure control (BP) of hypertensive patients managed in a tertiary health center and that of their counterparts in secondary health institutions. Methods: One hundred and fourteen outpatients managed for hypertension in a tertiary hospital and 146 patients visiting 2 secondary health care institutions were selected by simple random sampling during their clinic visits. Information such as demographic data, baseline blood pressure, comorbidities and antihypertensive treatment were obtained from case notes. Anthropometric parameters including heights, weights and blood pressures at last clinic visit were measured. BP