What is the clinical evidence from this study?

Study design: Cross-Sectional. Population: Hypertension (n=9800). Intervention: Sociodemographic and clinical factors. Primary outcome: Hypertension prevalence (95% CI 14.9-16.3).

What question did this study set out to answer?

The study aims to determine hypertension prevalence, awareness, treatment, and control in Ethiopia, while identifying factors causing care cascade attrition.

June 6, 2026Preventive Medicine ReportsOpen Access

Gaps in awareness, treatment, and control of hypertension in Ethiopia: a care cascade analysis using nationally representative data

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Key result

Hypertension prevalence in Ethiopian adults was 15.6%, with only 9.9% of hypertensives achieving blood pressure control, highlighting major gaps in awareness and treatment.

Population

9800 Ethiopian adults ≥15 years from nationally representative 2015 WHO STEPS data

Design

Cross-sectional

Authors

TBTsegahun Worku BrhanieBahir Dar University

Discussion

Member takes

Implication

This nationally representative study reveals severe gaps in the hypertension care cascade in Ethiopia, with overall BP control achieved in less than 10% of hypertensive adults.

Key Points

The study aims to determine hypertension prevalence, awareness, treatment, and control in Ethiopia, while identifying factors causing care cascade attrition.
Utilized nationally representative 2015 WHO STEPS data from Ethiopia (n=9800 adults ≥15 years)
Defined hypertension as BP ≥140/90 mmHg or on medication
Assessed awareness, treatment, and control using multivariable logistic regression.
Hypertension prevalence was 15.6% (95% CI: 14.9, 16.3)
Among 1528 hypertensives, 45.2% (95% CI: 42.1, 48.3) were aware; 68.4% (95% CI: 64.0, 72.5) received treatment; 32.1% (95% CI: 27.4, 37.1) had controlled BP
Overall control was only 9.9% (95% CI: 8.4, 11.6).

Study Design

Type

Cross-Sectional (n=9,800)

Multicenter

Yes

Structured PICO

Population

9,800 Ethiopian adults aged ≥15 years assessed for hypertension prevalence and care cascade attrition using nationally representative 2015 WHO STEPS data.

Outcome

Prevalence of hypertension, awareness, treatment, and control

This nationally representative study reveals severe gaps in the hypertension care cascade in Ethiopia, with overall BP control achieved in less than 10% of hypertensive adults.

Cite This Study

Tsegahun Worku Brhanie (2026) conducted a cross-sectional in Hypertension (n=9,800). Sociodemographic and clinical factors was evaluated on Hypertension prevalence (95% CI 14.9-16.3). Hypertension prevalence in Ethiopian adults was 15.6%, with only 9.9% of hypertensives achieving blood pressure control, highlighting major gaps in awareness and treatment.

synapsesocial.com/papers/6a23b96a71a5da9775e755cc https://doi.org/10.1016/j.pmedr.2026.103524

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Implication

This nationally representative study reveals severe gaps in the hypertension care cascade in Ethiopia, with overall BP control achieved in less than 10% of hypertensive adults.