Inclusion Criteria:  Participants with hypertension (Systolic >140 and/or Diastolic >90) Participants attending the two NCD clinics Adults 18 years and above Participants residing in the three sub counties (Nakaseke Town Council, Nakaseke Sub County and Kasangombe of Nakaseke district) Participants able to give informed consent.  Exclusion Criteria:  Patients diagnosed with hypertension but already controlled Pregnant women Patients with an expected life expectancy of less than one year