<p>Conclusion: The evaluation of the pilot hypertension program in the Amhara region of Ethiopia demonstrated promising results. Pilot facilities showed better performance across the three domains. Compared with non-pilot facilities, they demonstrated better opportunistic BP screening, case detection and retention into care, and BP control. Based on these findings, pilot hypertension programs in the Amhara region should be scaled up into nationwide programs, and successful component pilot programs, such as structured approaches to hypertension management, protocol adherence, and the integration of hypertension services into primary healthcare, should be replicated&nbsp;</p>