<p><strong>Methods:</strong> A facility-based, cross-sectional study was conducted among hypertensive patients aged ≥18 years who had been on medication for at least six months in selected facilities within pastoral communities of the Somali region. Participants were recruited using convenience sampling. Data were collected through medical record reviews and patient interviews. BP control was defined as three consecutive readings below 140/90 mmHg, taken at least one month apart, while medication adherence was assessed using the 8-item Morisky Medication Adherence Scale. COC was measured using the Bice and Boxerman index. Statistical analyses were performed using SPSS 25.0, including chi-squared tests and logistic regression (p-value &lt;0.05).</p>