<p><strong>Background</strong>: uncontrolled hypertension affects nearly 1 billion people worldwide, with the highest rates in Sub-Saharan Africa, where up to 70% of cases are uncontrolled. In Ethiopia, the prevalence ranges from 37% to 63%. However, the impact of social determinants on hypertension-related mortality is poorly understood, particularly in Sheger city, where no studies on uncontrolled hypertension have been conducted. This study aimed to determine the prevalence and determinants of uncontrolled hypertension in Sheger city.&nbsp;</p>