<p>The study population comprised 29,401 patients whose mean age was (Mean ± SD) 57.9 ± 18.3%). Khomas region recorded the highest number of hospitalized patients with hypertension, 5,337 (18.1%), Omaheke recorded the least, 546 (1.9%). The highest crude incidence recorded was in 2011(63.7/10,000 persons) in Kunene region, and the lowest (4.6/10,000 persons) was in 2019 in Oshana and Zambezi regions, respectively. The highest change in crude incidence rate for 2011 vs. 2019 was in Kunene region (43.3/10,000 persons) and the lowest in Oshikoto region (1.6/10,000 persons). Though the trend decreased, age-sex standardized hypertension incidence rates by region and year (2011vs vs. 2019) were higher than crude incidences.</p>