We reviewed 729 records from a total of 5,129 records: 3,178 (60%) from Nyeri Clinic and 2,711 (40%) from Makueni clinic. Majority 77.8% (562) were females. Age group 60-69 contributed 26% (186) of the cases. Makueni mean blood pressure was 143/82 mmHg and Nyeri 139/84 mmHg.  Makueni Clinic tracked 26% comorbidities and Nyeri tracked 22.2% comorbidities. The  variables “comorbidity screening” and “loss to follow up” were entered into the regression model with the former returning as significant in determining blood pressure control (p&amp;lt;0.0001). Makueni scored 80% completeness for investigations carried out, 86% for recording body mass index and 67% for recording that counselling had occurred compared to 68%, 63% and 37% respectively for Nyeri. Consistency with the national database was at 44% for Makueni compared to Nyeri’s 31%. 