We conducted a cross-sectional study among adult patients on HIV follow-up at Comprehensive Care Clinics (CCC) in Mombasa County from December 2021 – February 2022. We collected data using a questionnaire. Hypertensive participants were patients with a documented history of two or more blood pressure readings of   &amp;gt;140/90mmHg within one year. Frequencies and proportions were calculated for categorical variables and measures of central tendency and dispersion for continuous variables. We calculated Prevalence Ratio (P.R), and Adjusted Prevalence Ratio (A.P.R) to identify factors associated with hypertension.