Abstract
OBJECTIVES:
 The purpose of the study was to assess factors resisting control of hypertension in adults.
 METHODOLOGY:
 A descriptive cross-sectional study was carried out from 1st of December 2020 till 31st of March 2021 at Hayatabad Medical Complex (HMC) Peshawar Pakistan. The study selected 377 participants by non-probability convenient sampling technique to find out barrier to optimal blood pressure control among adult patients visiting to HMC. Data was collected through an adopted questionnaire based on a study conducted in Rwanda district hospitals. Analysis was carried through SPPS version 22.0.
 RESULTS:
 In sample of 377 participants, 54.64% were male and 45.36% were female having mean age 55.28±10.09 years. 66.6% of the participants did not know about the harmful effects of having high blood pressure. Majority 72.4% of the participants often forget to take medication and 50.7% stop to take medication without prior consultation.
 CONCLUSION:
 Different barriers to optimal hypertension control were identified which include inadequate knowledge of the consequences of poor hypertension control, poor adherence to medication, poor diet management and unhealthy lifestyle.
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