Mengistu Zuriash( PHD)Alemu Tsion(MSc)Getaye Asfaw2021-10-132023-11-062021-10-132023-11-062021-06http://etd.aau.edu.et/handle/123456789/28113Adherence to antihypertensive medication plays a tremendous role in controlling BP,however poor adherence to antihypertensive medication leads to complications of HTN,wastage of health care resources, and workload on health care providers which results inpoor clinical outcome. This study aimed to assess antihypertensive medication adherenceand its associated factors among hypertensive patients’ in North Showa Zone public hospitals’, Oromia regional state, North Ethiopia. 2021. An institutional-based crosssectional stud was conducted fromFebruary 8 toMarch8/2021in three public hospitals o f North ShowaZone.Out of four public hospitals,three hospitalswereselected throug hsimplerandomsamplingtechniques andthefinalsamplesize348was selected systematic random sampling.Datawere checked,cleaned andentered itEpidatasoftware version3.1,and imported to SPSS version 23 software for analysis.Descriptive analysis was done and presented in frequencies and percentages. The association between independent and dependent variables was analyzed using bivariate and multivariate analysis, and variablesthat show P-values of < 0.05 with 95% CI will be considered statistically significant. This study includes 348 participants with a 97.4% response rate. Of the respondents, 56.9%adhere to their medication. Marital status (AOR=3.24,95%CI=1.12-9.60), residence (AOR=2.59,95%CI=1.42-4.75), Controlled BP (AOR=4.26, 95%CI=2.37-7.67), number of medication (AOR= 2.59,95%CI=1.35-4.97), comorbidity (AOR=2.24, 95%CI=1.334.67),knowledge (AOR=5.01,95%CI=2.69-9.35), insurance coverage user(AOR=2.20,95%CI=1.23-3.95) and forgetfulness were found statistically significant. The adherence status of this study was sub-optimal and the knowledge status of patients about HTN and their treatments was the most associated factor. Give health education for patients about HTN and its treatments, early diagnosis, and management of comorbidity, and adherence counseling are important for improving the adherence status of clients.en-USAdherence, antihypertensive medication, public hospitalsThesis