Hypertension is a serious global and South African public health problem. The high prevalence of
uncontrolled hypertension is related to a patient’s lack of knowledge and healthy practices. The study aimed
to assess the knowledge, attitudes and practices of hypertensive patients and their blood pressure control at
a rural community health centre. This was a prospective cross-sectional study conducted on diagnosed cases
of hypertension at the centre. Binary logistic regression analysis was conducted to determine the factors for
the control of hypertension. Two hundred and ninety-seven known hypertensive patients were recruited, the
majority of which were female. Eighty-eight percent were older than 45 years, and almost all had a monthly
income of less than R3000 (USD 190). More than half controlled their blood pressure. It was found that
46% had poor knowledge, 64% had good attitudes and 60% were practising positively regarding the control
of hypertension. Hypertensive patients attending the centre had poor knowledge but good attitudes and
practices towards hypertension. The study revealed an urgent need for improved health promotion and
educational efforts to increase the knowledge of hypertension in rural communities and to address poverty
as a major obstacle to healthy lifestyle choices.