Hypertension is the leading preventable cause of early death and disability globally, and 75% of patients with
hypertension live in low- and middle-income countries. Notably, hypertension treatment and control rates in LMICs are very low. In Kenya, a comprehensive assessment of the hypertension care cascade revealed overall treatment and control rates of less than 10% . Referral non-adherence and delays in referral completion are major barriers to chronic disease management and may be attributed to patient-related (cost, time required, transportation, low prioritization), provider-related (poor documentation, limited resources), and systems-level (lack of integrated electronic medical record, prolonged waiting times, transferring between health facilities) factors.