
Globally, 600 million people affected with high blood pressure. From Africa around 20 million people suffered with hypertension. In Ethiopia health care reports are incomplete and little is known on its impact. The main purpose of the paper is to Evaluate Cognition, Belief & Habit of clients with hypertension in relation with handling hypertension among Clients Seeking Care in Dessie Referral Hospital. Methods: Institution based cross-sectional study design was carried out. Information collected through interviewer administered questioner. Data was analysed manually through Microsoft excel. Findings displayed through tables and graphs. Results: A total of 117 clients were included. 110 (94%) of them reported as heard of hypertension, whereas 67(57.3%) respondents know the complication of hypertension. 94(80.3%) of the clients received information during the first visit of hypertension. Different types of complication were identified by 67 (57.3%). out of these 24(36%) has the complication or occurred to their families. Use of physical activity were not considered as an important protection of hypertension and a risk by 76(65%) of respondents. 64(54.7%) of the urban living respondents and those with high family income utilized reduction of salt in their diet. Conclusion: This study confirmed the need to improve the clients’ belief toward adherence of treatment to prevent the complication, and the importance of life style changes.