Background and Aim: In limited resource settings, reliable epidemiological data generated from hypertension high risk geographical areas or people is a prerequisite for the planning of proven and effective interventions. The aim of the present survey was to assess the prevalence, awareness, control and factors associated with hypertension in adults living in the port City of Boma, located in the southwestern part of DRC. Methods: a cross-sectional survey using a modified WHO STEP wise questionnaire for data collection during face-to face interviews was conducted from March, 1 to April 15, 2018. We did multi-stage cluster sampling. Was an all-inclusive adult over the age of≥18 years having given informed consent. Information on demographic parameters, lifestyles, anthropometric measurements and blood pressure (BP) were obtained. Hypertension was defined as a mean of two BP≥140/90 mmHg or a self-reported history of antihypertensive drug use. Independent factors associated with hypertension were identified using logistic pressure analysis. P<0.05 defined level of statistical significance. Results: The prevalence of hypertension was 35% (Women 63, 5%) with 56,1% of hypertensive participants being unaware of their hypertension status. Of those who were aware and on treatment, only 47, 9% had a controlled BP. Older age (p<0.001), FH-HT (p=0.021), smoking (p<0.001), overweight (p<0.001), and obesity (p=0.030) emerged as main cardiovascular risk factors associated with hypertension. Conclusion: Hypertension was characterized by a high prevalence, low rate of awareness and suboptimal BP control, high cardiovascular risk and associated with smoking and obesity as modifiable risk factors. Therapeutic lifestyle changes and pharmacological treatment are needed for those hypertensive participants with increased global cardiovascular risk.