INTRODUCTION: Non-communicable diseases (NCDs) are a leading cause of mortality globally, with significant socioeconomic implications, particularly in low and middle-income countries. The burden of NCDs varies across regions in India, with rural areas facing unique challenges. This study aimed to assess the prevalence of NCDs and associated risk factors in a rural community in TamilNadu, India. METHODOLOGY:A community-basedcross-sectional survey was conducted for six months in Erayamangalam village, Chennai. A total of 403 individuals aged18 years and above participated in the study. Data on sociodemographic factors, behavioral risk factors, and NCD prevalence were collected through interviewer- administered questionnaires and clinical screenings for diabetes and hypertension. RESULTS: The study found that among the rural population, 68(16.9%) of people had diabetes mellitus and 61 (15.13%) had hypertension and associated risk factors such as age, education level, occupation, socioeconomic status, and family history of NCDs were significantly associated (p < 0.05) with the presence of diabetes mellitus and hypertension. CONCLUSION: The findings under score the need for comprehensive public health interventions tailored to the rural context to address the growing burden of NCDs. These interventions should focus on preventive measures, health education, early detection, and improving access to quality health care services. Addressing the prevalence of NCDs in rural areas requires concerted efforts to implement effective strategies that address the underlying determinants of health and improve overall well-being.