Abstract: Background: Hypertension is a major public health concern, particularly among the elderly population, and is a leading risk factor for cardiovascular diseases. Understanding its prevalence in rural areas, where healthcare access is often limited, is crucial for developing targeted interventions. This study aimed to determine the prevalence of hypertension and associated risk factors among elderly individuals in rural areas. Methods: A community-based cross-sectional study was conducted from June 2023 to July 2024, involving 60 elderly participants aged 60 years and above in rural areas. Participants were selected through systematic random sampling. Data were collected using a structured questionnaire, covering demographic information, lifestyle factors, and medical history. Blood pressure measurements were taken using a validated digital sphygmomanometer. Hypertension was defined as systolic blood pressure (SBP) ≥130 mm Hg or diastolic blood pressure (DBP) ≥80 mm Hg, according to ACC/AHA guidelines. Data were analyzed using SPSS version 25.0, with descriptive statistics and chi-square tests used to assess risk factors. Results: The study included 60 participants, with a mean age of 68.5 ± 5.3 years. The overall prevalence of hypertension was 46.7%. Females comprised 58.3% of the study population. Participants aged 70 years and above had a significantly higher prevalence of hypertension (p = 0.03). Other significant risk factors included BMI ≥25 kg/m² (p = 0.02) and physical inactivity (p = 0.01). A family history of hypertension was also associated with a higher prevalence of the condition (p = 0.04). Conclusion: The prevalence of hypertension among elderly individuals in rural areas is high, with significant associations with age, BMI, physical inactivity, and family history. These findings highlight the need for targeted public health interventions to manage and prevent hypertension in rural elderly populations.