Background

Blood Pressure Monitoring (HBPM) is globally recommended for hypertension management, yet awareness of its diagnostic thresholds remains low among healthcare professionals (HCPs). In Japan, only 21.6% of physicians correctly identified the HBPM threshold. Similarly, an 11-country Asian survey found that while 95.9% of physicians recommended HBPM, only 22.4% knew the correct threshold. In Malaysia, data on HCPs' awareness remains limited. Objective: To assess HBPM awareness and determine associated factors among HCPs in Putrajaya. Methods: A cross-sectional study was conducted among HCPs in four primary healthcare clinics in Putrajaya. A validated self-administered questionnaire collected data on sociodemographics, professional training, HBPM recognition, and awareness. SPSS version 29 was used for analysis. Simple and multiple logistic regression identified factors influencing awareness. Results: Among 285 participants (median age 37 years), 98.9% recommended HBPM, yet only 21.1% correctly identified the diagnostic threshold. Multiple logistic regression showed HCPs <30 years had lower awareness than those >40 years (OR = 0.104, 95% CI [0.017, 0.633], p = 0.014). Non-doctor HCPs had significantly lower awareness than doctors (OR = 0.075, 95% CI [0.033, 0.169], p < 0.001). A higher percentage of hypertensive patients with BP devices was associated with increased awareness (OR = 1.029, 95% CI [1.013, 1.045], p < 0.001). Conclusion: Despite high HBPM recommendation rates, awareness of correct threshold remains low, especially among younger and non-doctor HCPs. Strengthening structured training and standardised HBPM guidelines in primary care is essential for improving hypertension management.