This policy paper intends to provide inputs for community health program development on highblood pressure (HBP) prevention and treatment improvement. The latest two consecutive NationalHealth Surveys in 2010 and 2013 revealed deviant pattern of HBP among pre menopause females.Earlier take-over of HBP prevalence is observed between females on males. Exploration on HBPrisk by age and sex was performed. The findings showed higher prevalence of HBP risk amongfemales. Age, obesity, emotional distress, and contraceptive use contribute to HBP occurrence.Result of analysis was inconclusive to identify precise risk of earlier take over of high blood pressure.It could probably due to hormonal contraceptive use and higher prevalence of risk among females.Since there was already higher health service utilization, it is recommended that the existing noncommunicable diseases (NCD) prevention and monitoring program is expanded to provide servicefor young females. Among the service provided are motivation for healthy diet, physical activity,mental health service and family planning.