The present article was elaborated on the basis of an exhaustive theoretical review in an Institution of Health Service Delivery Level II of the Cauca Valley Colombia.Hypertension is defined as a non communicable chronic disease cataloged as a priority in public health, the methodology of the problem is applied, whose final result establishes for this institution a "Lack of adherence to the treatment of hypertensive patients" derived from the absence of a stable public policy against minimum capacities to maintain it.The analysis of public health capacities with the text of the initiative "Public Health in the Americas" is defined as the "set of stable and interconnected means by which public health activities are organized".The present article aims to describe the different interconnections given to the adherence to treatment for hypertensive patients of a Health Service Delivery Institution Level II is the most appropriate to the required public health capacities and provides open dialogues to the critical to reflect and adjust processes that approach the referred initiative