<p>Dietary Approaches to Stop Hypertension (DASH) are a recommended non-pharmacological dietary strategy for mitigating hypertension and averting its potential complications. In Zimbabwe the DASH interventions are available through a dietician in tertiary health care institutions. However, there are a number of barriers faced in accessing this service. This study explores the barriers to facility-based DASH among older adult patients in Gweru. In this qualitative study, twenty older adults with hypertension and their caregivers and eight healthcare workers provided information on their experiences with facility-based DASH. Barriers to facility-based DASH are - participant factors (financial challenges, limited family support, patient`s negative attitude, and fear); healthcare worker factors (limited knowledge due to absence of a formal curriculum on DASH and pressure of work) and system level barriers (unavailability of BP machines, unavailability of hypertension medication and distance to health facility). It is important to consider community-based DASH given the above barriers to the facility-based model.</p>