<p><strong>Results:</strong> All health facilities had an outpatient register, and hospitals had an inpatient register for recording of the cases. All health facilities established rapid response teams but 2 (67%) of health centers and 4(80%) of Health posts they had no meeting at all. All study sites had the country priority disease and event/condition case definition but 8(80%) of them were post in the wall. The weekly surveillance data report completeness and timeliness in the district is 80% and 90% respectively. All levels had the recommended standard reporting form. No analysis of surveillance data was done at the district and health facility level.&nbsp;</p>