<p>Of the 22 healthcare providers, only seven (31.8%) had good knowledge of HIV CS. The overall implementation of core and supportive functions was at 70.7%. The data quality, representativeness, stability, flexibility, usefulness, acceptability, confidentiality, and security of the HIV CS were at 89.6%, 49.8%, 50%, 90.5%, 41.2%, and 95% respectively. The overall implementation status of the HIV CS system in the city was 71.8%. The main challenges of the system were shortage of manpower, lack of ownership of healthcare providers, work overload in surveillance focal, absence of focal in-service deliveries, and interruption of the system.</p>