<p>This surveillance system evaluation was conducted on 15 Public and one private health facilities found in Dale woreda from 1st-15th June, 2024. Data was collected by in-person interviews and record reviews using a semi-structured questionnaire that was modified from the updated Centers for Disease Control and Prevention guideline for evaluating public health monitoring systems. Sixteen key participants were interviewed for the qualitative part. Records were reviewed for accuracy and consistency, including the supervision minute and feedback document. Epi Info 7 was used to enter the information collected, which was subsequently exported to STATA for analysis. The qualitative attributes were evaluated using the Five point Likert Scale, while the descriptive attributes and other variables were described using proportions and percentages. We used to rank and score attributes: as weak (&lt;60%), moderate (60% to &lt;80%) or good (≥80%).&nbsp;</p>