<p><strong>Results: </strong>Only half of the cases 216(53.6%) were reported by REDCap. The reasons for under-reporting of patients in the REDCap were shortage of test kit 100%,limited coordination between units 88.9%, no feedback from higher levels 77.8%, work overload77.8%,and internet and electricity interruption 66.7%.Majority of healthcare workers 23(85.2%) had good knowledge. We found representativeness 12(22.2%),timeliness 34(54%), completeness (91%), validity (86%), sensitivity 216(53.6%), acceptability27(100%)and simplicity 27(100%). The stability of the system was affected by the lack of standard operating procedures during system interruptions.</p>