<p><strong>Methods: </strong>A time-trend ecological study with a retrospective record review was conducted in Karamara General Hospital in the Somali region to analyze CVD data from July 2021 to June 2024. The study included all CVD cases and deaths reported in the District Health Information System using ICD-11 codes. Data were collected using a checklist and analyzed in Microsoft Excel 2016. Descriptive statistics were computed and presented in tables, charts, and graphs.&nbsp;</p>