<p><strong>Methods</strong>: A concurrent mixed-methods study was conducted. A semi-structured checklist was used to extract data from the Excel database of the district malaria elimination report from April 2nd to December 24th,2023. Twenty-two key players were interviewed to assess their understanding of key activities of the approach and to explore the challenges faced by the approach. The Centers for Disease Control guideline for evaluating surveillance systems was used to describe the approach in terms of surveillance attributes.&nbsp;</p>