<p>&nbsp;</p><p><strong>Methods: </strong>A cross-sectional study design was conducted from March 10- 30, 2023 among selected facilities, districts, and the south wollo zone health department. Four districts were selected randomly by lottery method from those implementing HIV case-based surveillance within the zone. We used the Centers for Disease Control and Prevention’s updated guidelines for evaluating public health surveillance Systems. Descriptive statistics was summarized by frequency, percentage, mean and standard deviation of the variables and was presented by tables, figures and text.&nbsp; &nbsp;</p>