<p><strong>Methods:</strong> A descriptive cross-sectional study was conducted from February 15-21, 2023 at Kelalla district, south Wollo zone, Amhara region, Ethiopia. Among nine health centers in the district, three health centers and five health posts in selected health center were enrolled by simple random lottery method. Data collection was done by face to face interview using questionnaire and observation of tools for surveillance and secondary data review and the collected data were processed by using the Microsoft word and Excel.</p>