<p>&nbsp;<strong>Conclusion</strong>: The hypertension surveillance system in Sheger City was simple but demonstrated weaknesses in several attributes, including data quality, timeliness, completeness, usefulness, acceptability, flexibility, and stability. To improve performance, we recommend increasing stakeholder engagement, conducting regular data analysis, preparing epidemiological bulletins, enhancing capacity-building initiatives, and implementing consistent supervision and feedback mechanisms.&nbsp;</p>