<p>&nbsp;<strong>Results</strong>: Data flow from health facilities to higher levels was functional; however, emergency preparedness plans were only available at the district level. Monthly report completeness was 74%, and timeliness was 66%. Supportive supervision and feedback mechanisms were weak, with no regular data analysis conducted. Stakeholder participation in the surveillance system was low. While the system was simple to implement, it was unrepresentative and inflexible. Data quality and documentation were poor, especially at lower-level facilities. System stability was compromised by budget constraints, logistics challenges, high staff turnover, and limited training opportunities.&nbsp;</p>