<p>&nbsp; <strong>Background</strong>: Hypertension is a significant risk factor for cardiovascular events and a major global health issue. In 2016, approximately 1.13 billion adults were affected by hypertension, with about 7.5 million deaths attributed to it globally in 2021. Two-thirds of these cases occurred in low- and middle-income countries. Despite the high burden of non-communicable diseases including hypertension, in Sheger City, Oromia, Ethiopia, no evaluation of its hypertension surveillance system has been conducted. This study aimed to assess the performance and key attributes of the system.&nbsp;</p>