<p>There was no national Public health emergency management guideline manual in all visited health posts and private clinic. Both public and private health facilities did not conduct data analysis except woreda health office. There was no regular supportive supervision and provide timely feedback.</p><p>For the attribute, the usefulness of the system was rated good (100%), flexible (100%), Timely (97%) and data quality (completeness) (95%), simple (81%), moderate acceptable (72%); weak stable (50%).</p>