<p>Cancer is one of the major life-threatening Non-Communicable Diseases globally. Cervical cancer is the fourth most frequent cancer in women with an estimated 604,000 new cases in 2020. In Tanzania cervical cancer is the leading cause of death resulting from cancer, with an incidence of 625 cases per 1000000 women per year. Cervical cancer surveillance is an essential component in cancer control and prevention. However, the performance of this system in Tanzania is not known. We conducted an evaluation to assess usefulness and performance of cervical cancer surveillance system in order to identify areas for improvement.</p>