<p>A descriptive Cross-sectional study was conducted from December 15, 2021 to January 15, 2022 in Dire Dawa City administration. Purposively we selected four health centers and one hospital, we selected four health extension professionals randomly from each health center. Data collection was done by face to face interview of key informants using a checklist adapted from CDC guideline, observation and secondary data review was done. Data were cleaned, edited and entered in to a computer and analyzed using MS Excel 13 software. Descriptive measures and narrative summary were used to describe the surveillance system.</p>