<p>Using the updated CDC guidelines on Surveillance System Evaluation (2009) we extracted data from the District Health Management Information Systems II, line lists and facility records. We conducted key informant interviews using guides. Timeliness, positive predictive value and data quality were estimated from extracted data. Data obtained to assess sensitivity, usefulness, acceptability, stability and flexibility were through interviews and reviews, and were quantified using either likert scales at collection or percentages after collection. We generated frequencies, tables and charts used for descriptive summary statistics.</p>