<p>From 2016 to 2019, there were 956,463 OPD attendants. Out of this, 16.6% (159,159/956,463) RTI cases and 0.05% (457/956463) meningitis cases were recorded. The highest number of meningitis cases were seen in the first quarters 93.2% (426/ 457) whiles the highest number of RTIs cases 22.6% (35,945/159159) were recorded in the fourth quarters throughout the five years. The study also identified significant association between RTI and Meningitis cases with a p-value of 0.002</p>