Schistosomiasis, a neglected parasitic infection caused by trematode worms affects approximately 240 million people globally. In South Africa, more than 4 million people are estimated to be infected with schistosomiasis. South Africa has included schistosomiasis on its revitalised national Notifiable Medical Conditions (NMC) surveillance platform since July 2017. Schistosomiasis is a category 2 NMC- which means all healthcare workers (HCWs) are required to notify cases through paper-based or electronic case notification forms (CNF) within 7 days of diagnosis. The objective of the study was to describe and evaluate the schistosomiasis surveillance system in the Ehlanzeni district.