Diarrheal disease surveillance system is simple. The data collection tool has 12 variables. The information flows at four levels: health facility, district, provincial, and central via online system. The disease logbooks have 12 variables. The completeness of the fields was 89.6%. A total of 1,356 cases were reported, and 50.3% were female.  There were 14.7% cases reported in male from 1 to 4 years and 14.3% in female from 1 to 4 years. Timely results are received with an average of 3-days, however 92.6% did not have information on data collection and from those that have, 75.0% collected the sample within 24 hours. There was no system interruption in all districts. The positive predictive value for cholera suspected cases was 61.9% (13/21).  