The Early Infant Diagnosis (EID) programme is aimed at early HIV diagnosis in infants and subsequent initiation of Antiretroviral Therapy (ART).  Evaluation of the EID system is vital in ensuring that the purpose of the surveillance system is being met. This evaluation aimed to assess the attributes of the EID surveillance system in Otjozondjupa region, Namibia, 2017- 2021, identify gaps and also provide appropriate recommendations.