In total 54 reports were validated. Of them 37(68.5%) were accurate, 15(27.8%) Over-reporting and 2(3.7%) under-reporting. Accurate reports were 54(100%), 48(88.9%), and 9(16.7%) for severe pneumonia, simple malaria and flu syndrome respectively.  By health facility, accurate reports were 33(61.1%), 36(66.7%) and 48(77.8%) for Coko, Rushashi and Rwankuba respectively. 