Introduction: Public health surveillance provides data for action, supporting informed decision-making. Botswana adopted the Integrated Disease Surveillance and Response System (IDSR) in 2002. Data on reportable diseases are required to be submitted from health facilities (HF) to the district, which collates these and submits a weekly surveillance summary report (WSSR) to the national level. However, we do not know the timeliness and completeness of these WSSR, in addition to diseases commonly reported. Therefore, we summarized the WSSR to describe the notifiable diseases, assess monitoring indicators and identify reasons for poor performance.