We used CDC MMWR surveillance system evaluation guidelines to assess AFP surveillance in Southern province from 2020 to 2022. Data was collected at provincial, district, and facility levels. Sources of data included case investigation forms (CIFs), laboratory requisition forms, IDSR surveillance data, and a semi-structured questionnaire. Four districts were selected based on their performance using the NP-AFP rate with 4 facilities selected in each district using probability proportional to catchment population size. Descriptive analysis was applied for quantitative data while content analysis was used for qualitative data. 