From 2011 to 2020, 13,952 cases were reported; The majority of cases were reported in Nampula,  43% (5965/13952), Zambézia 22% (3061/13952) and Cabo Delgado 18% (2446/13952). There was an occurrence of 14% (1953/13952) of cases had Deformity Grade 2 and 12.5% (1744) were children under 15 years of age. The prevalence rate was greater than 1 case per 10,000 inhabitants. The system was considered simple, acceptable, representative and useful. However, it showed poor stability and not flexibility in adapting to new instruments introduced by the Ministry of Health in 2016. 