We conducted a descriptive cross-sectional study, from October to December 2022. We purposive selected and interviewed 15 stakeholders using a semi-structured questionnaire to describe the operation and assessed qualitative attributes. We reviewed health facility registers and eCBDS to assess quantitative attributes, from January to December 2022. We use a Likert scale to rank the system attributes as poor (≤30%), average (30-70%), and good (&amp;gt;70%). We computed the scores by calculating the proportion of total respondents who answered each question. We then averaged the scores per each attribute; and reported for quantifiable data.


