A retrospective study was conducted. Secondary data extracted from screening registers, review of weekly Integrated Disease Surveillance (IDSR) and Digital Health Information Systems2 (DHIS2) for the period of January 2020 to December 2022. All records were reviewed for diarrheal cases and manual line list established; data was exported into Microsoft excel for analyses. The study was conducted at all facilities in Omaheke region targeting all patients diagnose with diarrheal with blood. Ethical clearance obtained from the Omaheke Regional Health Directorate to conduct the investigation. 
