Most 320(74.9%) of CHWs were categorized as high performers in responding to disease outbreaks. Facilitators associated with CHWs performance included; having been provided with case reporting forms AOR= 5.73 (95% CI; 2.01-16.39 p&amp;lt;0.05), having received monetary incentives AOR=2.21 (95% CI; 1.12-4.37 p&amp;lt;0.05), having been appreciated/recognized AOR=2.85 (95% CI; 1.36-5.97 p&amp;lt;0.05), having attended more training AOR=4.25 (95% CI; 2.0-9.04 p&amp;lt;0.05), having been recognized by a health worker at a health facility when a case was reported AOR= 4.10 (95% CI; 1.85-9.09 p&amp;lt;0.05). Barriers associated with CHWs performance was financial barrier AOR=2.29 (95% CI; 1.01-5.19 p&amp;lt;0.05).  
