<p>A descriptive cross-sectional study design was conducted in Wa Municipality covering 2020 to 2022. We interviewed key stakeholders using a semi-structured questionnaire based on the CDC guidelines for evaluating public health surveillance systems. Observations were made on system’s activities. COVID-19 case-based forms and linelists were reviewed. Attributes were scored on a scale of poor, moderate, or good performance. Data were analysed into frequencies and proportions using Microsoft Excel 2016 with results presented in tables, graphs and text.</p>