<p>We interviewed 26 health workers of different cadres. There were 143 reported cases of meningitis with cumulative incidences from 11/100,000population in 2017 to 1/100,000 in 2021. Average case fatality rate was 29.5%. Average timeliness was above 90%. Positive predictive value averaged 24.9%. Data quality was below 50%, with discrepancies between District and Region. The system promptly detected all cases, treated and controlled meningitis, and grossly met 80% (4/5) of its objectives. It used data to transform service delivery, picked all suspected cases, integrated with other systems, and most stakeholders accepted and would maintain it. It picked cases of all demographics, location and times of the year. All participants thought case definition was simple, 88.5% (23/26) having good to excellent knowledge of it.</p>