<p>A descriptive cross-sectional study was used to evaluate surveillance system in reference to CDC updated guideline for evaluating public health surveillance systems. Primary data were collected using online questionnaire purposively shared with key end users including nurses, physicians, Lab technicians, Data manager and IDSR focal point while secondary data were collected from clinical registers in the period of 2017 to 2021.Surveillance System attributes including acceptability, usefulness, flexibility, simplicity, stability, data quality (Accuracy, timeliness and completeness) were evaluated. The attributes were categorized as poor (≤ 40% score), Average (41-60%), Good (61-80%) and Very Good (81-100%). Score from respondents and findings from registers were combined to obtain average score to each attribute. We analyzed data in Epi info 7 and Excel. Results were presented in tables and charts.</p>