<p>Methods: WSSR from 30 district HF were reviewed for a period of 52 weeks (week 1 – 52, 2022). We assessed timeliness and completeness of reporting for the HF. Timeliness was defined as submission of weekly report before 12 noon on Mondays. Cumulatively, timeliness was classified as good (≥80%), fair (50%–&lt;80%) or poor (&lt;50%). Completeness was defined as whether surveillance reports arrived at the district level, regardless of whether on time or late. Cumulatively, completeness was classified as good if it met the national average of 80%. Data on notifiable diseases were reviewed. We conducted a telephone survey for poorly performing HF.</p>