<p>The region recorded 20 NNT cases with 6 deaths (CFR = 30%). Majority, 30.0% (6/20) NNT cases was recorded in both 2018 and 2019 with 2021 recording 50.0% (3/6) of deaths. Vaccination coverage was low, 54.8% in 2016 and high, 60.7% in 2018. About 81.8% (18/22) health facilities displayed case definition for easy disease identification. Weekly IDSR was submitted by 95.0% (641/676) facilities in 40.9% (9/22) districts within the region. Timeliness of reporting was 94.5% (30,711/ 33,332) with 100% completeness of weekly IDSR reports. The case base forms for 2 facilities visited could not be verified in DHIMS coupled with missing facility register.</p>