<p>Meningitis remains a disease of public health importance, mainly in countries located in the meningitis belt, extending to sub-Saharan Africa. It has an attack rate of more than 1% during major outbreaks. The most recent outbreak was reported in 2017 in Liberia, Togo, and Nigeria, with an attack rate of 41.9% in Liberia. Tanzania has effectively established the recommended surveillance to enhance meningitis case reporting for immediate action. A need arises to evaluate the system establishment and its function towards reducing morbidity and mortality from meningitis cases.</p>