<p>Zanzibar has reached remarkable progress toward malaria elimination by reducing malaria prevalence from 40% in 2003 to ˂1% in 2022. The successful reduction resulted in the establishment of Malaria Case Notification (Coconut surveillance) from health facilities and Active Case Detections for immediate malaria interventions to prevent further local transmissions. Since the introduction of Coconut surveillance system, the system has not been evaluated therefore malaria surveillance system was evaluated to assess its key attribute’s performance and the way it operates in line with its specified objectives.</p>