<p>Globally, measles remains the fifth leading cause of under-five child mortality. Nigeria was one of the top 5 countries with the largest number of reported measles cases in 2017. Despite the wide spread of measles outbreak in Adamawa State in the past years, an evaluation of measles surveillance systems has not been conducted. Therefore, we evaluated the performance of measles surveillance systems and key attributes in Adamawa state, Northeast Nigeria.</p>