<p>Of the 48 facilities that participated, 71% reported have been trained, 93% reported using the Tracker and only 29% reported utilizing Tracker data. All facilities used improvised paper registers for primary data capture and 35% used other electronic platforms. Overall, 38% of cases were captured in the Tracker from June 2021 to March 2022 and between 0-31% of data were found in the Tracker at site visit. Inadequate training, equipment, and feedback to reporting on entered data and parallel reporting systems were other common challenges. The Tracker was simple, acceptable and timely with good data quality, stability and flexibility. However, use was difficult when cases were high because on average, it took four minutes to enter a file. Representativeness and usefulness were poor with low sensitivity.</p>