Surveillance is an ongoing systematic collection, analysis, and interpretation of health data that is essential for health planning, implementation, and evaluation. Surveillance allows health officials to monitor disease burden over time, detect outbreaks early, identify at-risk groups, guide immediate public health actions, and inform prevention and control programs. In Kenya, current surveillance practice shows that while most health facilities complete weekly surveillance forms, under half submit their reports on time, and the reports do not fully capture all targeted diseases and have issues with underreporting, incorrect data entry, and timeliness.