Evaluation of a Hypertension Surveillance System, Kenema Government Hospital, Sierra Leone, 2021

This observational study assessed key attributes of the hyperten-sion surveillance system at Kenema Government Hospital, Kenema District, Sierra Leone. We administered semistructured questionnaires; reviewed hospital registers, patient charts, and the District Health Information Software database; and rated the im-plementation status of each attribute as poor (1-3), average (4-6), or good (7-10). Of the 7 attributes, simplicity, flexibility, and ac-ceptability were good; stability was average, but timeliness, sensit-ivity, and data quality were poor. Overall, the usefulness of the hy-pertension surveillance system was poor, as it did not monitor hy-pertension trends, nor was it linked to public health action.