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s with large number of clients, multiple variables, disease categorization, or those linked with dispensing medicine performed poorly. There are high variations in the tool utilisation and data accuracy at facility and district levels. The routine HMIS is weak and data at district level inaccurately reflects what is available at the source. These results highlight the need to design tailored and inter-service strategies for improving data quality. There are high variations in the tool utilisation and data accuracy at facility and distric