Public health surveillance systems in South Africa are critical for monitoring diseases and managing outbreaks effectively. A randomized controlled trial (RCT) was conducted across three provinces in South Africa to assess the uptake and integration of these tools into routine healthcare practices. The study employed statistical models to analyse data from surveys and observational studies. $ ext{Adoption Rate} = rac{ ext{Number of Adopters}}{ ext{Total Number of Eligible Participants}}$ The findings suggest a moderate adoption rate for the new surveillance tools, with some variability depending on regional healthcare infrastructure and resource availability. Based on these results, recommendations are made to improve training protocols and support mechanisms for health workers in adopting and using the new surveillance systems effectively. Public Health Surveillance, Randomized Field Trials, Adoption Rates, South Africa