Of 5 058 864 consultations between March 2017 and June 2020, there were 1 228 722 consultations with respiratory presentations (24.3%).

332 398 (27%) were among adults and 896 324 (73%) were among children aged 17 years or under.

There was a gradual increase in monthly consultations from 100 000 to 160 000 per month until the end of 2019 when there was a drop to 90 000 per month in the second quarter of 2020.

Seasonal variation is noted with peaks in winter.

The main peak occurred at the end of 2018; however, there were peaks of respiratory consultations every winter throughout the study period.

Respiratory disease burden accounted for 17–38% of all cases.

Data were available from 22 hospitals, 22 PHCs and 3 mobile clinics. 7 hospitals and 6 PHCs reported data for the whole period.

547 307 presentations (44.54%) were seen in hospitals, 545 255 (44.38%) in PHCs and 115 408 (9.39%) in mobile clinics.

Respiratory diseases accounted for the largest proportion of the disease burden in mobile clinics (30–50%) and the lowest in hospitals (5–33%).

There was a drop in the total number of facilities providing information towards the end of 2019 when hostilities increased; this was from 28 to 22.

There was a drop in the number of hospitals providing data in the second quarter of 2018 from 16 to 11; however, this was not the case for PHCs.

Infectious presentations were the most common respiratory category in all facilities among all age groups.

The peak of non-infectious consultations at the end of 2018 was caused by a spike in consultations in a single hospital.

There was a median of 1160 (IQR: 1032–1347) asthma consultations per month.

There was a higher number of asthma presentations in adults than in children.

Most asthma consultations were recorded in hospitals and PHCs.

A total of 321 consultations were recorded.

There were two peaks in consultations, the first being in April 2017 (19 patients) and the second in November 2019 (36 patients).