Health and Demographic Surveillance Systems (HDSS) in developing countries established to generate quality population based health and demographic surveillance data to explain reasons for diseases and deaths occurrence in specified demographic surveillance areas. However, poor reporting, inconsistency and inaccuracy are common problems in HDSS data. Therefore, this evaluation was designed to assess the quality collection processes of Ifakara HDSS data particularly on malaria deaths data. The evaluation assessed the Ifakara HDSS staff skills, essential tools, and procedures incurred to facilitate quality collection process of malaria deaths data. The case study evaluation design employed for both qualitative and quantitative approaches, where its sample drawn from IHDSS data collectors and IHDSS programme heads. A rough guide criterion was used to draw questionnaire respondents among IHDSS data collectors while purposive sampling was used to obtain interview respondents among programme heads. Data obtained analysed using stata and Atlas ti software packages. The results showed that 96.4% of data collectors in IHDSS had appropriate skills acquired through training and long working duration of more than 6 months, but lacked competent supervisors. Necessary tools such as technology (software i.e. CSPro, window XP OS, and kaspersky, and hardware i.e. computer desktops and PC tablets) and transportation means such as bicycles, motorbikes, and cars were in use but, too old and out dated. Also data collection procedures applied guidelines such as DSS manual, disease classification manual, verbal autopsy and standard operation procedures though data collectors were not familiar with most of the contents within those manuals. The evaluation concludes that the collection process of malaria deaths data in IHDSS was not as quality as it was supposed to be, since it is characterised by incompetent supervisors, outdated data collection tools, and unfamiliarity of the contents involved in the data collection guidelines by data collectors.