This systematic review analyzes the implementation and effectiveness of machine learning (ML) approaches for infectious disease surveillance and prediction across the Middle East and North Africa (MENA) region. Adhering to PRISMA guidelines, studies published between 2016 and 2024 were examined to assess model structures, performance metrics, and dataset characteristics. The findings reveal a predominance of deep learning approaches, particularly Convolutional Neural Networks (CNNs), achieving mean accuracy rates of 96.3 % in pathogen detection from medical imaging. Random Forest algorithms demonstrated superior performance in disease outbreak prediction, with mean ACC scores of 0.85. Iran, Saudi Arabia, and Egypt emerged as regional leaders, collectively contributing 54 % of the analyzed studies. The temporal analysis showed peak research output in 2022 (n = 30 studies), followed by a 25 % decline in 2023. Despite promising performance, challenges such as data quality, infrastructural limitations, and algorithmic bias persist. This review highlights the need for standardized protocols, enhanced digital infrastructure, and collaborative efforts to realize the full potential of ML in enhancing public health interventions across the region. Future research directions should prioritize multicenter validation studies, standardized reporting frameworks, and integration of diverse data modalities to enhance model robustness and clinical applicability.