The Ad Campaign Tracker and Campaign Health Monitoring System processes massive volumes of real-time digital advertising data impressions, clicks, conversions, costs and performance signals to deliver actionable insights while tackling two major industry problems: widespread ad fraud and low-quality / non- genuine user engagement. It continuously tracks core KPIs such as Click-Through Rate (CTR), Cost Per Mille (CPM), Cost Per Acquisition (CPA) and Return on Ad Spend (ROAS), runs a real-time fraud detection engine to flag suspicious behavioral patterns, and applies an attention-aware scoring model that evaluates true user interest and engagement quality far beyond simple click counts. These three dimensions performance, fraud cleanliness, and genuine attention depth are intelligently combined into a single unified campaign health score, automatically classifying every campaign as Healthy, Watchlist or Risk. A modern web-based dashboard provides live visualization of all key metrics, health scores, fraud alerts, trends and cross-campaign comparisons, giving advertisers instant visibility across hundreds or thousands of campaigns so they can react quickly to issues, eliminate large amounts of wasted ad spend, significantly improve advertising efficiency and ROI, and ultimately support cleaner, more responsible and sustainable digital advertising practices.