ASSESSMENT OF THE AVAILABILITY OF NEONATAL MORTALITY AND STILLBIRTH RECORDS IN ROUTINE HEALTH INFORMATION SYSTEMS AT HO TEACHING HOSPITAL, VOLTA REGION, GHANA

Neonatal mortality and stillbirth remain major public health concerns in low- and middle-income countries, where routine health information systems often face documentation and archival challenges. This study assessed the availability of neonatal mortality and stillbirth data elements within routine health facility records at Ho Teaching Hospital in the Volta Region of Ghana from January 2019 to December 2021. A descriptive cross-sectional retrospective design was used. Data were obtained from delivery registers, admission and discharge registers, monthly midwives’ summary reports (Form A), and the District Health Information Management System II (DHIMS-II). Data availability was defined as the presence and accessibility of neonatal mortality and stillbirth data elements in source documents and reporting forms for each reporting month. A total of 108 expected records were assessed (36 months × 3 reporting sources). Overall data availability was 88.2%, with annual rates of 88.9% in 2019, 91.7% in 2020, and 88.9% in 2021. Missing registers in selected months limited full verification of reported data. Neonatal mortality and stillbirth data are largely available at Ho Teaching Hospital; however, strengthening register management, archival systems, and routine data validation processes is necessary to improve data reliability.