This paper examines Challenges of Record Management in two Health Institutions in Lagos State, Nigeria. Its specific objectives include: to investigate the challenges being faced in handling health records by the surveyed health institutions in Lagos State; and to suggest some solutions on the preservation and conservation of health records in the surveyed health institutions in the State. Also, the paper utilizes simple percentage method that was computed by the authors to analyze data from 70 health workers of the surveyed health institutions in Lagos State. Its findings show that the major challenges faced in handling health records in the surveyed hospitals include: poor funding, inadequate computer and other ICT devices, poor skill in computing, harsh environmental conditions, lack of preservation and conservation policy. Hence, the paper concludes as it recommends that: Owners of health institutions should inject more financial resources into the organization in order to solve the problem of inadequate funding of the health records management. It takes real money to acquire and maintain good health records. Besides, money should be injected in the infrastructure development and acquisition of modern equipment that would facilitate and sustain the general health condition of their patients. These could help in saving cost and manpower at the long run. Also, managers of the surveyed health institutions should intensify their efforts in encouraging their health workers to maintain good handling care of records; while some of the paper based records should be microfilmed in order to sustain their durability.
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