Philosophiae Doctor - PhD / The advantage of a well-developed health information system is the significant role played by records produced by such a system beyond recording medical history of individuals. They are the foundation for birth registrations which when fully complete is an important tool for acquiring data necessary for planning and monitoring child and maternal health in a country. This study aimed to investigate the potential of hospital birth records to estimate the number of births in the country and supplement birth registrations data. Data was abstracted from public facilities where births occur in two municipalities; Germiston in Gauteng and Nkomazi in Mpumalanga for the period 2014 to 2016. Modified version of the BORN Data Quality Framework (BORN-DQF) of the Ontario Agency for Health Protection and Promotion (2016) was used to assess the contents and quality of hospital birth records. / 2022