Public clinics in South Africa maintain several paper registers for tracking service provision on a daily basis. These form part of the medico-legal recording requirements at the primary health care level. However, we identified duplication across the registers, and many registered that were not filled out consistently or correctly.
If completed properly, there is the potential to use the records to track integration of service delivery. Engaging clinic staff as key role players, including as beneficiaries of data collection efforts, could improve data quality. However, barriers to recording, including understaffing – in particular of staff dedicated to data management – must be addressed.