We reviewed 446 records, the median age of mothers was 26 years (Range 14–46), first-time mothers were 30.3% (135/446) and 73.5% (328/446) attended antenatal clinic. Babies born alive were 45.7% (240/446) while 44.8% (200/446) of perinatal deaths occurred between 12:00 am-11:59 am. Death from birth asphyxia was 22.6% (101/292).100% (12/12) reported simplicity of the system, Perinatal death reviews were conducted in 17% (76) records, 28% of the records were filled and 22% records were reported in time with Molo SCH reporting 0% in maintaining timeliness.