Effective management of health records is essential for ensuring quality patient care, efficient healthcare delivery, and compliance with regulatory requirements. However, many healthcare facilities, including Eket General Hospital, face constraints and limitations in effectively managing health records. This study explored the challenges and barriers to effective and efficient management of health records in Eket General Hospital which staff strength is more than 200 and only 100 was considered for this survey. This study is based on a review of existing literature on the challenges associated with effective and efficient management of health records in healthcare facilities. A physical survey of about 86 participating staff was also conducted using a questionnaire to gather information from the healthcare professionals working in Eket general hospital. The findings from this study indicated several limiting factors on the effective and efficient management of health records in Eket General Hospital. These included inadequate infrastructure and resources, lack of trained staff, poor record-keeping practices, and limited access to technology. Inadequate infrastructure, such as outdated record-keeping systems and limited storage space, hindered the efficient management of health records. The lack of trained staff in health information management leads to errors in record-keeping and data entry, compromising the quality and accuracy of health records. Poor record-keeping practices, such as incomplete or illegible documentation, further exacerbate the challenges in managing health records. Additionally, limited access to technology, such as electronic health record systems, restricts the hospital's ability to digitize and streamline health record management processes. The effective management of health records in Eket General Hospital is constrained by various factors, including inadequate infrastructure, lack of trained staff, poor record-keeping practices, and limited access to technology. Addressing these problems is crucial for improving the quality of patient care, enhancing healthcare delivery, and ensuring compliance with regulatory requirements. Further research is needed to explore potential solutions and interventions to overcome these challenges and enhance the management of health records in Eket General Hospital.