Abstract This paper examined the level of the awareness and utilization of Electronic Health Records (EHRs) among health workers in primary health centers (PHCs) in Rivers West Senatorial District. The study adopted analytical cross-sectional research design. The population of the study consists of all the health workers in the 154 PHCs in Rivers West Senatorial District from which 305 health workers were randomly sampled for the study. Data collection was done using self-structured questionnaire titled “awareness and utilization of electronic health records among Health Workers” (UEHRHWQ), designed based on 5-point Likert scale. Data was analyzed using descriptive statistics of frequencies and weighted mean score (WMS) and Spearman’s Rank Correlation The results of the descriptive statistics revealed that; level of EHR awareness among health workers in PHC in Rivers West Senatorial District is adequate (WMS = 3.23 > 3.00) and the extent of utilization of EHR is inadequate among health workers in PHC in Rivers West Senatorial District. (WMS = 4.01 > 3.00). The Spearman’s Rank Correlation results revealed that there is strong, positive and significant relationship between awareness and utilization of EHR among the health workers (r = .983, p =0.0001 < 0.05). Therefore, it was concluded that health workers in primary health centers in Rivers state have substantial knowledge of the EHSs system but there level of utilization of the EHRs systems are low, however, further improvement in the level of awareness of EHRs could results to increase in level of utilization of the EHRs system among the health workers.