The People’s Democratic Republic of Algeria suffered from nearly a decade-long civil war during the 1990s. The brutal conflict resulted in nearly 200,000 deaths. Algerians still face unrest today at the hands of an Islamist insurgency, with a number of recent bombings and attacks. Meanwhile, the economy remains resilient, largely thanks to the country’s oil and gas rich land, which attracts significant interest from foreign energy companies.
Algeria published its ICT policy in 2002. Every Home Initiative” launched in 2003. The 2009 “e-Algeria 2013” strategy set five-year goals for ICT infrastructure, training, human resources and the spread of new technologies. The plan came under criticism in 2012 for a lack of attention to tools for monitoring implementation.
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eHealth service initiatives focus mainly on HIV data management and pharmaceutical logistics management. Generic telecommunications law exists, however it has no specific eHealth provisions or direct eHealth impact but the country’s data protection act provides for confidentiality when accessing personal information. Some health professional associations have been identified in the country.
Angola is a member of Réseau en Afrique Francophone pour la Télémédecine (RAFT). It uses Smart Help app.
IBM has a Watson initiative in the country.
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Benin participates in a number of regional eHealth initiatives.
Benin uses OpenMRS and is developing a finger recognition system to track vaccinations and immunisations.
The country has initiatives with IntraHealth, as posted on eHNA.
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Botswana has an extensive ICT development agenda lead by the President. The Ministry of Health has initiatives underway with hospital information systems and clinic information systems and an eHealth steering committee of diverse representation.
Botswana has a telecommunications law though no specific eHealth provisions or direct impact but has a cyber crimes and computer related crimes law which has provisions against misuse of computer systems. The UK government, through the Commonwealth Telecommunications Organisation (CTO), has pledged to help Botswana develop its National Cyber security Strategy. ITWEB Africa says the strategy is expected to establish a national cyber-security policy framework, develop and harmonise appropriate legislation to address cyber-security challenges, create capacity building and public awareness on cyber security issues, and establish a National Computer Emergency Response Team (CERT). eHNA has a piece on this.
The country has initiatives with IntraHealth, as posted on eHNA.
Orange mobile supports general practitioners to send an image of skin, a lesian in the oral cavity, or an x-ray, by means of the camera on their mobile phone, to benefit from the tele-diagnosis of a specialist.
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Burkina Faso participates in a number of regional eHealth initiatives.
Burkina Faso eHealth began in 2004 with the adoption of the National Plan for information and communication infrastructure (NICI). This plan aims to remove all constraints that inhibit access to ICTs and to implement an appropriate environment for ICT development. It will launch the basics of cyber strategy e-health and social protection.
Burkina Faso is a member of Réseau en Afrique Francophone pour la Télémédecine (RAFT). Burkina launched RAFT activities in 2004 based on three main applications Telemedicine: teleconsultation and tele-expertise with the tool Ipath RAFT, tele-education and digital exchanges between different actors
Another network of the same type was born in the Indian project with the Pan African Union Network Africa.
The Government of Burkina Faso has undertaken extensive reforms to the Ministry of Health. As part of the implementation of national ICT policy and Health, eHealth cyber strategy is in its final stages. Units dealing with information and health statistics (DGISS) and the promotion of telemedicine (DTM) were created in 2009. The DTM conducted a national survey in July 2010 of 285 health professionals (38% were general practitioners) showing:
- 57% knew of the existence of eHealth in Burkina Faso
- 22% had practiced telemedicine
- 89% reported not having access to health information on time
- 72% expressed the need for distance education
- 45% did not have access to a computer at work
- 60% had no interconnection network at their place of job.
The survey identified 10 eHealth networks using VSAT to support HIV work, though all were suspended due to termination of funding.
An eHealth workshop held in July 2010 has identified priority areas:
- creation of an eHealth portal called "bubble"
- distance education (teaching and research)
- video conferencing system supporting radiology, pathology, dermatology,
- Digital environment exchange for expanded health professionals, patients,
associations working for the health of patients.
The International Institute for Communication’s (IICD) and Africa eHealth Solutions’ (AeHS) AfyaPro Hospital Management Information System (HMIS) is used in the country. An eHNA post summarise its plans for a new business model
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Burundi has one of the lowest GDP per capita PPP in Africa with the Hutu and Tutsi as the biggest ethnic groups in the country. Only one eHealth service initiative has been identified. In 2015, it joined the EAC’s eHealth collaborative, leading on nutrition.
A telecommunications decree exists but has no eHealth provisions, though the country’s data protection legislation provides for privacy and confidentiality of personal information.
Burundi participates in the Réseau en Afrique Francophone pour la Télémédecine (RAFT) network.
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Cameroon’s telecommunications law and regulation is well developed. Its eHealth services include participation in the Réseau en Afrique Francophone pour la Télémédecine (RAFT) initiative.
The country has a telecommunications law with no specific eHealth provisions or impact though the country’s cyber security and electronic communication legislation provide for privacy and confidentiality. Numerous health professional bodies exist in the country.
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Cape Verde has Creole as the biggest ethnic group with a few eHealth initiatives in telemedicine and health information systems. A telecommunications decree and electronic communications law exist in the country but with no specific eHealth provisions or impact.
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Central African Republic
Central African Republic participates in a number of regional eHealth initiatives. However, we have not been able to validate the extent of the involvement and the local eHealth regulatory environment appears lean.
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Chad is a multi-ethnic country with very few eHealth service initiatives. A telecommunications law exists but with no specific eHealth provisions.
Chad has relatively poor infrastructure and lacks resources. So far, ICT developments have lagged behind most of Africa, but the country plans to strengthen national fibre networks to improve mobile Internet cost and access.
World Bank funded Central African Backbone (CAB) project, a regional broadband connection should be in place by 2016.
Chad is a member of Réseau en Afrique Francophone pour la Télémédecine (RAFT). It has a joint fibre optic expansion contract with Cameroon.
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