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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China already has a longstanding role in Africa’s economy. It has an extensive role in training students in telecommunications and technology in several African countries. Expanding it into eHealth offers an opportunity for Africa’s health leaders to attract Chinese investment in scaling-up and widening their eHealth strategies and plans.
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Comoros participates in a number of regional eHealth initiatives.
Comoros was the last country in the world to develop a mobile telephone network. Since 2003 the Comoran Government, with support of the UN Economic Commission for Africa, has been developing an ICT policy and strategic plan.
Electricity supply is a factor hindering ICT progress, with electricity only available for around six hours a day in most of Grande Comore; in Moroni, electricity supply is unreliable for most of the day. Last year the World Bank approved a $ 5 million grant to support efforts to improve supply and reduce power costs.
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Cote d’Ivoire participates in a number of regional eHealth initiatives.
Orange Healthcare aims to facilitate patient access to care in Cote d'Ivoire via simple, innovative services, which are accessible through inexpensive mobile phones. An interactive SMS service is a perfect example of this, allowing the residents of Abidjan, Bouaké, Yamoussoukro and other Ivory Coast cities to locate the nearest on-duty pharmacy.
Cote d'Ivoire participates in the Réseau en Afrique Francophone pour la Télémédecine (RAFT) initiative. Orange plans to provide 4G by 2018
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Democratic Republic of the Congo (DRC)
A few telemedicine initiatives exist in the country and it has a telecommunications law but with no specific eHealth provisions.
DRC is a member of Réseau en Afrique Francophone pour la Télémédecine (RAFT).
United Methodist Communications (UMCOM) is funding a project in Kamina, Democratic Republic of Congo (DRC), to use mHealth to improve communication between clinics and communities. An eHNA post has a summary.
The country has initiatives with IntraHealth, as posted on eHNA.
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Djibouti has very few eHealth service initiatives. A telecommunications law exists in the country but has no specific eHealth provisions.
ICT infrastructure development has been improving in Djibouti; however, due to the largely monopolised sector, costs are high and therefore mobile and Internet usage is still extremely low. The World Bank stated that the cost of a basic 1Mbps ADSL service currently costs $36 per month.
Consequently, high-speed Internet is only accessible for the richest inhabitants or corporate/international firms. The country’s digital telecommunications network is facilitated by an undersea optical fibre; 3G was introduced in 2011 and a 4G Broadband Wireless Network was recently launched.
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After three years of revolutionary struggle, Egypt may have settled back to what has been, for five decades, the status quo.
Egypt, as a cultural hub within the Arab world, broadcasts widely throughout the region and is a leader in the development of telecommunications infrastructure; along with Morocco, it has some of the highest penetration rates in continental Africa. International capacity and use of the Internet have grown very rapidly over the last years.
Egypt uses the DrBridge app. IBM has a Watson initiative in the country. Orange plans to provide 4G by 2018.
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Equatorial Guinea is one of the smallest nations in Africa, made up of five small islands and a mainland territory.
It participates in a number of regional eHealth initiatives.
Equatorial Guinea benefits from direct access to the international broadband network via a fibre-optic submarine cable, and was recently named among the beneficiaries of the World Bank’s $215 million programme to strengthen regional broadband and reduce the cost of ICT services.
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Eritrea was one of the last African countries to gain Internet access, in 2000, and still today mobile and Internet penetration remain among the lowest in the continent.
Since private access is expensive and requires Government authorisation, most people connect via Internet cafés in the capital city of Asmara. Internet is highly regulated by the Government, with service providers required to connect through the state-operated telecommunication services corporation EriTel. EriTel plans soon to roll out 3G services, and is also heading towards privatisation which will lead to a more liberalised market.
High-speed Internet has not been available in Eritrea as the EASSy fibre optic submarine cable deployed along the east and south coast of Africa bypasses the country.
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