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Ghana’s Health Data Dilemma and the Growing Threat of Digital Overreach

Who owns the data? Who has the right to access it? And more importantly, how secure is it from misuse or unauthorized exploitation?

The Sovereignty Paradox: Data Colonialism, Debt, and Africa’s Digital Future
Isaac Kofi Tsoenamawu
Oct 30, 2025

Ghana stands at a crossroads in its digital transformation, one that reveals both promise and peril. As the country races toward digitising essential services, two recent developments expose the fragile state of our digital governance: the revelation that sensitive health data is being managed by a private individual, and the controversy surrounding the proposed Cybersecurity Amendment Bill, which experts say could undermine press freedom, privacy, and innovation.

Contents
  • A Nation’s Health Data in Private Hands
  • A Cybersecurity Law That Could Go Too Far
  • The Digital Paradox
  • Toward Responsible Digital Governance

These issues are not isolated, they are symptoms of a larger problem, Ghana’s struggle to balance technological progress with accountability, privacy, and democratic principles.

A Nation’s Health Data in Private Hands

The Data Protection Commission’s ongoing investigation into LightWave eHealthCare Solutions, the private company managing parts of Ghana’s national health data system, is deeply unsettling. The idea that the personal medical records of millions of citizens, from diagnostic histories to biometric data, could be accessible to a private entity raises urgent ethical and legal questions.

Who owns this data? Who has the right to access it? And more importantly, how secure is it from misuse or unauthorized exploitation?

Health data is not just another dataset, it’s the most personal form of information a citizen can share. In the wrong hands, it could be used for discrimination, identity theft, or even political profiling. Ghana’s Data Protection Act, 2012 (Act 843) was designed precisely to prevent such vulnerabilities, mandating lawful processing and strict protection of personal information. Yet, the current situation exposes weaknesses in enforcement and oversight.

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The Ministry of Health under its former leadership may have outsourced management for operational efficiency, but the custodianship of public data must never leave public control. A private company can manage systems, it should not hold ownership or unregulated access. When state agencies fail to draw that line, they risk compromising both privacy and sovereignty.

A Cybersecurity Law That Could Go Too Far

At the same time, the public and experts are warning against some aspects of amendments to Ghana’s Cybersecurity Act, which on paper seeks to strengthen defenses against cyber threats. However, technology experts have warned that several provisions of the bill are dangerously vague and grant excessive powers to the Cyber Security Authority (CSA), powers that could enable surveillance, media interference, and even arbitrary intrusion without court approval.

Some sections of the bill reportedly allows the CSA to enter premises and access devices without prior judicial authorization. That may seem harmless in a national security context, but in practice, it creates a tool for potential abuse. In a country that prides itself on press freedom and democratic accountability, such unchecked power could lead to intimidation of journalists, activists, or businesses.

The amendment also threatens to impose heavy regulatory and financial burdens on startups, stifling innovation in Ghana’s growing tech sector. Instead of fostering a competitive environment for local developers and cybersecurity firms, the bill risks centralizing control in a few hands and discouraging creativity, the very thing a digital economy needs to thrive.

The Digital Paradox

Here lies Ghana’s digital paradox, we are building a future driven by data and connectivity, yet the very structures meant to protect citizens from harm could end up harming them instead.

We cannot champion digitalisation while ignoring digital rights. We cannot promote data-driven governance while leaving citizens’ data vulnerable to private misuse. And we certainly cannot claim to be a beacon of democracy while passing laws that could curtail the freedoms that sustain it.

The conversation should not be about whether we need cybersecurity laws or digital health systems, we absolutely do. The issue is how we implement them, transparently, inclusively, and with robust checks and balances.

Toward Responsible Digital Governance

Ghana needs a comprehensive data sovereignty framework, one that clearly defines who owns, manages, and accesses public data. Sensitive information, particularly in healthcare, should be under the legal custody of the state, with clear accountability mechanisms and regular audits.

Equally, the Cybersecurity Amendment Bill must undergo thorough public and parliamentary scrutiny. Any clause that allows warrantless access to information or devices must be removed or rewritten to protect civil liberties. We need a cybersecurity regime that safeguards both the state and the citizen, not one that empowers surveillance or limits free expression.

Our digital transformation must not come at the expense of our privacy or democracy. The promise of innovation should not blind us to the perils of overreach.

If Ghana is to lead Africa’s digital revolution, it must do so with integrity, where technology serves the people, not the powerful. Ghana’s push for digitalisation risks backfiring if health data remains in private hands and cybersecurity laws erode the freedoms they claim to protect.

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