Who Holds the Record · country brief · data as of 2026-10-01Who holds the health record in Antigua and Barbuda?
In 2026, Antigua and Barbuda scores 33 of 100 on a person's right to see, control and share their own health record: rank 140= of 196 countries (likely range 105 to 164), in the Weak band (25 to 44). Who holds the keys: Institutional. Source: Who Holds the Record, SuperTruth, data as of 2026-10-01.
Antigua and Barbuda is digitising its main hospital, but patients have no portal and the privacy regulator still has no office.
Published · updated · data as of 2026-10-01 · research tool, not legal advice
Can I get my health records in Antigua and Barbuda?
Access to the full record scores 35 of 100 in Antigua and Barbuda, against a median of 43 across 196 countries. The Data Protection Act 2013 gives a right to a copy within 30 days, for a prescribed fee, but defines personal data around commercial transactions. There is no patient portal, so access means a written request to each provider.
Can I control who sees my health record in Antigua and Barbuda?
Control and consent scores 30 of 100 in Antigua and Barbuda, against a median of 30 across 196 countries. The Act requires explicit consent for health data but exempts processing for medical purposes by health professionals. No opt-out from record sharing and no patient-visible access log were found as the clinics move to one shared system.
Eight rights, against Paraguay, Suriname, Belize and the EU
| Patient access to the full record20% | 35 | 33 · 40 · 25 | |
|---|---|---|---|
| Patient control and consent20% | 30 | 27 · 35 · 25 | |
| Privacy and security15% | 42 | 35 · 30 · 30 | |
| Connected care journey15% | 28 | 40 · 30 · 55 | |
| Protection from commercial use10% | 42 | 30 · 30 · 25 | |
| Clinician access at the point of care10% | 25 | 33 · 25 · 55 | |
| Research and trial consent5% | 43 | 46 · 46 · 43 | |
| Clinical AI governance5% | 20 | 30 · 20 · 20 |
Black dot: Antigua and Barbuda. Hollow dots: Paraguay, Suriname, Belize (scores on the right, same order). Grey line: median of all 196 countries. Dashed teal line: EU median. Overall: Antigua and Barbuda 33, EU median 61. Scores move in steps of about 5; read the rank with its likely range.
What would Antigua and Barbuda need to change to score higher?
Antigua and Barbuda sits in Weak (25 to 44); Mixed starts at 45. The two rights furthest below the 196-country median, weighted, are patient access to the full record (35, median 43) and connected care journey (28, median 38). The published rubric reads:
- Patient access to the full record: A national portal showing at least part of the record (summary, prescriptions, labs) to most residents puts access at 60 to 75; a near-full record with export, long history and majority use, 76 to 90.
- Connected care journey: Primary care, hospitals, labs, pharmacy, claims and public health linked to one record and used at national scale.
Which laws give health record rights in Antigua and Barbuda?
- Data Protection Act, 2013 (No. 10 of 2013) (2013): Access within 30 days for a fee; health is sensitive data; explicit consent or listed exceptions; no breach notice.
- Freedom of Information Act, 2004 (No. 19 of 2004) (2004): Creates the independent Information Commissioner, who also enforces the Data Protection Act.
- Antigua and Barbuda Medical Council Code of Ethics (undated): Doctors' confidentiality duty, patient right of access to records, and informed consent for research.
Strain and split context, not scored
- Doctors per 10,000
- 43.2 2024
- Nurses and midwives per 10,000
- 50.8 2024
- Private insurance + out-of-pocket
- 41.0% 2023
- Record reaches private care?
- unknown
Published stories
- 2025-11-27 · Antigua.news Patient says private clinic never handed over her records despite repeated requests
- 2025-09-02 · Antigua.news Family alleges state hospital staff falsified records to extend a patient's stay
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