Who Holds the Record · country brief · data as of 2026-10-01Who holds the health record in Dominica?
In 2026, Dominica scores 24 of 100 on a person's right to see, control and share their own health record: rank 185= of 196 countries (likely range 165 to 194), in the Poor band (0 to 24). Who holds the keys: Institutional. Source: Who Holds the Record, SuperTruth, data as of 2026-10-01.
Dominica has no data protection law, and the national health record system it has announced was still being prepared for rollout in mid-2026.
Published · updated · data as of 2026-10-01 · research tool, not legal advice
Can I get my health records in Dominica?
Access to the full record scores 20 of 100 in Dominica, against a median of 43 across 196 countries. No law gives patients a right to see or copy their health record: Dominica has no data protection act and no freedom of information act. A patient portal is planned in the national health information system, but it is not live.
Can I control who sees my health record in Dominica?
Control and consent scores 25 of 100 in Dominica, against a median of 30 across 196 countries. With no data protection law, patients have no legal right to consent to or refuse sharing of their health data. The planned HMIS promises role-based access, an audit trail and patient choice over private doctors, but none of this is live.
Eight rights, against Haiti, Grenada, Saint Vincent and the Grenadines and the EU
| Patient access to the full record20% | 20 | 20 · 25 · 25 | |
|---|---|---|---|
| Patient control and consent20% | 25 | 22 · 25 · 25 | |
| Privacy and security15% | 25 | 24 · 30 · 25 | |
| Connected care journey15% | 25 | 28 · 25 · 30 | |
| Protection from commercial use10% | 20 | 22 · 25 · 20 | |
| Clinician access at the point of care10% | 20 | 22 · 20 · 28 | |
| Research and trial consent5% | 43 | 46 · 43 · 43 | |
| Clinical AI governance5% | 20 | 18 · 20 · 20 |
Black dot: Dominica. Hollow dots: Haiti, Grenada, Saint Vincent and the Grenadines (scores on the right, same order). Grey line: median of all 196 countries. Dashed teal line: EU median. Overall: Dominica 24, EU median 61. Scores move in steps of about 5; read the rank with its likely range.
What would Dominica need to change to score higher?
Dominica sits in Poor (0 to 24); Weak starts at 25. The two rights furthest below the 196-country median, weighted, are patient access to the full record (20, median 43) and privacy and security (25, median 45). 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.
- Privacy and security: Health-sector enforcement on the record: an independent regulator deciding health-data cases, breach notification and penalties applied.
Which laws give health record rights in Dominica?
- Constitution of the Commonwealth of Dominica (1978): Protects privacy of the home and other property; no general data protection or record access right.
- Dominica Hospitals Authority Act, 2021 (No. 8 of 2021), amended by Act No. 13 of 2024 (2021): Creates the Hospitals Authority; the hospital cites its section 49 confidentiality duty for staff. Link is the 2024 amendment.
- Medical Profession Act, 2026 (2026): Creates a Dominica Medical Council with complaints and disciplinary committees for doctors.
Strain and split context, not scored
- Doctors per 10,000
- 11.6 2018
- Nurses and midwives per 10,000
- 67.6 2018
- Private insurance + out-of-pocket
- 30.1% 2023
- Record reaches private care?
- unknown
Published stories
- 2025-06-23 · Q95 Radio (Dominica) Hospitals authority investigates staff role after video of a patient spread online
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