Who Holds the Record · country brief · data as of 2026-10-01Who holds the health record in Saint Kitts and Nevis?
In 2026, Saint Kitts and Nevis scores 30 of 100 on a person's right to see, control and share their own health record: rank 160= of 196 countries (likely range 125 to 178), in the Weak band (25 to 44). Who holds the keys: Institutional. Source: Who Holds the Record, SuperTruth, data as of 2026-10-01.
Saint Kitts and Nevis began rolling out a national digital health record in 2026, but its 2018 data protection law has never come into force.
Published · updated · data as of 2026-10-01 · research tool, not legal advice
Can I get my health records in Saint Kitts and Nevis?
Access to the full record scores 30 of 100 in Saint Kitts and Nevis, against a median of 43 across 196 countries. The Data Protection Act 2018 would give a right to a copy within 30 days for a fee, but it awaits a commencement order, so no right is enforceable. The Ministry's new system promises access through a patient portal; patient use was not verified.
Can I control who sees my health record in Saint Kitts and Nevis?
Control and consent scores 30 of 100 in Saint Kitts and Nevis, against a median of 30 across 196 countries. With the Data Protection Act not in force, patients have no legal say over who sees their health records. The NDHIS website says patients can see who opened their record, but whether that works in practice was not verified.
Eight rights, against Honduras, Bolivia, Guyana and the EU
| Patient access to the full record20% | 30 | 40 · 40 · 30 | |
|---|---|---|---|
| Patient control and consent20% | 30 | 30 · 28 · 25 | |
| Privacy and security15% | 32 | 28 · 25 · 30 | |
| Connected care journey15% | 32 | 25 · 25 · 35 | |
| Protection from commercial use10% | 28 | 25 · 25 · 25 | |
| Clinician access at the point of care10% | 25 | 20 · 22 · 30 | |
| Research and trial consent5% | 43 | 43 · 43 · 43 | |
| Clinical AI governance5% | 20 | 30 · 20 · 20 |
Black dot: Saint Kitts and Nevis. Hollow dots: Honduras, Bolivia, Guyana (scores on the right, same order). Grey line: median of all 196 countries. Dashed teal line: EU median. Overall: Saint Kitts and Nevis 30, EU median 61. Scores move in steps of about 5; read the rank with its likely range.
What would Saint Kitts and Nevis need to change to score higher?
Saint Kitts and Nevis 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 (30, median 43) and privacy and security (32, 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 Saint Kitts and Nevis?
- Data Protection Act, 2018 (No. 5 of 2018) (2018): Access within 30 days for a fee; health is sensitive data; not in force, awaits commencement order.
- Freedom of Information Act, 2018 (No. 6 of 2018), amended 2023 and 2024 (2018): Creates the Information Commissioner, who would also enforce the Data Protection Act.
- Electronic Crimes Act (Act 27 of 2009) (2009): Makes unauthorised access to, interception of and interference with computer data offences.
Strain and split context, not scored
- Doctors per 10,000
- 30.9 2018
- Nurses and midwives per 10,000
- 65.8 2023
- Private insurance + out-of-pocket
- 45.7% 2023
- Record reaches private care?
- unknown
Published stories
- none published in the last two years
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