Study on Regulatory Aspects - eHealth for Sub-Saharan Africa Programme (eHSA)

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  • ActivityFeasibility Study
  • Closing date25 October 2011

eHSA Consortium

Together with the EU-Africa Infrastructure Trust Fund (ITF) and Lux-Development (Lux-Dev), ESA is pleased to announce the second Invitation to Tender (ITT) within the eHSA programme addressing healthcare governance aspects in Sub-Saharan Africa.  In the frame of the phase 1 activities of the “Satellite-Ehanced Telemedicine and eHealth for Sub-Saharan Africa Programme - eHSA”, this ITT will be open to industry from 108 states until October 25th.

About the eHSA Programme

Recently, funding from the EU Africa Trust Fund, co-funding from the Government of Luxembourg, and a collaboration agreement with the Luxembourg Agency for Development Cooperation has led ESA to launch the Satellite-Enhanced Telemedicine and eHealth for Sub-Saharan Africa Programme (eHSA). It aims at the development of satellite-enhanced eHealth and Telemedicine infrastructure for the benefit of sub-Saharan Africa. Key elements of this programme ensure a strong African ownership of proposed results, a contribution to the Millennium Development Goals (MDG) of the United Nations and counteracting the existent local workforce shortage.

In general the eHSA programme has been divided in two phases:

  1. Phase 1 foresees four studies addressing basic but critical success factors for all e-Health and Telemedicine services development, including governance, regulatory aspects, interoperability and sustainability (“Horizontal Studies”).
  2. Phase 2 will be dedicated to the implementation of projects stimulating and addressing the four thematic areas defined in the programme: eCare, eLearning, eSurveillance and eGovernance/eAdministration (“Thematic Areas Projects”).

Study Requirements

Regulatory aspects are one of the major barriers for the deployment of new eHealth services. A proper legal environment supporting aspects such as liability in connection with standards of care and medical malpractice, responsibility for security, guaranteeing confidentiality for sensible health information as well as availability of funding are important to mitigate risks when implementing or operating eHealth services.

But the existence of this legal environment is not enough. Social, ethical, cultural, gender and even environmental aspects are also of uttermost importance: even if the legal environment is favourable, societies have to be prepared to accept not only the introduction of new eHealth services, but also to the impact that they will have on their lives.  Any eHealth initiative must not destabilise the social, political or medical equilibrium under no circumstance.

This eHSA study on regulatory aspects will have to address the complex regulatory environment existing in the entire sub-Saharan Africa, understanding what conditions are met to implement which services.

Objectives of the study

Deeply analyse and assess the existing regulations (legal, social, ethical, cultural, etc.) and related authorities relevant to the implementation of eHealth services.

  1. Identify regulatory aspects that are or might become critical for the programme.
  2. Advice on regulatory complements in case of a lack of specific rules. 

ITT documentation

Bidders from ESA Member States can download the ITT documentation via ESA’s EMITS system (, under the reference AO 6936 (under “Open Invitations to Tender”).

Bidders from EU Member States, Africa, the Carribean, and Pacific Group Member States, can download the ITT documentation through the EU-Africa Infrastructure Trust Fund (ITF) Portal ( and the Lux-Development (Lux-Dev) Portal (