Laws and Regulations on Big Data Management: The Case of South Africa

  • Patrick Sello
  • Antoine BagulaEmail author
  • Olasupo Ajayi
Conference paper
Part of the Lecture Notes of the Institute for Computer Sciences, Social Informatics and Telecommunications Engineering book series (LNICST, volume 311)


A growing global trend has been witnessed in many developing countries where efforts and resources are been invested in advancement of electronic health information. The expectation is to improve the quality of health care, increase universal health coverage, and reduce both Legal Cases and healthcare costs in a changing world where data collected while providing healthcare produces big data sets which can provide useful insights for the advancement of healthcare services. The challenge is a greater risk for legal regulations to keep up with the accelerated global changes resulting from Big Data, and loss of information privacy created by digital transformation. In some countries, legal, privacy and ethical issues related to use and access to personal health data still causes foreseeable challenges. This article reviews the South African laws and regulations in handling, processing, storing, accessing and big data analytics on digital health data.


Big data management Laws Regulations Healthcare 


  1. 1.
    Barrows, R.C., Clayton, P.D.: Privacy, confidentiality, and electronic medical records. J. Am. Med. Inf. Assoc. 3(2), 139–148 (1996). Scholar
  2. 2.
    Rouse, M.: “What is electronic health record (EHR)? - Definition from”, SearchHealthIT. Accessed 30 May 2019
  3. 3.
    “What are the advantages of electronic health records? |”,, 2019. Accessed 30 May 2019
  4. 4.
    South African Minister of Health, eHealth Strategy, p. 8 (2012)Google Scholar
  5. 5.
    Shea, S.: Security versus access: trade-offs are only part of the story. JAMIA 1, 314–5 (1994)Google Scholar
  6. 6.
    Barrows, R., Clayton, P.: Privacy, confidentiality, and electronic medical records. J. Am. Med. Inf. Assoc. 3(2), 139–148 (1996). Scholar
  7. 7.
    National Health Act 61 of 2003Google Scholar
  8. 8.
    Promotion of Information Act 2 of 2000Google Scholar
  9. 9.
    Agarwal, T.K.: Vendor neutral archive in PACS. Indian J. Radiol. Imag. 22(4), 242–245 (2012). Accessed 1 June 2019CrossRefGoogle Scholar
  10. 10.
    Cognizant 20–20 Insights, “The U.S. Healthcare Implications of Europe’s Stricter Data Privacy Regulations (2018)Google Scholar
  11. 11.
    Almunawar, M., Anshari, M.: Health Information Systems (HIS): concept and Technology (2012). Accessed 2 June 2019Google Scholar
  12. 12.
    Protect of Personal Information Act 2013Google Scholar
  13. 13.
    Geneva, 14 to 18 May 2018, Commission on science and technology for development (CSTD) (2018)Google Scholar
  14. 14.
    Purtova, N., Kosta, E., Koops, B.-J.: Laws and regulations for digital health. In: Fricker, S.A., Thümmler, C., Gavras, A. (eds.) Requirements Engineering for Digital Health, pp. 47–74. Springer, Cham (2015). Scholar
  15. 15.
    Chaib, F., Garwood, P.: WHO releases first guideline on digital health interventions (2017). Accessed 27 May 2019
  16. 16.
    HPCSA, Guidelines on the Keeping of Patient Records, paragraph 9 (2008)Google Scholar
  17. 17.
    Marr, B.: This Health Insurance Company Tracks Customers’ Exercise And Eating Habits Using Big Data And IoT(2019). Accessed 03 Jun 2019
  18. 18.
    World health organization., global diffusion of ehealth. World health organization, geneva (2017)Google Scholar
  19. 19.
    Vayena, E., Dzenowagis, J., Brownstein, J., Sheikh, A.: Policy implications of big data in the health sector. Bull. World Heal. Organ. 96(1), 66–68 (2017). Scholar
  20. 20.
    Taylor, K.: Digital health the future of healthcare | life sciences and healthcare | Deloitte Southern Africa. Accessed 26 May 2019
  21. 21.
    Mandava, M., Lubamba, C., Ismail, A., Bagula H., Bagula, A.: Cyber- healthcare for public healthcare in the developing world. In: proceedings of the 2016 IEEE Symposium on Computers and Communication (ISCC), Messina-Italy, 27–30 June 2016, pp. 14–19 (2016)Google Scholar
  22. 22.
    Bagula, M.F., Bagula, H., Mandava, M., Kakoko Lubamba, C., Bagula, A.: Cyber-healthcare kiosks for healthcare support in developing countries. In: Mendy, G., Ouya, S., Dioum, I., Thiaré, O. (eds.) AFRICOMM 2018. LNICST, vol. 275, pp. 185–198. Springer, Cham (2019). Scholar
  23. 23.
    Celesti, A., et al.: How to develop IoT cloud e-health systems based on FIWARE: a lesson learnt. J. Sens. Actuator Netw. 8(1), 7 (2019)CrossRefGoogle Scholar
  24. 24.
    Bagula, A., Mandava, M., Bagula, H.: A framework for healthcare support in the rural and low income areas of the developing world. J. Netw. Comput. Appl. 120, 17–29 (2018). Scholar
  25. 25.
    Bagula, A., Lubamba, C., Mandava, M., Bagula, H., Zennaro, M., Pietrosemoli, E.: Cloud based patient prioritization as service in public health care. In: 2016 ITU Kaleidoscope: ICTs for a Sustainable World (ITU WT), pp. 1–8. IEEE (2016)Google Scholar
  26. 26.
    Lubamba, C., Bagula, A.: Cyber-healthcare cloud computing interoperability using the HL7-CDA standard. In: 2017 IEEE Symposium on Computers and Communications (ISCC), pp. 105–110. IEEE (2017)Google Scholar

Copyright information

© ICST Institute for Computer Sciences, Social Informatics and Telecommunications Engineering 2020

Authors and Affiliations

  1. 1.Department of Information SystemsUniversity of the Western CapeCape TownSouth Africa
  2. 2.Department of Computer ScienceUniversity of the Western CapeCape TownSouth Africa

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