The Cost of Disregarding Cybersecurity in Digital Health: Lessons from Developing Nations

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This article highlights the vulnerability of digital health systems in developing countries. While open-source platforms like DHIS2 and OpenMRS are widely used, insufficient security measures pose a major risk. Specific examples include the M-Tiba data leak (affecting 4.8 million users) and the ransomware attack on South Africa's NHLS, which delayed diagnostics. The core problem identified is not merely 'data leakage,' but the 'structural lack of accountability.' Donors are failing to mandate security audits or budget allocations, leaving systems vulnerable in practice. The article distinguishes between platform-level security and operational investment during national deployment. Given the rising threat environment (e.g., deepfake fraud, ransomware), it argues that donors must urgently establish clear security requirements for funding digital health initiatives.