Health Record Rights Index · country brief · this country's data as of October 1, 2026
Who holds the health record in Dominica?
In 2026, Dominica scores 24 out of 100 for how much say a person has over their own health record. It is tied for 187th of 198 countries and territories, and could rank anywhere from 167th to 196th allowing for scoring error, in the Poor band (0 to 24). Who holds the keys: doctors, hospitals and insurers. Source: Health Record Rights Index, SuperTruth, this country's data as of October 1, 2026.
Doctors, hospitals and insurers decide. No right is above the typical country. The closest is your say over research use (43 out of 100, against 46 for the typical country). The furthest behind is protection from sale and ads (20 out of 100, against 45 for the typical country).
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 · this country's data as of October 1, 2026 · research tool, not legal advice
overall score · Poor band, 0 to 24
24/100
rank among 198 countries and territories; likely 167th to 196th, allowing for scoring error
In 2026, getting your full record scores 20 out of 100 in Dominica; the typical country scores 40 to 45. 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. Source: US Department of State, August 2026, and the other sources below.
Who controls health records in Dominica?
In 2026, doctors, hospitals and insurers hold the keys to your health record in Dominica. Control over who sees it scores 25 out of 100 in Dominica; the typical country scores 30. 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. Source: Government of Dominica HMIS project, and the other sources below.
How does Dominica compare?
In 2026, Dominica scores 24 out of 100, against 39 for the typical country. This brief compares it with Haiti (24 out of 100), Grenada (26 out of 100) and Saint Vincent and the Grenadines (26 out of 100). Source: the ranking of all 198 countries and territories.
Eight rights, compared with Haiti, Grenada, Saint Vincent and the Grenadines and the typical country
Scores out of 100, by right
Getting your full record20%
20
20 · 25 · 25
Control over who sees it20%
25
22 · 25 · 25
Privacy and security15%
25
24 · 30 · 25
One record across your care15%
25
28 · 25 · 30
Protection from sale and ads10%
20
22 · 25 · 20
Doctors see it when treating you10%
20
22 · 20 · 28
Your say over research use5%
43
46 · 43 · 43
Rules for AI in your care5%
20
18 · 20 · 20
Black dot: Dominica. Hollow dots: Haiti, Grenada, Saint Vincent and the Grenadines (scores out of 100 on the right, same order). Gray line: the typical country of all 198. Overall: Dominica 24 out of 100. Scores move in steps of about 5 points, so read a 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. Its two weakest rights, compared with the typical country and weighted by how much each counts, are getting your full record (20 out of 100, against 40 to 45 for the typical country) and privacy and security (25 out of 100, against 45 for the typical country). Our scoring rules give more points for:
Getting your full record: A national portal that shows most people at least part of their record (a summary, prescriptions, lab results) puts this right at 60 to 75 out of 100. A near-full record that you can download, with a long history and used by most people, puts it at 76 to 90.
Privacy and security: A health data regulator that is independent and actually acts: it decides cases about health records, breaches must be reported, and fines are 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: Creates the Hospitals Authority; the hospital cites its section 49 confidentiality duty for staff. Link is the 2024 amendment.
Medical Profession Act, 2026: Creates a Dominica Medical Council with complaints and disciplinary committees for doctors.
Doctors, waits and private care context, not part of the score
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
Real cases
June 23, 2025 · Q95 Radio (Dominica) · archived copy Hospitals authority investigates staff role after video of a patient spread online
In 2026, Dominica scored 24 out of 100 for how much say a person has over their own health record, tied for 187th of 198 countries and territories (could be 167th to 196th), in the Poor band. Who holds the keys: doctors, hospitals and insurers. Source: Health Record Rights Index, SuperTruth, this country's data as of October 1, 2026, https://healthrecordrights.com/brief/dominica/
The 21 sources for Dominica
Each source appears once, under the first right it supports. Titles are shown as our research agents recorded them, usually in the page's own language; text in square brackets is our machine translation. Links were checked on the date shown.
Getting your full record (4 sources)
“2026 Investment Climate Statement: Dominica”
US Department of State (government guidance) · Title in English
Dated August 2026 · Link checked October 2, 2026 (opened)
Used for: Getting your full record; Privacy and security; Protection from sale and ads
SuperTruth Inc. · 24 S. 24th St., Philadelphia, PA 19103, USA · +1 215 918 4140 · supertruth.ai Something wrong? Tell us · Questions or a briefing: supertruth.ai/on-the-record#contact · Full index: healthrecordrights.com
OECD: Organisation for Economic Co-operation and Development (38 mostly high-income countries). DTI™: the Data Trust Index, which grades the evidence behind each score. SuperTruth makes it and publishes this index. Everything here comes from public information: laws, government and regulator pages, court decisions, published news, WHO, OECD and World Bank data. Full sources: https://healthrecordrights.com/brief/dominica/#sources. SuperTruth built this index and sells health data verification products; no one paid to be included. Research tool, not legal advice. Our scores and our own words are CC BY 4.0; quoted law and source titles stay with their owners.
