Health Record Rights Index · country brief · this country's data as of October 1, 2026

Who holds the health record in Saint Kitts and Nevis?

In 2026, Saint Kitts and Nevis scores 30 out of 100 for how much say a person has over their own health record. It is tied for 162nd of 198 countries and territories, and could rank anywhere from 127th to 180th allowing for scoring error, in the Weak band (25 to 44). 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 control over who sees it (30 out of 100, against 30 for the typical country). The furthest behind is protection from sale and ads (28 out of 100, against 45 for the typical country).

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 · this country's data as of October 1, 2026 · research tool, not legal advice

overall score · Weak band, 25 to 44
30/100
rank among 198 countries and territories; likely 127th to 180th, allowing for scoring error
Tied for 162nd
confidence in our evidence
Medium
strength of our evidence (DTI™)
86/100 (Gold)

Questions people ask

Can I see my health record in Saint Kitts and Nevis?

In 2026, getting your full record scores 30 out of 100 in Saint Kitts and Nevis; the typical country scores 40 to 45. 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. Source: UNIDIR Cyber Policy Portal copy, June 7, 2018, and the other sources below.

Who controls health records in Saint Kitts and Nevis?

In 2026, doctors, hospitals and insurers hold the keys to your health record in Saint Kitts and Nevis. Control over who sees it scores 30 out of 100 in Saint Kitts and Nevis; the typical country scores 30. 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. Source: UNIDIR Cyber Policy Portal copy, June 7, 2018, and the other sources below.

How does Saint Kitts and Nevis compare?

In 2026, Saint Kitts and Nevis scores 30 out of 100, against 39 for the typical country. This brief compares it with Honduras (30 out of 100), Bolivia (29 out of 100) and Guyana (29 out of 100). Source: the ranking of all 198 countries and territories.

Eight rights, compared with Honduras, Bolivia, Guyana and the typical country

Scores out of 100, by right
Getting your full record20%3040 · 40 · 30
Control over who sees it20%3030 · 28 · 25
Privacy and security15%3228 · 25 · 30
One record across your care15%3225 · 25 · 35
Protection from sale and ads10%2825 · 25 · 25
Doctors see it when treating you10%2520 · 22 · 30
Your say over research use5%4343 · 43 · 43
Rules for AI in your care5%2030 · 20 · 20

Black dot: Saint Kitts and Nevis. Hollow dots: Honduras, Bolivia, Guyana (scores out of 100 on the right, same order). Gray line: the typical country of all 198. Overall: Saint Kitts and Nevis 30 out of 100. Scores move in steps of about 5 points, so read a 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. Its two weakest rights, compared with the typical country and weighted by how much each counts, are getting your full record (30 out of 100, against 40 to 45 for the typical country) and privacy and security (32 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 Saint Kitts and Nevis?

  • Data Protection Act, 2018 (No. 5 of 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: Creates the Information Commissioner, who would also enforce the Data Protection Act.
  • Electronic Crimes Act (Act 27 of 2009): Makes unauthorised access to, interception of and interference with computer data offences.

Doctors, waits and private care context, not part of the score

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

Real cases

  • We found no real cases published in the last two years.

Compare Saint Kitts and Nevis

Cite this brief

In 2026, Saint Kitts and Nevis scored 30 out of 100 for how much say a person has over their own health record, tied for 162nd of 198 countries and territories (could be 127th to 180th), in the Weak 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/saint-kitts-and-nevis/

The 15 sources for Saint Kitts and Nevis

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 (3 sources)

  1. “Data Protection Act, 2018 (No. 5 of 2018), Saint Christopher and Nevis”

    UNIDIR Cyber Policy Portal copy (law or regulation) · Title in English

    Dated June 7, 2018 · Link checked October 2, 2026 (opened)

    Used for: Getting your full record; Control over who sees it; Privacy and security; Protection from sale and ads; Your say over research use

    https://database.cyberpolicyportal.org/en/entity/obcyhbt2e4

  2. “NDHIS Privacy Policy”

    Ministry of Health, St. Kitts and Nevis (government guidance) · Title in English

    No date recorded · Link checked October 2, 2026 (opened)

    Used for: Getting your full record; Privacy and security; Protection from sale and ads; Rules for AI in your care

    https://ndhis.gov.kn/privacy-policy

  3. “External Resources: Data Protection Laws, St Kitts and Nevis”

    UWI Data Protection Office (other) · Title in English

    No date recorded · Link checked October 2, 2026 (opened)

    Used for: Getting your full record

    https://www.uwi.edu/data-protection/resources-external-skn

Control over who sees it (2 sources)

  1. “NDHIS: National Digital Health Information System”

    Ministry of Health, St. Kitts and Nevis (government guidance) · Title in English

    No date recorded · Link checked October 2, 2026 (opened)

    Used for: Control over who sees it

    https://ndhis.gov.kn/

  2. “National Digital Health Information System Deployed at JNF General Hospital”

    St Kitts Nevis Observer, from SKNIS (news) · Title in English

    Dated August 14, 2026 · Link checked October 2, 2026 (opened)

    Used for: Control over who sees it; One record across your care; Doctors see it when treating you

    https://www.thestkittsnevisobserver.com/national-digital-health-information-system-deployed-at-jnf-general-hospital/

Privacy and security (2 sources)

  1. “St. Kitts and Nevis Enhances Transparency with Passage of Freedom of Information (Amendment) Bill, 2024”

    SKNIS (government guidance) · Title in English

    Dated July 5, 2024 · Link checked October 2, 2026 (opened)

    Used for: Privacy and security

    https://www.sknis.gov.kn/2024/07/05/st-kitts-and-nevis-enhances-transparency-with-passage-of-freedom-of-information-amendment-bill-2024/

  2. “Electronic Crimes Act, Act 27 of 2009, revised edition”

    UNIDIR Cyber Policy Portal copy (law or regulation) · Title in English

    Dated November 26, 2009 · Link checked October 2, 2026 (opened)

    Used for: Privacy and security

    https://database.cyberpolicyportal.org/en/entity/ay7zmnel9xk

One record across your care (2 sources)

  1. “Government Partners with Local Innovators to Launch National Digital Health Information System”

    SKNIS (government guidance) · Title in English

    Dated May 29, 2026 · Link checked October 2, 2026 (opened)

    Used for: One record across your care; Doctors see it when treating you

    https://www.sknis.gov.kn/2026/05/29/government-partners-with-local-innovators-to-launch-national-digital-health-information-system/

  2. “St. Kitts Health Services ICT Project Symbolises Government's Strategic Step Towards Modernising Health Services Through Digitisation”

    SKNIS (government guidance) · Title in English

    Dated June 5, 2024 · Link checked October 2, 2026 (opened)

    Used for: One record across your care

    https://www.sknis.gov.kn/2024/06/05/st-kitts-health-services-ict-project-symbolises-governments-strategic-step-towards-modernising-health-services-through-digitisation/

Protection from sale and ads (1 source)

  1. “NDHIS Terms of Use”

    Ministry of Health, St. Kitts and Nevis (government guidance) · Title in English

    No date recorded · Link checked October 2, 2026 (opened)

    Used for: Protection from sale and ads

    https://ndhis.gov.kn/terms

Doctors see it when treating you (1 source)

  1. “New Committee Positions Nursing Services as the Designated Clinical Authority for Nursing-Specific Aspects of the Federation's HIS/EHR Transformation”

    St Kitts Nevis Observer (news) · Title in English

    Dated June 25, 2026 · Link checked October 2, 2026 (opened)

    Used for: Doctors see it when treating you

    https://www.thestkittsnevisobserver.com/new-committee-positions-nursing-services-as-the-designated-clinical-authority-for-nursing-specific-aspects-of-the-federations-historic-his-ehr-transformation-2/

Your say over research use (2 sources)

  1. “Ministry of Health releases statement concerning investigation of clinical trials”

    St Kitts Nevis Observer (news) · Title in English

    Dated August 30, 2017 · Link checked October 2, 2026 (opened)

    Used for: Your say over research use

    https://www.thestkittsnevisobserver.com/ministry-of-health-releases-statement-concerning-investigation-of-clinical-trials/

  2. “The metabolic chronic disease prevention program in Saint Kitts and Nevis: a dietary recall study”

    Frontiers in Nutrition, via PMC (other) · Title in English

    Dated August 8, 2025 · Link checked October 2, 2026 (opened)

    Used for: Your say over research use

    https://pmc.ncbi.nlm.nih.gov/articles/PMC12370524/

Rules for AI in your care (2 sources)

  1. “Artificial intelligence readiness in the Caribbean: an exploratory review (ECLAC Studies and Perspectives No. 131)”

    caribbean.un.org (international body) · Title in English

    Dated 2024 · Link checked October 2, 2026 (opened)

    Used for: Rules for AI in your care

    https://caribbean.un.org/en/download/185262/295561

  2. “Artificial intelligence regulation and policy are at an early stage in the Caribbean”

    Cullen International (news) · Title in English

    Dated September 30, 2026 · Link checked October 2, 2026 (opened)

    Used for: Rules for AI in your care

    https://www.cullen-international.com/news/2026/09/Artificial-intelligence-regulation-and-policy-are-at-an-early-stage-in-the-Caribbean.html

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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/saint-kitts-and-nevis/#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.