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

Who holds the health record in Tuvalu?

In 2026, Tuvalu scores 23 out of 100 for how much say a person has over their own health record. It is tied for 189th of 198 countries and territories, and could rank anywhere from 169th to 196th allowing for scoring error, in the Poor band (0 to 24). Who holds the keys: the government. Source: Health Record Rights Index, SuperTruth, this country's data as of October 1, 2026.

The government decides, with limited say for the person. 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 (15 out of 100, against 45 for the typical country).

Tuvalu has no data protection law, no regulator and no right to your record; its one hospital runs a closed, poorly maintained system.

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

overall score · Poor band, 0 to 24
23/100
rank among 198 countries and territories; likely 169th to 196th, allowing for scoring error
Tied for 189th
confidence in our evidence
Medium
strength of our evidence (DTI™)
88/100 (Gold)

Questions people ask

Can I see my health record in Tuvalu?

In 2026, getting your full record scores 20 out of 100 in Tuvalu; the typical country scores 40 to 45. No law gives patients a right to see or copy their health record: Tuvalu has no data protection act, and its Constitution protects only against searches of person and property. There is no patient portal. Source: FAOLEX, 2023, and the other sources below.

Who controls health records in Tuvalu?

In 2026, the government holds the keys to your health record in Tuvalu. Control over who sees it scores 25 out of 100 in Tuvalu; the typical country scores 30. Patients have no legal say over who sees their records. A new Tamanu record at the Maternal and Child Health clinic lets clinicians at different facilities open the same record; we found no opt-out or patient-visible access log. Source: Australian High Commission Tuvalu, and the other sources below.

How does Tuvalu compare?

In 2026, Tuvalu scores 23 out of 100, against 39 for the typical country. This brief compares it with Marshall Islands (23 out of 100), Micronesia (25 out of 100) and Solomon Islands (25 out of 100). Source: the ranking of all 198 countries and territories.

Eight rights, compared with Marshall Islands, Micronesia, Solomon Islands and the typical country

Scores out of 100, by right
Getting your full record20%2020 · 20 · 30
Control over who sees it20%2525 · 22 · 25
Privacy and security15%2230 · 22 · 25
One record across your care15%2420 · 34 · 20
Protection from sale and ads10%1515 · 15 · 20
Doctors see it when treating you10%2518 · 34 · 20
Your say over research use5%4346 · 49 · 43
Rules for AI in your care5%2518 · 20 · 18

Black dot: Tuvalu. Hollow dots: Marshall Islands, Micronesia, Solomon Islands (scores out of 100 on the right, same order). Gray line: the typical country of all 198. Overall: Tuvalu 23 out of 100. Scores move in steps of about 5 points, so read a rank with its likely range.

What would Tuvalu need to change to score higher?

Tuvalu 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 (22 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 Tuvalu?

  • Constitution of Tuvalu Act 2023, section 21: Protects against search of person or property and entry without consent; no protection for personal information.
  • Health Professionals Act 2016: Registration Board, registration, complaints and inquiries for health professionals; no patient records or confidentiality rules.
  • Pharmacy and Therapeutic Products Act 2016: Medicines and medical devices, including device software, must be approved by a regulator the Ministry recognises.

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

Doctors per 10,000
17.7 2024
Nurses and midwives per 10,000
41.7 2024
Private insurance + out-of-pocket
0.0% 2023
Record reaches private care?
unknown

Real cases

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

Compare Tuvalu

Cite this brief

In 2026, Tuvalu scored 23 out of 100 for how much say a person has over their own health record, tied for 189th of 198 countries and territories (could be 169th to 196th), in the Poor band. Who holds the keys: the government. Source: Health Record Rights Index, SuperTruth, this country's data as of October 1, 2026, https://healthrecordrights.com/brief/tuvalu/

The 12 sources for Tuvalu

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. “The Constitution of Tuvalu Act 2023”

    FAOLEX (law or regulation) · Title in English

    Dated 2023 · Link checked October 2, 2026 (opened)

    Used for: Getting your full record; Privacy and security

    https://faolex.fao.org/docs/pdf/tuv127524.pdf

  2. “Tuvalu, National Cyber Security Index”

    e-Governance Academy (other) · Title in English

    Dated May 19, 2026 · 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

    https://ncsi.ega.ee/country/tv/

  3. “Health Professionals Act (2022 Revised Edition)”

    Tuvalu Legislation Online (law or regulation) · Title in English

    Dated 2016 · Link checked October 2, 2026 (opened)

    Used for: Getting your full record; Control over who sees it

    https://tuvalu-legislation.tv/cms/images/LEGISLATION/PRINCIPAL/2016/2016-0004/2016-0004_2.pdf

Control over who sees it (1 source)

  1. “Tuvalu's Maternal and Child Health clinic has a new digital health platform”

    Australian High Commission Tuvalu (government guidance) · Title in English

    No date recorded · 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.facebook.com/AusHCfnfu/photos/tuvalus-maternal-and-child-health-clinic-has-a-new-digital-health-platform-the-t/1381003020741966/

Privacy and security (1 source)

  1. “The impact of digital communication and data exchange on primary health service delivery in a small island developing state setting”

    PLOS Digital Health, PMC (other) · Title in English

    Dated October 7, 2022 · Link checked October 2, 2026 (opened)

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

    https://pmc.ncbi.nlm.nih.gov/articles/PMC9931309/

One record across your care (2 sources)

  1. “Implementation Status and Results Report: Tuvalu Health System Strengthening Project (P175170), Seq 9”

    World Bank (international body) · Title in English

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

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

    https://documents1.worldbank.org/curated/en/099092426221038392/pdf/P175170-3a07fa71-ced3-4424-8deb-45c2eea95e0b.pdf

  2. “National Electronic Health Record Coverage in Pacific Island Countries and Territories”

    JMIR, PMC (other) · Title in English

    Dated October 3, 2025 · Link checked October 2, 2026 (opened)

    Used for: One record across your care

    https://pmc.ncbi.nlm.nih.gov/articles/PMC12534756/

Protection from sale and ads (1 source)

  1. “AI regulation in Tuvalu: current approach”

    Levellers.ai (other) · Title in English

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

    Used for: Protection from sale and ads; Rules for AI in your care

    https://www.levellers.ai/what-is/ai-regulation-tuvalu

Your say over research use (2 sources)

  1. “The Pacific Way: advancing ethical research governance in the Pacific islands”

    Lancet Regional Health Western Pacific, PMC (other) · Title in English

    Dated December 11, 2025 · Link checked October 2, 2026 (opened)

    Used for: Your say over research use

    https://pmc.ncbi.nlm.nih.gov/articles/PMC12756169/

  2. “Civil Registration Act (Act 7 of 2025)”

    Tuvalu Legislation Online (law or regulation) · Title in English

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

    Used for: Your say over research use

    https://tuvalu-legislation.tv/cms/images/LEGISLATION/PRINCIPAL/2025/2025-0007/2025-0007_1.pdf

Rules for AI in your care (2 sources)

  1. “Pharmacy and Therapeutic Products Act 2016 (2022 Revised Edition)”

    Tuvalu Legislation Online (law or regulation) · Title in English

    Dated 2016 · Link checked October 2, 2026 (opened)

    Used for: Rules for AI in your care

    https://tuvalu-legislation.tv/cms/images/LEGISLATION/PRINCIPAL/2016/2016-0006/2016-0006_2.pdf

  2. “Digital Health: Peer learning as a tool for change to strengthen Health Information Systems in Tuvalu”

    Pacific Community (international body) · Title in English

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

    Used for: Rules for AI in your care

    https://www.spc.int/updates/blog/2026/01/digital-health-peer-learning-as-a-tool-for-change-to-strengthen-health

Something wrong on this page? Tell us.

Built by SuperTruth, which checks whether a record can be trusted before an AI acts on it. About SuperTruth · How we used AI · Follow changes

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/tuvalu/#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.