Policy brief: Human Rights Implications of Health Care Digitalisation in Kenya

News Update |

This policy brief draws on the key findings of a human rights impact assessment of Digital Health Services to make concrete recommendations for a human rights-based digitalisation of health care services in Kenya.

Drawing on a human rights impact assessment conducted in October-November 2024, the brief shows how the transition from the National Health Insurance Fund (NHIF) to the Social Health Insurance Fund (SHIF) has faced significant challenges that impact the right to health, particularly for vulnerable and marginalised groups and addresses broader concerns as to the role of digitalisation in health care management and its implications for service delivery. 

Notably, Kenya’s journey towards a rights-based digital health system requires a coordinated approach that addresses infrastructure, regulatory enforcement, gender equality, and resource allocation and management. By adopting the recommendations found in this brief, Kenya can create a digital health environment that not only advances healthcare service delivery but also protects, promotes and respects the rights of all its citizens, particularly those most at risk of exclusion.

Read the full policy brief here.

This article was initially published by the Danish Institute for Human Rights on April 02, 2025.

Call for Applications: DPI Journalism Fellowship for Eastern Africa

Call for Applications |

Date of Publication: 1 April 2025.

Application Deadline: 21 April 2025 – 18.00 East African Time.

The Collaboration on International ICT Policy for East and Southern Africa (CIPESA), in partnership with Co-Develop, invites applications for the Digital Public Infrastructure (DPI) Journalism Fellowship for Eastern Africa.

This regional fellowship aims to build a new generation of journalists with the knowledge and skills to investigate and report on Digital Public Infrastructure and Digital Public Goods (DPGs). The fellowship is inspired by a similar Co-Develop-funded initiative implemented by the Media Foundation for West Africa (MFWA), which supported fellows to produce over 100 impactful stories that spurred public debate and influenced policy.

Through rigorous training, mentorship, and financial support, selected journalists will explore the promises, challenges, and lived experiences related to DPI across Eastern Africa.

What is Digital Public Infrastructure?

DPI refers to foundational digital systems and services that enable secure, inclusive, and efficient delivery of both public and private services. These include, among others:

  • Digital ID systems.
  • Instant and interoperable payment platforms.
  • Open data platforms.
  • Data exchange frameworks.
  • e-Government systems.

Well-designed DPI holds transformative potential—but without public understanding and critical engagement, it can also deepen exclusion, surveillance, and limit adoption/uptake.

Fellowship Details

Duration: 6 months (June–December 2025).

Structure:

  • June 2025: Virtual training workshops and editorial guidance.
  • July 2025: Story development and mentoring.
  • August 2025: In-person workshop in Nairobi, Kenya, peer learning, and advanced training.

Outputs: Each Fellow is expected to produce at least three high-quality, published stories on DPI or DPGs during the fellowship.

Benefits

  • A grant of up to USD 1,500 to support story production.
  • Access to reporting grants post-fellowship.
  • Mentorship from senior journalists and digital policy experts.
  • Certificate of Completion.
  • Travel, accommodation, and incidental expenses for the in-person workshop.

Eligibility Criteria

The fellowship is open to journalists based in the following Eastern Africa countries:

Burundi, Democratic Republic of the Congo, Ethiopia, Kenya, Rwanda, Somalia, South Sudan, Tanzania, and Uganda.

Applicants must:

  • Be a practicing journalist with at least three years of professional experience.
  • Demonstrate strong interest or experience in reporting on digital technologies, governance, human rights, or development.
  • Be proficient in English or French. 
  • Be available to fully participate in the three-month fellowship and in post-fellowship activities.
  • Be affiliated with a credible media outlet willing to support their reporting.

Selection Process

The selection will be based on merit and demonstrated interest in DPI-related reporting. The process includes:

  • Initial application screening.
  • Interviews with shortlisted candidates.
  • Final selection by a panel of media and policy experts.
  • Women and early-career journalists are strongly encouraged to apply.

How to Apply

Applicants should complete this form by 21 April 2025.

For more information, please visit: https://cipesa.org or contact programmes@cipesa.org

Protecting Global Democracy in the Digital Age: Insights from PAI’s Community of Practice

By Christian Cardona |

2024 was a historic year for global elections, with approximately four billion eligible voters casting a vote in 72 countries. It was also a historic year for AI-generated content, with a significant presence in elections all around the world. The use of synthetic media, or AI-generated media (visual, auditory, or multimodal content that has been generated or modified via artificial intelligence), can affect elections by impacting voting procedures and candidate narratives, and enabling the spread of harmful content. Widespread access to improved AI applications has increased the quality and quantity of the synthetic content being distributed, accelerating harm and distrust.

As we look toward global elections in 2025 and beyond, it is vital that we recognize one of the primary harms of generative AI in 2024 elections has been the creation of deepnudes of women candidates. Not only is this type of content harmful to the individuals, but also likely creates a chilling effect on female political participation in future elections. The AI and Elections Community of Practice (COP) has provided us with key insights, such as these, and actionable data that can help inform policymakers and platforms as they seek to safeguard future elections in the AI age.

To understand how various stakeholders and actors anticipated and addressed the use of generative AI during elections and are responding to potential risks, the COP provided an avenue for Partnership on AI (PAI) stakeholders to present their ongoing efforts, receive feedback from peers, and discuss difficult questions and tradeoffs when it comes to deploying this technology. In the last three meetings of the eight-part series, PAI was joined by the Center for Democracy & Technology (CDT), the Collaboration on International ICT Policy for East and Southern Africa (CIPESA), and Digital Action to discuss AI’s use in election information and AI regulations in the West and beyond.

Investigating the Spread of Election Information with Center for Democracy & Technology (CDT)

The Center for Democracy & Technology has worked for thirty years to improve civil rights and civil liberties in the digital age, including through almost a decade of research and policy work on trust, security, and accessibility in American elections. In the sixth meeting of the series, CDT provided an inside look into two recent research reports published on the confluence of democracy, AI, and elections.

The first report investigates how chatbots from companies such as OpenAI, Anthropic, MistralAI, and Meta, handle responses to election-based queries, specifically for voters with disabilities. The report found that 61% of responses from chatbots tested provided answers that were insufficient (defined in this report as a response that included one or more of the following: incorrect information, omission of key information, structural issues, or evasion) in at least one of the four ways assessed by the study, including that 41% of the responses contained factual errors, such as incorrect voter registration deadlines. In one case, a chatbot provided information that cited a non-existent law. A quarter of the responses were likely to prevent or dissuade voters with disabilities from voting, raising concerns about the reliability of chatbots in providing important election information.

The second report explored political advertising across social media platforms and how changes in policies at seven major tech companies over the last four years have impacted US elections. As organizations seek more opportunities to leverage generative AI tools in an election context, whether for chatbots or political ads, they must continue investing in research on user safety and implementing evaluation thresholds for deployment, and ensure full transparency on product limitations once deployed.

AI Regulations and Trends in African Democracy with CIPESA

A “think and do tank,” the Collaboration on International ICT Policy for East and Southern Africa focuses on technology policy and practice as it intersects with society, human rights, and livelihoods. In the seventh meeting of the series, CIPESA provided an overview of their work on AI regulations and trends in Africa, touching topics like national and regional AI strategies, and elections and harmful content.

As the use of AI continues to grow in Africa, most AI regulation across the continent focuses on the ethical use of AI and human rights impacts, while lacking specific guidance on the impact of AI on elections. Case studies show that AI is undermining electoral integrity on the continent, distorting public perception given the limited skills of many to discern and fact-check misleading content. A June 2024 report by Clemson University’s Media Forensics Hub found that the Rwandan government used large language models (LLMs) to generate pro-government propaganda during elections in early 2024. Over 650,000 messages attacking government critics, designed to look like authentic support for the government, were sent from 464 accounts.

The 2024 general elections in South Africa saw similar misuse of AI, with AI-generated content targeting politicians and leveraging racial and xenophobic undertones to sway voter sentiment. Examples include a deepfake depicting Donald Trump supporting the uMkhonto weSizwe (MK) party and a manipulated 2009 video of rapper Eminem supporting the Economic Freedom Fighters Party (EFF). The discussion emphasized the need to maintain a focus on AI as it advances in the region with particular attention given to mitigating the challenges AI poses in electoral contexts.

AI tools are lowering the barrier to entry for those seeking to sway elections, whether individuals, political parties, or ruling governments. As the use of AI tools grows in Africa, countries must take steps to implement stronger regulation around the use of AI and elections (without stifling expression) and ensure country-specific efforts are part of a broader regional strategy.

Catalyzing Global AI Change for Democracy with Digital Action

Digital Action is a nonprofit organization that mobilizes civil society organizations, activists, and funders across the world to call out digital threats and take joint action. In the eighth and final meeting in the PAI AI and Elections series, Digital Action shared an overview of the organization’s Year of Democracy campaign. The discussions centered on protecting elections and citizens’ rights and freedoms across the world, as well as exploring how social media content has had an impact on elections.

The main focus of Digital Action’s work in 2024 was supporting the Global Coalition For Tech Justice, which called on Big Tech companies to fully and equitably resource efforts to protect 2024 elections through a set of specific, measurable demands. While the media expected to see very high profile examples of generative AI swaying election results around the world, they instead saw corrosive effects on political campaigning, harms to individual candidates and communities, as well as likely broader harms to trust and future political participation.

Many elections around the world were impacted by AI-generated content being shared on social media, including Pakistan, Indonesia, India, South Africa and Brazil, with minorities and female political candidates being particularly vilified. In Brazil, deepnudes appeared on a social media platform and adult content websites depicting two female politicians in the leadup to the 2024 municipal elections. While one of the politicians took legal action, the slow pace of court processes and lack of proactive steps by social media platforms prevented a timely fix.

To mitigate future harms, Digital Action called for each Big tech company to establish and publish fully and equitably resourced Action Plans (globally and for each country holding elections). By doing so, tech companies can provide greater protection to groups, such as female politicians, that are often at risk during election periods.

What’s To Come

PAI’s AI and Elections COP series has concluded after eight convenings with presentations from industry, media, and civil society. Over the course of the year, presenters provided attendees with different perspectives and real-world examples on how generative AI has impacted global elections, as well as how platforms are working to combat harm from synthetic content.

Some of key takeaways from the series include:

  1. Down-ballot candidates and female politicians are more vulnerable to the negative impacts of generative AI in elections. While there were some attempts to use generative AI to influence national elections (you can read more about this in PAI’s case study), down-ballot candidates were often more susceptible to harm than nationally-recognized ones. Often, local candidates with fewer resources were unable to effectively combat harmful content. Deepfakes were also shown to prevent increased participation of female politicians in some general elections.
  2. Platforms should dedicate more resources to localizing generative AI policy enforcement. Platforms are attempting to protect users from harmful synthetic content by being transparent about the use of generative AI in election ads, providing resources to elected officials to tackle election-related security challenges, and adopting many of the disclosure mechanisms recommended in PAI’s Synthetic Media Framework. However, they have fallen short in localizing enforcement policies with a lack of language support and in-country collaboration with local governments, civil society organizations, and community organizations that represent minority and marginalized groups such as persons with disabilities and women. As a result, generative AI has been used to cause real-world harm before being addressed.
  3. Globally, countries need to adopt more coherent regional strategies to regulate the use of generative AI in elections, balancing free expression and safety. In the U.S., a lack of federal legislation on the use of generative AI in elections has led to various individual efforts from states and industry organizations. As a result, there is a fractured approach to keeping users safe without a cohesive overall strategy. In Africa, attempts by countries to regulate AI are very disparate. Some countries such as Rwanda, Kenya, and Senegal have adopted AI strategies that emphasize infrastructure and economic development but fail to address ways to mitigate risks that generative AI presents in free and fair elections. While governments around the world have shown some initiative to catch up, they must work with organizations, both at the industry and state level, to implement best practices and lessons learned. These government efforts cannot exist in a vacuum. Regulations must cohere and contribute to broader global governance efforts to regulate the use of generative AI in elections while ensuring safety and free speech protections.

While the AI and Elections Community of Practice has come to an end, we continue to push forward in our work to responsibly develop, create, and share synthetic media.

This article was initially published by Partnership on AI on March 11, 2025

Advancing Advocacy and Awareness on Digital Rights for Businesses in Uganda

By Nadhifah Muhammad and Tendo Racheal |

Imagine running a business in today’s fast-paced digital world, where almost everything from customer data, marketing to financial transactions happening online. Now, imagine having little or no knowledge on how to protect that data, relevant laws and regulations or worse, unknowingly violating digital rights. That is the reality for many businesses in Uganda today. 

Data protection, data privacy, cybersecurity, and surveillance are not just techy buzzwords, they’re essential to building a safe and inclusive digital economy. Yet, many small and medium enterprises (SMEs), which account for 90% of Uganda’s private sector, either do not fully understand responsible digital practices or lack the tools to do so.

That’s where the Advancing Respect for Human Rights by Businesses in Uganda (ARBHR) project comes in. With support from Enabel and the European Union, the Collaboration on International ICT Policy for East and Southern Africa (CIPESA) is co-implementing this project which seeks to reduce human rights abuses connected to business activities in Uganda, particularly those impacting women and children. 

Among others, CIPESA is working to raise awareness on digital rights in the business context. As businesses increasingly rely on digital technologies to operate and innovate, their role in upholding digital rights becomes paramount. Yet many Ugandan businesses, particularly SMEs, lack a comprehensive understanding of digital rights principles and their obligations in upholding them. 

Early this year, CIPESA published a call for applications to the Civil Society (CSO) Fund for entities interested in championing digital rights in the business sector. Six CSOs were selected under the competitive process and, together with four innovation hubs, SME, employer and employee associations, will be supported to implement awareness-raising activities. These include Evidence and Methods Lab, Boundless Minds, Wakiso District Human Rights Committee, Media Focus on Africa Uganda, Girls for Climate Action, Recreation for Development and Peace Uganda, Private Sector Foundation Uganda, Federation of Uganda Employers and The Innovation Village.

To ensure that the partners effectively undertake their interventions, CIPESA convened a three-day bootcamp on March 4–8, 2025 aimed at enhancing their knowledge and skills in implementing awareness raising and advocacy campaigns as part of advancing the business and human rights agenda. The bootcamp brought together 35 participants. 

Key topics of discussion included Trends in Business and Digital Rights in Uganda, such as Privacy and Data Protection, Cybersecurity, Inclusion and Labour Rights; Impact Communications and Storytelling for Awareness and Advocacy; as well as Digital Content Creation.

The discussions were framed under the Uganda National Action Plan on Business and Human Rights (NAPBHR), which seeks to protect human rights, enhance corporate digital responsibility to respect human rights, and ensure access to remedy for victims of human rights violations and abuses resulting from non-compliance by business entities in the country.

The project is very timely to create more awareness on business and human rights issues especially in regards to labour rights, effective redress mechanisms for BHR [Business and Human Rights] violations and engendering of digital rights. –  Training Participant

Uganda’s ARBHR aligns with the United Nations Guiding Principles on Business and Human Rights (UNGPs), which outline the corporate responsibility to respect, protect, and remedy human rights abuses in business operations. By equipping businesses with the knowledge and tools to integrate digital rights into their policies and practices, the ARBHR project is contributing to a global movement that ensures businesses operate ethically, respect fundamental freedoms, and uphold human dignity in the digital space. 

For Uganda’s business sector to thrive in a digitally connected world, businesses must align with these principles, creating a culture where human rights are not an afterthought but a core business responsibility. 

Therefore, as partners roll out their awareness raising action plans over the next eight months, it is envisaged that over 200,000 individuals will be reached in the regions of Albertine, Busoga and Kampala Metropolitan. Through radio talk shows, skits, social media campaigns, community meetings, capacity building trainings, visualised Information, Education, and Communication (IEC) products, and digital clinics, these stakeholders will have enhanced appreciation of digital rights protection to foster a more informed and active community of advocates for rights-respecting practices among businesses in Uganda. 

So, if you’re a business owner, a CSO representative, or just someone passionate about digital rights, this is your chance to be part of something bigger. Join the conversation, and let’s build a digital future we can all trust.

CIPESA and Partners Advocate for Inclusion of Technology-Facilitated Gender-Based Violence in Uganda’s Sexual Offences Bill

By Ainembabazi Patricia |

On February 18, 2025, the Collaboration on International ICT Policy for East and Southern Africa (CIPESA) alongside Pollicy and the Gender Tech Initiative appeared before Members of Uganda’s Parliament to advocate for the inclusion of Technology-Facilitated Gender-Based Violence (TFGBV) in the Sexual Offences Bill 2024.

The rapid evolution of digital technologies has reshaped societal interactions, leading to increased perpetration of online violence. In Uganda, online users increasingly face digital forms of abuse that often mirror or escalate offline sexual offences, yet efforts to combat gender-based violence are met with both legal and practical challenges.

The Sexual Offences Bill aims to address sexual offences by providing for the effectual prevention of sexual violence, enhancement of the punishment of sexual offenders, providing for the protection of victims during trial of sexual offences, and providing for extra-territorial application of the law.

In the presentation to Committee of Legal and Parliamentary Affairs and the Committee on Gender, Labour, and Social Development, CIPESA and partners emphasised the necessity of closing the policy gap between digital and physical sexual offenses in the Bill, to ensure that Uganda’s legal system is responsive to the realities of technology advancements and related violence. We argued that while the Bill is timely and presents real issues of sexual violence especially against women, there are some pertinent aspects that have been left out and should be included.

According to the United Nations Population Fund (UNFPA), TFGBV is “an act of violence perpetrated by one or more individuals that is committed, assisted, aggravated, and amplified in part or fully by the use of information and communication technologies or digital media, against a person on the basis of their gender.” It includes cyberstalking, doxing, non-consensual sharing of intimate images, cyberbullying, and other forms of online harassment.

In Uganda, TFGBV is not addressed by the existing laws including the Penal Code Act and the Computer Misuse Act. Adding TFGBV to the bill will provide an opportunity to bridge this legal gap by explicitly incorporating TFGBV as a prosecutable offence.

CIPESA and partners’ recommendations to the Committees were to:

1. Include and Explicitly Define TFGBV

Under Part I (Preliminary), the Bill provides definitions for various terms related to sexual offences, including references to digital and online platforms. However, it does not explicitly define TFGBV or recognise its various manifestations. This omission limits the Bill’s effectiveness in addressing emerging forms of online sexual offences.

We propose an introduction of a new clause under Part I defining TFGBV, to ensure the Bill adequately addresses offences committed via digital means. The definition should align with international standards, such as the UNFPA’s definition of TFGBV, and should ensure consistency with Uganda’s digital policy frameworks, including the Constitution of the Republic of Uganda 1995, the Data Protection and Privacy Act, 2019, the Computer Misuse (Amendment) Act 2022, Penal Code Act Cap 120, and the Uganda Communications Act 2013.

2. Recognising Various Forms of TFGBV

Clause 7 of the Bill provides for the penalisation of Indecent Communication or transmission of sexual content without consent. It criminalises the sharing of unsolicited material of a sexual nature, including the unauthorised distribution of nude images or videos. However, the provision does not explicitly mention cyber harassment, online grooming, sextortion, or non-consensual intimate image sharing (commonly known as “revenge porn”).  As such, we recommended the expansion of Clause 7 to explicitly recognise and define offences such as Cyber harassment, Non-consensual intimate image sharing, Online grooming, and Sextortion. This addition will clarify legal pathways for victims and broaden the scope of protection against digital sexual exploitation. 

3. Replacing “Online Platform” with “Technology-Facilitated Gender-Based Violence”

In clause 1 the Bill defines “on-line platform” as any computer-based technology that facilitates the sharing of information, ideas, or other forms of expression. This encompasses social media sites, websites, and other digital communication tools. Clause 6 addresses the offense of indecent exposure, criminalising the intentional display of one’s sexual organs in public or through electronic means, including online platforms and clause 7 pertains to the non-consensual sharing of intimate content. However, these provisions do not comprehensively categorise TFGBV as a distinct form of sexual offences. Accordingly, “Online Platform” should be replaced with “Technology-Facilitated Gender-Based Violence” to ensure the Bill adequately captures all digital gender-based offences, including deepfake pornography, cyberstalking, and sexual exploitation through content generated by artificial intelligence.

4. Criminalising Voyeurism

The Bill does not explicitly criminalise voyeurism, which refers to the act of secretly observing, recording, or distributing images or videos of individuals in private settings without their consent, often for sexual gratification. Thee is increasing prevalence of voyeurism through hidden cameras, non-consensual recordings, and live-streamed sexual abuse.  Voyeurism should be criminalised with a clear definition provided under clause 1 and the scope and penalty defined under Part II of the Bill.

5. Strengthening Accountability for Technology Platforms

The Bill does not impose specific responsibilities on digital platforms and service providers in cases of TFGBV. We argued for the addition of a new clause under Part III (Procedures and Evidential Provisions) mandating digital platforms and service providers to cooperate in investigations related to TFGBV, and provide relevant data and evidence upon request by law enforcement. Similarly,  the provision should expand into the obligation to ensure data protection compliance and  implementation of proactive measures to detect, remove, and report sexual exploitation content.  This provision will enhance accountability and facilitate the prosecution of perpetrators. 

6. Aligning Uganda’s Legislation with Regional and International Frameworks

The Bill does not explicitly state its alignment with regional and international human rights instruments addressing sexual violence and digital rights.  We recommend an addition of a new clause under Part I (Preliminaries) stating that the Bill shall be interpreted in a manner that aligns with the African Commission on Human and Peoples’ Rights (ACHPR) Resolution 522 (2022) and the Convention on the Elimination of All Forms of Discrimination Against Women (CEDAW). This will reinforce Uganda’s commitment to and application of international best practices in combating sexual offences. 

7. Enhancing Legal Remedies for Survivors

Clause 42 (Settlement in Capital Sexual Offences) prohibits compromise settlements in cases of rape, aggravated rape, and defilement, prescribing a 10-year prison sentence for offenders who attempt to settle such cases outside court. However, the Bill does not provide civil remedies for victims of TFGBV-related crimes, nor does it ensure access to psycho-social support.  We recommend an expansion of Clause 42 to include  civil remedies, including compensation for victims of TFGBV, psychosocial and legal support, ensuring survivors receive necessary rehabilitation, and mandatory reporting obligations for online platforms hosting TFGBV-related content. 

The inclusion of TFGBV in the Sexual Offences Bill 2024 will not only strengthen the fight against gender-based violence but also ensure that survivors access justice. The proposed legislative changes will reinforce Uganda’s commitment to upholding digital rights and gender equality in the digital age. The country will also join the ranks of pioneers such as South Africa who have taken legislative steps to criminalise online gender-based violence.

By incorporating the proposed provisions and amendments, the Sexual Offences Bill, 2024 will clearly define online-based sexual offenses, bring perpetrators of online violence to book and provide protection for survivors of digital sexual offences. It will also contribute to the building and strengthening of accountability for technology platforms. Once enacted, the law will also go strides in ensuring that Uganda’s legal framework aligns with regional and international human rights standards on protection of survivors while guaranteeing effective prosecution of offenders of technology-facilitated sexual offences.

Download the Full report here