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Africa's First Healthcare Cybersecurity Framework

The National Healthcare Privacy & Cybersecurity Framework brings 5 pillars and 49 controls to protect patient data across Nigeria's health institutions, from rural clinics to teaching hospitals.

Why This Framework

Nigeria's data protection laws tell healthcare institutions what to do. They do not tell them how. The NDPA 2023 and its General Application and Implementation Directive (GAID) set broad requirements, but hospitals, clinics, and health-tech vendors need sector-specific, operationally detailed guidance.

The Regulatory Gap

The GAID 2025 mentions "vulnerability tests of databases" as a single line item. This framework dedicates full controls to internal vulnerability scanning, external penetration testing, application security testing, and medical device security, each with frequency, qualification, and remediation requirements.

Healthcare-Specific

General frameworks were not built for clinical workflows, shared-device environments, emergency access overrides, medical record retention rules, or the unique interoperability demands of HL7 and FHIR. This one was.

Legally Grounded

Anchored in the Nigeria Data Protection Act 2023, the National Health Act 2014, the 1999 Constitution (Section 37), and the NDPC's GAID 2025 as interpretive guidance. Built for the Nigerian legal landscape, not copied from HIPAA or ISO 27001.

Operationally Actionable

49 controls with tiered implementation levels, clear evidence requirements, and specific technical standards. Not principles on paper, but a control matrix hospitals can actually follow.

The 5 Pillars

The framework is organised into five pillars that cover the full spectrum of healthcare data protection and cybersecurity.

1

Governance, Roles & Accountability

Establishes clear ownership of cybersecurity within health institutions. Defines the responsibilities of Chief Compliance Officers, Data Protection Officers, data controllers, processors, and the broader workforce. Every role has specific, documented obligations so that accountability is never ambiguous.

CCO & DPO Roles Workforce Obligations Policy Framework
2

Risk Management & Security Operations

Covers the operational backbone of healthcare cybersecurity: risk assessments, network segmentation, access control, endpoint and medical device security, vulnerability scanning, external penetration testing by certified professionals, incident response, and vendor risk management. This is where the 49-control matrix lives.

Penetration Testing Incident Response Vendor Risk Medical Device Security
3

Technical Safeguards & Data Lifecycle

Addresses how health data is collected, processed, stored, shared, and eventually disposed of. Includes encryption standards, backup and recovery procedures, access logging, data minimisation principles, and retention schedules aligned with clinical and legal requirements.

Encryption Backup & Recovery Data Retention Access Logging
4

Interoperability & Cross-Border Data Flows

Tackles the growing need for health data exchange between institutions, across state lines, and beyond national borders. Covers FHIR and HL7 standards, API security, unique patient identifiers, Health Information Exchange (HIE) trust frameworks, and cross-border transfer safeguards under the NDPA.

FHIR / HL7 API Security HIE Trust Framework Cross-Border Transfers
5

AI & Automated Decision-Making in Healthcare

Addresses the rapid adoption of AI in diagnostics, treatment planning, and administrative healthcare functions. Requires an AI registry, validation protocols, human-in-the-loop safeguards, bias monitoring, and procurement standards to ensure automated decisions affecting patient care are transparent and accountable.

AI Registry Validation Protocols Human-in-the-Loop Bias Monitoring

Implementation Tiers

A rural clinic cannot be held to the same standard as a federal teaching hospital. The framework uses a tiered model so that every health institution has a realistic, achievable path to compliance.

Primary

Clinics & Small Health Facilities

  • Baseline controls focused on foundational security hygiene
  • Annual internal vulnerability scanning
  • Induction training and annual refresher programmes
  • Basic vendor due diligence and data protection agreements
  • External penetration testing recommended (not mandatory)

Secondary

General & Specialist Hospitals

  • Enhanced controls with standardised security modules
  • Quarterly vulnerability scanning
  • Annual external penetration testing by a certified firm
  • Annual SAST/DAST for applications by approved organisations
  • Phishing simulations and structured training programmes
  • Risk-classified vendor register with DDQ assessments

Tertiary

Teaching Hospitals & Federal Medical Centres

  • Advanced controls including SIEM, PAM, and zero-trust principles
  • Continuous vulnerability scanning and monitoring
  • Bi-annual penetration testing by OSCP/CPTS-certified testers
  • Remediation tracking with defined SLAs
  • LMS-driven training curricula with KPI reporting
  • Comprehensive vendor lifecycle management and audit rights

Built by Practitioners

This framework was not written by policy consultants working from templates. It was developed by ClarenSec, an offensive security firm that tests the defences of healthcare institutions, financial organisations, and government agencies across Africa.

Our team includes senior penetration testers who have assessed hospital networks, health-tech platforms, and clinical systems firsthand. We understand the operational realities: shared workstations on busy wards, underfunded IT departments, legacy systems that cannot be patched overnight, and the constant tension between clinical access and security controls.

That practical experience is what makes this framework different. Every control was written with implementation in mind, not just compliance on paper.

Want to Learn More?

The National Healthcare Privacy & Cybersecurity Framework is coming soon. If you are a healthcare institution, regulator, or health-tech vendor interested in early access or collaboration, we would like to hear from you.

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