Countries in Africa spend significant amounts of their GDP on delivering health services through systems that are often inefficient, costly and lacking in transparency. Information and communication technologies (ICTs) have the potential to transform the delivery of health services across the continent in ways that not only increase efficiency but also improve accountability (World Bank, 2004). ICTs present a large, unexploited potential for transforming governance and transparency in the health sector in Africa to achieve ‘more health for money spent’ and thereby improve the efficiency of health spending, both domestic- and donor-financed. ICTs present a large, unexploited potential for transforming governance and transparency in the health sector in Africa to achieve ‘more health for money spent’ and thereby improve the efficiency of health spending, both domestic, and donor-financed.