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Adam,<br>
You read my mind! While data interoperability is absolutely crucial in the health sector, there is need to have proper Data Governance regulations and policies. Some of the provisions that should stand out in such regulations are the consequences of misuse
of such data and a proper evidence collection procedure. Guidelines on the minimum standards in healthcare data handling should also provided.<br>
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The conversation should start with Kenya Medical and Dentist Board.<br>
<br>
Fiona Makaka<br>
Associate - Telecommunications, Media and Technology<br>
fmakaka@tripleoklaw.com<br>
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Going Over and Above<br>
ACK Garden House, 5th Floor, Wing C<br>
First Ngong Avenue, off Bishops Road,<br>
P. O. Box 43170 - 00100, Nairobi, KE<br>
Pilot Telephone: +254 20 272 7171<br>
Email: info@tripleoklaw.com<br>
Web: www.tripleoklaw.com<br>
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<div id="divRplyFwdMsg" dir="ltr"><font face="Calibri, sans-serif" style="font-size:11pt" color="#000000"><b>From:</b> kictanet <kictanet-bounces+fmakaka=tripleoklaw.com@lists.kictanet.or.ke> on behalf of Adam Lane via kictanet <kictanet@lists.kictanet.or.ke><br>
<b>Sent:</b> Wednesday, July 4, 2018 11:41:31 AM<br>
<b>To:</b> Fiona Makaka<br>
<b>Cc:</b> Adam Lane; kictanet@lists.kictanet.or.ke<br>
<b>Subject:</b> Re: [kictanet] Sh4.7 billion health data technology in limbo</font>
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<p class="x_MsoNormal"><span style="font-size:11.0pt; font-family:"Calibri",sans-serif; color:#1F497D">Ali</span></p>
<p class="x_MsoNormal"><span style="font-size:11.0pt; font-family:"Calibri",sans-serif; color:#1F497D"> </span></p>
<p class="x_MsoNormal"><span style="font-size:11.0pt; font-family:"Calibri",sans-serif; color:#1F497D">Aside from the data center hardware issue, you are right that the regulations are indeed very important. There needs to be clarity on who owns, controls,
accesses, gives permission and uses what data and in what circumstances and for what purpose.. from the patients to local doctors to remote doctors to IT support staff to medical equipment management staff and beyond. I fully agree.</span></p>
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<p class="x_MsoNormal"><span style="font-size:11.0pt; font-family:"Calibri",sans-serif; color:#1F497D">Adam</span></p>
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<p class="x_MsoNormal"><b><span style="font-size:11.0pt; font-family:"Calibri",sans-serif">From:</span></b><span style="font-size:11.0pt; font-family:"Calibri",sans-serif"> Ali Hussein [mailto:ali@hussein.me.ke]
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<b>Sent:</b> Wednesday, July 04, 2018 11:23 AM<br>
<b>To:</b> Adam Lane <adam.lane@huawei.com><br>
<b>Cc:</b> kictanet@lists.kictanet.or.ke<br>
<b>Subject:</b> Re: [kictanet] Sh4.7 billion health data technology in limbo</span></p>
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<p class="x_MsoNormal"><span style="font-family:"Georgia",serif">Adam</span></p>
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<p class="x_MsoNormal"><span style="font-family:"Georgia",serif">Don't lose my point. It is super important. Under what law or regulation are we going to move around sensitive health data? This country needs to do a refresh and reboot and stop Procurement Driven
tenders. </span></p>
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<p style="margin:0in; margin-bottom:.0001pt"><b><span style="font-size:10.0pt; font-family:"Georgia",serif">Ali Hussein</span></b></p>
<p style="margin:0in; margin-bottom:.0001pt"><b><span style="font-size:10.0pt; font-family:"Georgia",serif">Principal</span></b></p>
<p style="margin:0in; margin-bottom:.0001pt"><b><span style="font-size:10.0pt; font-family:"Georgia",serif">AHK & Associates</span></b></p>
<p style="margin:0in; margin-bottom:.0001pt"><span style="font-size:10.0pt"> </span></p>
<p style="margin:0in; margin-bottom:.0001pt"><span style="font-size:10.0pt; font-family:"Georgia",serif">Tel: +254 713 601113</span></p>
<p style="margin:0in; margin-bottom:.0001pt"><span style="font-size:10.0pt; font-family:"Georgia",serif">Twitter: @AliHKassim</span></p>
<p style="margin:0in; margin-bottom:.0001pt"><span style="font-size:10.0pt; font-family:"Georgia",serif">Skype: abu-jomo</span></p>
<p style="margin:0in; margin-bottom:.0001pt"><span style="font-size:10.0pt; font-family:"Georgia",serif">LinkedIn:
<a href="http://ke.linkedin.com/in/alihkassim" target="_blank">http://ke.linkedin.com/in/alihkassim</a></span></p>
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<p style="margin:0in; margin-bottom:.0001pt; background-image:initial; background-position:initial; background-repeat:initial">
<span style="font-size:9.0pt; font-family:"Georgia",serif; color:black">13th Floor , Delta Towers, Oracle Wing,</span></p>
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<span style="font-size:9.0pt; font-family:"Georgia",serif; color:black">Chiromo Road, Westlands,</span></p>
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<span style="font-size:9.0pt; font-family:"Georgia",serif; color:black">Nairobi, Kenya.</span></p>
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</span><span style="font-size:7.5pt; font-family:"Georgia",serif">Any information of a personal nature expressed in this email are purely mine and do not necessarily reflect the official positions of the organizations that I work with.</span>
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<p class="x_MsoNormal">On Wed, Jul 4, 2018 at 10:42 AM, Adam Lane <<a href="mailto:adam.lane@huawei.com" target="_blank">adam.lane@huawei.com</a>> wrote:</p>
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<p class="x_MsoNormal">Hi Ali<br>
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I'm not sure I can comment on the data centre specifically, but I believe the project is much more than that. It is about the medical records software, servers and connectivity at the 98 hospitals so they can send radiology images to be viewed remotely (at
KNH). The data centre at KNH would be to store images there and provide remote diagnosis.<br>
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Adam</p>
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<p class="x_MsoNormal" style="line-height:15.0pt; word-break:break-all"><b><span style="font-size:10.5pt">From:</span></b><span style="font-size:10.5pt">Ali Hussein</span></p>
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<p class="x_MsoNormal" style="line-height:15.0pt; word-break:break-all"><b><span style="font-size:10.5pt">To:</span></b><span style="font-size:10.5pt">KICTAnet ICT Policy Discussions</span></p>
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<p class="x_MsoNormal" style="line-height:15.0pt; word-break:break-all"><b><span style="font-size:10.5pt">Cc:</span></b><span style="font-size:10.5pt">Adam Lane</span></p>
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<p class="x_MsoNormal" style="line-height:15.0pt; word-break:break-all"><b><span style="font-size:10.5pt">Date:</span></b><span style="font-size:10.5pt">2018-07-04 10:34:10</span></p>
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<p class="x_MsoNormal" style="line-height:15.0pt; word-break:break-all"><b><span style="font-size:10.5pt">Subject:</span></b><span style="font-size:10.5pt">Re: [kictanet] Sh4.7 billion health data technology in limbo</span></p>
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<p class="x_MsoNormal">Honestly guys I think this whole conversation is missing the point.
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<p style="margin:0in; margin-bottom:.0001pt"><span style="font-family:"Helvetica",sans-serif">Does the country need more Data Centres? I bet you between Angani, Node Africa, Safaricom and East Africa Data Centre we can house ALL the data we have. And then some.
I challenge ANYONE to contradict me with numbers. </span><span style="font-size:9.0pt; font-family:"Helvetica",sans-serif"></span></p>
<p style="margin:0in; margin-bottom:.0001pt"><span style="font-size:9.0pt; font-family:"Helvetica",sans-serif"> </span></p>
<p style="margin:0in; margin-bottom:.0001pt"><span style="font-family:"Helvetica",sans-serif">What is the current capacity visavis usage? </span><span style="font-size:9.0pt; font-family:"Helvetica",sans-serif"></span></p>
<p style="margin:0in; margin-bottom:.0001pt"><span style="font-size:9.0pt; font-family:"Helvetica",sans-serif"> </span></p>
<p style="margin:0in; margin-bottom:.0001pt"><span style="font-family:"Helvetica",sans-serif">Anyone has those numbers? </span><span style="font-size:9.0pt; font-family:"Helvetica",sans-serif"></span></p>
<p style="margin:0in; margin-bottom:.0001pt"><span style="font-size:9.0pt; font-family:"Helvetica",sans-serif"> </span></p>
<p style="margin:0in; margin-bottom:.0001pt"><span style="font-family:"Helvetica",sans-serif">What is more urgent? Policy driven reform of the health sector? Health Information and Portability legislation or more Hardware? </span><span style="font-size:9.0pt; font-family:"Helvetica",sans-serif"></span></p>
<p style="margin:0in; margin-bottom:.0001pt"><span style="font-size:9.0pt; font-family:"Helvetica",sans-serif"> </span></p>
<p style="margin:0in; margin-bottom:.0001pt"><span style="font-family:"Helvetica",sans-serif">Let us be serious as a country and stop this rubbish of Procurement Driven G2C Services as opposed to Service Driven. We are mortgaging this country for nonsensical
projects.</span><span style="font-size:9.0pt; font-family:"Helvetica",sans-serif"></span></p>
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<p class="x_MsoNormal"><b>Ali Hussein</b></p>
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<p class="x_MsoNormal"><b>Principal</b></p>
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<p class="x_MsoNormal"><b>AHK & Associates</b></p>
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<p class="x_MsoNormal"><span style="font-size:13.5pt; font-family:"Helvetica",sans-serif">+254 0713 601113 </span></p>
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<p style="margin:0in; margin-bottom:.0001pt">Twitter: @AliHKassim</p>
<p style="margin:0in; margin-bottom:.0001pt">Skype: abu-jomo</p>
<p style="margin:0in; margin-bottom:.0001pt">LinkedIn: <a href="http://ke.linkedin.com/in/alihkassim" target="_blank">http://ke.linkedin.com/in/alihkassim</a></p>
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<p class="x_MsoNormal">"We are what we repeatedly do. Excellence, therefore, is not an act but a habit." ~ Aristotle</p>
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<p class="x_MsoNormal">Sent from my iPad</p>
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On 4 Jul 2018, at 10:02 AM, Adam Lane via kictanet <<a href="mailto:kictanet@lists.kictanet.or.ke" target="_blank">kictanet@lists.kictanet.or.ke</a>> wrote:</p>
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<p class="x_MsoNormal" style="background:white"><span style="font-size:11.0pt; font-family:"Calibri",sans-serif; color:#1F497D">Hi James</span></p>
<p class="x_MsoNormal" style="background:white"><span style="font-size:11.0pt; font-family:"Calibri",sans-serif; color:#1F497D">Just to clarify, I’m not blaming anyone or commenting on any implementor, just sharing the business daily article as it is pertinent
to the previous conversation, and also sharing my opinion on the KNH tender document itself.</span></p>
<p class="x_MsoNormal" style=""><span style="font-size:11.0pt; font-family:"Calibri",sans-serif; color:#1F497D">Adam</span></p>
<p class="x_MsoNormal" style=""><span style="font-size:11.0pt; font-family:"Calibri",sans-serif; color:#1F497D"> </span></p>
<p class="x_MsoNormal" style=""><b><span style="font-size:11.0pt; font-family:"Calibri",sans-serif">From:</span></b><span style="font-size:11.0pt; font-family:"Calibri",sans-serif"> James Muritu [<a href="mailto:james.muritu@gmail.com" target="_blank">mailto:james.muritu@gmail.com</a>]
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<b>Sent:</b> Wednesday, July 04, 2018 9:59 AM<br>
<b>To:</b> KICTAnet ICT Policy Discussions <<a href="mailto:kictanet@lists.kictanet.or.ke" target="_blank">kictanet@lists.kictanet.or.ke</a>><br>
<b>Cc:</b> Adam Lane <<a href="mailto:adam.lane@huawei.com" target="_blank">adam.lane@huawei.com</a>><br>
<b>Subject:</b> Re: [kictanet] Sh4.7 billion health data technology in limbo</span></p>
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<p class="x_MsoNormal" style="">Dear Listers,</p>
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<p class="x_MsoNormal" style="">I would be hesitant to blindly blame HCIT Implementor on this project delivery saga and it's key we think beyond the parameters coming to the fore. I have seen a typical case in Kenya of the Systems Implementer being blamed whilst
forgetting about other forces that might be at play behind the scenes. For one, KNH is a parastatal that would want to flex muscle vis a vis getting orders from MOH. Secondly, there could be a case of vested interests, as typical with a myriad of public sector
projects in Kenya. Let's think beyond what's being propagated out there by the media.</p>
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<p class="x_MsoNormal" style="">James Muritu,</p>
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<p class="x_MsoNormal" style="">ICT Consultant, Program Director, Fintechprenuer</p>
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<p class="x_MsoNormal" style="">On Wed, Jul 4, 2018 at 8:50 AM, Adam Lane via kictanet <<a href="mailto:kictanet@lists.kictanet.or.ke" target="_blank">kictanet@lists.kictanet.or.ke</a>> wrote:</p>
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<p class="x_MsoNormal" style="background:white"><span style="font-size:11.0pt; font-family:"Calibri",sans-serif; color:#1F497D">According to Business Daily today, it is because of this HCIT project that KNH cancelled their recent IT tender, even though it is
not clear that the HCIT project is going ahead. </span></p>
<p class="x_MsoNormal" style="background:white"><span style="font-size:11.0pt; font-family:"Calibri",sans-serif; color:#1F497D"> </span></p>
<p class="x_MsoNormal" style="background:white"><span style="font-size:11.0pt; font-family:"Calibri",sans-serif; color:#1F497D">On another note the KNH tender document was almost impossible for anyone to deliver on, was too ambitious and almost unachievable.
If such a system could do everything they wanted it would arguably be very (too) expensive!</span></p>
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<p class="x_MsoNormal" style="background:white"><span style="font-size:11.0pt; font-family:"Calibri",sans-serif; color:#1F497D">Adam</span></p>
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<p class="x_MsoNormal" style=""><b><span style="font-size:11.0pt; font-family:"Calibri",sans-serif">From:</span></b><span style="font-size:11.0pt; font-family:"Calibri",sans-serif"> kictanet [mailto:<a href="mailto:kictanet-bounces%2Badam.lane" target="_blank">kictanet-bounces+adam.lane</a>=<a href="mailto:huawei.com@lists.kictanet.or.ke" target="_blank">huawei.com@lists.kictanet.or.ke</a>]
<b>On Behalf Of </b>David Indeje via kictanet<br>
<b>Sent:</b> Wednesday, June 27, 2018 6:02 PM<br>
<b>To:</b> Adam Lane <<a href="mailto:adam.lane@huawei.com" target="_blank">adam.lane@huawei.com</a>><br>
<b>Cc:</b> David Indeje <<a href="mailto:davidindeje@gmail.com" target="_blank">davidindeje@gmail.com</a>><br>
<b>Subject:</b> Re: [kictanet] Sh4.7 billion health data technology in limbo</span></p>
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<p>Health care is a devolved function in Kenya. However, certain health service remain the role of the national government and these include; health policy, financing, national referral hospitals, quality assurance and standards, health information, communication
and technology, national public health laboratories, public-private partnerships, monitoring and evaluation, planning and budgeting for national health service and maintenance of services provided by Kenya Medical Supplies Agency, National hospital Insurance
Fund, Kenya Medical Training College and Kenya Medical Research Institute.</p>
<p>In the devolved government, the <a href="https://www.google.com/url?sa=t&rct=j&q=&esrc=s&source=web&cd=2&cad=rja&uact=8&ved=0ahUKEwjxzK_5_pfWAhVEXRQKHW0CDfMQFgguMAE&url=http%3A%2F%2Fpublications.universalhealth2030.org%2Fref%2Fd6e32af10e5c515876d34f801774aa9a&usg=AFQjCNHtt1vGOai9uOmg6Z1ztEaXZixZ2w" target="_blank">Kenya
Health Policy 2014-2030</a>provides guidance to the health sector in terms of identifying and outlining the requisite activities in achieving the government’s health goals.</p>
<p>It provides an institutional framework and structure that specifies the new institutional and management arrangements required under the devolved system.</p>
<p>It also acknowledges the need for new governance and management arrangements at both levels of government and outlines governance objectives as delivery of efficient, cost effective and equitable health services, devolution of health service delivery, administration
and management to the community level, stakeholder participation and accountability in health service delivery.</p>
<p>However, it has proven difficult to smoothly devolve these functions.</p>
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<p class="x_MsoNormal" style="">On Mon, 25 Jun 2018 4:41 pm Peter Wakaba via kictanet, <<a href="mailto:kictanet@lists.kictanet.or.ke" target="_blank">kictanet@lists.kictanet.or.ke</a>> wrote:</p>
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<p class="x_MsoNormal" style=""><span style="font-family:"Trebuchet MS",sans-serif">And isn't health supposed to be a devolved function?</span></p>
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<p class="x_MsoNormal" style="">On Mon, Jun 25, 2018 at 2:22 PM, Barrack Otieno via kictanet <<a href="mailto:kictanet@lists.kictanet.or.ke" target="_blank">kictanet@lists.kictanet.or.ke</a>> wrote:</p>
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<p class="x_MsoNormal" style="">Listers,</p>
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<p class="x_MsoNormal" style="">It would be interesting for us to understand this project. In light of the fact that we have NOFBI in place what are the components of this project? i also think the project requires a data protection framework since it will
be dealing with Health information which is really personal. My question is has the ministry of ICT or ICTA been involved in any way to shed some light on the project.</p>
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<p class="x_MsoNormal" style="">I don't think this kind of project should just be left to the Ministry of Health, no wonder based on the article the contractor is facing many challenges that should have been taken care of during the System Analysis and Design
process.</p>
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<p class="x_MsoNormal" style="">My two cents</p>
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<p class="x_MsoNormal" style="">On Mon, Jun 25, 2018 at 10:46 AM, Grace Bomu via kictanet <<a href="mailto:kictanet@lists.kictanet.or.ke" target="_blank">kictanet@lists.kictanet.or.ke</a>> wrote:</p>
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<p class="x_MsoNormal" style=""><span style="font-family:"Verdana",sans-serif">Listers,
</span></p>
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<p class="x_MsoNormal" style=""><span style="font-family:"Verdana",sans-serif">Trending story that raises among other questions: health data without data protection laws; the status and utility of NOFBI and of course, public spending.
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<p class="x_MsoNormal" style=""><span style="font-family:"Arial",sans-serif"></span></p>
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<p><span style="font-family:"Verdana",sans-serif">A local IT firm is on the spot over delayed implementation of the country’s Healthcare Information Technology system, 10 months after it was awarded the contract at a cost of Sh4.7billion.</span></p>
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<p class="x_MsoNormal" style="">Seven Seas Technologies is unable to explain their inability to complete a multi-billion shilling project that sought to centralise data centre at the Kenyatta National Hospital (KNH) to senior officials at the Ministry of Health.</p>
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<p class="x_MsoNormal" style="">Senior ministry officials have downplayed the matter, although medics at the radiology department decry work inefficiencies occasioned by system installation delays.</p>
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<p class="x_MsoNormal" style=""><span style="font-family:"Verdana",sans-serif">Read on here</span><span style="font-family:"Arial",sans-serif"></span></p>
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<p class="x_MsoNormal" style=""><span style="color:#888888"><br>
<span class="x_m6689062512012180290m7595398506905950156m-115415359909931421m-6208168087081040528hoenzb">--
</span></span></p>
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<p class="x_MsoNormal" style=""><span style="color:#888888">Grace Mutung'u <br>
Skype: gracebomu<br>
@Bomu<br>
</span><span style="font-size:9.5pt; color:#888888">PGP ID : 0x33A3450F</span></p>
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<p class="x_MsoNormal" style="margin-bottom:12.0pt">_______________________________________________<br>
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The Kenya ICT Action Network (KICTANet) is a multi-stakeholder platform for people and institutions interested and involved in ICT policy and regulation. The network aims to act as a catalyst for reform in the ICT sector in support of the national aim of ICT
enabled growth and development.<br>
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<span class="x_m6689062512012180290m7595398506905950156m-115415359909931421hoenzb">--
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<p class="x_MsoNormal" style="margin-bottom:12.0pt"><span style="color:#888888">Barrack O. Otieno<br>
+254721325277<br>
+254733206359<br>
Skype: barrack.otieno<br>
PGP ID: 0x2611D86A<br>
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<p class="x_MsoNormal" style=""><br>
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<br>
-- </p>
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<p class="x_MsoNormal" style="margin-bottom:12.0pt">*Every morning in Africa, a gazelle wakes up, It knows it must run faster
<br>
than the fastest lion or it will be killed. Every morning a lion wakes up, <br>
it knows it must outrun the slowest gazelle or it will starve to death. It <br>
doesn't matter whether you are a gazelle or a lion. When the sun comes up, <br>
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