Obi, you made critical observations. I think health information exchange sounds embracing because dynamics of the 1950s and 1960s have changed where the north prescribed almost everything including names. Conditions could relatively different even knowledge base may not not be the same. However information sharing is beneficial on both sídes.
HIFA profile: Kenneth L Chanda is Associate Consultant and Lecturer at National Institute of Public Administration where he is lecturing in Records Management. He is co-author of The development of telehealth as a strategy to improve health care services in Zambia. Kenneth L. Chanda & Jean G. Shaw. Health Information & Libraries Journal. Volume 27, Issue 2, pages 133139, June 2010. He recently retired as Assistant Medical Librarian at the University of Zambia. Masters degree in Development for Commication, patient advocate. klchanda AT gmail.com