A Trust Management System for the Nigerian Cyber-health Community

Trust is a basic requirement for the acceptance and adoption of new services related to health care, and therefore, vital in ensuring that the integrity of shared patient information among multi-care providers is preserved and that no one has tampered with it. The cyber-health community in Nigeria is in its infant stage with health care systems and services being mostly fragmented, disjointed, and heterogeneous with strong local autonomy and distributed among several healthcare givers platforms. There is the need for a trust management structure for guaranteed privacy and confidentiality to mitigate vulnerabilities to privacy thefts. In this paper, we developed an efficient Trust Management System that hybridized Real-Time Integrity Check (RTIC) and Dynamic Trust Negotiation (DTN) premised on the Confidentiality, Integrity, and Availability (CIA) model of information security. This was achieved through the design and implementation of an indigenous and generic architectural framework and model for a secured Trust Management System with the use of the advanced encryption standard (AES-256) algorithm for securing health records during transmission. The developed system achieved Reliabity score, Accuracy and Availability of 0.97, 91.30% and 96.52% respectively.