Tanzania is significantly increasing its use of digital health systems, accumulating vast quantities of citizen health information. This expansion relies heavily on technology and support from foreign-funded partners. A critical question is emerging regarding the ultimate control, storage, and accessibility of this sensitive health data within Tanzania. As digital platforms become increasingly central to healthcare in Tanzania, concerns are growing about data sovereignty and potential external influence. The reliance on foreign entities raises questions about who has the final say over crucial health information. This situation necessitates a careful examination of data governance policies in Tanzania to safeguard citizen privacy and national interests.