This article examines Digital Health Governance: Electronic Health Records and Data Management in East Africa: Multi-Level Governance Perspectives with a focused emphasis on Burundi within the field of Business. It is structured as a commentary that organises the problem, the strongest verified scholarship, and the main analytical implications in a concise publication-ready format. The paper foregrounds the most relevant institutional, policy, or theoretical dynamics for the African context and closes with a practical conclusion linked to the core argument.