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This paper explores the challenges of e-governance in Africa using Ghana as a case study. It notes that while e-government may promote good governance and economic growth, critical challenges such as weak infrastructure and inadequate funding remain key obstacles. The paper concludes that addressing these challenges will depend on the active involvement of the state in ICT development.

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Fresh opportunities are being created daily for the deployment of Information and Communication Technologies (ICT) [42] particularly in the area of poverty alleviation and sustainable economic growth in developing countries in particular. Therefore, the adoption of mobile telephones as service and information delivery tools and platform is expected to foster partnership and efficiency in improving health through dissemination of health information and data and supporting communication and collaboration within the entire health sector.This paper examines the integration of a sectoral policy and strategy in the area of health and national ICT Policy in the developmental context. Specifically, it investigates if a mobiletelephony based e-Health strategy has proven sustainable, stimulated acceptance of mobile phone-based health information or awareness of stakeholders on the benefits of mobile phonebased health information and services, thus accelerating the pace of reduction in maternal mortality in Ghana. The analysis presented in the paper is based on secondary material collected from government website and data directly obtained from policymakers and users involved in the initiative.