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Access is the ability to connect to and use the internet. This requires that people have the ability to connect physically (i.e., where they live has internet coverage) as well as the resources to use the internet.  Internet access is different from availability, which refers to whether or not internet service is a possibility (e.g., whether or not mobile internet coverage is available where a person lives). 
Using typical cost figures from a range of African countries, the extent of the cost variations is apparent: the costs may be up to five times those found in a typical European or North American country, even if all the same policies are followed and implemented with the same efficiency.  Clearly there is more work to do, and the internet in Africa remains expensive relative to income. 
"In our worldwide broadband speed comparison, released earlier this year, similar disparities were apparent to those seen here. The countries with slow, patchy broadband infrastructure that supply only a fraction of the population tend to be the most expensive."
"The concept of E-Heza emerged from the desire of the Ihangane Project and nurses in Ruli, Rwanda to sustain and replicate our successful clinical quality improvement programme, initially created to improve the quality of care for HIV-positive pregnant women and their children," said Wendy Leonard, executive director of the Ihangane Project.