Harnessing the power of IT solutions in child primary care requires strategic thought at national level, and good health care delivery needs this support. The aim of this study was to investigate whether children's needs are considered in national e-health strategies in Europe. In 2016, a survey was carried out in all 28 European Member States plus 2 European Economic Area countries. Sixteen countries fail to mention children's needs at all. Only eleven of 27 countries mention children and adolescents in their national e-health strategy documents ranging from mere data protection concerns to comprehensive IT approaches for the improvement of child primary care.