Purpose Governance of e-government is rarely discussed in the initial digitization stage, especially in developing countries where the government’s focus is mainly to pursue rapid proliferation of digital adoption rather than to implement governance. This study aims to explore the consequences of this absence of governance at local level conditions. Design/methodology/approach An in-depth exploratory case study is conducted at a municipal health government in a southern city in Kalimantan Island, Indonesia, examining the conditions of local actors in response to various nationwide health digitization imperatives. The postcolonial theory with the critical paradigm is used to interpret and conceptualize the empirical findings. Findings This study identifies two critical failures of digitization governance that represent the mainstream condition: horizontal sectoral ego and vertical asymmetry and misalignment. These failures have resulted in undesirable consequences at the subalterns indicated by diverse ambivalence and de-voiced constructs displayed by the local actors. Practical implications This paper suggests that various issues that emerge from local level implementation in nationwide digitization agenda might not always be issues of local technology adoption, but rather negative impacts due to the absence of governance practice at the strategic level. Originality/value Through a critical perspective, this study unearths the underlying power and structural inequity responsible for generating the various issues and undesirable consequences that emerge at local levels related to the nationwide digitization agenda.

Indonesian government is currently on the course of nationwide digital transformation, manifested through its ‘One-Data Policy’ recently introduced by top-level government. The initiative also includes the country’s health information systems (HIS) for which various technological choices are under consideration to be implemented. However, such a sound and ambitious initiative often overlook the configurational outlook of local systems where the data is created and aggregated to the national system. This study addresses this issue by exploring the issues pertaining to local HIS and developing its enterprise architecture to reconfigure the existing arrangement of the systems. Using a case study of Palangka Raya municipal health government, this study contributes to this current important agenda by delineating the complexity that occurs at local HIS and proposing a set of enterprise architecture artifacts required toward Indonesian one health data.