  This paper examines the dynamics of policy implementation and how policy
contradicts reality on the ground when it comes to practice. The paper finds
that despite having well-laid out policy; the actual practice is contrary.
Taking data storage policy within the Ministry of Health in Malawi as a case
study, the paper highlights that the contextual realities of where Ministry of
Health (MoH) data is stored depends on a number of
Technology-Organizational-Environmental (TOE) factors. In the wake of cloud
computing; some of these factors act as causative factors for data to be stored
in the cloud; contradicting the data storage policy.
