The implementation of complex e-health technologies, such as electronic health records (EHR) or health information systems has the potential to enhance healthcare delivery and patient outcomes in resource-constrained settings. However, the implementation and use of these technologies often face numerous challenges. This qualitative single case study aimed to explore the sociotechnical challenges associated with the implementation and use of complex e-health technologies in the study context. The study employed sociotechnical systems theory (STST), a case study design including a semi-structured interview, document analysis, and observations. Thematic analysis was conducted on the qualitative data following Braun and Clarke's (2006) six-phase process. The preliminary results indicate significant potential for both theoretical and practical applications and also shows the relationship on how particular tasks within the hospital are directly affected by the existing physical technology systems.