This paper discusses the process of implementing a district dashboard as the means for integrating health information systems (HIS) in Indonesia. The project involved two processes: a bottom-up one with iterative design and implementation process and a top-down one involving data policies. Using moments of translation, we discuss the complex processes of aligning actors’ interests necessary for the implementation of HIS in developing countries. The paper contributes to the existing discussions of HIS integration and information sharing in developing countries by providing a better understanding of translation processes and thereby of ways to handle fragmented HISs.