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Medical information implementation and construction Abstract: In recent years are increasingly using enterprise resource planning ERP system in a big pharmaceutical companies and the governments main developed countries pharmaceutical companies. While there is wide adoption of ERP systems in Western economies developing countries lag far behind. However due to recent economic growth developing countries such as Kenya are increasingly becoming major targets of ERP vendors. There is an urgent need for understanding ERP implementation issues in developing countries as ERP systems are still in their early stages in these countries. They face additional challenges related to economic cultural and basic infrastructure issues. This research investigates the organisational and national context within which ERP is adopted and used in Kenya and how the context and ERP influence each other. In general this research is based on the need to study organisations in their societal contexts and information systems in their organisational settings. The research contributes to the controversial debate on the conflict between standardisation imposed by ERP systems and localisation of business practices. This study provides some key insights into the implementation and use of ERP systems in the public and the private sectors in Kenya. Case study findings suggest that the company sector plays an important role in ERP implementations in several key dimensions. ERP systems with in-built business practices express the tendency toward standardisation. In addition the study investigates the challenges faced by organisations implementing ERP systems in Kenya and factors influencing ERP upgrade decisions. Findings of this research suggest that ERP implementation and upgrade is influenced by but not necessarily bound by existing contextual factors – national and organisational. Two models namely the Empirical ERP Implementation Model EEIM and the Upgrade Decision Model UDM are developed to rep