Looking at the world today, various organizations have taken up IT to support most of their work processes. IT can no longer be considered only a support component but has become strategic. Given that IT is ubiquitous, it requires proper governance in order for organizations to derive value and achieve organizational objectives from its use. IT governance is therefore advocated as a necessary means for ensuring the effective and efficient use of IT. Previous literature does not say much about IT governance adoption and enactment in healthcare organizations. In this study, resource orchestration is used as a framework for understanding management strategies for IT governance adoption in healthcare organizations. The study answers the research question, “How are managerial strategies impacting the adoption of IT governance in healthcare organizations”. This was done through an interview study of managers, IT workers and policy makers in select Ugandan organizations. The participants in the study were from the private and public healthcare organizations, IT authority and the capital city authority. Findings show that there are informally agreed upon and approved strategies in place for the adoption of IT governance. The contribution is in terms of suggestions of how senior management can enact the strategies and make use of the organization’s knowledge based and financial resources to inform adoption of IT governance.