Table 2.

Facilitators.

Facilitators
National health system influence	National automation project (transferring from paper-based system for national reporting to an electronic one) National health system requirements: need for a DRG system using WHO classifications National challenge: lack of experienced qualified medical coders
Leadership commitment and support	Tailor stakeholder-specific messages for persuasion Benefit from leadership commitment to guarantee formal approvals, resources, and effective communication between different stakeholders
Team approach	Multidisciplinary team involving representatives of all stakeholders Users (physicians) accept change when involved in making decisions
Training	Short duration Uses screenshots from own hospital EHIS Variable options to access (attend in person, watch video) Wide dissemination using social media (WhatsApp, YouTube) Peer Assisted Learning (PAL) Speaks the language of physicians
On-site support	ICD-11 support IT support
Other changes in the final diagnosis screen	Diagnosis screen improvements to maximize benefit from implementing ICD-11