Andreas Hannig, Nicole Kuth, Monika Özman, Stephan Jonas, Cord Spreckelsen
eMedOffice: a web-based collaborative serious game for teaching optimal design of a medical practice
BMC medical education
recent years demonstrated increase caesarean section cs countries worldwide considerable concern potential consequences 2015 proposed use robson classification global standard assessing monitoring comparing cs rates currently standardized method assess cs myanmar aim study explore health providers perceptions feasibility acceptability readiness implement robson classification public hospitals across myanmar ten maternities purposively chosen including five teaching hospitals tertiary referral hospitallevel affiliated medical university myanmar provide maternal newborn care services districttownship hospitals facetoface indepth interviews idi healthcare providers facility administrators conducted using semistructured discussion guides facility medical records systems also assessed used thematic analysis approach atlasti qualitative analysis software total 67 idis conducted participants willingness implement robson classification sufficient human resources training limited human resources heavy workloads infrastructure resources major challenges described may hinder implementation focal person data entry analysis reporting could differed according level facility availability human resources ability understand medical terms statistics respondents mentioned important role policy enforcement sustainability data collection interpretation feedback optimal review interval period could therefore differ according availability responsible persons number births however setting fixed schedule according specific hospital continuous monitoring cs rate required myanmar implementation robson classification feasible key barriers mainly related human resource training must addressed sustain