• Caesarean section performed by medical doctors and associate clinicians in Sierra Leone 

      van Duinen, Aalke Johan; Kamara, Michael M.; Hagander, Lars; Ashley, Thomas; Koroma, Alimamy Philip; Leather, Andy J.M.; Elhassein, Mohammed; Darj, Elisabeth; Salvesen, Øyvind; Wibe, Arne; Bolkan, Håkon Angell (Journal article; Peer reviewed, 2019)
      Background Many countries lack sufficient medical doctors to provide safe and affordable surgical and emergency obstetric care. Task‐sharing with associate clinicians (ACs) has been suggested to fill this gap. The aim ...
    • Catastrophic expenditure and impoverishment after caesarean section in Sierra Leone: An evaluation of the free health care initiative 

      van Duinen, Aalke Johan; Westendorp, Josien; Ashley, Thomas; Hagander, Lars; Holmer, Hampus; Koroma, Alimamy P.; Leather, Andy J.M.; Shrime, Mark G.; Wibe, Arne; Bolkan, Håkon Angell (Peer reviewed; Journal article, 2021)
      Background Utilizing surgical services, including caesarean sections, can result in catastrophic expenditure and impoverishment. In 2010, Sierra Leone introduced the Free Health Care Initiative (FHCI), a national financial ...
    • Inguinal hernia surgery learning curves by associate clinicians 

      van Kesteren, Jurre; Meylahn-Jansen, Pauline J.; Conteh, Amara; Lissenberg-Witte, Birgit I.; van Duinen, Aalke Johan; Ashley, Thomas; Bonjer, H. Jaap; Bolkan, Håkon Angell (Peer reviewed; Journal article, 2023)
      Background Open inguinal hernia repair is the most commonly performed procedure in general surgery in sub-Saharan Africa, but data on its learning curve are lacking. This study evaluated the learning curve characteristics ...
    • Outcomes After Elective Inguinal Hernia Repair Performed by Associate Clinicians vs Medical Doctors in Sierra Leone: A Randomized Clinical Trial 

      Ashley, Thomas; Ashley, Hannah; Wladis, Andreas; Bolkan, Håkon Angell; van Duinen, Aalke Johan; Beard, Jessica; Kalsi, Hertta; Palmu, Juuli; Nordin, Pär; Kristina, Holm; Ohene-Yeboah, Michael; Löfgren, Jenny (Peer reviewed; Journal article, 2021)
      Importance Task sharing of surgical duties with medical doctors (MDs) without formal surgical training and associate clinicians (ACs; health care workers corresponding to an educational level between that of a nurse and ...