• 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 ...
    • Global surgery, obstetric, and anaesthesia indicator definitions and reporting: An Utstein consensus report 

      Davies, Justine I; Gelb, Adrian W.; Gore-Booth, Julian; Martin, Janet; Mellin-Olsen, Jannicke; Åkerman, Christina; Ameh, Emmanuel A.; Biccard, Bruce M.; Braut, Geir Sverre; Chu, Kathryn M.; Derbew, Miliard; Ersdal, Hege Langli; Guzman, Jose Miguel; Hagander, Lars; Haylock-Loor, Carolina; Holmer, Hampus; Johnson, Walter; Juran, Sabrina; Kassebaum, Nicolas J.; Lærdal, Tore; Leather, Andrew J.M.; Lipnick, Michael S.; Ljungman, David; Makasa, Emmanuel Malabo Mwenda; Meara, John G.; Newton, Mark W.; Østergaard, Doris; Reynolds, Teri; Romanzi, Lauri J.; Santhirapala, Vatshalan; Shrime, Mark G.; Søreide, Kjetil; Steinholt, Margit; Suzuki, Emi; Varallo, John E.; Visser, Gerard H.A.; Watters, David; Weiser, Thomas G. (Peer reviewed; Journal article, 2021)
      Background Indicators to evaluate progress towards timely access to safe surgical, anaesthesia, and obstetric (SAO) care were proposed in 2015 by the Lancet Commission on Global Surgery. These aimed to capture access to ...
    • The rate and perioperative mortality of caesarean section in Sierra Leone 

      Holmer, Hampus; Kamara, Michael M.; Bolkan, Håkon Angell; van Duinen, Aalke Johan; Conteh, Sulaiman; Forna, Fatu; Hailu, Binyam; Hansson, Stefan R.; Koroma, Alimamy Philip; Koroma, Michael M.; Liljestrand, Jerker; Lonnee, Herman; Sesay, Santigie; Hagander, Lars (Journal article; Peer reviewed, 2019)
      Introduction Sierra Leone has the world’s highest maternal mortality, partly due to low access to caesarean section. Limited data are available to guide improvement. In this study, we aimed to analyse the rate and mortality ...
    • Travel time and perinatal mortality after emergency caesarean sections: an evaluation of the 2-hour proximity indicator in Sierra Leone 

      van Duinen, Aalke Johan; Adde, Håvard Askim; Fredin, Hans Ola; Holmer, Hampus; Hagander, Lars; Koroma, Alimamy Philip; Koroma, Michael M.; Leather, Andy; Wibe, Arne; Bolkan, Håkon Angell (Peer reviewed; Journal article, 2020)
      Introduction Longer travel times are associated with increased adverse maternal and perinatal outcomes. Geospatial modelling has been increasingly used to estimate geographic proximity in emergency obstetric care. In this ...