• 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 ...
    • The impact of the COVID-19 pandemic on hospital utilisation in Sierra Leone 

      Sevalie, Stephen; Youkee, Daniel; van Duinen, Aalke Johan; Bailey, Emma; Bangura, Thaimu; Mangipudi, Sowmya; Mansaray, Esther; Odland, Maria Lisa; Parmar, Divya; Samura, Sorie; Van Delft, Diede; Wurie, Haja; Davies, Justine I; Bolkan, Håkon Angell; Leather, Andy J.M. (Peer reviewed; Journal article, 2021)
      Introduction The COVID-19 pandemic has adversely affected health systems in many countries, but little is known about effects on health systems in sub-Saharan Africa. This study examines the effects of COVID-19 on hospital ...
    • Macroeconomic costs of the unmet burden of surgical disease in Sierra Leone: A retrospective economic analysis 

      Grimes, Caris E.; Quaife, Matthew; Kamara, Thaim B.; Lavy, Christopher B.D.; Leather, Andy J.M.; Bolkan, Håkon Angell (Journal article; Peer reviewed, 2018)
      Objectives The Lancet Commission on Global Surgery estimated that low/middle-income countries will lose an estimated cumulative loss of US$12.3 trillion from gross domestic product (GDP) due to the unmet burden of surgical ...
    • Perinatal outcomes of cesarean deliveries in Sierra Leone: A prospective multicenter observational study 

      van Duinen, Aalke Johan; Westendorp, Josien; Kamara, Michael M; Forna, Fatu; Hagander, Lars; Leather, Andy J.M.; Wibe, Arne; Bolkan, Håkon Angell; Rijken, Marcus J. (Peer reviewed; Journal article, 2020)
      Objective To analyze the indications for cesarean deliveries and factors associated with adverse perinatal outcomes in Sierra Leone. Methods Between October 2016 and May 2017, patients undergoing cesarean delivery ...