Browsing NTNU Open by Author "Bolkan, Håkon Angell"
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Addressing Surgical Needs Where There is No Surgeon: Status of Surgery in Sierra Leone, Safety and Future Contributions of a Task Sharing Training Programme, and Surgery as an Indicator of Hospital Function During the West African Ebola Outbreak
Bolkan, Håkon Angell (Doctoral theses at NTNU;2017:223, Doctoral thesis, 2017)Vest-Afrika er den regionen i verden med høyest kirurgisk sykdomsbyrde og hvor det blir gjort færrest operasjoner pr innbygger. Få spesialister og stor legemangel er en av hovedgrunnene til den dårlige tilgangen til ... -
Admissions and surgery as indicators of hospital functions in Sierra Leone during the west-African Ebola outbreak
Bolkan, Håkon Angell; van Duinen, Aalke Johan; Samai, Mohammed; Bash-Taqi, Donald Alpha; Gassama, Ibarahim; Waalewijn, Bart; Wibe, Arne; von Schreeb, Johan (Journal article; Peer reviewed, 2018)Background In an attempt to assess the effects of the Ebola viral disease (EVD) on hospital functions in Sierra Leone, the aim of this study was to evaluate changes in provisions of surgery and non-Ebola admissions during ... -
Assessing the Validity of Using Caesarean Section and Inguinal Hernia Repairs as Proxy Indicators of the Level of Surgical Care in Sierra Leone
Bjerring, Anders Wold; Lier, Marius Eknæs (Master thesis, 2013)Background: The traditional tools for assessing surgical capacity in low-income countries requires significant amounts of time and resources, and have thus not been systematically utilized in the poorest regions of the ... -
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 ... -
Caesarean sections in Sierra Leone after introduction of free health care services for pregnant and lactating women
Rød, Siri Malene; Vestby, Pia Fiskaa (Master thesis, 2013)Background: Sierra Leone is one of the poorest countries in the world. In 2011, the gross national income (GNI) per capita was $460. In 2008, the maternal mortality was 857 per 100.000, and the under five mortality ... -
Comparison of surgical skill acquisition by UK surgical trainees and Sierra Leonean associate clinicians in a task-sharing programme
Liu, Ben; Hunt, Lesley; Lonsdale, Robert J; Narula, Harjeet; Manasrey, Alieu; Bundu, Ibrahim; Bolkan, Håkon Angell (Journal article; Peer reviewed, 2018)Background Task‐sharing in surgery is well established, with associate clinicians performing successful surgery in many countries. Little is known about the process of surgical skill acquisition by associate clinicians, ... -
Distance, accessibility and costs. Decision-making During Childbirth in Rural Sierra Leone: a Qualitative Study
Treacy, Laura; Bolkan, Håkon Angell; Sagbakken, Mette (Journal article; Peer reviewed, 2018)Sierra Leone has one of the highest maternal mortality ratios in the world. Efforts to reduce maternal mortality have included initiatives to encourage more women to deliver at health facilities. Despite the introduction ... -
Evaluation of a surgical task sharing training programme's logbook system in Sierra Leone
Svendsen, Øyvind Veel; Helgerud, C; van Duinen, Aalke Johan; Salvesen, Øyvind; George, Peter M.; Bolkan, Håkon Angell (Journal article; Peer reviewed, 2019)Background Personal logbooks are universally applied for monitoring and evaluation of surgical trainees; however, the quality and accuracy of such logbooks in low income countries (LICs) are poorly examined. Logbooks ... -
”For this one, let me take the risk”: why surgical staff continued to perform caesarean sections during the 2014–2016 Ebola epidemic in Sierra Leone
Dreving, Gustaf; Alvesson, Helle Mölsted; van Duinen, Aalke Johan; Bolkan, Håkon Angell; Koroma, Alimamy philip; von Schreeb, Johan (Journal article; Peer reviewed, 2019)Introduction: Routine health service provision decreased during the 2014-2016 Ebola virus disease (EVD) outbreak in Sierra Leone, while caesarean section (CS) rates at public hospitals did not. It is unknown what made ... -
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 ... -
Malnutrition, nutritional interventions and clinical outcomes of patients with acute small bowel obstruction: results from a national, multicentre, prospective audit
NASBO, NASBO Collaborators; Bolkan, Håkon Angell (Journal article; Peer reviewed, 2019)Objective The aim of this study was to assess the nutritional status of patients presenting with small bowel obstruction (SBO), along with associated nutritional interventions and clinical outcomes. Design Prospective ... -
Met and unmet need for surgery in Sierra Leone: a comprehensive retrospective countrywide survey from all healthcare facilities performing surgery in 2012
Bolkan, Håkon Angell; Schreeb, Johan; Samai, Mohamed; Bash-Taqi, Donald Alpha; Kamara, T. B.; Salvesen, Øyvind; Ystgaard, Brynjulf; Wibe, Arne (Journal article; Peer reviewed, 2015)Background. Understanding a country’s baseline operative actors and capacity is critical to improving the quality of services and outcomes. The aim of this study was to describe all operative providers and national operative ... -
Met and unmet needs for surgery in Sierra Leone: A comprehensive, retrospective, countrywide survey from all health care facilities performing operations in 2012
Bolkan, Håkon Angell; von Schreeb, Johan; Samai, Mohammed; Bash-Taqi, Donald A.; Kamara, Thaim Buim; Salvesen, Øyvind; Ystgaard, Brynjulf; Wibe, Arne (Journal article; Peer reviewed, 2015) -
National prospective cohort study of the burden of acute small bowel obstruction
NASBO, NASBO Collaborators; Bolkan, Håkon Angell (Journal article; Peer reviewed, 2019)Background Small bowel obstruction is a common surgical emergency, and is associated with high levels of morbidity and mortality across the world. The literature provides little information on the conservatively managed ... -
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 ... -
Outcomes following small bowel obstruction due to malignancy in the national audit of small bowel obstruction.
NASBO, NASBO Collaborators; Bolkan, Håkon Angell (Peer reviewed; Journal article, 2019)Introduction Patients with cancer who develop small bowel obstruction are at high risk of malnutrition and morbidity following compromise of gastrointestinal tract continuity. This study aimed to characterise current ... -
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 ... -
Safety, productivity and predicted contribution of a surgical task-sharing programme in Sierra Leone
Bolkan, Håkon Angell; van Duinen, Aalke Johan; Waalewijn, Bart; Elhassein, Mohamed; Kamara, T. B.; Deen, G F; Bundu, Ibrahim; Ystgaard, Brynjulf; von Schreeb, Johan; Wibe, Arne (Journal article; Peer reviewed, 2017) -
The Impact of the West Africa Ebola Outbreak on Obstetric Health Care in Sierra Leone
Brolin, Kim; van Duinen, Aalke Johan; Nordenstedt, Helena; Hoijer, J; Molnes, Ragnhild; Frøseth, Torunn Wigum; Koroma, AP; Darj, Elisabeth; Bolkan, Håkon Angell; Ekström, A (Journal article; Peer reviewed, 2016)Background As Sierra Leone celebrates the end of the Ebola Virus Disease (EVD) outbreak, we can begin to fully grasp its impact on already weak health systems. The EVD outbreak in West Africa forced many hospitals 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 ...