• 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 An Evaluation in the Light of the Lancet Global Surgery Indicators 

      Duinen, Aalke Johan van (Doctoral theses at NTNU;2021:402, Doctoral thesis, 2021)
      Background: Two third of the world’s population does not have adequate access to timely safe and affordable surgical services. The Lancet Commission on Global Surgery has defined a framework with six indicators and targets ...
    • 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 ...
    • 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 ...
    • 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 ...