• 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 ...
    • Akutte laparotomier ved St. Olavs hospital 

      Wangen, Endre; Gillund, Even Westgaard; Reinholdtsen, Eirik Midtgaard; Henriksveen, Kristian Jostad; van Duinen, Aalke Johan; Faqiri, Mirwais; Ystgaard, Brynjulf; Bolkan, Håkon Angell (Peer reviewed; Journal article, 2023)
      BAKGRUNN Akutte laparotomier er assosiert med høyere mortalitet og lengre sykehusopphold enn elektive laparotomier. Formålet med denne studien var å kartlegge pasientkarakteristika, sykehusforløp og mortalitet for dem som ...
    • Assessing geographical and economic inequalities in caesarean section rates between the districts of Bihar, India: a secondary analysis of the National Family Health Survey 

      Shukla, Minal; Mohan, Monali; van Duinen, Aalke Johan; Gadgil, Anita; Bakker, Juul Marlies; Bhushan, Pranav; Roy, Nobhojit (Journal article; Peer reviewed, 2022)
      Background In Bihar, one of the most populous and poorest states in India, caesarean sections have increased over the last decade. However, an aggregated caesarean section rate at the state level may conceal inequities at ...
    • Barriers to increase surgical productivity in Sierra Leone: A qualitative study 

      Bakker, Juul Marlies; van Duinen, Aalke Johan; Nolet, Wouter W.E.; Mboma, Peter; Sam, Tamba; van den Broek, Ankie; Flinkenflögel, Maaike; Gjøra, Andreas; Lindheim-Minde, Barbro; Kamanda, Samuel; Koroma, Alimamy P.; Bolkan, Håkon Angell (Peer reviewed; Journal article, 2021)
      Objective To explore factors influencing surgical provider productivity and identify barriers against and opportunities to increase individual surgical productivity in Sierra Leone, in order to explain the observed increase ...
    • Caesarean birth experiences. A qualitative study from Sierra Leone. 

      Husby, Anne; van Duinen, Aalke Johan; Aune, Ingvild (Journal article; Peer reviewed, 2019)
      Background Positive birth experiences lead to better postnatal functioning, and influence mode of delivery choice for subsequent pregnancies. Healthcare workers can influence the birth experience through relevant support ...
    • 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 ...
    • 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 ...
    • Five-year follow-up after caesarean section in Sierra Leone 

      Logstein, Erika; Torp, Richard (Master thesis, 2022)
      Sammendrag Introduksjon: Fødsel etter et tidligere keisersnitt utgjør en økt risiko for mor i hennes etterfølgende svangerskap. Lite er kjent om fødselsmetoder og utfallet av etterfølgende graviditeter etter keisersnitt i ...
    • ”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 ...
    • Geographic and socioeconomic inequities in cesarean delivery rates at the district level in Madhya Pradesh, India: A secondary analysis of the national family health survey-5 

      Dutta, Rohini; Tuli, Shagun; Shukla, Minal; Patil, Priti; van Duinen, Aalke Johan; Thivalapill, Neil; Ghoshal, Rakhi; Jayaram, Anusha; Roy, Nobhojit; Gadgil, Anita (Peer reviewed; Journal article, 2023)
      Background In India, caesarean delivery (CD) accounts for 17% of the births, of which 41% occur in private facilities. However, areas to CD in rural areas are limited, particularly for the poor populations. Little information ...
    • 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 ...
    • 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 ...
    • 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 ...
    • PREvalence Study on Surgical COnditions (PRESSCO) 2020: A Population-Based Cross-Sectional Countrywide Survey on Surgical Conditions in Post-Ebola Outbreak Sierra Leone 

      van Kesteren, Jurre; van Duinen, Aalke Johan; Marah, Foday; van Delft, Diede; Spector, Antoinette L.; Cassidy, Laura D.; Groen, Reinou S.; Jabbi, Sonnia-Magba Bu-Buakei; Bah, Silleh; Medo, James A.; Kamanda-Bongay, Abubakarr; van Leerdam, Daniel; Westendorp, Josien; Mathéron, Hanna M.; Mönnink, Giulia L. E.; Vas Nunes, Jonathan; Lindenbergh, Karel C.; Hoel, Sara Kathleen; Løvdal, Sofie Mack; Østensen, Mia Nyeng; Solberg, Helene; Boateng, Daniel; Klipstein-Grobusch, Kerstin; van Herwaarden, Daan; Martens, Janine P. J.; Bonjer, H. Jaap; Sankoh, Osman; Grobusch, Martin P.; Bolkan, Håkon Angell (Journal article; Peer reviewed, 2022)
    • 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)
    • A survey of anaesthesia practices at all hospitals performing caesarean sections in Sierra Leone 

      Lonnee, Herman; Taule, Katinka; Sandvand, Johannes Knoph; Koroma, Michael M.; Dumbuya, Abubakar; Jusu, Kakpama S.K.; Shour, Mohamed A.; van Duinen, Aalke Johan (Peer reviewed; Journal article, 2020)
      Background Providing safe anaesthesia is essential when performing caesarean sections, one of the most commonly performed types of surgery. Anaesthesia-related causes of maternal mortality are generally considered ...
    • 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 ...