• 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 ...
    • 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 ...
    • 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 ...
    • Mapping population access to essential surgical care in Liberia using equipment, personnel, and bellwether capability standards 

      Adde, Håvard Askim; van Duinen, Aalke Johan; Andrews, Benetta; Bakker, Juul Marlies; Goyah, Kezelebah; Salvesen, Øyvind Olav; Sheriff, Swaliho; Utam, Terseer; Yaskey, Clarence; Weiser, Thomas G.; Bolkan, Håkon Angell (Journal article; Peer reviewed, 2022)
      Background: Accurate surveillance of population access to essential surgery is key for strategic healthcare planning. This study aimed to estimate population access to surgical facilities meeting standards for safe surgery ...
    • 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)
    • 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 ...
    • 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 ...
    • Vacuum births and barriers to its use: An observational study in governmental hospitals in Sierra Leone 

      Bakke, Eirik; Øseth, Eirik; Fofanah, Tairu; Sesay, Ibrahim; van Duinen, Aalke Johan; Bolkan, Håkon Angell; Westendorp, Josien; Lonnee-Hoffmann, Risa (Peer reviewed; Journal article, 2022)
      Objectives Assisted vaginal births (AVD) can prevent unnecessary caesarean sections (CS). The number of CS is increasing rapidly in sub-Saharan Africa; these are still associated with high perioperative mortality rates. ...