• 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 ...
    • 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 ...
    • 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 ...
    • 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 ...
    • 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 ...
    • 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 ...
    • 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. ...