The impact of surgical task-sharing in Sierra Leone: a nationwide longitudinal observational study on surgical workforce and volume, 2012–2023
Over the last decade, Sierra Leone has seen a shift in surgical care, with a transition from general to obstetric surgeries, from private to public institutions, and an expansion of surgical care in rural areas, with associate clinicians as the leading provider. The introduction of a nationwide surgical task-sharing initiative to strengthen the surgical workforce at district governmental hospitals in 2011 has emerged as the major contributor to the change in surgical activity and output observed in Sierra Leone over the last decade.
Authors
- Alex J. van Duinen (ORCID: https://orcid.org/0000-0002-6943-0100)
- Håkon A. Bolkan (ORCID: https://orcid.org/0000-0002-9609-4093)
- Nobhojit Roy (ORCID: https://orcid.org/0000-0003-2022-7416)
- Juul M. Bakker (ORCID: https://orcid.org/0000-0002-0696-6872)
- Martin P. Grobusch (ORCID: https://orcid.org/0000-0002-0046-1099)
- Thomas Ashley
- Mustapha Kabba
- Mali Eggen Furre
- Maria Svengaard
- Elisabeth Øvreås
- Jaap Gunneweg
Institutions
- University of Sierra Leone (SL)
- Norwegian University of Science and Technology (NO)
- St Olav's University Hospital (NO)
- University of Global Health Equity (RW)
- Amsterdam University Medical Centers (NL)
- University of Amsterdam (NL)
Publication Details
- Journal
- BMJ Global Health
- Published
- 2025-05-01
- DOI
- https://doi.org/10.1136/bmjgh-2024-018423
- Citations
- 5
- Primary Topic
- Global Health and Surgery
- Type
- article
- Field-Weighted Citation Impact
- 9.39
Funders
- Fakultet for medisin og helsevitenskap, Norges Teknisk-Naturvitenskapelige Universitet