Anaesthesia workforce distribution, practices and essential resources in Sierra Leone: a nationwide, cross-sectional, facility-based study
Severe shortages of certified anaesthesia providers, limited anaesthesia techniques and inadequate material resources remain major barriers to safe anaesthesia and surgical care in Sierra Leone. Targeted investments in workforce development, infrastructure and resource allocation-particularly in rural areas-are required to improve the safety, quality and equity of anaesthesia care nationwide.
Authors
- Eric Vreede
- Herman A. Lonnée (ORCID: https://orcid.org/0000-0001-5613-6140)
- Alex J. van Duinen (ORCID: https://orcid.org/0000-0002-6943-0100)
- Håkon A. Bolkan (ORCID: https://orcid.org/0000-0002-9609-4093)
- Priyansh Nathani (ORCID: https://orcid.org/0000-0003-4984-9278)
- A M Kamara
- Mustapha Kabba
- Mali Eggen Furre
- Maria Svengaard
- Elisabeth Øvreås
- Denis Akar Sesay
Institutions
- University of Sierra Leone (SL)
- Norwegian University of Science and Technology (NO)
- Ministry of Health and Sanitation (SL)
- St Olav's University Hospital (NO)
- George Institute for Global Health (IN)
Publication Details
- Journal
- BMJ Open
- Published
- 2026-02-01
- DOI
- https://doi.org/10.1136/bmjopen-2025-109326
- Primary Topic
- Global Health and Surgery
- Type
- article
- Field-Weighted Citation Impact
- 0.00