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Alex van Duinen

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Alex van Duinen

Postdoctoral Fellow
Department of Public Health and Nursing
Faculty of Medicine and Health Sciences

aalke.j.v.duinen@ntnu.no
+4773598422 Gastrosenteret, Øya
ORCID ID ResearchGate
About Publications Outreach

About

Competencies

  • Gastrointestinal surgery
  • Health systems
  • Medical education
  • Obstetrics
  • Task shift

Publications

  • Chronological
  • By category
  • All publications registered in NVA

2026

  • Westendorp, Josien; Jalloh, Rugiatu; Sheriff, Sarrah; Wussow, Jenny; Stamland, Guro; Bjorøy, Sigrid Anne; Moses, Francis; Rijken, Marcus J.; Hoffmann-Lonnee, Risa; Bolkan, Håkon Angell. (2026) A cross-sectional study of caesarean deliveries performed by medical doctors and associate clinicians in nine district and regional hospitals in Sierra Leone using the Robson Ten Group Classification System. International Journal of Gynecology & Obstetrics
    Academic article
  • Mona, Johanna; Ahlbäck, Johan G.; Lebbie, Aiah; Ashley, Thomas; Bolkan, Håkon Angell; van Duinen, Aalke Johan. (2026) Challenges and enablers in accessing paediatric inguinal hernia surgical care in Sierra Leone: a qualitative exploratory study. BMJ Open
    Academic article
  • Øvreås, Elisabeth; Vreede, Eric; van Duinen, Alex J; Svengaard, Maria; Furre, Mali Eggen; Kamara, Augustine Kamanda; Sesay, Denis Akar; Lonnee, Herman; Nathani, Priyansh; Kabba, Mustapha S. (2026) Anaesthesia workforce distribution, practices and essential resources in Sierra Leone: a nationwide, cross-sectional, facility-based study. BMJ Open
    Academic article
  • Faradonbeh, Sara Aakre; Halvorsen, Anniken Høeg; Ashley, Thomas; Lebbie, Aiah; Kabba, Mustapha S; Andersen, Lena; Bolkan, Håkon Angell; van Duinen, Alex J. (2026) Development of paediatric surgical care in Sierra Leone: a repeated nationwide cross-sectional study from 2012 to 2023. BMJ Public Health
    Academic article

2025

  • Martens, Janine P. J.; Leerdam, Daniel van; Kanneh, Sayoh; Smalle, Isaac O.; Sankoh, Osman; van Duinen, Alex J.; Bolkan, Håkon Angell. (2025) Surgical Volume in Sierra Leone: A Comparison Between Population and Facility‐Based Data Collection. World Journal of Surgery
    Academic article
  • Ashley, Thomas; Ashley, Hannah F; Wladis, Andreas; Nordin, Pär; Ohene-Yeboah, Michael; Smalle, Isaac O; Beard, Jessica H; Löfgren, Jenny; Bolkan, Håkon Angell; van Duinen, Alex J. (2025) Outcomes after elective inguinal hernia repair with mesh performed by associate clinicians versus medical doctors in Sierra Leone: 5-year follow-up of a randomized clinical trial. British Journal of Surgery
    Academic article
  • Bakker, Juul Marlies; van Duinen, Aalke Johan; Patil, Priti; Nathani, Priyansh; Gyedu, Adam; Adde, Håvard Askim; Bhushan, Pranav; Roy, Nobhojit; Gadgil, Anita; Bolkan, Håkon Angell. (2025) Exploring the concept of surgical transition: surgical activity in the light of economic development in Sierra Leone, Liberia, Ghana and India. Frontiers in Surgery
    Academic article
  • Nunes, Jonathan H. Vas; van Duinen, Aalke Johan; Boateng, Daniel; Tommy, Amidu J; Sankoh, Osman; Grobusch, Martin P.; Bolkan, Håkon Angell. (2025) Incidence and prevalence of traumatic and non-traumatic wounds and burns and access to wound care in Sierra Leone; data from a nationwide household survey (PRESSCO) 2020. Heliyon
    Academic article
  • Furre, Mali Eggen; Svengaard, Maria; Øvreås, Elisabeth; van Duinen, Aalke Johan; Ashley, Thomas; Grobusch, Martin P.; Bakker, Juul Marlies; Gunneweg, Jaap; Roy, Nobhojit; Kabba, Mustapha S.. (2025) The impact of surgical task-sharing in Sierra Leone: a nationwide longitudinal observational study on surgical workforce and volume, 2012–2023. BMJ Global Health
    Academic article
  • Dawkins, Bryony; Shinkins, Bethany; Ensor, Tim; Jayne, David; Ashley, Thomas; van Duinen, Aalke Johan; Bolkan, Håkon Angell; Meads, David. (2025) Evaluating Access Improving Interventions: An Economic Evaluation of Surgical Task-Shifting for C-Sections in Sierra Leone. Applied Health Economics and Health Policy
    Academic article
  • Dutta, Rohini; Nathani, Priyansh; Patil, Priti; Ghoshal, Rakhi; Tuli, Shagun; Bakker, Juul Marlies; van Duinen, Aalke Johan; Roy, Nobhojit; Boatin, Adeline A.; Gadgil, Anita. (2025) State-wise variation and inequalities in caesarean delivery rates in India: analysis of the National Family Health Survey-5 (2019–2021) data. The Lancet Regional Health – Southeast Asia
    Academic article

2024

  • Kesteren, Jurre van; van Duinen, Aalke Johan; Bonjer, Jaap H.. (2024) Laparoscopy training from global surgery perspective.
    Non-fiction chapter
  • Werz, Markus Jan; van Duinen, Aalke Johan; Hampaye, Theophilus C.; Broek, Ankie van den; Bolkan, Håkon Angell. (2024) Exploring barriers and enabling factors for surgical task sharing with physician assistants in Liberia: a qualitative pre-implementation study. BMJ Open
    Academic article
  • Patil, Priti; Nathani, Priyansh; Bakker, Juul Marlies; van Duinen, Aalke Johan; Bhushan, Pranav; Shukla, Minal; Chalise, Samir; Roy, Nobhojit; Gadgil, Anita. (2024) Authors' reply: Are low- and middle-income countries achieving the Lancet commission global benchmark for surgical volumes? A systematic review. World Journal of Surgery
    Commentary
  • Lwin, Zin Min Thet; Mansaray, Abdul Rahman; Al-Samman, Sam; Keel, George; Forsberg, Birger C.; Beard, Jessica H.; van Duinen, Aalke Johan; Bolkan, Håkon Angell; Ashley, Thomas; Palmu, Juuli. (2024) Economic evaluation of expanding inguinal hernia repair among adult males in Sierra Leone. PLOS Global Public Health
    Academic article
  • Logstein, Erika; Torp, Richard Hald; Ashley, Thomas; Kamara, Michael M.; Koroma, Alimamy P.; Dumbuya, Abu Bakarr; Suma, Musa S.; Moijue, Abdul Rahman; Westendorp, Josien; Kujabi, Monica L.. (2024) Long-term maternal outcomes 5 years after cesarean section in Sierra Leone: A prospective cohort study. International Journal of Gynecology & Obstetrics
    Academic article
  • Adde, Håvard Askim; Oghogho, Mark Deenize; van Duinen, Aalke Johan; Grimes, Caris E; Hampaye, Theophilus C; Quaife, Matthew; Bolkan, Håkon Angell. (2024) The economic burden associated with unmet surgical needs in Liberia: A retrospective macroeconomic analysis based on a nationwide enumeration of surgical procedures. BMJ Open
    Academic article

2023

  • Ashley, Thomas; Ashley, Hannah F.; Wladis, Andreas; Nordin, Pär; Ohene-Yeboah, Michael; Rukas, Rimantas; Lipnickas, Vytautas; Smalle, Isaac O.; Holm, Kristina; Kalsi, Herta. (2023) Standardised Competency-Based Training of Medical Doctors and Associate Clinicians in Inguinal Repair with Mesh in Sierra Leone. World Journal of Surgery
    Academic article
  • Wangen, Endre; Gillund, Even Westgaard; Reinholdtsen, Eirik Midtgaard; Henriksveen, Kristian Jostad; van Duinen, Aalke Johan; Faqiri, Mirwais; Ystgaard, Brynjulf; Bolkan, Håkon Angell. (2023) Akutte laparotomier ved St. Olavs hospital. Tidsskrift for Den norske legeforening (Tidsskriftet)
    Academic article
  • Dutta, Rohini; Tuli, Shagun; Shukla, Minal; Patil, Priti; van Duinen, Aalke Johan; Thivalapill, Neil; Ghoshal, Rakhi; Jayaram, Anusha; Roy, Nobhojit; Gadgil, Anita. (2023) 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. Global health action
    Academic article
  • Lindenbergh, Karel C.; van Duinen, Aalke Johan; Ahlback, Johan Gottfrid; Kamoh, Joseph; Bah, Silleh; Ashley, Thomas; Löfgren, Jenny; Grobusch, Martin P.; Sankoh, Osman; Bolkan, Håkon Angell. (2023) Prevalence, incidence, repair rate, and morbidity of groin hernias in Sierra Leone: cross-sectional household study. BJS Open
    Academic article
  • van Duinen, Aalke Johan; Gyedu, Adam. (2023) Task Shifting and Task Sharing to Strengthen the Surgical Workforce in Sub-Saharan Africa: A Systematic Review of the Existing Literature. World Journal of Surgery
    Academic article
  • Patil, Priti; Nathani, Priyansh; Bakker, Juul Marlies; van Duinen, Aalke Johan; Bhushan, Pranav; Shukla, Minal; Chalise, Samir; Roy, Nobhojit; Gadgil, Anita. (2023) Authors’ Reply: Are LMICs Achieving the Lancet Commission Global Benchmark for Surgical Volumes? A Systematic Review. World Journal of Surgery
    Commentary
  • Patil, Priti; Nathani, Priyansh; Bakker, Juul Marlies; van Duinen, Aalke Johan; Bhushan, Pranav; Shukla, Minal; Chalise, Samir; Roy, Nobhojit; Gadgil, Anita. (2023) Are LMICs Achieving the Lancet Commission Global Benchmark for Surgical Volumes? A Systematic Review. World Journal of Surgery
    Academic literature review

2022

  • Shukla, Minal; Mohan, Monali; van Duinen, Aalke Johan; Gadgil, Anita; Bakker, Juul Marlies; Bhushan, Pranav; Roy, Nobhojit. (2022) Assessing geographical and economic inequalities in caesarean section rates between the districts of Bihar, India: a secondary analysis of the National Family Health Survey. BMJ Open
    Academic article
  • Kesteren, Jurre van; van Duinen, Aalke Johan; Marah, Foday; Delft, Diede van; Spector, Antoinette L.; Cassidy, Laura D.; Groen, Reinou S.; Jabbi, Sonnia-Magba Bu-Buakei; Bah, Silleh; Medo, James A.. (2022) PREvalence Study on Surgical COnditions (PRESSCO) 2020: A Population-Based Cross-Sectional Countrywide Survey on Surgical Conditions in Post-Ebola Outbreak Sierra Leone. World Journal of Surgery
    Academic article
  • Kesteren, Jurre van; Meylahn-Jansen, Pauline J.; Conteh, Amara; Lissenberg-Witte, Birgit I.; van Duinen, Aalke Johan; Ashley, Thomas; Bonjer, H. Jaap; Bolkan, Håkon Angell. (2022) Inguinal hernia surgery learning curves by associate clinicians. Surgical Endoscopy
    Academic article
  • Bakke, Eirik; Øseth, Eirik; Fofanah, Tairu; Sesay, Ibrahim; van Duinen, Aalke Johan; Bolkan, Håkon Angell; Westendorp, Josien; Lonnee-Hoffmann, Risa. (2022) Vacuum births and barriers to its use: An observational study in governmental hospitals in Sierra Leone. BMJ Open
    Academic article
  • 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.. (2022) Mapping population access to essential surgical care in Liberia using equipment, personnel, and bellwether capability standards. British Journal of Surgery
    Academic article

2021

  • Sevalie, Stephen; Youkee, Daniel; van Duinen, Aalke Johan; Bailey, Emma; Bangura, Thaimu; Mangipudi, Sowmya; Mansaray, Esther; Odland, Maria Lisa; Parmar, Divya; Samura, Sorie. (2021) The impact of the COVID-19 pandemic on hospital utilisation in Sierra Leone. BMJ Global Health
    Academic article
  • Sung, Sophia; Hørthe, Hilde; Svendsen, Øyvind Veel; van Duinen, Aalke Johan; Salvesen, Øyvind; Vandi, Alphonsus; Bolkan, Håkon Angell. (2021) Early evaluation of the transition from an analog to an electronic surgical logbook system in Sierra Leone. BMC Medical Education
    Academic article
  • Adde, Håvard Askim; Duinen, Aalke Johan van; Sherman, L.M.; Andrews, B.C.; Salvesen, Øyvind; Dunbar, N.K.; Bleah, A.J.; Weiser, T.G.; Bolkan, Håkon Angell. (2021) A Nationwide Enumeration of the Surgical Workforce, its Production and Disparities in Operative Productivity in Liberia. World Journal of Surgery
    Academic article
  • Ahlback, Johan Gottfried; van Duinen, Aalke Johan; Brudal, Frank; Endreseth, Birger Henning; Bolkan, Håkon Angell. (2021) Effekt av Covid-19 pandemien på innleggelser og behandling av akuttkirurgisk pasienter i Midt-Norge. Kirurgen
    Professional article
  • Geraedts, Tessa J. M.; Boateng, Daniel; Lindenbergh, Karel C.; Delft, Diede Van; Mathéron, Hanna M.; Mönnink, Gulia L. E.; Martens, Janine P. J.; Leerdam, Daniel van; Nunes, Jonathan H. Vas; Jabbi, Sonnia-Magba Bu-Buakei. (2021) Evaluating the cascade of care for hypertension in Sierra Leone. Tropical medicine & international health
    Academic article
  • Gjøra, Andreas; Lindheim-Minde, Barbro; Bakker, Juul Marlies; van Duinen, Aalke Johan; Leerdam, Daniel van; Smalle, Isaac O; Bundu, Ibrahim; Bolkan, Håkon Angell. (2021) Changes in surgical volume, workforce, and productivity in Sierra Leone between 2012 and 2017. Surgery
    Academic article
  • 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. (2021) Catastrophic expenditure and impoverishment after caesarean section in Sierra Leone: An evaluation of the free health care initiative. PLOS ONE
    Academic article
  • Ashley, Thomas; Ashley, Hannah; Wladis, Andreas; Bolkan, Håkon Angell; van Duinen, Aalke Johan; Beard, Jessica; Kalsi, Hertta; Palmu, Juuli; Nordin, Pär; Kristina, Holm. (2021) Outcomes After Elective Inguinal Hernia Repair Performed by Associate Clinicians vs Medical Doctors in Sierra Leone: A Randomized Clinical Trial. JAMA Network Open
    Academic article
  • Bolkan, Håkon Angell; van Duinen, Aalke Johan. (2021) CapaCare 10 years, 2011 – 2021. CapaCare International
    Popular science monograph
  • Bakker, Juul Marlies; van Duinen, Aalke Johan; Nolet, Wouter W.E.; Mboma, Peter; Sam, Tamba; Broek, Ankie van den; Flinkenflögel, Maaike; Gjøra, Andreas; Lindheim-Minde, Barbro; Kamanda, Samuel. (2021) Barriers to increase surgical productivity in Sierra Leone: A qualitative study. BMJ Open
    Academic article

2020

  • Lonnee, Herman; Taule, Katinka; Sandvand, Johannes Knoph; Koroma, Michael M.; Dumbuya, Abubakar; Jusu, Kakpama S.K.; Shour, Mohamed A.; van Duinen, Aalke Johan. (2020) A survey of anaesthesia practices at all hospitals performing caesarean sections in Sierra Leone. Acta Anaesthesiologica Scandinavica
    Academic article
  • van Duinen, Aalke Johan; Westendorp, Josien; Kamara, Michael M; Forna, Fatu; Hagander, Lars; Rijken, Marcus J.; Leather, Andy J.M.; Wibe, Arne; Bolkan, Håkon Angell. (2020) Perinatal outcomes of cesarean deliveries in Sierra Leone: A prospective multicenter observational study. International Journal of Gynecology & Obstetrics
    Academic article
  • Duinen, Aalke Johan van; Adde, Håvard Askim; Fredin, Hans Ola; Holmer, Hampus; Hagander, Lars; Koroma, Alimamy Philip; Koroma, Michael M.; Leather, Andy; Wibe, Arne; Bolkan, Håkon Angell. (2020) Travel time and perinatal mortality after emergency caesarean sections: an evaluation of the 2-hour proximity indicator in Sierra Leone. BMJ Global Health
    Academic article
  • Adde, Håvard Askim; van Duinen, Aalke Johan; Oghogho, Mark Deenize; Dunbar, Nelson; Tehmeh, Lekilay; Hampaye, Theophilus; Salvesen, Øyvind; Weiser, Thomas G.; Bolkan, Håkon Angell. (2020) Impact of surgical infrastructure and personnel on volume and availability of essential surgical procedures in Liberia. BJS Open
    Academic article

2019

  • Drevin, Gustaf; Alvesson, Helle Mölsted; van Duinen, Aalke Johan; Bolkan, Håkon Angell; Koroma, Alimamy philip; Schreeb, Johan von. (2019) ”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. BMJ Global Health
    Academic article
  • Husby, Anne; van Duinen, Aalke Johan; Aune, Ingvild. (2019) Caesarean birth experiences. A qualitative study from Sierra Leone. Sexual & Reproductive HealthCare
    Academic article
  • 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. (2019) Caesarean section performed by medical doctors and associate clinicians in Sierra Leone. British Journal of Surgery
    Academic article
  • Svendsen, Øyvind Veel; Helgerud, Christoffer; van Duinen, Aalke Johan; Salvesen, Øyvind; George, Peter M.; Bolkan, Håkon Angell. (2019) Evaluation of a surgical task sharing training programme's logbook system in Sierra Leone. BMC Medical Education
    Academic article
  • 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.. (2019) The rate and perioperative mortality of caesarean section in Sierra Leone. BMJ Global Health
    Academic article

2018

  • Waalewijn, Bart; van Duinen, Aalke Johan; Koroma, Alimamy Philip; Rijken, Markus J.; Elhassein, Mohammed; Bolkan, Håkon Angell. (2018) Important Research Elements in Aiding Training: Reply. World Journal of Surgery
    Commentary
  • Bolkan, Håkon Angell; van Duinen, Aalke Johan; Samai, Mohammed; Bash-Taqi, Donald Alpha; Gassama, Ibarahim; Waalewijn, Bart; Wibe, Arne; Schreeb, Johan von. (2018) Admissions and surgery as indicators of hospital functions in Sierra Leone during the west-African Ebola outbreak. BMC Health Services Research
    Academic article

2017

  • Waalewijn, Bart; van Duinen, Aalke Johan; Koroma, AP; Rijken, Markus J.; Elhassein, Mohammed; Bolkan, Håkon Angell. (2017) Learning Curve Characteristics for Caesarean Section Among Associate Clinicians: A Prospective Study from Sierra Leone. World Journal of Surgery
    Academic article
  • Bolkan, Håkon Angell; van Duinen, Aalke Johan; Waalewijn, Bart; Elhassein, Mohamed; Kamara, T. B.; Deen, G F; Bundu, Ibrahim; Ystgaard, Brynjulf; Schreeb, Johan von; Wibe, Arne. (2017) Safety, productivity and predicted contribution of a surgical task-sharing programme in Sierra Leone. British Journal of Surgery
    Academic article

2016

  • Brolin, Kim; van Duinen, Aalke Johan; Nordenstedt, Helena; Hoijer, J; Molnes, Ragnhild; Frøseth, Torunn Wigum; Koroma, AP; Darj, Elisabeth; Bolkan, Håkon Angell; Ekström, A. (2016) The Impact of the West Africa Ebola Outbreak on Obstetric Health Care in Sierra Leone. PLOS ONE
    Academic article

2014

  • van Duinen, Aalke Johan; Waalewijn, Bart; Ystgaard, Brynjulf; Bolkan, Håkon Angell. (2014) Strengthening of the Sierra Leonean Health System by Implementing a Surgical Task Shifting Programme. MT Bulletin of the Netherlands Society for Tropical Medicine and International Health
    Professional article

2013

  • van Duinen, Aalke Johan; Westendorp, J; Ashley, T; Bash-Taqi, D; Jorgensen, P; Bolkan, Håkon Angell. (2013) The surgical training program: increasing surgical capacity in sierra leone by training medical doctors and community health officers in surgical and obstetric skills - progress report. Tropical medicine & international health
    Conference abstract

Journal publications

  • Westendorp, Josien; Jalloh, Rugiatu; Sheriff, Sarrah; Wussow, Jenny; Stamland, Guro; Bjorøy, Sigrid Anne; Moses, Francis; Rijken, Marcus J.; Hoffmann-Lonnee, Risa; Bolkan, Håkon Angell. (2026) A cross-sectional study of caesarean deliveries performed by medical doctors and associate clinicians in nine district and regional hospitals in Sierra Leone using the Robson Ten Group Classification System. International Journal of Gynecology & Obstetrics
    Academic article
  • Mona, Johanna; Ahlbäck, Johan G.; Lebbie, Aiah; Ashley, Thomas; Bolkan, Håkon Angell; van Duinen, Aalke Johan. (2026) Challenges and enablers in accessing paediatric inguinal hernia surgical care in Sierra Leone: a qualitative exploratory study. BMJ Open
    Academic article
  • Øvreås, Elisabeth; Vreede, Eric; van Duinen, Alex J; Svengaard, Maria; Furre, Mali Eggen; Kamara, Augustine Kamanda; Sesay, Denis Akar; Lonnee, Herman; Nathani, Priyansh; Kabba, Mustapha S. (2026) Anaesthesia workforce distribution, practices and essential resources in Sierra Leone: a nationwide, cross-sectional, facility-based study. BMJ Open
    Academic article
  • Faradonbeh, Sara Aakre; Halvorsen, Anniken Høeg; Ashley, Thomas; Lebbie, Aiah; Kabba, Mustapha S; Andersen, Lena; Bolkan, Håkon Angell; van Duinen, Alex J. (2026) Development of paediatric surgical care in Sierra Leone: a repeated nationwide cross-sectional study from 2012 to 2023. BMJ Public Health
    Academic article
  • Martens, Janine P. J.; Leerdam, Daniel van; Kanneh, Sayoh; Smalle, Isaac O.; Sankoh, Osman; van Duinen, Alex J.; Bolkan, Håkon Angell. (2025) Surgical Volume in Sierra Leone: A Comparison Between Population and Facility‐Based Data Collection. World Journal of Surgery
    Academic article
  • Ashley, Thomas; Ashley, Hannah F; Wladis, Andreas; Nordin, Pär; Ohene-Yeboah, Michael; Smalle, Isaac O; Beard, Jessica H; Löfgren, Jenny; Bolkan, Håkon Angell; van Duinen, Alex J. (2025) Outcomes after elective inguinal hernia repair with mesh performed by associate clinicians versus medical doctors in Sierra Leone: 5-year follow-up of a randomized clinical trial. British Journal of Surgery
    Academic article
  • Bakker, Juul Marlies; van Duinen, Aalke Johan; Patil, Priti; Nathani, Priyansh; Gyedu, Adam; Adde, Håvard Askim; Bhushan, Pranav; Roy, Nobhojit; Gadgil, Anita; Bolkan, Håkon Angell. (2025) Exploring the concept of surgical transition: surgical activity in the light of economic development in Sierra Leone, Liberia, Ghana and India. Frontiers in Surgery
    Academic article
  • Sevalie, Stephen; Youkee, Daniel; van Duinen, Aalke Johan; Bailey, Emma; Bangura, Thaimu; Mangipudi, Sowmya; Mansaray, Esther; Odland, Maria Lisa; Parmar, Divya; Samura, Sorie. (2021) The impact of the COVID-19 pandemic on hospital utilisation in Sierra Leone. BMJ Global Health
    Academic article
  • Werz, Markus Jan; van Duinen, Aalke Johan; Hampaye, Theophilus C.; Broek, Ankie van den; Bolkan, Håkon Angell. (2024) Exploring barriers and enabling factors for surgical task sharing with physician assistants in Liberia: a qualitative pre-implementation study. BMJ Open
    Academic article
  • Sung, Sophia; Hørthe, Hilde; Svendsen, Øyvind Veel; van Duinen, Aalke Johan; Salvesen, Øyvind; Vandi, Alphonsus; Bolkan, Håkon Angell. (2021) Early evaluation of the transition from an analog to an electronic surgical logbook system in Sierra Leone. BMC Medical Education
    Academic article
  • Waalewijn, Bart; van Duinen, Aalke Johan; Koroma, AP; Rijken, Markus J.; Elhassein, Mohammed; Bolkan, Håkon Angell. (2017) Learning Curve Characteristics for Caesarean Section Among Associate Clinicians: A Prospective Study from Sierra Leone. World Journal of Surgery
    Academic article
  • Shukla, Minal; Mohan, Monali; van Duinen, Aalke Johan; Gadgil, Anita; Bakker, Juul Marlies; Bhushan, Pranav; Roy, Nobhojit. (2022) Assessing geographical and economic inequalities in caesarean section rates between the districts of Bihar, India: a secondary analysis of the National Family Health Survey. BMJ Open
    Academic article
  • Adde, Håvard Askim; Duinen, Aalke Johan van; Sherman, L.M.; Andrews, B.C.; Salvesen, Øyvind; Dunbar, N.K.; Bleah, A.J.; Weiser, T.G.; Bolkan, Håkon Angell. (2021) A Nationwide Enumeration of the Surgical Workforce, its Production and Disparities in Operative Productivity in Liberia. World Journal of Surgery
    Academic article
  • Ahlback, Johan Gottfried; van Duinen, Aalke Johan; Brudal, Frank; Endreseth, Birger Henning; Bolkan, Håkon Angell. (2021) Effekt av Covid-19 pandemien på innleggelser og behandling av akuttkirurgisk pasienter i Midt-Norge. Kirurgen
    Professional article
  • Brolin, Kim; van Duinen, Aalke Johan; Nordenstedt, Helena; Hoijer, J; Molnes, Ragnhild; Frøseth, Torunn Wigum; Koroma, AP; Darj, Elisabeth; Bolkan, Håkon Angell; Ekström, A. (2016) The Impact of the West Africa Ebola Outbreak on Obstetric Health Care in Sierra Leone. PLOS ONE
    Academic article
  • Ashley, Thomas; Ashley, Hannah F.; Wladis, Andreas; Nordin, Pär; Ohene-Yeboah, Michael; Rukas, Rimantas; Lipnickas, Vytautas; Smalle, Isaac O.; Holm, Kristina; Kalsi, Herta. (2023) Standardised Competency-Based Training of Medical Doctors and Associate Clinicians in Inguinal Repair with Mesh in Sierra Leone. World Journal of Surgery
    Academic article
  • Patil, Priti; Nathani, Priyansh; Bakker, Juul Marlies; van Duinen, Aalke Johan; Bhushan, Pranav; Shukla, Minal; Chalise, Samir; Roy, Nobhojit; Gadgil, Anita. (2024) Authors' reply: Are low- and middle-income countries achieving the Lancet commission global benchmark for surgical volumes? A systematic review. World Journal of Surgery
    Commentary
  • Nunes, Jonathan H. Vas; van Duinen, Aalke Johan; Boateng, Daniel; Tommy, Amidu J; Sankoh, Osman; Grobusch, Martin P.; Bolkan, Håkon Angell. (2025) Incidence and prevalence of traumatic and non-traumatic wounds and burns and access to wound care in Sierra Leone; data from a nationwide household survey (PRESSCO) 2020. Heliyon
    Academic article
  • Kesteren, Jurre van; van Duinen, Aalke Johan; Marah, Foday; Delft, Diede van; Spector, Antoinette L.; Cassidy, Laura D.; Groen, Reinou S.; Jabbi, Sonnia-Magba Bu-Buakei; Bah, Silleh; Medo, James A.. (2022) PREvalence Study on Surgical COnditions (PRESSCO) 2020: A Population-Based Cross-Sectional Countrywide Survey on Surgical Conditions in Post-Ebola Outbreak Sierra Leone. World Journal of Surgery
    Academic article
  • Wangen, Endre; Gillund, Even Westgaard; Reinholdtsen, Eirik Midtgaard; Henriksveen, Kristian Jostad; van Duinen, Aalke Johan; Faqiri, Mirwais; Ystgaard, Brynjulf; Bolkan, Håkon Angell. (2023) Akutte laparotomier ved St. Olavs hospital. Tidsskrift for Den norske legeforening (Tidsskriftet)
    Academic article
  • Furre, Mali Eggen; Svengaard, Maria; Øvreås, Elisabeth; van Duinen, Aalke Johan; Ashley, Thomas; Grobusch, Martin P.; Bakker, Juul Marlies; Gunneweg, Jaap; Roy, Nobhojit; Kabba, Mustapha S.. (2025) The impact of surgical task-sharing in Sierra Leone: a nationwide longitudinal observational study on surgical workforce and volume, 2012–2023. BMJ Global Health
    Academic article
  • Lonnee, Herman; Taule, Katinka; Sandvand, Johannes Knoph; Koroma, Michael M.; Dumbuya, Abubakar; Jusu, Kakpama S.K.; Shour, Mohamed A.; van Duinen, Aalke Johan. (2020) A survey of anaesthesia practices at all hospitals performing caesarean sections in Sierra Leone. Acta Anaesthesiologica Scandinavica
    Academic article
  • Drevin, Gustaf; Alvesson, Helle Mölsted; van Duinen, Aalke Johan; Bolkan, Håkon Angell; Koroma, Alimamy philip; Schreeb, Johan von. (2019) ”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. BMJ Global Health
    Academic article
  • van Duinen, Aalke Johan; Waalewijn, Bart; Ystgaard, Brynjulf; Bolkan, Håkon Angell. (2014) Strengthening of the Sierra Leonean Health System by Implementing a Surgical Task Shifting Programme. MT Bulletin of the Netherlands Society for Tropical Medicine and International Health
    Professional article
  • Dutta, Rohini; Tuli, Shagun; Shukla, Minal; Patil, Priti; van Duinen, Aalke Johan; Thivalapill, Neil; Ghoshal, Rakhi; Jayaram, Anusha; Roy, Nobhojit; Gadgil, Anita. (2023) 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. Global health action
    Academic article
  • Geraedts, Tessa J. M.; Boateng, Daniel; Lindenbergh, Karel C.; Delft, Diede Van; Mathéron, Hanna M.; Mönnink, Gulia L. E.; Martens, Janine P. J.; Leerdam, Daniel van; Nunes, Jonathan H. Vas; Jabbi, Sonnia-Magba Bu-Buakei. (2021) Evaluating the cascade of care for hypertension in Sierra Leone. Tropical medicine & international health
    Academic article
  • Lindenbergh, Karel C.; van Duinen, Aalke Johan; Ahlback, Johan Gottfrid; Kamoh, Joseph; Bah, Silleh; Ashley, Thomas; Löfgren, Jenny; Grobusch, Martin P.; Sankoh, Osman; Bolkan, Håkon Angell. (2023) Prevalence, incidence, repair rate, and morbidity of groin hernias in Sierra Leone: cross-sectional household study. BJS Open
    Academic article
  • Gjøra, Andreas; Lindheim-Minde, Barbro; Bakker, Juul Marlies; van Duinen, Aalke Johan; Leerdam, Daniel van; Smalle, Isaac O; Bundu, Ibrahim; Bolkan, Håkon Angell. (2021) Changes in surgical volume, workforce, and productivity in Sierra Leone between 2012 and 2017. Surgery
    Academic article
  • Dawkins, Bryony; Shinkins, Bethany; Ensor, Tim; Jayne, David; Ashley, Thomas; van Duinen, Aalke Johan; Bolkan, Håkon Angell; Meads, David. (2025) Evaluating Access Improving Interventions: An Economic Evaluation of Surgical Task-Shifting for C-Sections in Sierra Leone. Applied Health Economics and Health Policy
    Academic article
  • Lwin, Zin Min Thet; Mansaray, Abdul Rahman; Al-Samman, Sam; Keel, George; Forsberg, Birger C.; Beard, Jessica H.; van Duinen, Aalke Johan; Bolkan, Håkon Angell; Ashley, Thomas; Palmu, Juuli. (2024) Economic evaluation of expanding inguinal hernia repair among adult males in Sierra Leone. PLOS Global Public Health
    Academic article
  • Husby, Anne; van Duinen, Aalke Johan; Aune, Ingvild. (2019) Caesarean birth experiences. A qualitative study from Sierra Leone. Sexual & Reproductive HealthCare
    Academic article
  • Bolkan, Håkon Angell; van Duinen, Aalke Johan; Waalewijn, Bart; Elhassein, Mohamed; Kamara, T. B.; Deen, G F; Bundu, Ibrahim; Ystgaard, Brynjulf; Schreeb, Johan von; Wibe, Arne. (2017) Safety, productivity and predicted contribution of a surgical task-sharing programme in Sierra Leone. British Journal of Surgery
    Academic article
  • Kesteren, Jurre van; Meylahn-Jansen, Pauline J.; Conteh, Amara; Lissenberg-Witte, Birgit I.; van Duinen, Aalke Johan; Ashley, Thomas; Bonjer, H. Jaap; Bolkan, Håkon Angell. (2022) Inguinal hernia surgery learning curves by associate clinicians. Surgical Endoscopy
    Academic article
  • 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. (2021) Catastrophic expenditure and impoverishment after caesarean section in Sierra Leone: An evaluation of the free health care initiative. PLOS ONE
    Academic article
  • Ashley, Thomas; Ashley, Hannah; Wladis, Andreas; Bolkan, Håkon Angell; van Duinen, Aalke Johan; Beard, Jessica; Kalsi, Hertta; Palmu, Juuli; Nordin, Pär; Kristina, Holm. (2021) Outcomes After Elective Inguinal Hernia Repair Performed by Associate Clinicians vs Medical Doctors in Sierra Leone: A Randomized Clinical Trial. JAMA Network Open
    Academic article
  • van Duinen, Aalke Johan; Westendorp, J; Ashley, T; Bash-Taqi, D; Jorgensen, P; Bolkan, Håkon Angell. (2013) The surgical training program: increasing surgical capacity in sierra leone by training medical doctors and community health officers in surgical and obstetric skills - progress report. Tropical medicine & international health
    Conference abstract
  • van Duinen, Aalke Johan; Gyedu, Adam. (2023) Task Shifting and Task Sharing to Strengthen the Surgical Workforce in Sub-Saharan Africa: A Systematic Review of the Existing Literature. World Journal of Surgery
    Academic article
  • 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. (2019) Caesarean section performed by medical doctors and associate clinicians in Sierra Leone. British Journal of Surgery
    Academic article
  • Logstein, Erika; Torp, Richard Hald; Ashley, Thomas; Kamara, Michael M.; Koroma, Alimamy P.; Dumbuya, Abu Bakarr; Suma, Musa S.; Moijue, Abdul Rahman; Westendorp, Josien; Kujabi, Monica L.. (2024) Long-term maternal outcomes 5 years after cesarean section in Sierra Leone: A prospective cohort study. International Journal of Gynecology & Obstetrics
    Academic article
  • van Duinen, Aalke Johan; Westendorp, Josien; Kamara, Michael M; Forna, Fatu; Hagander, Lars; Rijken, Marcus J.; Leather, Andy J.M.; Wibe, Arne; Bolkan, Håkon Angell. (2020) Perinatal outcomes of cesarean deliveries in Sierra Leone: A prospective multicenter observational study. International Journal of Gynecology & Obstetrics
    Academic article
  • Adde, Håvard Askim; Oghogho, Mark Deenize; van Duinen, Aalke Johan; Grimes, Caris E; Hampaye, Theophilus C; Quaife, Matthew; Bolkan, Håkon Angell. (2024) The economic burden associated with unmet surgical needs in Liberia: A retrospective macroeconomic analysis based on a nationwide enumeration of surgical procedures. BMJ Open
    Academic article
  • Dutta, Rohini; Nathani, Priyansh; Patil, Priti; Ghoshal, Rakhi; Tuli, Shagun; Bakker, Juul Marlies; van Duinen, Aalke Johan; Roy, Nobhojit; Boatin, Adeline A.; Gadgil, Anita. (2025) State-wise variation and inequalities in caesarean delivery rates in India: analysis of the National Family Health Survey-5 (2019–2021) data. The Lancet Regional Health – Southeast Asia
    Academic article
  • Waalewijn, Bart; van Duinen, Aalke Johan; Koroma, Alimamy Philip; Rijken, Markus J.; Elhassein, Mohammed; Bolkan, Håkon Angell. (2018) Important Research Elements in Aiding Training: Reply. World Journal of Surgery
    Commentary
  • Duinen, Aalke Johan van; Adde, Håvard Askim; Fredin, Hans Ola; Holmer, Hampus; Hagander, Lars; Koroma, Alimamy Philip; Koroma, Michael M.; Leather, Andy; Wibe, Arne; Bolkan, Håkon Angell. (2020) Travel time and perinatal mortality after emergency caesarean sections: an evaluation of the 2-hour proximity indicator in Sierra Leone. BMJ Global Health
    Academic article
  • Svendsen, Øyvind Veel; Helgerud, Christoffer; van Duinen, Aalke Johan; Salvesen, Øyvind; George, Peter M.; Bolkan, Håkon Angell. (2019) Evaluation of a surgical task sharing training programme's logbook system in Sierra Leone. BMC Medical Education
    Academic article
  • 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.. (2019) The rate and perioperative mortality of caesarean section in Sierra Leone. BMJ Global Health
    Academic article
  • Patil, Priti; Nathani, Priyansh; Bakker, Juul Marlies; van Duinen, Aalke Johan; Bhushan, Pranav; Shukla, Minal; Chalise, Samir; Roy, Nobhojit; Gadgil, Anita. (2023) Authors’ Reply: Are LMICs Achieving the Lancet Commission Global Benchmark for Surgical Volumes? A Systematic Review. World Journal of Surgery
    Commentary
  • Bolkan, Håkon Angell; van Duinen, Aalke Johan; Samai, Mohammed; Bash-Taqi, Donald Alpha; Gassama, Ibarahim; Waalewijn, Bart; Wibe, Arne; Schreeb, Johan von. (2018) Admissions and surgery as indicators of hospital functions in Sierra Leone during the west-African Ebola outbreak. BMC Health Services Research
    Academic article
  • Bakke, Eirik; Øseth, Eirik; Fofanah, Tairu; Sesay, Ibrahim; van Duinen, Aalke Johan; Bolkan, Håkon Angell; Westendorp, Josien; Lonnee-Hoffmann, Risa. (2022) Vacuum births and barriers to its use: An observational study in governmental hospitals in Sierra Leone. BMJ Open
    Academic article
  • Adde, Håvard Askim; van Duinen, Aalke Johan; Oghogho, Mark Deenize; Dunbar, Nelson; Tehmeh, Lekilay; Hampaye, Theophilus; Salvesen, Øyvind; Weiser, Thomas G.; Bolkan, Håkon Angell. (2020) Impact of surgical infrastructure and personnel on volume and availability of essential surgical procedures in Liberia. BJS Open
    Academic article
  • Patil, Priti; Nathani, Priyansh; Bakker, Juul Marlies; van Duinen, Aalke Johan; Bhushan, Pranav; Shukla, Minal; Chalise, Samir; Roy, Nobhojit; Gadgil, Anita. (2023) Are LMICs Achieving the Lancet Commission Global Benchmark for Surgical Volumes? A Systematic Review. World Journal of Surgery
    Academic literature review
  • Bakker, Juul Marlies; van Duinen, Aalke Johan; Nolet, Wouter W.E.; Mboma, Peter; Sam, Tamba; Broek, Ankie van den; Flinkenflögel, Maaike; Gjøra, Andreas; Lindheim-Minde, Barbro; Kamanda, Samuel. (2021) Barriers to increase surgical productivity in Sierra Leone: A qualitative study. BMJ Open
    Academic article
  • 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.. (2022) Mapping population access to essential surgical care in Liberia using equipment, personnel, and bellwether capability standards. British Journal of Surgery
    Academic article

Books

  • Bolkan, Håkon Angell; van Duinen, Aalke Johan. (2021) CapaCare 10 years, 2011 – 2021. CapaCare International
    Popular science monograph

Part of book/report

  • Kesteren, Jurre van; van Duinen, Aalke Johan; Bonjer, Jaap H.. (2024) Laparoscopy training from global surgery perspective.
    Non-fiction chapter

Outreach

2023

  • Contribution to radio or TV
    Bazilchuk, Nancy Reney; Bolkan, Håkon Angell; van Duinen, Aalke Johan. (2023) Saving lives in Sierra Leone — one C-section at a time.
  • Conference lecture
    Bolkan, Håkon Angell; van Duinen, Aalke Johan. (2023) Long-term maternal outcomes after caesareansections in Sierra Leone–A prospective cohort study. 13th European Congress on Tropical Medicine and International Health (ECTMIH 2023)

2021

  • Interview
    Bolkan, Håkon Angell; van Duinen, Aalke Johan. (2021) Trained medical staff can perform safe, effective hernia surgery.
  • Interview
    Bolkan, Håkon Angell; van Duinen, Aalke Johan. (2021) De opererer brokk, men er ikke leger.

2019

  • Conference lecture
    van Duinen, Aalke Johan; Hagander, Lars; Kamara, Michael M; Koroma, Alimamy Philip; Leather, Andy; Wibe, Arne; Bolkan, Håkon Angell. (2019) Maternal and perinatal outcome after caesarean section in Sierra Leone: a prospective multicentre study. 48th World Congress of Surgery

2018

  • Conference poster
    van Duinen, Aalke Johan; Hagander, Lars; Kamara, Michael M; Ashley, Thomas; Koroma, Alimamy Philip; Leather, Andy J.M.; Elhassein, Mohamed; Darj, Elisabeth; Salvesen, Øyvind; Bolkan, Håkon Angell. (2018) Maternal and perinatal outcome after caesarean section in Sierra Leone – A prospective multicentre study comparing medical doctors and associate clinicians. Norwegian Global Health Conference
  • Conference lecture
    Adde, Håvard; van Duinen, Aalke Johan; Rijken, Markus J.; Kamara, Michael M; Bolkan, Håkon Angell. (2018) Uterine atony as cause of post-partum hemorrhage after cesarean section in Sierra Leone. 9th Annual Research Symposium of the Sierra Leone Health and Biomedical Research Group
  • Conference poster
    van Duinen, Aalke Johan; Koroma, AP; Bolkan, Håkon Angell. (2018) Number of caesarean section in Sierra Leone before, during and after the Ebola outbreak. Norwegian Global Health Conference
  • Lecture
    Bolkan, Håkon Angell; van Duinen, Aalke Johan; Waalewijn, Bart; Elhassein, Mohammed; Kamara, Thaim Buim; Deen, G F; Bundu, Ibrahim; Ystgaard, Brynjulf; Schreeb, Johan; Wibe, Arne. (2018) Safety, productivity and contributions to national volume from a surgical task-sharing programme in Sierra Leone. WACS 58th Annual Conference and Scientific Meeting
  • Lecture
    van Duinen, Aalke Johan; Koroma, Alimamy philip; Hagander, Lars; Kamara, Michael M; Ashley, Thomas; Leather, Andy; Elhassein, Mohammed; Darj, Elisabeth; Salvesen, Øyvind; Wibe, Arne. (2018) Maternal and perinatal outcome after caesarean section in Sierra Leone – A prospective multicentre study comparing medical doctors and associate clinicians. WACS 58th Annual Conference and Scientific Meeting
  • Lecture
    van Duinen, Aalke Johan; Koroma, Alimamy philip; Bolkan, Håkon Angell. (2018) Number of caesarean section in Sierra Leone before, during and after the Ebola outbreak. WACS 58th Annual Conference and Scientific Meeting
  • Conference poster
    Bakke, Eirik; Øseth, Eirik; Fofonah, Tairu; Sesay, Ibrahim; Bolkan, Håkon Angell; van Duinen, Aalke Johan; Lonnée-Hoffmann, Risa Anna Margaretha. (2018) Vacuum Deliveries in Sierra Leonean Governmental Hospitals: A register and questionnaire based study. Norwegian Global Health Conference
  • Lecture
    van Duinen, Aalke Johan. (2018) The challenges and joys of doing research in Sierra Leone. From Turmoil to Sustainability
  • Conference poster
    Bolkan, Håkon Angell; van Duinen, Aalke Johan; Waalewijn, Bart; Elhassein, Mohammed; Kamara, Thaim Buim; Deen, G F; Bundu, Ibrahim; Ystgaard, Brynjulf; Schreeb, Johan; Wibe, Arne. (2018) Safety, productivity and contributions to national volume from a surgical task-sharing programme in Sierra Leone. Norwegian Global Health Conference

2014

  • Conference lecture
    van Duinen, Aalke Johan; Waalewijn, Bart; Bolkan, Håkon Angell. (2014) The Surgical Training Program: Increasing access to essential surgical care in Sierra Leone by training Medical Doctors and Community Health Officers. Surgical Need in Low income countries

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