Safety, productivity and predicted contribution of a surgical task‐sharing programme in Sierra Leone. BJS 2017; 104: 1315-1326.
Published: 18th May 2017
Authors: H. A. Bolkan, A. van Duinen, B. Waalewijn, M. Elhassein, T. B. Kamara, G. F. Deen et al.
Surgical task‐sharing may be central to expanding the provision of surgical care in low‐resource settings. The aims of this paper were to describe the set‐up of a new surgical task‐sharing training programme for associate clinicians and junior doctors in Sierra Leone, assess its productivity and safety, and estimate its future role in contributing to surgical volume.
This prospective observational study from a consortium of 16 hospitals evaluated crude in‐hospital mortality over 5 years and productivity of operations performed during and after completion of a 3‐year surgical training programme.
Some 48 trainees and nine graduated surgical assistant community health officers (
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