Funding for this research was provided by:
National Institute for Health Research (GHRU 16/136/54)
Received: 10 June 2020
Accepted: 7 January 2021
First Online: 27 January 2021
Ethics approval and consent to participate
: The project is approved by the Ethics committee of MoHS of Sierra Leone on 10 December 2019 and by King’s College London Research Ethics Committee on 29 May 2020 (ref: LRS-19/20-14783).
: NS is the director of the London Safety and Training Solutions Ltd, which offers training in patient safety, implementation solutions, and human factors to healthcare organisations. The other authors declare no competing interests.