Introduction
hernias, hernia, inguinal hernia
In Sub-Saharan Africa, the estimated need for inguinal hernia repair is 204 to 210 per 100,000 population [In sub-Saharan Africa, inguinal hernias are usually repaired using tissue techniques due to the lack of availability of affordable mesh and limited training in mesh repair techniques for surgical providers [In Sierra Leone, inguinal hernia repair is performed by surgeons, medical doctors (MDs) with no formal surgical training and by associate clinicians (ACs) who have an educational level between that of a nurse and an MD [Standardized training for inguinal hernia repair with mesh is not required for Sierra Leonean MDs and ACs but can be a way to ensure quality of both training and surgical care delivery [