@article{discovery1469368,
           title = {Roles and responsibilities in newborn care in four African sites.},
          volume = {20},
           month = {May},
           pages = {1258--1264},
         journal = {Tropical Medicine \& International Health},
            year = {2015},
          number = {10},
            note = {Copyright {\copyright} 2015 The Authors. Tropical Medicine \& International Health Published by John Wiley \& Sons Ltd. 
This is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.},
             url = {http://dx.doi.org/10.1111/tmi.12550},
        abstract = {Objectives.

To explore roles and responsibilities in newborn care in the intra- and postpartum
period in Nigeria, Tanzania and Ethiopia.

Methods.  

Qualitative data were collected using in-depth interviews with mothers, grandmothers,
fathers, health workers and birth attendants and were analysed through content and framework
analyses.

Results.  

We found that birth attendants were the main decision-makers and care takers in the
intrapartum period. Birth attendants varied across sites and included female relatives (Ethiopia and
Nigeria), traditional birth attendants (Tanzania and Nigeria), spiritual birth attendants (Nigeria) and
health workers (Tanzania and Nigeria). In the early newborn period, when the mother is deemed to
be resting, female family members assumed this role. The mothers themselves only took full
responsibility for newborn care after a few days or weeks. The early newborn period was protracted
for first-time mothers, who were perceived as needing training on caring for the baby. Clear gender
roles were described, with newborn care being considered a woman's domain. Fathers had little
physical contact with the newborn, but played an important role in financing newborn care, and
were considered the ultimate decision-maker in the family.

Conclusion. 

Interventions should move beyond a focus on the mother-child dyad, to include other
carers who perform and decide on newborn care practices. Given this power dynamic, interventions
that involve men have the potential to result in behaviour change.},
        keywords = {Africa, Newborn, behaviour, immediate newborn care, neonatal, roles.},
          author = {Iganus, R and Hill, Z and Manzi, F and Bee, M and Amare, Y and Shamba, D and Odebiyi, A and Adejuyigbe, E and Omotara, B and Skordis-Worrall, J},
            issn = {1360-2276}
}