ArticleTropical medicine & international health : TM & IH2015
Roles and responsibilities in newborn care in four African sites.
Article in Tropical medicine & international health : TM & IH, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 1 of them a synthesis that pooled it.
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Who cites it
28 citing papers in PubMed, 1 synthesis or guideline pooled it, 49 citations in OpenAlex.
- Effect of family-centered interventions for perinatal depression: an overview of systematic reviews.Frontiers in psychiatry · 2023Pooled it
- Trial
- Coverage and determinants of hepatitis B virus vaccine uptake among children aged 12-36 months in Ethiopia: an analysis of the 2016 Ethiopian Demographic and Health Survey.International health · 2026Article
- Understanding decision-making around human and livestock health in sub-Saharan Africa: A systematic literature review.Dialogues in health · 2025Review
- Fathers' knowledge of neonatal danger signs and its associated factors in Northwest Ethiopia: a community-based cross-sectional study.BMJ open · 2024Article
- "Ethiopian journal of health sciences · 2024Article
- Maternal and child factors associated with late neonatal bathing practices in Nigeria: evidence from a national survey.Reproductive health · 2023Article
- Prevalence of essential newborn care in home and facility births in the Peruvian Amazon: analysis of census data from programme evaluation in three remote districts of the Loreto region.Lancet regional health. Americas · 2023Article
- Fathers' experiences of childcare and feeding: A photo-elicitation study in a low resource setting in urban Addis Ababa, Ethiopia.PloS one · 2023Article
- Impact of beliefs on perception of newborn illness, caregiver behaviors, and care-seeking practices in Zambia's Southern province.PloS one · 2023Article
- Household Survey Measurement of Newborn Postnatal Care: Coverage, Quality Gaps, and Internal Inconsistencies in Responses.Global health, science and practice · 2021Article
- Introduction: A family systems approach to promote maternal, child and adolescent nutrition.Maternal & child nutrition · 2021Article
- Effect of a Brief Supportive and Educational Intervention on the Psychological Well-Being of Mothers with Babies in Neonatal Wards of a Tertiary Hospital in Ibadan, Nigeria.Journal of tropical pediatrics · 2021Article
- "We All Join Hands": Perceptions of the Kangaroo Method Among Female Relatives of Newborns in The Gambia.Qualitative health research · 2021Article
- Grandmothers - a neglected family resource for saving newborn lives.BMJ global health · 2021Review
- Definitive surgical femur fracture fixation in Northern Tanzania: implications of cost, payment method and payment status.The Pan African medical journal · 2021Article
- An Innovative Grandmother-Inclusive Approach for Addressing Suboptimal Infant and Young Child Feeding Practices in Sierra Leone.Current developments in nutrition · 2020Article
- Just-in-time postnatal education programees to improve newborn care practices: needs and opportunities in low-resource settings.BMJ global health · 2020Review
- Neonatal care and community-level treatment seeking for possible severe bacterial infection (PSBI) in Amhara, Ethiopia.BMC health services research · 2020Article
- Article
Corrections and comments
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Authors and funding
10 authors at 7 institutions in 4 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo explore roles and responsibilities in newborn care in the intra- and postpartum period in Nigeria, Tanzania and Ethiopia.
methodsQualitative data were collected using in-depth interviews with mothers, grandmothers, fathers, health workers and birth attendants and were analysed through content and framework analyses.
resultsWe 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.
conclusionInterventions 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.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.