Perceptions of Sexual Healthcare Provision in Tanzania: a Key Informant Qualitative Study.

Journal: Sexuality research & social policy : journal of NSRC : SR & SP

Volume: 19

Issue: 3

Year of Publication: 

Affiliated Institutions:  Department of Psychiatry and Mental Health, School of Medicine, Muhimbili University of Health and Allied Sciences (MUHAS), Dar es Salaam, Tanzania. Program in Human Sexuality, Department of Family Medicine, University of Minnesota, Minneapolis, MN, USA. Department of Community Health Nursing, School of Nursing, Muhimbili University of Health and Allied Sciences (MUHAS), Dar es Salaam, Tanzania. Department of Epidemiology and Community Health, School of Public Health, University of Minnesota, Minneapolis, MN, USA. Department of Adolescent and Young Adult Medicine, Johns Hopkins University Schools of Medicine and Public Health, Baltimore, MD, USA. Department of Counselling and Health Services, Lincoln University, Philadelphia, PA, USA.

Abstract summary 

Sexual health care services must be standard and unbiased, guided by a structured health care system. There is a scarcity of data on how sexual health care is delivered in Tanzania.To address this gap, in July 2019 we interviewed eleven key informants: cultural and public health experts, and political, religious, and community leaders, selected from different organizations in Dar es Salaam, Tanzania. Participants were asked for their opinions about clinical practices of health care professionals when providing care to patients, with an emphasis on sexual health.Participants' responses were classified into three subcategories: strengths, barriers, and gaps in sexual health care. Availability of services, service delivery to adults, and code of conduct were among the strengths observed in clinical care services. Barriers included the health care provider's attitudes, moral values, and inadequacy in health policies and treatment guidelines. Vulnerable populations including youth were frequently reported to face most challenges when seeking sexual health care services. In terms of gaps, informants emphasized gender equity in sexual health services provision within care settings.Data indicate that lack of training in sexual health and guidelines for dealing with sexual issues are a barrier to comprehensive health care. These findings can inform the main areas for curriculum developers to focus on, when developing an Afro-centric sexual health curriculum suitable for students in health care professional courses. Moreover, these findings can be useful when developing treatment guidelines and policies that are beneficial to the sexual health wellbeing of individuals.

Authors & Co-authors:  Mgopa Lucy R LR Ross Michael W MW Lukumay Gift Gadiel GG Mushy Stella Emmanuel SE Mkony Ever E Massae Agnes F AF Mwakawanga Dorkas L DL Leshabari Sebalda S Mohamed Inari I Trent Maria M Wadley James J Bonilla Zobeida E ZE Rosser B R Simon BRS

Study Outcome 

Source Link: Visit source

Statistics
Citations :  Abeid M, Muganyizi P, Mpembeni R, Darj E, & Axemo P (2016). Evaluation of a training program for health care workers to improve the quality of care for rape survivors: A quasi-experimental design study in Morogoro, Tanzania. Global Health Action, 9, 31735. 10.3402/gha.v9.31735
Authors :  13
Identifiers
Doi : 10.1007/s13178-021-00607-5
SSN : 1868-9884
Study Population
Male,Female
Mesh Terms
Other Terms
Africa;Culture;HIV;Sexual health;Youth
Study Design
Study Approach
,Qualitative
Country of Study
Tanzania
Publication Country
United States