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Sexual and reproductive health and HIV in border districts affected by migration and poverty in Tanzania

Obel, Josephine; Larsson, Markus LU and Sodemann, Morten (2014) In European Journal of Contraception & Reproductive Health Care 19(6). p.420-431
Abstract
Objectives To assess HIV knowledge, attitudes, sexual practices and sexual and reproductive health ( SRH) service delivery in border areas of Tanzania, with a view to support the prioritisation of SRH interventions in border areas. Methods The target sample comprised randomly selected people living near the border, aged 15 to 49 years. To gather information, we utilised: (i) a standardised questionnaire (n = 86; 42 men and 44 women) previously used in national household surveys conducted by the Tanzanian government; (ii) focus group discussions (ten male groupsn = 47; ten female groups, n = 51); and (iii) semi- structured interviews with service providers (n = 37). Results The mean number of sexual partners, frequency of multiple... (More)
Objectives To assess HIV knowledge, attitudes, sexual practices and sexual and reproductive health ( SRH) service delivery in border areas of Tanzania, with a view to support the prioritisation of SRH interventions in border areas. Methods The target sample comprised randomly selected people living near the border, aged 15 to 49 years. To gather information, we utilised: (i) a standardised questionnaire (n = 86; 42 men and 44 women) previously used in national household surveys conducted by the Tanzanian government; (ii) focus group discussions (ten male groupsn = 47; ten female groups, n = 51); and (iii) semi- structured interviews with service providers (n = 37). Results The mean number of sexual partners, frequency of multiple concurrent partnerships and engagement in transactional sex were significantly higher in the border community than in the national population. Knowledge about HIV was comparable with that in the general population. Access to SRH services was limited in the border areas. Conclusion Efforts to reduce HIV transmission and to improve SRH in the border areas should focus on gaps in service delivery rather than education and information activities alone. In addition, multi-sectorial efforts spanning the health, social, legal and private sectors addressing gender imbalances and poverty alleviation are imperative for reducing poverty-driven unsafe transactional sex. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Reproductive health, HIV, Migration, Tanzania
in
European Journal of Contraception & Reproductive Health Care
volume
19
issue
6
pages
420 - 431
publisher
Parthenon Publishing
external identifiers
  • wos:000345346400003
  • scopus:84911080024
ISSN
1362-5187
DOI
10.3109/13625187.2014.944639
language
English
LU publication?
yes
id
d0e3e93b-d782-4fea-b31a-eae94bb50afc (old id 4965914)
date added to LUP
2015-02-03 07:08:17
date last changed
2017-01-01 03:13:41
@article{d0e3e93b-d782-4fea-b31a-eae94bb50afc,
  abstract     = {Objectives To assess HIV knowledge, attitudes, sexual practices and sexual and reproductive health ( SRH) service delivery in border areas of Tanzania, with a view to support the prioritisation of SRH interventions in border areas. Methods The target sample comprised randomly selected people living near the border, aged 15 to 49 years. To gather information, we utilised: (i) a standardised questionnaire (n = 86; 42 men and 44 women) previously used in national household surveys conducted by the Tanzanian government; (ii) focus group discussions (ten male groupsn = 47; ten female groups, n = 51); and (iii) semi- structured interviews with service providers (n = 37). Results The mean number of sexual partners, frequency of multiple concurrent partnerships and engagement in transactional sex were significantly higher in the border community than in the national population. Knowledge about HIV was comparable with that in the general population. Access to SRH services was limited in the border areas. Conclusion Efforts to reduce HIV transmission and to improve SRH in the border areas should focus on gaps in service delivery rather than education and information activities alone. In addition, multi-sectorial efforts spanning the health, social, legal and private sectors addressing gender imbalances and poverty alleviation are imperative for reducing poverty-driven unsafe transactional sex.},
  author       = {Obel, Josephine and Larsson, Markus and Sodemann, Morten},
  issn         = {1362-5187},
  keyword      = {Reproductive health,HIV,Migration,Tanzania},
  language     = {eng},
  number       = {6},
  pages        = {420--431},
  publisher    = {Parthenon Publishing},
  series       = {European Journal of Contraception & Reproductive Health Care},
  title        = {Sexual and reproductive health and HIV in border districts affected by migration and poverty in Tanzania},
  url          = {http://dx.doi.org/10.3109/13625187.2014.944639},
  volume       = {19},
  year         = {2014},
}