Skip to main content

Advertisement

Table 1 Studies on sexual and reproductive health among adolescents in Tanzania

From: A scoping review on sexual and reproductive health behaviors among Tanzanian adolescents

Author, year of publication Geographical location Study design Sample size Study title Age range (years) or school grade Summary of findings
1. Kalolo and Kibusi (2015) [10] Newala, Mtwara Cross-sectional 403 The influence of perceived behavior control, attitude and empowerment on reported condom use and intention to use condoms among adolescents in rural Tanzania 14–19 - 40.6% prevalence of sexually active participants (57.3% boys, 42.7% girls) - 49.8% had multiple concurrent sexual partners - 15.3% had sex before 14 years of age - 50.6% did not use condom at the last sexual intercourse - 77% indicated they intent to use condoms in the future.
2. Njau et al. (2013) [16] Rungwe district in Mbeya region Cross-sectional 324 Correlates of use of condoms among sexually active youth in Southern Highlands, Tanzania 14–18 - 70% prevalence of sexually active participants - 62.5% had multiple concurrent sexual partners - 52.8% prevalence of condom use in the last 3 months - 50.7% of the sexually active adolescents were tested for HIV
3. Mbeba et al. (2012) [8] Mtwara Qualitative study 9 focus group (8 to 10 persons1 per group) Barriers to sexual reproductive health services and rights among young people in Mtwara district, Tanzania 10–18 - The age range at sexual debut was 9 to 12 years - Girls reported to not having a place where they can talk about sex, contraception and STIs - Health services were inaccessible due to lack of privacy, confidentiality, equipment and negative attitudes from service providers, such as stigma and discrimination - Girls reported transactional sex (in exchange for money or food) and sexual abuse - Community members have the misconception that contraceptives will harm the fertility of young girls - Community members and service providers think it is inappropriate to girls have access to sexual and reproductive health services and family planning
4. Exavery et al. (2012) [17] Mpwapwa and Mbeya Rural Districts Cross-sectional 1327 Acceptability of condom promotion among 10–19 years old adolescents in Mpwapwa and Mbeya Rural Districts, Tanzania 10–19 - 21.8% prevalence of sexually active participants - 38.9% of the boy and 34.7% of the girl participants accept condom promotion and distribution - 18.9% were aware of places where condoms were available or distributed freely - 79.4% agrees with condom effectiveness in preventing transmission of STIs
5. Mmbaga et al. (2012) [12] Morogoro Municipality Cross-sectional 316 Incidence and predictors of adolescent’s early sexual debut after three decades of HIV interventions in Tanzania: a time to debut analysis 16–19 - 48.7% prevalence of sexually active participants (52% boys, 48% girls) - 57.8% had sex before 15 years of age - The age range at sexual debut was 8 to 19 years - 13.1% had more than 2 sexual partners in the last 6 months - Prevalence of transactional sex was 28.1% (62.8% girls, 31.8% boys)
6. Mnyika et al. (2012) [18] Moshi Rural District Cross-sectional 668 Perceptions of AIDS risk and condom use among out-of-school adolescents in Moshi Rural District, northern Tanzania 10–19 - 45.4% prevalence of sexually active participants (68.1% boys, 31.9% girls) - 70.5% had multiple concurrent sexual partners
7. Exavery et al. (2011) [9] Four district in Tanzania: Kigoma, Kilombero, Rufiji, and Ulanga Cross-sectional 612 Multiple sexual partners and condom use among 10–19 year-olds in four districts in Tanzania: What do we learn? 10–19 - 23.4% prevalence of sexually active participants - 42.0% had multiple sexual partners in the last 12 months - 39.2% prevalence of condom use in the last sexual intercourse (41.1% boys, 58.9% girls)
8. Kazaura and Masatu (2009) [19] Konde, Iringa, and Mara Cross-sectional 2749 Sexual practices among unmarried adolescents in Tanzania 10–19 - 32.2% prevalence of sexually active participants - 14.8% had multiple concurrent sexual partners - 42% had used condoms at last sexual intercourse - 15.9% had sex unwillingly. Of these, 76% was due to rape (70.3% were girls) - 7.5% reported practicing anal sex
9. Masatu et al. (2009) [20] Diocese of Evangelical Lutheran Church in Tanzania which included Konde, South-Western, South Central, Iringa, and Diocese in Mara Region Cross-sectional 2928 Predictors of risky sexual behavior among adolescents in Tanzania 10–19 - 30.6% prevalence of sexually active participants - Mean age of sexual debut was 13.5 years - 24.5% had multiple sexual partners - 47.8% reported use of condoms at last sexual intercourse
10. Kigombola (2006) [21] Rural Kisarawe Cross-sectional 334 Knowledge, attitude and practices on HIV/AIDS, its transmission and prevention among primary school pupils in Rural Kisarawe Sixth and seventh grade students (84% at 13 to 16 years old) - 41.9% prevalence of sexually active participants - 78.6% sex before or at age 14 - 58% of the girls and 15.7% of the boys were forced into their first sexual intercourse - 28.6% reported use of condoms at last sexual intercourse - 81% had good overall knowledge on HIV/AIDS - 61.1% considered condoms ineffective in preventing HIV - 7.5% previously affected by STI
11. Todd et al. (2004) [22] Rural Tanzania Cross-sectional 9283 The sexual health of pupils in years 4 to 6 of primary schools in rural Tanzania Primary school students approximately 14 years and over - 37.6% prevalence of sexually active participants (75.2% boys, 24.8% girls) - 72.4% of the boys and 46.2% of the girls reported they had more than 2 lifetime sexual partner - 23.3% of the girls had ever been forced to have sex by a boy or man - 0.1% of the boys and 0.2% of the girls were infected with HIV - 0.3% of the boys and 1.6% of the girls were infected with Chlamydia trachomatis - 0.04% of the boys and 0.2% of the girls were infected with Neisseria gonorrhea - 0.8% overall prevalence of pregnancy - Prevalence of pregnancy increased from 0.3% in 14 year olds to 2.5% in 17 years and above
12. Obasi et al. (2001) [23] Rural Mwanza region Cross-sectional 9445 Prevalence of HIV and Chlamydia trachomatis infection in 15–19-year olds in rural Tanzania 15–19 - 0.6% of the boys and 2.4% of the girls were infected with HIV - Prevalence of HIV increased with age among boys (0.2% in 15 years to 1.0% in 19 years old) and girls (0.9% in 15 years to 4.6% in 19 year old) - 1.0% of the boys and 2.4% of the girls were infected with Chlamydia trachomatis
13. Rasch et al. (2000) [24] Dar-es-Salaam Cross-sectional 197 Adolescent girls with illegally induced abortion in Dar-es-Salaam: the discrepancy between sexual behavior and lack of access to contraception. 14–19 - 9.3% had sex before or at age 14 - Median age of sexual debut was 16 years - 67.5% had more than 2 sexual partners - Average number of sexual partners was 1.7 - 7.1% contraceptive prevalence - Majority of girls reported to have knowledge of condoms and oral contraceptives - 0.5% previously affected by STI
Dar-es-Salaam Qualitative 51    - 41.2% sex before or at age 14 - 13.7% previously affected by STI - Girls reported transactional sex (in exchange for money or gifts) - Many of the girls were forced to have sex, especially in the first sexual intercourse - Girls have a superficial knowledge of modern contraception and are deeply misinformed about its use
  1. 1Adolescent girls (10 to 18 years), community leaders, and adults (men and women)