Register      Login
Sexual Health Sexual Health Society
Publishing on sexual health from the widest perspective
RESEARCH ARTICLE

Attitudes and beliefs about HIV/AIDS behaviour and education among Tanzanian youth

Edward Maswanya A D , Graham Brown B and Gareth Merriman C
+ Author Affiliations
- Author Affiliations

A National Institute for Medical Research, Headquarters, 2448 Ocean Road, PO Box 9653, Dar-es-Salaam, Tanzania.

B Western Australian Centre for Health Promotion Research, Curtin Health Innovation Research Institute, Curtin University of Technology, GPO Box U 1987, Perth, WA 6845, Australia.

C Sexology Program, School of Public Health, Curtin University of Technology, GPO Box U 1987, Perth, WA 6845, Australia.

D Corresponding author. Email: maswanya@hotmail.com

Sexual Health 6(4) 293-299 https://doi.org/10.1071/SH08055
Submitted: 14 July 2008  Accepted: 20 September 2009   Published: 13 November 2009

Abstract

Background: Tanzania faced with an increasing problem from HIV sexual infection and vulnerability of students is a key concern. This paper explores beliefs, attitudes and behavioural perspectives on HIV/AIDS education among students in Tanzania as there has been few qualitative information on the subject. Methods: A total of 20 college students of both sexes were interviewed in a qualitative study. Health Belief Model and Social Cognitive Theory were used to guide the interview and constant comparative analysis on their attitudes, beliefs, behaviour and education towards HIV infection risks were utilised. Results: During the interview, the following topics emerged: misinformation and desire for HIV/AIDS education program in school curricula; perceptions of one’s own and peer’s susceptibility to HIV infection; social norms regarding sexual behaviour and perceptions regarding access to education and health services. Lack of accurate information and lack of education at home and at school further contributed to risk behaviour. Conclusion: The study highlighted important perspectives of students towards HIV infection, risk behaviours which are important for HIV prevention programs for students. Based on the findings, recommendations for improvement in prevention programs among college students within Tanzanian schools context are discussed.

Additional keywords: college students, risk behaviour, school curriculum.


Acknowledgements

The authors thank AusAID and School of Public Heath of Curtin University of Technology, Australia, for financial support, Ministry of Health, Ministry of Education of Tanzania for their permission to carry out the research. The authors also thank the students for their participations.


References


[1] Mugusi F , Kaaya E , Lyamuya E , Kwesigabo G , Bakari M . Overall situation of HIV/AIDS in Tanzania and the need for care, treatment and support. In: National HIV/AIDScare. In: Proceedings of the Treatment and Support Conference; 2004 13–16 December; Arusha, Tanzania. Arusha: Tanzania AIDS Society; 2004.

[2] Ministry of Health (MOH). National AIDS Control Programme, HIV/AIDS/STI Surveillance Report, January–December 2004, report no.19, issued November 2005. Dar-es-Salaam: Ministry of Health; 2005.

[3] World Health Organization (WHO). Weekly epidemiological record, Geneva 71. Geneva: WHO; 2006.

[4] Tanzania Commission for HIV/AIDS (TACAIDS). National multi-sectoral strategic framework on HIV/AIDS 2003–2007 report, Dar-es-Salaam 2003. pp. 1–120. Dar-es-Salaam: TACAIDS; 2003.

[5] Silberschmidt M,  Rasch V. Adolescent girls, illegal abortions and ‘sugar daddies’ in Dar-es- Salaam: vulnerable victim and active social agents. Soc Sci Med 2001; 52 1815–26.
Crossref | GoogleScholarGoogle Scholar | CAS | PubMed |

[6] Maswanya ES,  Moji K,  Horiguchi K,  Nagata K,  Aoyagi K,  Honda S, et al. Knowledge, risk perception of AIDS and reported sexual behaviour among students secondary schools and college in Tanzania, Health Education Research. Theory Pract 1999; 14 185–96.
CAS |

[7] Lugoe WL,  Klepp KI,  Rise J,  Skutle A,  Biswalo PM. Relationship between sexual experience and non-sexual behaviours among secondary school students in Arusha, Tanzania. East Afr Med J 1995; 72 635–40.
CAS | PubMed |

[8] Lugoe WL . Predictors of Tanzania students HIV risk and prevention behaviour. Unpublished thesis submitted in-partial fulfilment of the requirement for PhD in Health Promotion, University of Bergen, Norway; 1996.

[9] Rosenstock IM. Why people use health services. Milbank Mem Fund Q 1996; 44 94–127.
Crossref | GoogleScholarGoogle Scholar |

[10] Bandura A. Social learning theory: Journal of International Differential Treatment Association (editor). Orrville: Wayne General and Technical College, The University of Akron; 1977. p. 247.

[11] Liamputtong P , Ezzy D . Qualitative research methods, 2nd edn. New York: Oxford University Press; 2005.

[12] Patton MQ . Qualitative research and evaluation methods, 2nd edn. Thousand Oaks: Sage Publications, Inc. Limited; 2002.

[13] Gallant M,  Maticka-Tyndale E. School-based HIV prevention programmes for African youth. Soc Sci Med 2004; 58 1337–51.
Crossref | GoogleScholarGoogle Scholar | PubMed |

[14] Sangiwa MG,  van der Straten A,  Grinstead OA. Clients perspectives of the role of voluntary counselling and testing in HIV/AIDS prevention and care in Dar-es-Salaam, Tanzania: the Voluntary Conselling and Testing Efficicacy Study. AIDS Behav 2000; 41 35–48.
Crossref | GoogleScholarGoogle Scholar |

[15] Richard JH,  Changalucha J,  Rass DA,  Aurne G,  Todd J,  Angela IN. The MEMA kwa vijana project: design of a community randomised trial of an innovative adolescent sexual health intervention in rural Tanzania. Contemp Clin Trial 2005; 26 430–42.
Crossref | GoogleScholarGoogle Scholar |

[16] Seloilwe ES. Factors that influence the spread of HIV/AIDS among students of the University of Botswana. J Assoc Nurses in AIDS Care 2005; 16 3–10.
Crossref | GoogleScholarGoogle Scholar |

[17] Lom MM. Senegal’s recipe for success: early mobilization and political commitment keep HIV infections low. Afr Recovery 2001; 15 1–2, 24.


[18] Brown J,  Sorrell J,  Raffaelli M. An exploratory study of constructions of masculinity, sexuality and HIV/AIDS in Namibia, Southern Africa. Cult Health Sex 2005; 7 585–98.
Crossref | GoogleScholarGoogle Scholar | PubMed |

[19] Seloilwe E. Factors that influence the spread of HIV/AIDS among students of the University of Botswana. J Assoc Nurses AIDS Care 2005; 16 3–10.
Crossref | GoogleScholarGoogle Scholar | PubMed |

[20] Kapiga SH,  Lyamuya EF,  Lwihula GK,  Hunter DJ. The incidence of HIV infection among women using family planning methods in Dares-Salaam, Tanzania. AIDS 1998; 12 75–84.
Crossref | GoogleScholarGoogle Scholar | CAS | PubMed |

[21] Pattullo ALS,  Malonzo M,  Kimani GG,  Muthee A,  Otieno PAO,  Odhiambo KG, et al. Survey of knowledge, behaviour and attitudes relating to HIV infection and AIDS among Kenyan secondary school students. AIDS Care 1994; 6 173–81.
Crossref | GoogleScholarGoogle Scholar | CAS | PubMed |

[22] Manuel S. Obstacles to condom use among secondary school students in Maputo city, Mozambique, May–June: culture. Health Sex 2005; 7 293–302.
Crossref | GoogleScholarGoogle Scholar |

[23] Kramer TH,  Mosely JA,  Rivera A,  Ottomanelli G,  Ping WL,  Bihari B. Condom knowledge, history of use, and attitude among chemically addicted populations. J Substance Abuse Treat 1991; 8 241–6.
Crossref | GoogleScholarGoogle Scholar | CAS |

[24] Heguye ES . Young people’s perception of sexuality and condom use in Kahe. In: Klepp KL, Biswalo PM, Talle A, editors. Young people at risk: fighting AIDS in Northern Tanzania. Oslo: Scandinavian University Press; 1995. pp. 107–20.

[25] Lugoe WL . Predictors of Tanzania students HIV risk and prevention behaviour. University of Bergen, Norway; 1996.

[26] The World Bank. A World Bank country studies: Tanzanian AIDS assessments and planning study. Washington, DC: World Bank; 2005. pp. 149–51.

[27] Mwakagile D,  Mmari E,  Makwaya C,  Biberfed G,  Mhalu F,  Sandrom E. Sexual behaviour among youths at high risk for HIV-1 infection in Dar es- Salaam, Tanzania. Sex Transm Infect 2001; 77 255–9.
Crossref | GoogleScholarGoogle Scholar | CAS | PubMed |

[28] Matasha E T,  Ntembelea P,  Payaud W,  Saidi J,  Todd B,  Mujaya L, et al. Sexual and reproductive health among primary and secondary school pupils in Mwanza, Tanzania: need for intervention. AIDS Care 1998; 5 571–82.


[29] Mgella S. Teacher charged with raping school girl aged 14. This Day; March 21, 2007; 03–21 09 : 04 : 35.

[30] Mturi AJ,  Momoque M,  Hennik K. Perceptions of sex education for young people in Lesotho. Cult Health Sex 2005; 7 129–43.
Crossref | GoogleScholarGoogle Scholar | PubMed |




ATime interval between HIV infection and testing positive for HIV.

BMeaning that the scrotum is full of sperm.

C(i.e. radio, newspapers and TV.)



Appendix 1

Interview Guide

I am carrying out research work on risk perception of HIV infection on college students in Tanzania. I would like to interview you for ~90 min to hear about your views on risk perception of HIV infection. The information gathered from this interview will be useful in establishing preventative measures against HIV infection among young people in Tanzania. The Ethics Committee of Curtin University has approved this research project questionnaire. I will be tape recording the session to assist me with filling out my questionnaire. Your responses will not be traced back to you, as you will remain an anonymous respondent. If you wish to ask any questions during the interview please feel free to do so. Please give as much information as you possibly can in answering the questions.

Demographic information

1. When were you born? (Month and Year)

2. Are you a student? Full-time or part-time?

3. What is your marital status?

4. What is your occupation?

5. What is your sex? (Male/Female)

6. Where do you live? (Private home/Hostel)

Risk perception among college students towards HIV infection

7. Do you consider yourself at risk of HIV infection?

8. If you have a sexual partner, tell me about him/her.

9. Tell me about your condom use during sex if you are sexually active.

10. Tell me about your number of sex partners, if any.

11. Tell me about your use of alcohol, if any, during sexual intercourse.

12. Tell me about your use of illicit drugs, if any, during sexual intercourse.