Introduction

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.

Methods

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.

Results

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.

Conclusion and Implication

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.

中文翻译：

---

坦桑尼亚对性保健提供的看法：一项关键的信息定性研究

介绍

性保健服务必须是标准和公正的，由结构化的保健系统指导。关于坦桑尼亚如何提供性保健服务的数据很少。

方法

为了弥补这一差距，我们在 2019 年 7 月采访了 11 名关键信息提供者：文化和公共卫生专家，以及政治、宗教和社区领袖，他们选自坦桑尼亚达累斯萨拉姆的不同组织。在为患者提供护理时，参与者被要求对医疗保健专业人员的临床实践发表意见，重点是性健康。

结果

参与者的反应分为三个子类别：性保健方面的优势、障碍和差距。服务的可用性、向成人提供的服务和行为准则是​​临床护理服务中观察到的优势之一。障碍包括卫生保健提供者的态度、道德价值观以及卫生政策和治疗指南的不足。据报道，包括青年在内的弱势群体在寻求性保健服务时经常面临最大的挑战。在差距方面，线人强调在护理环境中提供性健康服务的性别平等。

结论和启示

数据表明，缺乏性健康培训和处理性问题的指导方针是全面医疗保健的障碍。在开发适合医疗保健专业课程学生的以非洲人为中心的性健康课程时，这些发现可以为课程开发人员关注的主要领域提供信息。此外，这些发现在制定有利于个人性健康福祉的治疗指南和政策时可能很有用。