Evidence map›Paper›PMID 33827508›Full record

ArticleBMC public health2021

Cultural and clinical challenges in sexual health care provision to men who have sex with men in Tanzania: a qualitative study of health professionals' experiences and health students' perspectives.

Lucy R Mgopa, B R Simon Rosser, Michael W Ross, Gift Gadiel Lukumay, Inari Mohammed, Agnes F Massae, Sebalda Leshabari, Ever Mkonyi, Stella Emmanuel Mushy, Dorkasi L Mwakawanga and 3 more

Registry-linked trialAbstract readCase Reports
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03923582 (Training for Health Professionals in Tanzania), which is not on this map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03923582 nacompletednot on this map

Training for Health Professionals in Tanzania

TypeinterventionalSponsorUniversity of MinnesotaRan2021 to 2022Enrolled412ConditionsHealth Knowledge, Attitudes, Practice, TrainingArmsComprehensive sexual health curriculum
3 · Its place in the literature

Who cites it

11 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Lucy R MgopaMuhimbili University of Health and Allied Sciences (MUHAS), Dar es Salaam, Tanzania.
B R Simon RosserUniversity of Minnesota, School of Public Health, 1300 S. 2nd St., Minneapolis, MN, 55454, USA. rosser@umn.edu.
Michael W RossUniversity of Minnesota, School of Public Health, 1300 S. 2nd St., Minneapolis, MN, 55454, USA.
Gift Gadiel LukumayMuhimbili University of Health and Allied Sciences (MUHAS), Dar es Salaam, Tanzania.
Inari MohammedUniversity of Minnesota, School of Public Health, 1300 S. 2nd St., Minneapolis, MN, 55454, USA.
Agnes F MassaeMuhimbili University of Health and Allied Sciences (MUHAS), Dar es Salaam, Tanzania.
Sebalda LeshabariMuhimbili University of Health and Allied Sciences (MUHAS), Dar es Salaam, Tanzania.
Ever MkonyiUniversity of Minnesota, School of Public Health, 1300 S. 2nd St., Minneapolis, MN, 55454, USA.
Stella Emmanuel MushyMuhimbili University of Health and Allied Sciences (MUHAS), Dar es Salaam, Tanzania.
Dorkasi L MwakawangaMuhimbili University of Health and Allied Sciences (MUHAS), Dar es Salaam, Tanzania.
Maria TrentJohns Hopkins University, Washington, DC, USA.
James WadleyLincoln University, Counseling and Human Services Department, 1570 Baltimore Pike, Philadelphia, PA, 19352, USA.
Zobeida E BonillaUniversity of Minnesota, School of Public Health, 1300 S. 2nd St., Minneapolis, MN, 55454, USA.

Funding

Training for Health ProfessionalsR01HD092655 · NICHD · UNIVERSITY OF MINNESOTA · PI Dickson Ally Mkoka, B R Simon Rosser · 2018 to 2026
$5.3M
NICHD NIH HHS R01 HD092655
6 · The paper itself

Abstract

backgroundHealth care providers across sub-Saharan Africa continue to face challenges while delivering sexual health care services. We explored the experiences, views and challenges of health care professionals and health students across different disciplines in Tanzania, towards delivery of sexual health services to men who have sex with men.

methodsUtilizing a qualitative approach, we recruited 121 health care professionals (providers) and students from the fields of midwifery, nursing and medicine in Dar es Salaam, Tanzania. We conducted 18 focus groups discussions, stratified by profession and experience, to investigate clinical management and challenges while addressing a case of an adult male presenting with rectal gonorrhea.

resultsFindings indicated this case as extremely sensitive, clinical management involved establishing rapport and consent, medical care from history taking to treatment, and referral to other specialties. However, the illegal status of homosexuality in Tanzania was a primary concern to participants, this triggered the clinical care of this case scenario as challenging. There were uncertainties whether or not that such a case should be reported to the authorities.

conclusionFindings from this study revealed a need for training health students in Tanzania to address sexual health issues including accurate information on homosexuality, reporting requirements and clinical management in the legal and socio-cultural context of the African continent.

Indexed as

HIV InfectionsSexual and Gender MinoritiesSexual HealthAdultHealth PersonnelHomosexuality, MaleHumansMaleQualitative ResearchStudentsTanzaniaHealth care providerHIV/AIDSKey populationMSMSexual health

Identifiers

PMID33827508
PMCPMC8028207

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.