Evidence map›Paper›PMID 34723251›Full record

ArticleAfrican journal of health, nursing and midwifery2020

Legal and Ethical Considerations in the Delivery of Sexual Health Care in Tanzania.

B R Simon Rosser, Lucy Mgopa, Sebalda Leshabari, Michael W Ross, Gift Gadiel Lukumay, Agnes Massawe, Ever Mkonyi, Inari Mohammed, Stella Mushy, Dorkas Mwakawanga and 2 more

Registry-linked trialAbstract read
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In one paragraph

Article in African journal of health, nursing and midwifery, 2020. 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 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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 mapstarted 2021, after this paper: background citation

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

2 citing papers in PubMed.

  1. Article
  2. Article
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

12 authors.

B R Simon RosserUniversity of Minnesota, School of Public Health, 1300 S. 2 St. #300 Minneapolis, MN, USA.
Lucy MgopaMuhimbili University of Health and Allied Sciences (MUHAS), School of Public Health and Social Sciences, PO Box 65015, Dar es Salaam, Tanzania.
Sebalda LeshabariMuhimbili University of Health and Allied Sciences (MUHAS), School of Public Health and Social Sciences, PO Box 65015, Dar es Salaam, Tanzania.
Michael W RossUniversity of Minnesota, School of Public Health, 1300 S. 2 St. #300 Minneapolis, MN, USA.
Gift Gadiel LukumayMuhimbili University of Health and Allied Sciences (MUHAS), School of Public Health and Social Sciences, PO Box 65015, Dar es Salaam, Tanzania.
Agnes MassaweMuhimbili University of Health and Allied Sciences (MUHAS), School of Public Health and Social Sciences, PO Box 65015, Dar es Salaam, Tanzania.
Ever MkonyiUniversity of Minnesota, School of Public Health, 1300 S. 2 St. #300 Minneapolis, MN, USA.
Inari MohammedUniversity of Minnesota, School of Public Health, 1300 S. 2 St. #300 Minneapolis, MN, USA.
Stella MushyMuhimbili University of Health and Allied Sciences (MUHAS), School of Public Health and Social Sciences, PO Box 65015, Dar es Salaam, Tanzania.
Dorkas MwakawangaMuhimbili University of Health and Allied Sciences (MUHAS), School of Public Health and Social Sciences, PO Box 65015, Dar es Salaam, Tanzania.
Maria TrentJohns Hopkins Medicine, 615 N. Wolfe St., Baltimore, MD 21205, Washington, DC, USA.
James WadleyLincoln University, School of Adult and Continuing Education, 1570 Baltimore Pike, Lincoln University, PA, 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

Tanzania is a country with multiple sexual health challenges including high rates of HIV/STIs, early sexual debut, forced sex, sexual dysfunction, and teen pregnancy. Training in sexual health care is limited, while courses on how to address the ethical aspects of sexual health are non-existent. To address this gap, this paper explores legal and ethical challenges to providing sexual health care in Tanzania. First, we describe the sexuo-cultural and epidemiologic challenges, and the key laws regulating sexual health. Six case studies identify ethical dilemmas in healthcare delivery. They are: (a) how to address sexual and intimate partner violence; (b) treatment of illegal or stigmatized key populations; (c) treatment of couples in HIV serodiscordant, non-monogamous, and/or polygamous relationships; (d) requests for and participation in illegal healthcare; (e) treatment of women and children in the presence of their husbands and fathers; and (f) addressing child sexual abuse. We apply the ethical principles of autonomy, justice, beneficence and non-malfeasance. A second challenge is ensuring confidentiality in a setting where medical record keeping practices vary widely, and violations to confidentiality are perceived as common. Finally, we identify a set of best practices in sexual healthcare delivery tailored to the Tanzanian context.

Indexed as

clinical ethicsgaypolygamysexual abuseunwanted pregnancy

Identifiers

PMID34723251
PMCPMC8553133

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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.