Mitigating HIV and AIDS among youth has been a major policy agenda both internationally and nationally, within Tanzania. Two concerns associated with mitigation efforts are increasing sexual activity at young ages and a burgeoning...
moreMitigating HIV and AIDS among youth has been a major policy agenda both internationally and nationally, within Tanzania. Two concerns associated with mitigation efforts are increasing sexual activity at young ages and a burgeoning population of out-of-school youth whom poverty, lack of supervision, and unemployment seem to push into alternative life patterns that present risks to their health. This situation poses a serious challenge for Tanzania, where half the population is categorised as young. This study was set out to understand the sexual behaviours youth engage in that increase their risk of acquiring HIV and influence the HIV epidemic, assess youths’ knowledge about HIV and AIDS and sexual and reproductive health (SRH), investigate how gatekeepers and health service providers are positioned to address risky sexual behaviours among youth, and analyse the social, cultural, economic, and legal challenges to addressing these behaviours in youth in the rural and urban areas of Mbeya Region in Tanzania The study focused on 54 individuals (27 males and 27 females) from three identified categories: youth ages 15–24 years old (30 respondents); gatekeepers (16 respondents); and health service providers (8 respondents). Data collection involved qualitative techniques: in-depth interviews (IDIs), focus group discussions (FGDs), and document review. The study found out that majority of youth studied had heard about HIV and its related effects; however, condom use, and attendance at SRH services is very low among this population. The government, parents, nongovernmental organisations (NGOs), religious institutions, and health service providers play a role in addressing risky sexual behaviours among youth. Parents have some responsibility for engagement by youth in risky sexual practices: poor marital relationships and instability in the home, supervising their children poorly, failing to communicate with their children about HIV and prevention, and putting their children in unsafe and vulnerable situations. However, many other factors contribute to participation by youth in risky sexual practices, such as the lack of education about HIV and SRH by schools and other institutions, lack of decision-making power, drug and alcohol abuse, household poverty, desire for material goods, lack of appropriate income-generating activities for youths and poor implementation of policies and laws that have the potential to decrease HIV transmission. The study concludes that despite increased government and NGO measures against HIV and attempts to minimise youths’ vulnerability to the disease, the community still does not fully support these efforts, and youth behaviour change remains a challenge. The study recommends that the Tanzanian government remain engaged and demonstrate leadership by effectively contributing to initiatives that address the HIV epidemic and create an environment supportive of access and use by youth to SRH services.