Gerry Mshana
Datos Biográficos
| ID | 365069 |
|---|---|
| NOMBRE | Gerry Mshana |
| NOMBRES | Gerry |
| APELLIDO | Mshana |
| FIRMA | MSHANA G |
| AFILIACIONES | National Institute for Medical Research |
| ORCID | 0000-0001-8753-7561 |
| VERIFICADO | Sí |
| TOTAL DE OBRAS | 40 |
| TOTAL DE CITAS | 68 |
| TOTAL COMO AUTOR | 40 |
| TOTAL COMO EDITOR | 0 |
| PRIMER AÑO DE PUBLICACIÓN | 2006 |
| AÑO MÁS RECIENTE DE PUBLICACIÓN | 2026 |
| ÍNDICE H | 4 |
Coping responses to intimate partner violence
This study sought to explore the variety of coping strategies that women employ in response to intimate partner violence. Coping strategies can help women tolerate, minimise and deal with difficult challenges or conflicts in their relationships, such as learning to be independent from their husbands and surviving trauma. Drawing on 18 in-depth interviews conducted in Mwanza, Tanzania, we examined two different coping strategies - engagement and d…
Understanding non-partner sexual violence perpetration in young Tanzanian men
The widespread nature of sexual harassment and rape perpetration among young men in our study and the associated risk factors, which are all tied to notions of masculinity encouraging domination, promiscuity, and risky health behaviours, call for harmful gender norms to be addressed to reduce the incidence of NPSV
The Impact of Women's Attitudes Toward Intimate Partner Violence and Gender Equity on Intimate Partner Violence Experience
Inequitable gender norms can manifest in attitudes about gender and intimate partner violence (IPV) acceptability and be risk factors for women's experience of male-perpetrated IPV. This longitudinal study explored the effect of Tanzanian women's attitudes toward gender equity and toward IPV on physical and/or sexual IPV experience with mixed-effects and cross-lagged regressions. Unadjusted mixed-effects regression shows that an increase in gende…
Male social embeddedness and intimate partner violence perpetration in Tanzania
Women's informal group participation and intimate partner violence in Mwanza, Tanzania
Medicines in motion
The informal cross-border trade (ICBT) in medicines in Africa is an under-explored phenomenon, with potentially serious public health implications. We conducted ethnographic research (Dec 2022-Jan 2023) at two major border crossings in East and West Africa: between Ghana-Togo at Aflao/Lomé and Kenya-Tanzania at Namanga. Observations at strategic locations were complemented by informal interviews with traders, transporters, retailers, border offic…
Pathways of romantic jealousy to intimate partner violence in Mwanza, northern Tanzania
Healthy lifestyle factors and male perpetration of intimate partner violence
Background In Tanzania, nearly half of ever-married women have experienced some form of intimate partner violence (IPV), yet little knowledge of IPV from the male perspective exists.Objective To explore the role of essential healthy lifestyle factors, diet, sleep, and exercise, and their potential role in IPV perpetration.Methods A cross-sectional survey was conducted with 1,002 young men (ages 18–24), 754 of which were in an intimate relationshi…
Epidemiology of alcohol use and alcohol use disorders among people living with HIV on antiretroviral therapy in Northwest Tanzania
Alcohol use disorders (AUD) among people living with HIV (PLHIV) are associated with poor health outcomes. This cross-sectional study examined current alcohol use and AUD among 300 PLHIV on ART at four HIV care centres in Northwest Tanzania. Participants' data were collected using questionnaires. Alcohol use was assessed using Alcohol Use Disorders Identification Test (AUDIT). Logistic regression was used to examine associations between each outc…
The Association Between Depression, Suicidal Thoughts and Intimate Partner Violence Perpetration Among Young Men in Mwanza, Tanzania
Purpose Depression and suicidal thoughts are associated with intimate partner violence, a major public health problem. Yet little is known about this association among young men in sub-Saharan Africa. This study aims to investigate the relationship between depression, suicidal thoughts and intimate partner violence perpetration, among young men in Tanzania from a representative community-based sample. Methods We conducted a cross sectional survey…
Antimalarial procurement in private-sector pharmaceutical outlets
Poor-quality medicines are a major threat to healthcare provision in low-income countries. The problem exacerbates disease vulnerabilities of already disadvantaged populations including children, women, and the elderly. However, while the higher-level structural drivers of this problem are well established, little is known about decision-making lower down pharmaceutical supply chains, and whether this might produce vulnerabilities for medicine qu…
Factors associated with attendance to a participatory gender training programme – A secondary analysis of data from the Maisha study
Participatory gender training is often included in programmes aimed at preventing intimate partner violence (IPV) in low- and middle-income countries. Higher attendance is associated with greater benefit. Using data from two trials, conducted in Tanzania from 2014 to 2019 (MAISHA study), we retrospectively examined associations between individual and group-level factors and attendance at a gender training intervention, among women in established …
The short and long-term impact of Covid-19 restrictions on women’s mental health in Mwanza, Tanzania
The COVID-19 outbreak had a profound impact on all countries in the world, leading governments to impose various forms of restrictions on social interactions and mobility, including complete lockdowns. While the impact of lockdowns on the emerging mental health crisis has been documented in high income countries, little is known whether and how the COVID-19 pandemic also effected mental health in settings with few or no COVID-19 restrictions in p…
The association between alcohol consumption and intimate partner violence in young male perpetrators in Mwanza, Tanzania
BACKGROUND: Although alcohol consumption is a well-known risk factor for intimate partner violence (IPV) perpetration, few studies have been conducted among young males in low- and middle-income countries. Alcohol consumption and IPV are both complex phenomena, whose association requires more in-depth exploration regarding drinking patterns and the alcohol-related manifestation of five different forms of IPV. OBJECTIVE: In this study, we sought t…
Routine health check-ups for adolescents in Mwanza City, Tanzania
Stakeholders were supportive of the proposed routine health check-ups for adolescents, recommending specific health conditions to be screened for in both community and school settings. Based on the above, we plan to conduct implementation research to determine the number of new treatable conditions detected, and the costs of offering such services. In the longer term, evaluation of their health impact and cost-effectiveness will be required to gu…
Men’s Reflections on Romantic Jealousy and Intimate Partner Violence in Mwanza, Tanzania
Romantic jealousy is a prominent trigger for intimate partner violence. Yet, there are few studies on this relationship in sub-Saharan Africa and none captures men's perspectives. To expand the existing knowledge on romantic jealousy and its relation to intimate partner violence, our study analyzed 30 in-depth interviews with male participants. Triggers of romantic jealousy included suspicion or confirmed infidelity, reduced attention from their …
The Role of Structural Factors in Support-Seeking Among Women Experiencing Intimate Partner Violence (IPV) in Mwanza, Tanzania
In this qualitative study of women participating in an intimate partner violence (IPV) prevention trial, experiences of IPV and the context that shapes support-seeking were explored through in-depth interviews and focus groups discussions. Decisions to seek support were influenced by a range of factors including fear of further abuse, shame, acceptance of IPV as normal, belief that IPV is a private matter between the couple, economic dependence o…
Masculinity, power and structural constraints
Intimate partner violence is a global problem with devastating social and health consequences to individuals and families. While some forms of intimate partner violence such as physical and sexual violence have been explored in depth, there is a lack of clarity on men's perspectives of emotional violence, particularly in low-income countries. Yet it is recognized that incorporating men's perspectives and participation is crucial for addressing in…
Same habitus in new field? How mobile phone communication reproduces masculinities and gender inequality in intimate relationships in Mwanza, Tanzania
The use of mobile phones and other communication technologies is booming in low-income contexts. Yet there is lack of detailed analyses of their impact to social interactions, including intimate relationships between men and women and gender-based violence. Drawing on Bourdieu's concepts of habitus and field, we argue that mobile phones reproduce gender inequality and negative masculinities in these relationships. This happens through the diverse…
A cluster randomised controlled trial to evaluate the impact of a gender transformative intervention on intimate partner violence against women in newly formed neighbourhood groups in Tanzania
INTRODUCTION: Violence against women is a global public health concern; around a quarter of women will experience intimate partner physical or sexual violence during their lifetime. We assessed the impact of a gender transformative intervention for women designed to prevent intimate partner violence (IPV). METHODS: We conducted a cluster randomised controlled trial in Mwanza city, Tanzania, among women in newly formed neighbourhood groups to eval…
Monitoring, reporting and regulating medicine quality
In 2012, the WHO launched its Global Surveillance and Monitoring System (GSMS) for substandard and falsified medicines, with the aim of improving the quality of reporting and using the data to inform post-market surveillance and build regulatory capacity. However, from a regulatory governance perspective, its effectiveness depends on the willingness and ability of actors ‘on the ground’ to identify, report and investigate possible infringements a…
Women’s Narratives about Covid-19, Preventive Practices and Sources of Information in Northwestern Tanzania
COVID-19 has affected millions of people across the world. We conducted a phone based qualitative study to explore women's perceptions of COVID-19, knowledge of its symptoms, transmission, and prevention practices in Northwestern Tanzania. We also examined their sources of information about the disease. Findings show that much of women's framing of etiology, symptoms, and transmission routes of severe acute respiratory syndrome coronavirus 2 (SAR…
The transformative effects of a participatory social empowerment intervention in the Maisha intimate partner violence trial in Tanzania
Intimate partner violence is an important public health problem, with far-reaching consequences for women's physical and emotional health and social well-being. There is evidence that intimate partner violence is preventable. The MAISHA study, a randomised controlled trial of the impact of a gender training intervention on intimate partner violence for women in Tanzania, found that those who participated in gender training were less likely to rep…
Contested or complementary healing paradigms? Women's narratives of Covid-19 remedies in Mwanza, Tanzania
Background COVID-19 has caused worldwide fear and uncertainty. Historically, the biomedical disease paradigm established its dominance in tackling emerging infectious illnesses mainly due to innovation in medication and advances in technology. Traditional and religious remedies have emerged as plausible options for prevention and treatment of COVID-19, especially in Africa and Asia. The appeal of religious and traditional therapies against COVID-…
Don’t You Think It Is Violence Forcing Me to Have Sex While Not Happy?” Women’s Conceptualization of Enjoyable Sex and Sexual Intimate Partner Violence in Mwanza, Tanzania
Intimate partner violence is a recognized public health and development issue that is consistently and comparatively measured through women's experience of physical and/or sexual acts by their partner. While physical intimate partner violence is covered by a wide range of behaviors, sexual intimate partner violence (SIPV) is often only measured through attempted or completed forced sex, ignoring less obvious forms of sexual intimate partner viole…
Contradictory sexual norms and expectations for young people in rural Northern Tanzania
Farming with Your Hoe in a Sack
This study examines condom knowledge, attitudes, access, and practices in rural Mwanza, Tanzania. From 1999–2002, six researchers carried out participant observation in nine villages for a total of 158 person‐weeks. Many villagers perceived condoms negatively for multiple reasons, for example, the method's association with infection or promiscuity, reduced male sexual pleasure, and cultural understandings of meaningful sex. Men controlled the ter…
Aborting and Suspending Pregnancy in Rural Tanzania
The World Health Organization estimates that 3.1 percent of East African women aged 15–44 have undergone unsafe abortions. This study presents findings regarding abortion practices and beliefs among adolescents and young adults in Tanzania, where abortion is illegal. From 1999 to 2002, six researchers carried out participant observation in nine villages and conducted group discussions and interviews in three others. Most informants opposed aborti…
Masculinity, power and structural constraints
Intimate partner violence is a global problem with devastating social and health consequences to individuals and families. While some forms of intimate partner violence such as physical and sexual violence have been explored in depth, there is a lack of clarity on men's perspectives of emotional violence, particularly in low-income countries. Yet it is recognized that incorporating men's perspectives and participation is crucial for addressing in…
Same habitus in new field? How mobile phone communication reproduces masculinities and gender inequality in intimate relationships in Mwanza, Tanzania
The use of mobile phones and other communication technologies is booming in low-income contexts. Yet there is lack of detailed analyses of their impact to social interactions, including intimate relationships between men and women and gender-based violence. Drawing on Bourdieu's concepts of habitus and field, we argue that mobile phones reproduce gender inequality and negative masculinities in these relationships. This happens through the diverse…
Contested or complementary healing paradigms? Women's narratives of Covid-19 remedies in Mwanza, Tanzania
Background COVID-19 has caused worldwide fear and uncertainty. Historically, the biomedical disease paradigm established its dominance in tackling emerging infectious illnesses mainly due to innovation in medication and advances in technology. Traditional and religious remedies have emerged as plausible options for prevention and treatment of COVID-19, especially in Africa and Asia. The appeal of religious and traditional therapies against COVID-…
The Role of Structural Factors in Support-Seeking Among Women Experiencing Intimate Partner Violence (IPV) in Mwanza, Tanzania
In this qualitative study of women participating in an intimate partner violence (IPV) prevention trial, experiences of IPV and the context that shapes support-seeking were explored through in-depth interviews and focus groups discussions. Decisions to seek support were influenced by a range of factors including fear of further abuse, shame, acceptance of IPV as normal, belief that IPV is a private matter between the couple, economic dependence o…
Medicines in motion
The informal cross-border trade (ICBT) in medicines in Africa is an under-explored phenomenon, with potentially serious public health implications. We conducted ethnographic research (Dec 2022-Jan 2023) at two major border crossings in East and West Africa: between Ghana-Togo at Aflao/Lomé and Kenya-Tanzania at Namanga. Observations at strategic locations were complemented by informal interviews with traders, transporters, retailers, border offic…
Men’s Reflections on Romantic Jealousy and Intimate Partner Violence in Mwanza, Tanzania
Romantic jealousy is a prominent trigger for intimate partner violence. Yet, there are few studies on this relationship in sub-Saharan Africa and none captures men's perspectives. To expand the existing knowledge on romantic jealousy and its relation to intimate partner violence, our study analyzed 30 in-depth interviews with male participants. Triggers of romantic jealousy included suspicion or confirmed infidelity, reduced attention from their …
'The man who believed he had Aids was cured'
Most people living with AIDS in sub-Saharan Africa have had neither a biomedical diagnosis nor antiretroviral medication, leading to the question of how individuals understand and treat AIDS. This study examined general illness, sexually-transmitted infection (STI) and AIDS treatment-seeking behaviour in rural Mwanza, Tanzania. From 1999-2002, participant observation was carried out in nine villages for a total of 158 person-weeks. Treatments wer…
She was bewitched and caught an illness similar to Aids’
HIV/AIDS programmes and interventions are more likely to succeed if they engage with local people's beliefs about AIDS causation. This study examined beliefs about general illness, sexually-transmitted infection (STI) and AIDS aetiology in rural Mwanza, Tanzania. From 1999-2002, participant observation was carried out in nine villages for a total of 158 person-weeks. Beliefs about general illness causation included God's will, chance, natural/bio…
Farming with Your Hoe in a Sack
This study examines condom knowledge, attitudes, access, and practices in rural Mwanza, Tanzania. From 1999–2002, six researchers carried out participant observation in nine villages for a total of 158 person‐weeks. Many villagers perceived condoms negatively for multiple reasons, for example, the method's association with infection or promiscuity, reduced male sexual pleasure, and cultural understandings of meaningful sex. Men controlled the ter…
Contradictory sexual norms and expectations for young people in rural Northern Tanzania
Urban–rural Contrasts in Explanatory Models and Treatment-Seeking Behaviours for Stroke in Tanzania
Stroke is an emerging problem in sub-Saharan Africa, about which little is known since most research to date has been based on retrospective, hospital-based studies. This anthropological work, designed to complement a large community-based project on stroke incidence, focuses on local understandings and treatment-seeking behaviours in urban (Dar-es-Salaam) and rural (Hai) areas of Tanzania. Semi-structured interviews ( n =80) were conducted with …
Aborting and Suspending Pregnancy in Rural Tanzania
The World Health Organization estimates that 3.1 percent of East African women aged 15–44 have undergone unsafe abortions. This study presents findings regarding abortion practices and beliefs among adolescents and young adults in Tanzania, where abortion is illegal. From 1999 to 2002, six researchers carried out participant observation in nine villages and conducted group discussions and interviews in three others. Most informants opposed aborti…
Traditional male circumcision practices among the Kurya of North-eastern Tanzania and implications for national programmes
The World Health Organisation and the Joint United Nations Programme on AIDS recommend male circumcision (MC) as an additional intervention against HIV infection. Various sub-Saharan African countries are at different stages of rolling out MC programmes. Despite initial fears, studies conducted among traditionally non-circumcising communities in Africa have shown that MC is widely accepted as a biomedical intervention. However, little is known on…
Acceptability of medical male circumcision in the traditionally circumcising communities in Northern Tanzania
There is a shift of preference from traditional male circumcision to medical male circumcision in this traditionally circumcising population. However, this preference has not changed the circumcision practices in the communities because of the community social pressure. Male circumcision national program should take advantage of this preference of medical male circumcision by introducing safe and affordable circumcision services and mobilising co…
We call it the shaking illness
This study highlights the urgent need for PD awareness and treatment interventions in such settings. Such interventions need to address the concerns and needs of sufferers, their carers and the wider community, including the health care system
Policy environment and male circumcision for HIV prevention
Findings from the situation analysis in Tanzania have shown that despite the absence of a specific policy on MC, basic elements of enabling policy environment at national, regional, district and community levels are in place for the implementation of MC scale up programme
"Half plate of rice to a male casual sexual partner, full plate belongs to the husband"
HIV prevention efforts can succeed by addressing sexual behaviour and its socio-economic and cultural contexts. More innovative, interdisciplinary and productive structural approaches to HIV prevention need to be developed in close collaboration with affected communities and be closely related to policy-making and implementation; to go beyond the limited success of traditional behavioural and biomedical interventions to particularly address the u…
Recall, relevance and application of an in-school sexual and reproductive health intervention 7-9 years later
Many adolescent sexual and reproductive health (ASRH) interventions have improved knowledge and reduced reported sexual risk behaviours, but found no impact on HIV. We explored potential reasons for this in 23 in-depth interviews, conducted 7-9 years after exposure to ASRH intervention. We discussed participants' memories and views of the relevance of the in-school intervention, and their subsequent ability to apply what they had learned. While m…
Prevalence of intimate partner violence and abuse and associated factors among women enrolled into a cluster randomised trial in northwestern Tanzania
ClinicalTrials.gov - ID NCT02592252 , registered retrospectively on 13 August 2015
Women’s income and risk of intimate partner violence
ClinicalTrials.gov #NCT02592252 , registered retrospectively (13/08/2015)
Role of Trust in a Self-Organizing Pharmaceutical Supply Chain Model with Variable Good Quality and Imperfect Information
We present an Agent-Based Model (herea er ABM) for a pharmaceutical supply chain operating under conditions of weak regulation and imperfect information, exploring the possibility of poor quality medicines and their detection. Our interest is to demonstrate how buyers can learn about the quality of sellers (and their medicines) based on previous successful and unsuccessful transactions, thereby establishing trust over time. Furthermore, this netw…
Don’t You Think It Is Violence Forcing Me to Have Sex While Not Happy?” Women’s Conceptualization of Enjoyable Sex and Sexual Intimate Partner Violence in Mwanza, Tanzania
Intimate partner violence is a recognized public health and development issue that is consistently and comparatively measured through women's experience of physical and/or sexual acts by their partner. While physical intimate partner violence is covered by a wide range of behaviors, sexual intimate partner violence (SIPV) is often only measured through attempted or completed forced sex, ignoring less obvious forms of sexual intimate partner viole…
A cluster randomised controlled trial to evaluate the impact of a gender transformative intervention on intimate partner violence against women in newly formed neighbourhood groups in Tanzania
INTRODUCTION: Violence against women is a global public health concern; around a quarter of women will experience intimate partner physical or sexual violence during their lifetime. We assessed the impact of a gender transformative intervention for women designed to prevent intimate partner violence (IPV). METHODS: We conducted a cluster randomised controlled trial in Mwanza city, Tanzania, among women in newly formed neighbourhood groups to eval…
Monitoring, reporting and regulating medicine quality
In 2012, the WHO launched its Global Surveillance and Monitoring System (GSMS) for substandard and falsified medicines, with the aim of improving the quality of reporting and using the data to inform post-market surveillance and build regulatory capacity. However, from a regulatory governance perspective, its effectiveness depends on the willingness and ability of actors ‘on the ground’ to identify, report and investigate possible infringements a…
Women’s Narratives about Covid-19, Preventive Practices and Sources of Information in Northwestern Tanzania
COVID-19 has affected millions of people across the world. We conducted a phone based qualitative study to explore women's perceptions of COVID-19, knowledge of its symptoms, transmission, and prevention practices in Northwestern Tanzania. We also examined their sources of information about the disease. Findings show that much of women's framing of etiology, symptoms, and transmission routes of severe acute respiratory syndrome coronavirus 2 (SAR…
The transformative effects of a participatory social empowerment intervention in the Maisha intimate partner violence trial in Tanzania
Intimate partner violence is an important public health problem, with far-reaching consequences for women's physical and emotional health and social well-being. There is evidence that intimate partner violence is preventable. The MAISHA study, a randomised controlled trial of the impact of a gender training intervention on intimate partner violence for women in Tanzania, found that those who participated in gender training were less likely to rep…
Contested or complementary healing paradigms? Women's narratives of Covid-19 remedies in Mwanza, Tanzania
Background COVID-19 has caused worldwide fear and uncertainty. Historically, the biomedical disease paradigm established its dominance in tackling emerging infectious illnesses mainly due to innovation in medication and advances in technology. Traditional and religious remedies have emerged as plausible options for prevention and treatment of COVID-19, especially in Africa and Asia. The appeal of religious and traditional therapies against COVID-…
Men’s Reflections on Romantic Jealousy and Intimate Partner Violence in Mwanza, Tanzania
Romantic jealousy is a prominent trigger for intimate partner violence. Yet, there are few studies on this relationship in sub-Saharan Africa and none captures men's perspectives. To expand the existing knowledge on romantic jealousy and its relation to intimate partner violence, our study analyzed 30 in-depth interviews with male participants. Triggers of romantic jealousy included suspicion or confirmed infidelity, reduced attention from their …
The Role of Structural Factors in Support-Seeking Among Women Experiencing Intimate Partner Violence (IPV) in Mwanza, Tanzania
In this qualitative study of women participating in an intimate partner violence (IPV) prevention trial, experiences of IPV and the context that shapes support-seeking were explored through in-depth interviews and focus groups discussions. Decisions to seek support were influenced by a range of factors including fear of further abuse, shame, acceptance of IPV as normal, belief that IPV is a private matter between the couple, economic dependence o…
Masculinity, power and structural constraints
Intimate partner violence is a global problem with devastating social and health consequences to individuals and families. While some forms of intimate partner violence such as physical and sexual violence have been explored in depth, there is a lack of clarity on men's perspectives of emotional violence, particularly in low-income countries. Yet it is recognized that incorporating men's perspectives and participation is crucial for addressing in…
Same habitus in new field? How mobile phone communication reproduces masculinities and gender inequality in intimate relationships in Mwanza, Tanzania
The use of mobile phones and other communication technologies is booming in low-income contexts. Yet there is lack of detailed analyses of their impact to social interactions, including intimate relationships between men and women and gender-based violence. Drawing on Bourdieu's concepts of habitus and field, we argue that mobile phones reproduce gender inequality and negative masculinities in these relationships. This happens through the diverse…
Medicine (37 obras) · Tanzania (30 obras) · Socioeconomics (25 obras) · Sociology (25 obras) · Psychology (24 obras) · Environmental health (21 obras) · Adolescent Sexual and Reproductive Health (20 obras) · Poison control (20 obras) · Domestic violence (19 obras) · Intimate Partner and Family Violence (19 obras)