It is painful and unpleasant: experiences of sexual violence among married adolescent girls in Shinyanga, Tanzania

BackgroundWhile the situation of married adolescent girls in Tanzania is increasingly documented, empirical evidence concerning the ways in which child marriage impacts girls' and young women's sexual lives is limited. Specifically, little is known about lived experiences on sexual violence among married adolescent girls in Tanzania.MethodsThis article reports on a qualitative study using a phenomenological approach to describe married girls' experiences of sexual violence in the Shinyanga Region, an area with the highest prevalence (59%) of child marriage in Tanzania. Data were collected from 20 married girls aged 12-17 years.ResultsThe study identified four analytical themes regarding the experience of sexual violence, namely: forced sex; rape; struggling against unpleasant and painful sex; and inculcation of the culture of tolerance of sexual violence.ConclusionThe study highlights the voices of married adolescents on an important but a neglected topic of relevance to Tanzania's public health. Findings from this study suggest that married adolescent girls suffer sexual coercion in silence.Plain English summaryChild marriage is a major public health problem in sub-Saharan Africa in general and in Tanzania in particular. However, there is limited research on the ways in which it impacts sexual lives of married adolescent girls. In response to the inadequacy of information, married adolescent girls in Shinyanga Region of Tanzania were requested to voice out their experiences of sexual violence. Three themes were identified from the responses, namely: forced sex; rape, struggling against unpleasant and painful sex; and the inculcation of the culture of tolerance of sexual violence.In conclusion, this study has echoed voices of married adolescent girls on the sexual troubles they experience. Their main concern is that they suffer sexual coercion in silence, which increases their risk of acquiring sexually transmitted infections and/or unwanted pregnancies. Recommendations for sexual violence prevention strategies are discussed.

Automated summary

This study focuses on the experiences of sexual violence among married adolescent girls in the Shinyanga Region, Tanzania. The findings reveal that these girls face forced sex, rape, struggle against unpleasant and painful sex, and are pressured to tolerate sexual violence. It emphasizes the importance of addressing sexual coercion faced by married adolescent girls to prevent negative health outcomes such as sexually transmitted infections and unwanted pregnancies.