Ideologies of sexuality, menstruation and risk: girls’ experiences of puberty and schooling in northern Tanzania
Abstract
This paper examines girls' voiced experiences of menstruation, puberty and schooling in northern Tanzania. The study was conducted in Moshi and Rombo Districts of Kilimanjaro, a predominantly Chagga region with historically strong support for girls' education. The major question explored was how the onset of menses and puberty may be impacting on girls' school participation, given societal implications of pubertal onset and potentially gender discriminatory school environments. The methodology included a comparative case study using in-depth interviews and participatory research with young women living in urban and rural Kilimanjaro. Along with important findings about how menstrual onset creates challenges for girls attending school emerged findings about the significant gaps in girls' knowledge about body changes, sexual health and HIV/AIDS. These findings underline the importance of identifying new girl-centred approaches to guidance on bodily development and HIV prevention.
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Girls expressed a strong desire for more practical information, including managing menses or pain relief.
“Girls expressed a strong desire for more practical information, including managing menses or pain relief”
From Women’s and girls’ experiences of menstruation in low- and middle-income countries: A systematic review and qualitative metasynthesis (2019) · cites this paper as [3]
Several studies noted distress resulting from conflicting advice from different sources (e.g., parents, teachers, nongovernmental organisations [NGOs]).
“Several studies noted distress resulting from conflicting advice from different sources (e.g., parents, teachers, nongovernmental organisations [NGOs])”
From Women’s and girls’ experiences of menstruation in low- and middle-income countries: A systematic review and qualitative metasynthesis (2019) · cites this paper as [3]
Healthcare providers such as nurses or community health workers were mentioned in only a few studies, and always as unsupportive.
“Healthcare providers such as nurses or community health workers were mentioned in only a few studies, and always as unsupportive”
From Women’s and girls’ experiences of menstruation in low- and middle-income countries: A systematic review and qualitative metasynthesis (2019) · cites this paper as [3]
Many studies that focused on girls of school age reported consequences for education.
“Many studies that focused on girls of school age reported consequences for education [3–5, 8–11, 15, 37, 39, 41, 44, 51, 56–59, 62–64, 67–70, 72, 75, 77, 79, 85, 87–89, 91, 93, 94, 100, 101, 104, 106, 107].”
From Women’s and girls’ experiences of menstruation in low- and middle-income countries: A systematic review and qualitative metasynthesis (2019) · cites this paper as [3]
Girls lacking knowledge and confidence to manage menstruation were reluctant to be around others.
“Girls lacking knowledge and confidence to manage menstruation were reluctant to be around others [3–5, 8, 39, 70, 75, 77, 89].”
From Women’s and girls’ experiences of menstruation in low- and middle-income countries: A systematic review and qualitative metasynthesis (2019) · cites this paper as [3]
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Mason, L., Nyothach, E., van Eijk, A. M., Obor, D., Alexander, K., Ngere, I., Laserson, K., & Phillips‐Howard, P. A. (2019) · International Journal of Reproduction Contraception Obstetrics and Gynecology · doi:10.18203/2320-1770.ijrcog20193506 · Cited by 26 · see citing works
Cherenack, E. M., & Sikkema, K. J. (2021) · International Journal of Behavioral Medicine · doi:10.1007/s12529-021-10005-1 · Cited by 31 · see citing works
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Cherenack, E. M., Rubli, J., Melara, A., Ezaldein, N., King, A., Alcaide, M. L., Raccamarich, P. D. C., Fein, L. A., & Sikkema, K. J. (2023) · PLOS Global Public Health · doi:10.1371/journal.pgph.0001544 · Cited by 29 · see citing works
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Living with Endometriosis: A Narrative Analysis of the Experiences of Kenyan Women
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Menstrual health among adolescents and young adults in rural Haiti
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Atari, D. O., Tariquzzaman, S. K., & Nancy, A. (2021) · Journal of Adolescent Research · doi:10.1177/07435584211043293 · Cited by 22 · see citing works
The menstruation experience: Attitude dimensions among South African students
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Kelland, L., Paphitis, S. A., & Macleod, C. I. (2017) · Women s Studies International Forum · doi:10.1016/j.wsif.2017.09.004 · Cited by 14 · see citing works
Cluster randomized evaluation of the Nia Project: study protocol
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Haver, J., Long, J. L., Caruso, B. A., & Dreibelbis, R. (2018) · Studies in Social Justice · doi:10.26522/ssj.v12i2.1947 · Cited by 14 · see citing works
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Early Adolescence in Madagascar: Girls’ Transitions Through Puberty in and out of School
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Menstrual hygiene management in public high schools in Ghana
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Parents, Sons, and Globalization in Tanzania
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Health-Related Counseling Needs in Adolescent Girls: A Qualitative Study
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Puberty through Their Lens: Insights from Youth around the World
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Exploring a faith-based approach to puberty education in Tanzania
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Self-citationEmpowering Women: Teaching Ethiopian Girls to Make Reusable Sanitary Pads
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Comparative and International Education: A Bibliography (2009)
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Exploring a sample of university students’ perceptions of menstruation
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The Nia Project: Baseline report
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Co-education with environmental cues may kindle early onset of female puberty
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‘She has become Brave:’ the role of menstrual health education in building girls’ agency
Sidle, A. A., Suedi, A., Schwarz, H., Swai, M.-Z., Kafanabo, E. J., & Oulo, B. (2025) · International Journal of Adolescence and Youth · doi:10.1080/02673843.2025.2467116 · Cited by 3 · see citing works
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Innovative Ways of Dealing With Menstrual Health Among the Marginalized Communities in Kenya.
Birech, J. K. (2019) · Advances in Social Sciences Research Journal · doi:10.14738/assrj.62.6168 · Cited by 2 · see citing works
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Kaur, M., & Vats, T. (2020) · International Journal of Community Medicine and Public Health · doi:10.18203/2394-6040.ijcmph20200982 · Cited by 2 · see citing works
The plight of menstruating secondary school-girls: a wake-up call for parents and the school system
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Millei, Z., Silova, I., Piattoeva, N., & Mnemo, Z. I. N. (2024) · Open Book Publishers · doi:10.11647/obp.0383 · Cited by 2 · see citing works
- Authors
- Sommer, M.
- Affiliations
- Columbia University (US)
- Corresponding author
- Sommer, Marni
- ORCID
- Sommer, Marni
- Venue
- Culture, Health & Sexuality
- Publisher
- Informa UK Limited
- Published
- 2009-05
- Volume
- 11
- Issue
- 4
- Pages
- 383-398
- ISSN
- 1369-1058 (ISSN-L)
- 1464-5351
- OpenAlex
- W2032093705
- Cited by
- 128
- References
- 61
- Citations by year
- 2026: 4 · 2025: 10 · 2024: 8 · 2023: 9 · 2022: 11 · 2021: 10 · 2020: 11 · 2019: 6 · 2018: 5 · 2017: 15 · 2016: 8 · 2015: 1 · 2014: 14 · 2013: 5 · 2012: 3
- FWCI
- 6.62
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Culture Health & Sexuality (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Styrelsen för Internationellt Utvecklingssamarbete
- Topics
- Health Sciences › Health Professions › General Health Professions › Adolescent Sexual and Reproductive Health
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Menstrual Health and Disorders
- Social Sciences › Gender Studies › Gender, Sexuality, and Education
- Keywords
- menstruation, puberty, girls' schooling, school attendance, sexual health knowledge, HIV prevention, gender discrimination in schools, body image, Chagga, northern Tanzania, adolescent girls
- MeSH terms
- Acquired Immunodeficiency Syndrome, Adolescent, Attitude to Health, Catchment Area, Health, Education, Fear, Female, Humans, Menstruation, Politics, Prejudice, Puberty, Risk-Taking, Sexual Behavior, Shame, Tanzania, HIV Infections, Young Adult
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