“Women’s Bodies are Shops”: Beliefs About Transactional Sex and Implications for Understanding Gender Power and HIV Prevention in Tanzania
- 1k Downloads
- 57 Citations
Abstract
Although transactional sex has been linked to undesirable sexual health outcomes, there is a lack of clarity as to the meaning of the practice, which appears to extend beyond behaviors related to women’s economic circumstances. This article explored the perspectives of parents and unmarried young people on motivations for, and beliefs about, transactional sex in rural Tanzania using an ethnographic research design. Data collection involved 17 focus groups and 46 in-depth interviews with young people aged 14–24 years and parents/caregivers. Transactional sex was widely accepted by both parents and young people. Male parents equated sexual exchange to buying meat from a butcher and interpreted women’s demand for exchange before sex with personal power. Young men referred to transactional sex as the easiest way to get a woman to satisfy their sexual desires while also proving their masculinity. Young women perceived themselves as lucky to be created women as they could exploit their sexuality for pleasure and material gain. They felt men were stupid for paying for “goods” (vagina) they could not take away. Mothers were in agreement with their daughters. Although young women saw exploitation of the female body in positive terms, they were also aware of the health risks but ascribed these to bad luck. Interventions aimed at tackling transactional sex in the interests of women’s empowerment and as a strategy for HIV prevention need to understand the cultural beliefs associated with the practice that may make it thrive despite the known risks.
Keywords
Young people Transactional sex Gender power HIV TanzaniaNotes
Acknowledgements
We are very grateful to all the young people and adults who participated in this study. We benefited enormously from the work of one research assistant, Shindika Enos, and acknowledge his contribution. We are also grateful to the four transcribers, Neema Gambish, Mbango Mhamba, Joyce Silas, and Happiness Ng’abi, and to our two translators, Stanslaus Shitindi and Deogratius Mazula. Our gratitude is also due to the assistance of the administrative staff at NIMR and the TAZAMA project. Throughout the study, we received invaluable support and advice from many colleagues in the National Institute for Medical Research, in particular John Changalucha and Pieter Riemes, and Saseendran Pallikdavath from the University of Southampton. The study was funded by the University of Southampton.
References
- Bauni, E., & Jarabi, O. (2000). Family planning and sexual behaviour in the era of HIV/AIDS: The case of Nakuru District, Kenya. Studies in Family Planning, 31, 69–80.PubMedCrossRefGoogle Scholar
- Bayles, C., & Bujra, J. (2000). AIDS sexuality and gender in Africa: Collective strategies and struggles in Tanzania and Zambia. London: Routledge.Google Scholar
- Boerma, J., Urassa, M., Nnko, S., Ng’weshemi, R., Isingo, R., Zaba, B., et al. (2002). Socio-demographic context of the AIDS epidemic in a rural area in Tanzania with a focus on people’s mobility and marriage. Sexually Transmitted Infections, 78, i97–i105.PubMedCrossRefGoogle Scholar
- Bohmer, L., & Kirumba, E. (2000). Socio-economic context and sexual behaviour of Ugandan out of school youth. Culture, Health and Sexuality, 2, 269–285.CrossRefGoogle Scholar
- Caldwell, J., Caldwell, P., & Quiggin, P. (1989). The social context of AIDS in sub-Saharan Africa. Population and Development Review, 15, 185–234.CrossRefGoogle Scholar
- Cornwall, A. (2002). Spending power: Love, and the reconfiguration of gender relations in Ado-Odo, Southwestern. American Ethnologist, 29, 963–980.CrossRefGoogle Scholar
- Denzin, N., & Lincoln, Y. (2008). The landscape of qualitative research (3rd ed.). Newbury Park, CA: SageGoogle Scholar
- Dunkle, K., Jewkes, R., Brown, H., Gray, G., McIntryre, J., & Harlow, S. (2004a). Gender-based violence, relationship power, and risk of HIV infection in women attending antenatal clinics in South Africa. Lancet, 363, 1415–1421.PubMedCrossRefGoogle Scholar
- Dunkle, K., Jewkes, R., Brown, H., Gray, G., McIntryre, J., & Harlow, S. (2004b). Transactional sex among women in Soweto, South Africa: Prevalence, risk factors and association with HIV infection. Socail Science and Medicine, 59, 1581–1592.CrossRefGoogle Scholar
- Dunkle, K., Jewkes, R., Brown, H., Yoshihama, M., Gray, G., McIntyre, J., et al. (2004). Prevalence and patterns of gender-based violence and revictimization among women attending antenatal clinics in Soweto, South Africa. American Journal of Epidemiology, 160, 230–239.PubMedCrossRefGoogle Scholar
- Dunkle, K., Jewkes, R., Nduna, M., Jama, N., Levin, J., Sikweyiya, Y., et al. (2007). Transactional sex with casual and main partners among young South African men in the rural Eastern Cape: Prevalence, predictors, and associations with gender-based violence. Social Science and Medicine, 65, 1235–1248.PubMedCrossRefGoogle Scholar
- Gysels, M., Pool, R., & Nnalusiba, B. (2002). Women who sell sex in a Ugandan trading town: Life histories, survival strategies and risk. Social Science and Medicine, 54, 179–192.PubMedCrossRefGoogle Scholar
- HALIRA. (2000). Report of a focus group discussion and in-depth interview series with young people in rural Mwanza, Tanzania. HALIRA Programme, Mwanza, Tanzania.Google Scholar
- Haram, L. (1995). Negotiating sexuality in times of economic want: The young and modern Meru women. In K. Klepp, P. Biswalo, & A. Talle (Eds.), Young people at risk: Fighting AIDS in Northern Tanzania (pp. 31–48). Oslo: Scandinavian University Press.Google Scholar
- Haram, L. (2005). Prostitutes or modern women? Negotiating respectability in Northern Tanzania. In S. Arnfred (Ed.), Re-thinking sexualities in Africa (2nd ed., pp. 211–229). Uppsala: Almqvist & Wiksell.Google Scholar
- Hunter, M. (2002). The materiality of everyday sex: Thinking beyond ‘prostitution’. African Studies, 61, 99–120.CrossRefGoogle Scholar
- Jewkes, R., Vundule, C., Maforah, F., & Jordaan, E. (2001). Relationship dynamics and teenage pregnancy in South Africa. Social Science and Medicine, 52, 733–744.PubMedCrossRefGoogle Scholar
- Kaufman, C., & Stavrouv, S. (2004). ‘Bus fare please’: The economic of sex and gifts among young people in urban South Africa. Culture, Health and Sexuality, 6, 377–391.CrossRefGoogle Scholar
- Kaute-Defo, B. (2004). Young people’s relationships with sugar daddies and sugar mummies: What do we know and what do we need to know? African Journal of Reproductive Health, 8, 13–37.CrossRefGoogle Scholar
- Leclerc-Madlala, S. (2003). Transactional sex and the pursuit of modernity. Social Dynamics, 29, 213–233.Google Scholar
- Longfield, K. (2004). Rich fools, spare tyres and boyfriends: Partner categories, relationship dynamics and Ivorian women’s risk for STIs and HIV. Culture, Health and Sexuality, 6, 483–500.CrossRefGoogle Scholar
- Longfield, K., Glick, A., Waithaka, M., & Berman, J. (2004). Relationships between older men and younger women: Implications for STIs/HIV in Kenya. Studies in Family Planning, 35, 125–134.PubMedCrossRefGoogle Scholar
- Luke, N. (2003). Age and economic asymmetries in the sexual relationships of adolescent girls in sub-Saharan Africa. Studies in Family Planning, 34, 67–86.PubMedCrossRefGoogle Scholar
- Luke, N., & Kurz, K. (2002). Cross-generational and transactional sexual relations in sub-Saharan Africa: Prevalence of behavior and implications for negotiating safer sexual practices. Washington, DC: International Center for Research on Women.Google Scholar
- Madulu, N. (1998). Changing lifestyles in farming societies of Sukumaland: Kwimba district. Tanzania. Dar es Salaam: Institute of Resource Assessment/African Studies Centre.Google Scholar
- Maganja, R. K., Maman, S., Groves, A., & Mbwambo, J. K. (2007). Skinning the goat and pulling the load: Transactional sex among youth in Dar es Salaam, Tanzania. AIDS Care, 19, 974–981.PubMedCrossRefGoogle Scholar
- Mason, J. (2006). Qualitative researching (2nd ed.). London: Sage.Google Scholar
- Matasha, E., Ntemebelea, T., Mayaud, P., Saidi, W., Todd, J., Mujaya, B., et al. (1998). Sexual and reproductive health among secondary and primary school pupils in Mwanza, Tanzania: Need for intervention. AIDS Care, 10, 571–582.PubMedCrossRefGoogle Scholar
- Mauss, M. (1969). The gift. London: Routledge and Kegan Paul.Google Scholar
- NIMR. (2005). Kisesa open cohort study (1994–2005): Summary of activities. Mwanza, Tanzania: National Institute for Medical Research.Google Scholar
- Nnko, S., Boerma, J., Urassa, M., Mwaluko, G., & Zaba, B. (2004). Secretive females or swaggering males? An assessment of the quality of sexual partnership reporting in rural Tanzania. Social Science and Medicine, 59, 299–310.PubMedCrossRefGoogle Scholar
- Nnko, S., & Pool, R. (1997). Sexual discourse in the context of AIDS: Dominant themes on adolescent sexuality among pupils in Magu district, Tanzania. Health Transition Review, 7, 85–90.Google Scholar
- Nyanzi, S., Pool, R., & Kinsman, J. (2001). The negotiation of sexual relationships among school pupils in south-western Uganda. AIDS Care, 13, 83–98.PubMedCrossRefGoogle Scholar
- Nzyuko, S., Lurie, P., McFarland, W., Leyden, W., Nyamwaya, D., & Mandel, J. (1997). Adolescent sexual behaviour along the Trans-Africa High way in Kenya. AIDS, 11, s21–s26.PubMedCrossRefGoogle Scholar
- Poulin, M. (2007). Sex, money, and premarital partnerships in southern Malawi. Social Science and Medicine, 65, 2383–2393.PubMedCrossRefGoogle Scholar
- Remes, P., Renju, J., Nyalali, K., Medard, L., Kimaryo, M., Changalucha, J., et al. (2010). Dusty discos and dangerous desires: Community perceptions of adolescent sexual and reproductive health risks and vulnerability and the potential role of parents in rural Mwanza, Tanzania. Culture, Health and Sexuality, 12, 279–292.PubMedCrossRefGoogle Scholar
- Setel, P. (1999). A plague of paradoxes: Aids culture and demography in northern Tanzania. Chicago: University of Chicago Press.Google Scholar
- Silberschmidt, M. (2005). Masculinities, sexuality and socio-economic change in rural and urban East Africa. In S. Arnfred (Ed.), Re-thinking sexualities in Africa (pp. 233–248). Uppsala: Almqvist & Wiksell.Google Scholar
- Silberschmidt, M., & Rasch, V. (2001). Adolescent girls, illegal abortions and “sugar-daddies” in Dar es Salaam: Vulnerable victims and active social agents. Social Science and Medicine, 52, 1815–1826.PubMedCrossRefGoogle Scholar
- Snape, D., & Spencer, L. (2006). The foundations of qualitative research. In J. Ritchie & J. Lewis (Eds.), Qualitative research practice: A guide for social science students and researchers (pp. 1–23). London: Sage.Google Scholar
- Swidler, A., & Watkins, S. C. (2007). Ties of dependence: AIDS and transactional sex in rural Malawi. Studies in Family Planning, 38, 147–162.PubMedCrossRefGoogle Scholar
- TACAIDS, NBS, & ORC Macro. (2005). Tanzania HIV/AIDS indicator survey 2003–04 TACAIDS, NBS, ORC Macro. Carlverton, MD: TACAIDS/NBS/ORC Macro.Google Scholar
- UNAIDS & WHO. (2008). Report on the global AIDS epidemic. Geneva: Author.Google Scholar
- Wamoyi, J. (2008). Family context and the complexity of parenting: A focus on the influence on young people’s sexual behaviour in rural Tanzania. Unpublished manuscript. Southampton: University of Southampton.Google Scholar
- Wamoyi, J., Wight, D., Plummer, M., Mshana, G. H., & Ross, D. (2010). Transactional sex amongst young people in rural northern Tanzania: An ethnography of young women’s motivations and negotiation. Reproductive Health, 7, doi: 10.1186/1742-4755-7-2 .
- Wardlow, H. (2004). Anger, economy and female agency: Problematizing “prostitution” and “sexwork” among the Huli of Papua New Guinea. Signs, 29, 1017–1040.CrossRefGoogle Scholar
- Wight, D., Plummer, M. L., Mshana, G., Wamoyi, J., Shigongo, Z. S., & Ross, D. A. (2006). Contradictory sexual norms and expectations for young people in rural Northern Tanzania. Social Science and Medicine, 62, 987–997.PubMedCrossRefGoogle Scholar
- Wood, K., & Jewkes, R. (2000). “Dangerous” love: Reflections on violence amongst Xhosa township youth. In R. Morrell (Ed.), Changing men in South Africa (pp. 317–336). Pietermaritzburg: University of Natal Press.Google Scholar
- Wood, K., Maforah, F., & Jewkes, R. (1998). “He forced me to love him”: Putting violence on adolescent sexual health agendas. Social Science and Medicine, 47, 233–242.PubMedCrossRefGoogle Scholar