Family Life Education Development, Implementation, and Evaluation in Tanzania

  • Rosemary W. EustaceEmail author
  • Tumaini M. Nyamhanga
  • Aisha I. Ghuhiya
  • Stella Emmanuel Mushy


This chapter examines the socioeconomic, historical, and cultural context of the United Republic of Tanzania and how it has shaped the country’s family life and family life education throughout the precolonial, colonial, and postcolonial eras. The context includes social factors such as changes in family structures and functions, emergence of HIV/AIDS, sexuality and family life education programs, and related family and health policies. Utilizing the socio-ecological perspective, the article delineates family strengths, gaps, and opportunities available to key stakeholders to meet the contemporary family life education needs for the Tanzanian families.


Family life education Tanzanian family life Socio-ecological theory 


  1. Abbas, E. (1981). FAO Family Life Education in Intergrated Rural Development. In Sumra S. (Ed.) Workshop on Population Education and Curriculum Changes, Arusha, Tanzania, 15-20 Dec, University of Dar es Salaam, (pp 288–293).Google Scholar
  2. Agha, S., & Van Rossem, R. (2002). Impact of mass media campaigns on intentions to use the female condom in Tanzania. International Family Planning Perspectives, 28(3), 151–158.CrossRefGoogle Scholar
  3. Bhatia, M.R. & Gorter, A. C. (2007). Improving access to reproductive and child health services in developing countries: are competitive voucher schemes an option? Journal of International Development, 19(7), 975–981.Google Scholar
  4. Bilinga, M., & Mabula, N. (2014). Teaching sexuality education in primary schools in Tanzania: Challenges and implications. Journal of Education and Practice, 5(27), 21–30.Google Scholar
  5. Bronfenbrenner, U. (1986). Ecology of the family as a context for human development: Research perspectives. Developmental Psychology, 22(6), 723–742.CrossRefGoogle Scholar
  6. Bronfenbrenner, U., & Evans, G. W. (2000). Developmental science in the 21st century: Emerging questions, theoretical models, research designs and empirical findings. Social Development, 9(1), 115–125.CrossRefGoogle Scholar
  7. Bwatwa, Y. M. (1980). Parental participation in the international year of the child in Tanzania (Unpublished research paper). Tanzania: University of Dar Es Salaam.Google Scholar
  8. Cardoso, J. C., & Mwolo, M. P. (2017). Assessment of non-formal sexual education strategies for adolescent girls: The case of Tanzania. Ensaio: Avaliação e Políticas Públicas em Educação, 25(95), 527–547.Google Scholar
  9. Chandra-Mouli, V., & Patel, S. V. (2017). Mapping the knowledge and understanding of menarche, menstrual hygiene and menstrual health among adolescent girls in low-and middle-income countries. Reproductive Health, 14(30), 2–16. Supplement to Journal of Adolescent Health. Retrieved from
  10. Eustace, R. W. (2013). A discussion of HIV/AIDS family interventions: Implications for family-focused nursing practice. Journal of Advanced Nursing, 69(7), 1660–1672.CrossRefGoogle Scholar
  11. Eustace, R. W., Asiedu, G. B., & Mkanta, W. N. (2015). Sexuality education in Africa. In J. J. Ponzetti Jr. (Ed.), Evidence-based approaches to sexuality education: A global perspective (pp. 164–179). New York: Routledge.Google Scholar
  12. Eustace, R. W., Wilson, J. F., Asiedu, G. B., Nyamhanga, T. M., & Mkanta, W. N. (2017). Community stakeholders’ perceptions of the role of family in HIV prevention in Iringa, Tanzania. Journal of Community Health Nursing, 34(1), 10–20.CrossRefGoogle Scholar
  13. Family Health International. (2006). YouthNet end of program report. Taking action: Recommendations and resources. Arlington, VA: Family Health International, YouthNet. Retrieved from
  14. Foster, G. (2000). The capacity of the extended family safety net for orphans in Africa. Psychology, Health and Medicine, 5(1), 55–62.CrossRefGoogle Scholar
  15. Hindin, M.J., Kalamar, A. M., Thompson, T. A., & Upadhyay, U. D. (2016). Interventions to prevent unintended and repeat pregnancy among young people in low- and middle-income countries: a systematic review of the published and gray literaure. Journal of Adolescent Health, 59(3), S8–S15.Google Scholar
  16. Izahaki, C. (2006). Female adolescents’ knowledge on homosexual relationship and the effects in learning: The case of Moshi rural district (Unpublished M.A. dissertation). Dar Es Salaam, Tanzania: University of Dar Es Salaam.Google Scholar
  17. Kailembo, R. (2013). Family life education: Experiences of implementing adolescent’s sexual and reproductive health innovation case study in Tanzania secondary schools. Saarbrücken, Germany: LAP Lambert Academic Publishing.Google Scholar
  18. Kajula, L. J., Darling, N., Kaaya, S. F., & De Vries, H. (2016). Parenting practices and styles associated with adolescent sexual health in Dar Es Salaam, Tanzania. AIDS Care, 201628(11), 1467–1472. CrossRefGoogle Scholar
  19. Kapinga, O. S., & Hyera, D. F. (2015). Pupils’ perceptions of sex and reproductive health education in primary schools in Tanzania: A phenomenological study. Journal of Education and Practice, 6(6), 106–113.Google Scholar
  20. Ksoll, C. (2007). Family networks and orphan caretaking in Tanzania. Oxford, UK: Department of Economics, University of Oxford. Retrieved from
  21. Lal, P. (2010). Militants, mothers, and the national family: Ujamaa, gender, and rural development in postcolonial Tanzania. The Journal of African History, 51(01), 1–20.CrossRefGoogle Scholar
  22. L’Engle, K. L., Vahdat, H. L., Ndakidemi, E., Lasway, C., & Zan, T. (2013). Evaluating feasibility, reach and potential impact of a text message family planning information service in Tanzania. Contraception, 87(2), 251–256.CrossRefGoogle Scholar
  23. Marchant, T., Mushi, A. K., Nathan, R., Mukasa, O., Abdulla, S., Lengeler, C., & Schellenberg, J. A. (2004). Planning a family: Priorities and concerns in rural Tanzania. African Journal of Reproductive Health, 8(2), 111–123.CrossRefGoogle Scholar
  24. Mbeba, R. M., Mkuye, M. S., Magembe, G. E., Yotham, W. L., obeidy Mellah, A., & Mkuwa, S. B. (2012). Barriers to sexual reproductive health services and rights among young people in Mtwara district, Tanzania: A qualitative study. The Pan African Medical Journal, 13(Supple 1), 16. Retrieved from PMC3589247/pdf/PAMJ-SUPP-13-1-13.pdf
  25. Mbonile, L., & Kayombo, E. J. (2008). Assessing acceptability of parents/guardians of adolescents towards introduction of sex and reproductive health education in schools at Kinondoni Municipal in Dar Es Salaam city. East African Journal of Public Health, 5(1), 26–31.CrossRefGoogle Scholar
  26. Mbunda, D. (1991). Traditional sex education in Tanzania. New York City: Planned Parenthood of New York City.Google Scholar
  27. Ministry of Education and Culture. (2001). Family life education in Schools and Teacher’s Training Colleges Source Book 1: Sexual & reproductive health. Dar es Salaam: UNFPA.Google Scholar
  28. Ministry of Education and Vocational Training Cross Cutting Issues Technical Working Group. (2009). Guidelines on how to enable pregnant schoolgirls to continue with their studies. Retrieved from _working _groups_clusters/cluster_2/education/Guidelines_Enabling_Pregnant_Girls_to_re-enter_school-FINAL_March_2010.pdf
  29. Ministry of Health, Community Development, Gender, Elderly and Children. (2016). The national road map strategic plan to improve reproductive, maternal, newborn, child & adolescent health in Tanzania (2016–2020). Retrieved from
  30. Ministry of Health, Community Development, Gender, Elderly and Children (MoHCDGEC) [Tanzania Mainland], Ministry of Health (MoH) [Zanzibar], National Bureau of Statistics (NBS), Office of the Chief Government Statistician (OCGS), & ICF. (2016). Tanzania Demographic and Health Survey and Malaria Indicator Survey (TDHS-MIS) 2015–16. Dar es Salaam, Tanzania/Rockville, MD: MoHCDGEC, MoH, NBS, OCGS, and ICF Basic Statistics on Higher Learning Institutions in Tanzania 1995/96–1999/2000. Ministry of Science, Technology and Higher Education, Dar es Salaam July 2000.Google Scholar
  31. Mkumbo, K., Schaalma, H., Kaaya, S., Leerlooijer, J., Mbwambo, J., & Kilonzo, G. (2009). The application of Intervention Mapping in developing and implementing school-based sexuality and HIV/AIDS education in a developing country context: The case of Tanzania. Scandinavian Journal of Public Health, 37(2_suppl), 28–36.CrossRefGoogle Scholar
  32. Mkumbo, K. A. (2009). Content analysis of the status and place of sexuality education in the national school policy and curriculum in Tanzania. Educational Research and Reviews, 4(12), 616–625.Google Scholar
  33. Mkumbo, K. A. (2010). What Tanzanian young people want to know about sexual health; implications for school-based sex and relationships education. Sex Education, 10(4), 405–412.CrossRefGoogle Scholar
  34. Mkumbo, K. A. (2012). Teachers’ attitudes towards and comfort about teaching school-based sexuality education in urban and rural Tanzania. Global Journal of Health Science, 4(4), 149–158. CrossRefGoogle Scholar
  35. Mkumbo, K. A. (2014). Students’ attitudes towards school-based sex and relationships education in Tanzania. Health Education Journal, 73(6), 642–656.CrossRefGoogle Scholar
  36. Mkumbo, K. A., & Ingham, R. (2010). What Tanzanian parents want (and do not want) covered in school-based sex and relationships education. Sex Education, 10(1), 67–78.CrossRefGoogle Scholar
  37. Mkumbo, K. Mgalla, Z., Shukia, R., & Kanukisya, B. (2016). Trends and Issues in Basic Education. Acheiving Education for All: Dillemas in System-Wide Reforms and Leanring Outcomes in Africa, 107.Google Scholar
  38. Mlyakado, B. P. (2013). Attitudes and views of teachers towards students’ sexual relationships in secondary schools in Tanzania. Academic Research International, 4(1), 232–241. Retrieved from
  39. Mosha, I., Ruben, R., & Kakoko, D. (2013). Family planning decisions, perceptions and gender dynamics among couples in Mwanza, Tanzania: A qualitative study. BMC Public Health, 13(523), 1–13. CrossRefGoogle Scholar
  40. Mulenga, D. C. (2001). Mwalimu Julius Nyerere: A critical review of his contributions to adult education and postcolonialism. International Journal of Lifelong Education, 20(6), 446–470.CrossRefGoogle Scholar
  41. Namisi, F. S., Flisher, A. J., Overland, S., Bastien, S., Onya, H., Kaaya, S., & Aarø, L. E. (2009). Sociodemographic variations in communication on sexuality and HIV/AIDS with parents, family members and teachers among in-school adolescents: A multi-site study in Tanzania and South Africa. Scandinavian Journal of Public Health, 37(2_suppl), 65–74.CrossRefGoogle Scholar
  42. Ngilangwa, D. P., Rajesh, S., Kawala, M., Mbeba, R., Sambili, B., Mkuwa, S., … Nyagero, J. (2016). Accessibility to sexual and reproductive health and rights education among marginalized youth in selected districts of Tanzania. The Pan African Medical Journal, 25(Supp 2), 1–7. CrossRefGoogle Scholar
  43. Omari, C. K. (1991). The family in Tanzania. International Journal of Sociology of the Family, 21, 55–71.Google Scholar
  44. Price, N., Ezekiel, M., & Hawkins, K. (2003). Addressing the reproductive health needs and rights of young people since ICPD: The contribution of UNFPA and IPPF (Tanzania Country evaluation report). Heidelberg, Germany: Euro Health Group, University of Heidelberg, No. 24. Retrieved from /egypt/ 36748521.pdfGoogle Scholar
  45. Renju, J., Nyalali, K. Andrew, B., Kishamawe, C., Kimaryo, M. Remes, P....& Obasi, A. (2010). Scaling up a school-based sexual and reproductive health intervention in rural Tanzania: a process evaluation describing the implementation realities for the teachers. Health Education Research, 25(6), 903–916.Google Scholar
  46. Rogers, E. M., Vaughan, P. W., Swalehe, R., Rao, N., Svenkerud, P., & Sood, S. (1999). Effects of an entertainment-education radio soap opera on family planning behavior in Tanzania. Studies in Family Planning, 30(3), 193–211.CrossRefGoogle Scholar
  47. Senderowitz, J. A. (2000). Review of program approaches to adolescent reproductive health (Poptech assignment no. 2000). Arlington, VA: Population Technical Assistance Project.Google Scholar
  48. Sheeran, P., Abraham, C., & Orbell, S. (1999). Psychosocial correlates of heterosexual condom use: A meta-analysis. Psychological Bulletin, 125(1), 90–132.CrossRefGoogle Scholar
  49. Sommer, M. (2010). Where the education system and women’s bodies collide: The social and health impact of girls’ experiences of menstruation and schooling in Tanzania. Journal of Adolescence, 33(4), 521–529.CrossRefGoogle Scholar
  50. Speizer, I. S., & Bollen, K. A. (2000). How well do perceptions of family planning service quality correspond to objective measures? Evidence from Tanzania. Studies in Family Planning, 31(2), 163–177.CrossRefGoogle Scholar
  51. Sturmer, M. (2008). The media history of Tanzania. Mtwara, Tanzania: Ndanda Mission Press. Retrieved from
  52. Tanzania Commission for AIDS (TACAIDS), Zanzibar AIDS Commission (ZAC), National Bureau of Statistics (NBS), Office of the Chief Government Statistician (OCGS), and ICF International. (2013). Tanzania HIV/AIDS and malaria indicator survey 2011–12 (Policy briefs). Dar es Salaam, Tanzania: TACAIDS, ZAC, NBS, OCGS, and ICF International.Google Scholar
  53. Tanzania Institute of Education. (2012). Review of the components of HIV, AIDS, sexual reproductive health and life skills education in the current primary and secondary education curricula (Reports on needs assessment study and analytical review of sexuality education) (Unpublished report). Dar es Salaam, Tanzania: TIE.Google Scholar
  54. The United Republic of Tanzania, Ministry of Education Science and Technology. (2017). About us: Education before independence. Retrieved from
  55. The World Bank. (2017). World Bank Country and Lending Groups. Retrieved from
  56. UNFPA. (2006). Evaluation of family life education project: Tanzania Mainland (Unpublished report). Dar Es Salaam, Tanzania: UNFPA.Google Scholar
  57. UNFPA. (2012). Marrying too young: End child marriage. Retrieved from
  58. UNICEF. (2017). The AIDS epidemic continues to take a staggering toll, especially in sub-Saharan Africa. Retrieved from Scholar
  59. United Republic of Tanzania. (2001). Adolescent sexual and reproductive health: Report on an assessment and review of training materials. Dar es Salaam, Tanzania: Ministry of Education and Vocational Training.Google Scholar
  60. United Republic of Tanzania. (2010). Basic education statistics in Tanzania National data. National and Regional data. Dar es Salaam, Tanzania: Ministry of Education and Vocational Training.Google Scholar
  61. United Republic of Tanzania. (2011). Basic education statistics in Tanzania National data. National and Regional data. Dar es Salaam, Tanzania: Ministry of Education and Vocational Training.Google Scholar
  62. Vaughan, W., Rogers, E. M., Singhal, A., & Swalehe, P. (2000). Entertainment-education and HIV/AIDS prevention: A field experiment in Tanzania. Journal of Health Communication, 5(sup1), 81–100.CrossRefGoogle Scholar
  63. Vriesendrop, S. (1980). Family life education in Africa in population education and curriculum changes. Dar Es Salaam, Tanzania: University of Dar Es Salaam, Department of Education.Google Scholar
  64. Watson-Jones, D., Lees, S., Mwanga, J., Neke, N., Changalucha, J., Broutet, N., … Ross, D. A. (2016). Feasibility and acceptability of delivering adolescent health interventions alongside HPV vaccination in Tanzania. Health Policy and Planning, 31(6), 691–699.CrossRefGoogle Scholar
  65. Woog, V., & Pembe, A. B. (2013). Unsafe abortion in Tanzania: A review of the evidence. Issues in Brief (Alan Guttmacher Institute), 1, 1–4.Google Scholar
  66. World Health Organization. (2014). United Republic of Tanzania. Retrieved from abuse/ publications/ global_alcohol_report/profiles/tza.pdf?ua=1
  67. World Health Organization. (2017a). United Republic of Tanzania. Retrieved from /tza/en/
  68. World Health Organization. (2017b). Global Health Observatory data repository: HIV/AIDS. Retrieved from
  69. Zou, J., Yamanaka, Y., John, M., Watt, M., Ostermann, J., & Thielman, N. (2009). Religion and HIV in Tanzania: Influence of religious beliefs on HIV stigma, disclosure, and treatment attitudes. BMC Public Health, 9(75), 1–12. CrossRefGoogle Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Rosemary W. Eustace
    • 1
    Email author
  • Tumaini M. Nyamhanga
    • 2
  • Aisha I. Ghuhiya
    • 3
  • Stella Emmanuel Mushy
    • 4
  1. 1.College of Nursing and HealthWright State UniversityDaytonUSA
  2. 2.Muhimbili University of Health and Allied SciencesSchool of Public Health and Social SciencesDar es SalaamTanzania
  3. 3.Tanzania Institute of EducationDar es SalaamTanzania
  4. 4.School of NursingMuhimbili University of Health and Allied SciencesDar es SalaamTanzania

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