“I Stopped to Prove them Wrong:” Reasons for Discontinuing Daily Oral HIV Pre-exposure Prophylaxis Among Women at High Risk of HIV in Tanzania-A Convergent Mixed Methods Study.
Key Social Norms Take-aways: Social norms and social pressure were important drivers of discontinuing daily oral pre-exposure prophylaxis among female sex workers. Women described a common community belief that people taking pills resembling antiretroviral treatment are living with HIV, leading to stigma, rumors, negative reactions, and pressure from partners, family, friends, peers, and clients to […]
An intersectional analysis of social norms affecting adolescent access to sexual and reproductive health services in rural Tanzania.
Key Social Norms Take-aways: Social norms shape adolescents’ access to sexual and reproductive health services through intersecting systems of gender, age, economic inequality, religion, and geography. Girls—particularly those who are older, poor, rural, or from conservative religious households—experience compounded stigma, moral policing, restricted agency, and barriers to care, while boys often receive greater social tolerance. […]
Factors Influencing Attitudes Toward Intimate Partner Violence Among Married Women: A Multilevel Analysis Across 20 Low- and Middle-Income Countries.
Key Social Norms Take-aways: Acceptance of intimate partner violence reflects patriarchal gender norms that can normalize violence against women. Women surveyed between 2019 and 2022 were substantially less likely to justify intimate partner violence than those in earlier surveys, which the authors suggest may reflect shifting social norms and greater awareness. Education and women’s decision-making […]
Adolescents’ agency in negotiating social norms governing sexual and reproductive health services among the Nyasa people of Rural Tanzania.
Key Social Norms Take-aways: Adolescents and young people are not simply constrained by social norms; they actively reproduce, resist, and negotiate them to balance sexual and reproductive health needs with social acceptance. Restrictive gender expectations, stigma, fear of community judgment, and concerns about confidentiality shape service use, while trusted peer networks provide important pathways for […]
Generalized structural equation modeling of intimate partner violence among married women in East Africa using population-based data.
Key Social Norms Take-aways: Attitudes accepting wife beating were strongly associated with all forms of intimate partner violence, pointing to deep-rooted patriarchal norms that can normalize violence within relationships. The discussion also suggests that traditional norms supporting intimate partner violence may contribute to greater sexual violence in rural areas and that women’s employment or increased […]
Discriminatory attitudes toward people living with HIV/AIDS in East Africa: a multilevel analysis of socioeconomic and behavioral determinants using DHS 2019-2023 data.
Key Social Norms Take-aways: Discriminatory attitudes toward people living with HIV remain widespread in East Africa and appear to be shaped by broader socioeconomic and social contexts. Nearly half of the variation in discriminatory attitudes occurred between communities, underscoring that stigma is not solely an individual attitude but is embedded within social environments. The discussion […]
Why do adolescent girls become pregnant? Contextual pathways to adolescent pregnancy in rural Tanzania: a mixed-methods study.
Key Social Norms Take-aways: Adolescent pregnancy in rural Tanzania is shaped by social norms embedded within broader economic and gender inequalities. Cultural expectations surrounding initiation, marriage, sexuality, and fertility can normalize early sexual relationships and transitions to adulthood, while gendered power imbalances—particularly within age-disparate relationships—constrain girls’ ability to negotiate contraception. Importantly, the authors argue that […]
Gender norms, contraceptive use, and intimate partner violence: A six-country analysis
Key Social Norms Take-aways: This cross-country study demonstrates that gender-related attitudes, used as proxies for gender norms, and couple power dynamics are important correlates of contraceptive use and intimate partner violence (IPV). Joint decision-making within couples—particularly regarding major household purchases—was consistently associated with greater modern contraceptive use and, in some settings, lower IPV, suggesting that […]
“I have learned that nothing is given for free”: an exploratory qualitative evaluation of a social norms edutainment intervention broadcast on local radio to prevent age-disparate transactional sex in Kigoma, Tanzania.
Key Social Norms Takeaways: Edutainment can initiate shifts in harmful social norms by challenging misperceptions, reducing victim-blaming, and promoting new shared expectations—particularly around gender, responsibility, and transactional sex. However, norms change requires broad community engagement; without sufficient exposure (e.g., among men), entrenched norms persist. The study highlights that norm change begins with individual reflection and […]
Qualitative evaluation of an edutainment intervention to prevent age-disparate transactional sex in Tanzania: Changes in educational aspirations and gender equitable attitudes towards work
Key Social Norms Take-aways: The study demonstrates that edutainment can shift gender norms by modeling alternative roles and behaviors, helping to create an enabling environment where girls’ education is prioritized and restrictive norms—such as male provider expectations and limitations on women’s work—are challenged. These normative shifts matter because they address underlying drivers of age-disparate transactional […]