MWE Correspondent
Local clinics, dispensaries and community health posts in Tanzania — once trusted as discreet, convenient first‑points of care — are losing the faith of many young people, as growing numbers report that their private medical information is being shared without consent.
For some university students living away from home, or young people in tight‑knit communities, these small facilities once offered both convenience and privacy. But increasing tales of “exposure” are making them think twice before seeking help. One young woman, who visited a neighbourhood clinic after suspecting she might be pregnant, said she chose the facility precisely because nobody there knew her. She hoped her visit would remain confidential. Instead, her father was phoned shortly after her visit — demanding to know what had happened. She described the moment as “exposing and deeply hurtful,” and said she now struggles even to trust a clinic again.
Another story comes from a university student in Zanzibar who sought an HIV test. Instead of receiving the result privately, he discovered later that relatives had already been told — before he even had time to process what the diagnosis meant. He said he felt stripped of his rights. The shock triggered fear and tension at home, leaving him emotionally overwhelmed. His friends encouraged him not to give up on seeking care, insisting that personal medical issues should remain private unless the individual is ready to share them.
These experiences mirror findings in research on youth health‑seeking behaviour. Studies show that lack of privacy and confidentiality — including fear of gossip among staff, lack of private consultation rooms, and shared waiting areas — discourage many young people from seeking care, especially for sensitive issues like pregnancy or HIV testing.
Also Read; Tanzania Leader Rejects Class-Based Society Concept
Such breaches of trust not only harm individuals but also undermine public health efforts. When youths fear being outed or judged, they may avoid professional care — potentially resorting to self‑medication or risky behaviour, rather than getting proper treatment.
Healthcare professionals insist confidentiality must remain a foundational commitment. According to national guidelines, personal health data — including diagnosis, treatment, and test results — should remain strictly private.
Advocates urge authorities to strengthen training for health workers, improve infrastructure to allow private consultations, and reinforce strict confidentiality policies — especially in small clinics where anonymity and dignity are essential. Until that trust is rebuilt, many young people are likely to continue avoiding care, leaving themselves vulnerable to untreated health issues and undermining broader efforts in sexual and reproductive health, including HIV prevention and youth‑friendly services.
