Introduction: Intimate partner violence is a secret disaster among different communities in Tanzania. There are various effects brought about by Intimate partner violence to the nation, community, families’ women and children. IPV has various causes which are very complex and linked together with several main pathways that stem from basic causes. Different perceptions of men and women in the community may increase or decrease the prevalence of IPV and help seeking behaviours among victims. Objectives: To identify causes, perceptions and help seeking behaviour towards intimate partner violence among women in Kilimanjaro region. Method: A cross section descriptive study involving various stakeholders who are involved with fighting against gender based violence in Kilimanjaro. In depth interviews were conducted with each stakeholder using special interview guideline questions. Data was analyzed manually using the thematic analysis framework. Results: Stakeholders identified various causes of IPV among them being, not taking care of the family, coming back home late, not being faithful, or not discussing issues with the wife, improper use of mobile phones, economic dependence, lack of education on human rights and alcohol abuse. The society perception of IPV was that it was a secret matter not something to be discussed outside by other people outside the family. Societal culturally ingrained perceptions which dominate men and women in the society were prominent to extent that some women see violence as normal. Help seeking behaviour is more to the informal sector (friends, religious institutions and family) than the formal sectors. Most cases reported in the formal sector are those of physical violence. Conclusion: More effort should be made to assure both women and men are educated on IPV and its effects so that they may change their wrong perceptions towards IPV practice. Interventions should focus on addressing the root causes of the problems leading to intimate partner violence. Keywords: Perception, Intimate Partner Violence, Help seeking behaviour.