The utilisation of sexual and reproductive healthcare services by male adolescents in South Africa

Omari OS Shabani


This paper report on a study that was conducted in a selected area in South Africa to investigate male adolescents’ utilisation of Sexual and Reproduction Healthcare services. A contextual, explorative and descriptive qualitative design was utilised to conduct the investigation. Twenty male adolescents aged 18-24 years selected by means of purposive (sampling special or unique cases sampling techniques) and snowballing sampling techniques were interviewed by means of semi-structured interviews. Data were analysed using Tesch’s approach of qualitative data analysis. The lack of awareness of the services was the most significant hindrance to the utilisation of sexual and reproductive healthcare services by male adolescents. This was linked to differentiated knowledge about the services, poor services in public hospital and clinics, nurses’ attitudes and lack of services designed for males. The study therefore recommends the development of strategies to deal with the emerged themes (lack of awareness of the services, differentiated knowledge about the services, poor services in public hospitals and clinics, nurses’ attitudes and lack of services designed for males) in order to enhance, increase and improve utilisation of these services by male adolescents for the betterment of their sexual and reproductive health as well as their health in general. (Afr J Reprod Health 2021; 25[5]: 84-92).

Full Text:



Meena JK,Verma A, Kishore J and Ingle GK. Sexual and Reproductive Health: Knowledge, Attitude, and Perceptions among Young Unmarried Male Residents of Delhi 2015; Volume 2015 |Article ID 431460 | 6 pages |

UNFPA. Adolescent sexual and reproductive health 2019; (Accessed on 04/04/2020).

Lince-Deroche N, Harris J, Mullicks S, Mulongo M, Sinanovic E, Morroni C, Firnhaber C and Holele P. Achieving universal access to sexual and reproductive health services: the potential and pitfalls for contraceptive services in South Africa 2016; SAHR 2016

Beksinska, ME, Pillay L and Smit AJ. The sexual and reproductive health needs of youth in South Africa – history in context 2014. South African Medical Journal, [S.l.], v. 104, n. 10, p. 676-678, aug. 2014. ISSN 2078-5135. Available at: . Date accessed: 02 Aug. 2021. doi:10.7196/SAMJ.8809.

Kalmuss D and Tatum C. Patterns of Men’s Use of Sexual and Reproductive Health Services 2010; Perspectives on Sexual and Reproductive Health, 2007, 39(2):74–81, doi: 10.1363/3907407

Kabangenyi A, Jennings L, Reid A, Nalwadda G, Ntozi J and Atuyambe L. Barriers to male involvement in contraceptive uptake and reproductive health services: a qualitative study of men and women’s perceptions in two rural districts in Uganda 2014; Reproductive Health 2014, 11:21

Polit DF and Beck CT. Nursing research: Generating and assessing evidence for nursing practice 2012; 9th edition. Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins.

City of Tshwane Metropolitan GAU 2016. PROFILE: CITY OF TSHWANE

Hennink M, Hutte RI and Bailey A. Qualitative Research Methods 2011; Los Angeles: Sage.

Creswell JW. Qualitative inquiry and research design 2013; Choosing among five approaches. 3rd edition. Thousand Oaks. Sage.

Kaufman MR, Smelyanskaya M, Van Lith LM, Mallalieu EC, Waxman A, Hatzhold K, Marcell AV, Kasedde S, Lija G, Hasen N, Ncube G, Samuelson JL, Bonnecwe C, Seifert-Ahanda K, Njeuhmeli E, Aaron A and Tobian R. Adolescent sexual and reproductive health services and implications for the provision of voluntary medical male circumcision: Results of a systematic literature review 2016; PLoS ONE 11(3):1-23.

Biddlecom AE, Munthali A, Singh S and Source VW. Adolescents' Views of and Preferences for Sexual and Reproductive Health Services in Burkina Faso, Ghana, Malawi and Uganda 2007; African Journal of Reproductive Health / La Revue Africaine de la Santé Reproductive, Vol. 11, No. 3 (Dec., 2007), pp. 99-110

Govender D, Naidoo S and Taylor M. Knowledge, attitudes and peer influences related to pregnancy, sexual and reproductive health among adolescents using maternal health services in Ugu, KwaZulu-Natal, South Africa 2019; BMC Public Health (2019) 19:928

Regmi PR, van Teijlingen E, Simkhada P and Acharya DR. Barriers to Sexual Health Services for Young People in Nepal 2010; INTERNATIONAL CENTRE FOR DIARRHOEAL DISEASE RESEARCH, BANGLADESH, J HEALTH POPUL NUTR 2010 Dec;28(6):619-627 ISSN 1606-0997

Kyilleh JM, Tabong PT and Konlaan BB. Adolescents’ reproductive health knowledge, choices and factors affecting reproductive health choices: a qualitative study in the West Gonja District in Northern region, Ghana 2018; BMC International Health and Human Rights (2018) 18:6 DOI 10.1186/s12914-018-0147-5

Kriel1 Y, Milford C, Joanna Cordero J, Suleman F, Beksinska M, Steyn P and Ann Smit JA. Male partner influence on family planning and contraceptive use: perspectives from community members and healthcare providers in KwaZulu-Natal, South Afric 2019; 16:89

Nair M, Baltag V, Bose K, Boschi-Pinto C, Lambrechts T and Mathai M. 2015, ‘Improving the quality of healthcare services for adolescents, globally: A standards driven approach 2015; Journal of Adolescent Health 57(3), 288–298. https://doi. org/10.1016/j.jadohealth.2015.05.011

Jonas K, Crutzen R, Krumeich A, Roman N, van den Borne B and Reddy P. Healthcare workers’ beliefs, motivations and behaviours affecting adequate provision of sexual and reproductive healthcare services to adolescents in Cape Town, South Africa: a qualitative study 2018; BMC Health Services Research (2018) 18:109


  • There are currently no refbacks.