Factors influencing men's decisions to utilize sexual reproductive health services in KwaZulu Natal, South Africa

Mpumelelo Nyalela, Thembelihle Dlungwane, Boikhutso Tlou


Sexual and Reproductive Health (SRH) service utilization remains a global public health concern. The SRH problems account for major health challenges and disease burdens for men. This descriptive cross-sectional study of 421 men aims to identify factors influencing men’s decisions to utilize SRH services. The interviewer-administered questionnaire obtained data from conveniently selected men who met the inclusion criteria. Frequencies and percentages were used to summarize variables associated with SRH services utilization. Univariable logistic regression was conducted before conducting a multivariable logistic regression. Of the 421 participants, 307 (72.9%) reported having utilized SRH services at least more than once. Although participants reported barriers to SRH service utilization, most men utilize services despite encountering challenges. The final multivariate logistic regression model revealed that age, education level, medical aid, and perceived good quality of services were significantly associated with SRHS utilization (p-value <0.05). Study findings indicate that older men (age 45 and above) were more likely to utilize SRH services than younger men (ages 15 to 44). Barriers to SRH service utilization must be eliminated so that men can easily use the services. Identifying factors influencing men to utilize SRH services will help policymakers and program managers address the poor utilization of SRH services by men. (Afr J Reprod Health 2023; 27 [4]: 24-33).

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