Exploring the utilisation of sexual and reproductive health services in rural South Africa: Knowledge, perceptions, and experiences of youth in <i>Mutale Village</i>, Limpopo province

Abstract

Sexual and reproductive health (SRH) is recognised as a fundamental human right in South Africa.  The study explores the underlying reasons and motivations for service hesitancy among youth in Mutale Village, even when they are aware that those services are available.  This study analyses the knowledge, perceptions and experiences of young people in Mutale Village, Thulamela Municipality. Utilising a mixed-method approach, the study employed both snowball and purposive sampling to gather data from 126 participants via semi-structured interviews and questionnaires. Qualitative data underwent thematic analysis while quantitative data was analysed using descriptive statics via SPSS version 19.0. key findings reveal young people encounter numerous challenges accessing SRH services due to minimal awareness of available options. Service use is significantly hampered by prevailing social norms, religious beliefs that view SRG as improper for youth, and misconceptions regarding contraceptives side effects (e.g. fear of infertility). Furthermore, the negative attitude of local healthcare workers was found to discourage young people from using the facilities. The concludes that social barriers and healthcare worker attitudes are major impediments to the utilisation of essential SRH services. The study recommends that clinics in rural areas should expand youth-friendly corners with trained staff who respect confidentiality and provide non-judgmental services. Regular refresher training for healthcare providers on adolescent SRH needs is essential

Keywords: {'name': 'Access, Awareness, Health facility, Mutale, Sexual and reproductive health, Youth'}

Authors & affiliations

Vhugala Mulaudzi
Sol Plaatje University

Azwihangwisi Mulaudzi
University of Venda

Matimu Maringa
University of Venda

Deposited references

Supplied references, not a list of publications citing this article.

Bakeera, S. K., Ndugga, P., & Okello, D. (2009). Knowledge, attitudes, and practices of rural men towards the use of contraceptives in Ga-Sekororo, Limpopo Province, South Africa. African Journal for Physical, Health Education, Recreation and Dance, 15(1), 9–20. https://www.researchgate.net/publication/266208004

Boivin, M. J., Carrier, M. E., Zulu, J. M., et al. (2020). The sexual and reproductive health needs of youth in South Africa—History in context. African Journal of Reproductive Health, 24(1), 1–10. https://www.scilit.com/publications/ab2e9c8a75660acb2c75b946909d243b

Fatusi, A. O., & Hindin, M. J. (2010). Adolescents' sexual and reproductive health in sub-Saharan Africa: An overview of trends and interventions. African Journal of Reproductive Health, 14(3), 7–13. https://www.ajol.info/index.php/ajrh/article/view/64845

Gavin, L. (2019). Teens health: Understanding adolescent sexual and reproductive health. Teens Health. https://www.teenshealth.org/en/teens/sexual-health.html

Glinski, A., Sexton, M., & Petroni, S. (2014). Understanding the adolescent family planning evidence base. International Center for Research on Women.

DOI: 10.1186/1472-6963-14-172

Kennedy, C. E., Fonner, V. A., & Armstrong, K. A. (2013). The sexual and reproductive health needs of youth in South Africa—History in context. African Journal of Reproductive Health, 17(1), 1–10. https://www.scilit.com/publications/ab2e9c8a75660acb2c75b946909d243b

DOI: 10.1007/BF03404248

DOI: 10.1016/j.jadohealth.2015.07.014

Malawi Government. (2007). National adolescent sexual and reproductive health strategy. Ministry of Health, Malawi. https://www.health.gov.mw/

DOI: 10.1016/j.jadohealth.2015.07.014

Matlala, M., & Mpolokeng, M. (2010). Men's reproductive health knowledge in Mankweng District, Limpopo Province. African Journal for Physical, Health Education, Recreation and Dance, 16(2), 40–50. https://www.researchgate.net/publication/320588898

Obong, C. O., & Zani, B. (2014). Young people's experiences in accessing sexual and reproductive health services in Ghana. African Journal of Reproductive Health, 18(3), 142–150. https://www.researchgate.net/publication/266208004

Phetla, G., Puoane, T., & Makhubele, B. (2008). Adolescent sexual and reproductive health in South Africa: A review of the literature. African Journal of Reproductive Health, 12(3), 142–152. https://www.ajol.info/index.php/ajrh/article/view/64845

Ramathuba, D. U. (2013). Socio-economic and cultural factors affecting adolescents' accessibility to contraceptive services in South Africa. African Journal for Physical, Health Education, Recreation and Dance, 19(1), 32–42. https://www.researchgate.net/publication/280642621

Rampamba, E., Maphosa, T., & Maphosa, B. (2018). Factors influencing the uptake of contraception services by adolescents in rural communities of Limpopo Province, South Africa. African Journal for Physical, Health Education, Recreation and Dance, 24(3), 662–674.

Rasesemola, R. M. (2017). Factors influencing the uptake of contraception services by adolescents in rural communities of Limpopo Province, South Africa. African Journal for Physical, Health Education, Recreation and Dance, 23(1), 645–656.

DOI: 10.1186/s12889-020-10022-x

Soul City Institute for Social Justice. (2019). The state of sexual and reproductive health and rights in South Africa. Soul City Institute. https://www.soulcity.org.za/

DOI: 10.7196/SAMJ.2017.v107i9.12525

Williamson, N., McCleary-Sills, J., & Edmeades, J. (2012). Understanding the adolescent family planning evidence base. International Center for Research on Women. https://www.icrw.org/wp-content/uploads/2016/10/140701-ICRW-Family-Planning-Rpt-Web.pdf