Students’ perceptions of a sexual and reproductive health vending machine intervention at a Native American-serving nontribal institution

Objective: This study explored students’ perceptions of the sexual and reproductive health vending machine (SRHVM), which promotes access to SRH products, at a Native American–serving nontribal institution (NASNTI). Method: A qualitative study involving in-depth interviews among 15 student-users explored their perceptions of SRHVM, including needs, utilization, benefits, drawbacks, factors influencing use, challenges, and recommendations for improvement. An inductive thematic analysis approach was employed to identify thematic patterns. Results: Most respondents viewed SRHVM as normalizing SRH discussions and promoting improved SRH behaviors. They appreciated that the products were free, easily accessible, and a reliable source of accessing products without judgment. However, gaps in awareness, stock-outs, and limited building hours were critical barriers affecting utilization. Discussion: The SRHVM was perceived as a promising structural intervention that improves access to SRH services and supports preventive SRH behaviors. Replicating interventions across institutions may reduce access barriers and promote student well-being.