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

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