Masculinity and Utilisation of Sexual Reproductive Health Services Among Male Youths Aged 18-24 in Harare, Zimbabwe

Abstract

This study explores the relationship between masculinity and the utilisation of sexual reproductive health (SRH) services among male youths aged 18-24 in Harare, Zimbabwe. Grounded in Courtenay's Relational Theory of Gender and Men's Health, the research aims to ascertain the masculinity norms that impede access to SRH services and elucidate their impact on the acceptability and accessibility of these services. Using a qualitative case study approach, in-depth interviews were conducted with 12 male youth participants from four districts in Harare. The findings reveal that dominant masculine identities, shaped by socially constructed norms, encourage risky health behaviours such as heavy drinking, multiple sexual partners, and the underutilisation of SRH services. Additionally, the preference for alternative health-seeking methods, like traditional medicine, further contributes to the underutilisation of SRH services. The study highlights the need for explicit and targeted educational campaigns, policy advocacy, and user-friendly healthcare facilities to address the masculinity-related barriers to SRH service utilisation among male youths. Improving men's SRH knowledge and creating a supportive environment is crucial for enhancing their engagement with SRH services and ultimately improving their overall health outcomes.