Gender Interplay on the Knowledge of Youths to Sexual and Reproductive Health Services in Southern, Nigeria

This research study investigated the interplay of gender dynamics concerning sexual and reproductive health (SRH) services among youth in Southwest Nigeria.The research findings shed light on the knowledge levels of youth regarding SRH services, the attitudes of youth on SRH services in the south west, Nigeria. The study employed a mixed- methods approach, combining qualitative and quantitative data collection methods. A total sample of youth 1200 aged 15- 35 was selected from various communities in the Southwest region of Nigeria. Data were collected through structured questionnaires and focus group discussions. Respondents were 73% single about 21% married 1.2% widowed 2.3% separated and 1% divorced. Findings reveals inadequate knowledge of sexual and reproductive health as most of the respondent knowledge was based on myths and cultural /social norms rather than facts. For instance 72% of both sexes agreed that a woman can stop growing after first intercourse and 77% agreed that masturbation is a serious health threat. On Attitudes of youth to sexual and reproductive health services, this study discovered more than 715 of the respondents had their first sex before the age of 18years; however, less than 30% used any form of contraception during their first sex. 66% had between 0-5 sexual partners in their lifetime and about 61% of the respondents were aware of sources of STI treatment. The research finds males hold primary decision-making power on SRH service use, marginalizing female youth. The study recommends and Urgent policy reforms to include establishing youth-friendly SRH centers, educational campaigns, and promoting equitable decision-making to empower youth and improve SRH service access to address the major challenges discovered.