Sexual Health

Out of focus: limited representation of men's health needs in regional and global sexual and reproductive health policy.

TL;DR

Men's own sexual and reproductive health (SRH) was found to be 'a significantly neglected policy issue,' with less than half of analyzed global and regional SRH policies referencing men's SRH and only 16% purposefully outlining steps to address men's own SRH needs.

Key Findings

Less than half of analyzed global and regional SRH policies provided any reference to men's SRH.

  • 37 key global and regional SRH-focused policies were analyzed in a comprehensive policy analysis.
  • Only 43% of policies provided reference to men's SRH.
  • By contrast, 78% of policies addressed women's SRH.
  • Only 16% of policies purposefully outlined steps to address men's own SRH needs.

When men were included in SRH policies, it was typically for instrumental reasons—to improve women's SRH rather than to address men's own needs.

  • The inclusion of men was 'typically for solely instrumental reasons—in order to improve women's SRH.'
  • Policies rarely provided sex-disaggregated data on men's SRH outcomes.
  • Policies rarely provided targets on men's SRH outcomes.
  • This framing reinforces SRH as a women's sole burden and entrenches gender inequalities.

Policy coverage of men's SRH was best in the context of HIV and sexually transmitted infections, particularly for men who have sex with men.

  • Men's SRH was 'best addressed within language on HIV and sexuality transmitted infections (STIs), particularly for men who have sex with men.'
  • Policy coverage was described as poor across multiple other men's SRH domains.
  • Poorly covered areas included contraception, fertility, sexual dysfunction, reproductive cancers, sexual pleasure, healthy relationships, and SRH-related discrimination.

Only a quarter of the analyzed policies included a focus on one or more vulnerable male sub-groups.

  • 24% of policies included a focus on one or more vulnerable male sub-group.
  • Groups receiving inadequate policy attention included older men, disabled men, men living with serious health conditions, transgender people, and heterosexual men.
  • This represents a broad gap in targeted policy coverage for men with specific or elevated SRH vulnerabilities.

The absence of focus on men's distinct SRH needs in policy limits global understanding, visibility, and funding for men's SRH challenges.

  • The authors conclude that the absence of focus 'limits global understanding and visibility of SRH challenges particular to men.'
  • This gap is described as 'impeding the formulation of policies, programs, and funding priorities that sufficiently address men's needs.'
  • The authors note 'growing levels of unmet SRH needs among men' as context for the urgency of the policy gap.
  • The authors call for health policies to 'prioritize men's increased access to SRH information and care and better frame SRH as a critical part of men's lives.'

What This Means

This research suggests that men's sexual and reproductive health (SRH) needs are largely overlooked in global and regional health policies. In a systematic analysis of 37 major SRH policy documents, researchers found that only 43% even mentioned men's own SRH, compared to 78% that addressed women's SRH. Furthermore, just 16% of policies actually laid out specific steps to address men's needs. When men did appear in these policies, it was usually as a means to improve women's health outcomes—for example, by encouraging men to support family planning—rather than addressing men's health as a goal in itself. The study also found that coverage was especially thin on many important aspects of men's SRH, including contraception, fertility, sexual dysfunction, reproductive cancers, sexual pleasure, and discrimination related to sexual health. While HIV and STI-related policies did somewhat better at including men (particularly men who have sex with men), broader and more diverse men's health concerns were largely absent. Only one in four policies addressed the specific needs of vulnerable male sub-groups, such as older men, disabled men, or transgender people. This research suggests that the current policy landscape treats SRH primarily as a women's issue, which may leave men without adequate access to information and care, while also placing an unfair burden on women to manage reproductive health alone. The authors argue that more inclusive policies—ones that address both men's and women's SRH needs as distinct and important—could improve health outcomes for everyone and help reduce gender inequalities in health care.

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Citation

Shand T, Evoy C, Baker P, Shattuck D, Cornell M, Griffith D. (2026). Out of focus: limited representation of men's health needs in regional and global sexual and reproductive health policy.. Health policy and planning. https://doi.org/10.1093/heapol/czaf090