When it comes to healthcare, avoidance is rarely discussed — but it is far more common than many realise.
Across South Africa, young people are delaying or avoiding clinic visits, particularly when it comes to sensitive health concerns. Whether it is sexual health, reproductive care, or early symptoms of a potential condition, the decision to “wait it out” is often influenced by more than just cost or convenience.
It is about comfort. And more importantly, privacy.
“There is still a significant level of hesitation among young people when it comes to seeking help for certain health concerns,” says Luvuyo Maloka from Unu Health. “And a lot of that comes down to fear of judgement, lack of confidentiality, or simply not wanting to be seen.”
This reluctance has real consequences.
South Africa continues to face high rates of sexually transmitted infections, including HIV, particularly among younger populations. Early testing and treatment are critical — not only for personal health outcomes, but for broader public health efforts. Yet when access feels uncomfortable or exposed, many choose not to engage at all.
The same applies to other areas of health. Symptoms are ignored, questions go unanswered, and conditions that could have been managed early are left to develop further.
At its core, this is not just a healthcare issue — it is a design issue.
Traditional healthcare systems were not built with privacy-first access in mind. Waiting rooms, face-to-face consultations, and public spaces can create barriers for those seeking discreet support. For young people navigating sensitive concerns, this can be enough to prevent them from taking action.
But the landscape is beginning to change.
More accessible and private healthcare options are emerging, allowing people to consult with professionals remotely, ask questions confidentially, and access services without the pressure of a public setting. This shift is particularly important in areas like sexual health, where early engagement can significantly alter outcomes.
It also opens the door to better-informed decision-making.
When people feel safe and supported, they are more likely to seek help sooner, follow through with testing or treatment, and take a more proactive approach to their health.
“We need to create an environment where young people feel in control of their healthcare journey,” says Maloka. “That starts with removing the barriers that make them hesitant to seek help in the first place.”
For more information, please visit www.unuhealth.org
