The understanding of male perspectives to reproductive health and sexuality is the starting step to set up services that respond to their needs and, as required by the ICPD, are culturally sensitive. This will make for services that are both more effective and cost-effective. This may mean either developing new services for men, or more likely, when resources are scarce, modifying existing women-oriented services to integrate men's concerns in sexual and reproductive health, making sure that confidentiality is maintained for both men and women. This may mean redesigning programmes and strategies to integrate men's needs through providers' education. While designing appropriate strategies for men, programmes can largely benefit from the lessons learned from women's services.
Men are opposed to family planning and want more children than their partners .
DHS evidence from some African countries has shown that men's opposition to family planning and desire for a larger number of children is not as widespread as previously supposed. Men always want sex, initiate sex and orchestrate sex . Male desire is supposed to be separated from affection. They are not expected to be faithful and to show emotions, fear, insecurity without their virility being questioned. They are expected to be strong and take risks.