This report presents the findings of a quantitative situational analysis of the use and perceptions of the quality of health care services among healthcare users in two districts, using survey methodology. The report was commissioned by the AIDS Foundation of South Africa (AFSA) as part of their three-year Sexual and Reproductive Health and Rights (SRHR) programme. The study is framed within a Sexual and Reproductive Justice framework. This conceptual approach expands the rights-based perspective to consider wider contextual factors like socio-economic status, gender, disability, race, and sexuality as potential barriers to Sexual and Reproductive Health and Rights (SRHR).