The readability of sexual health leaflets was poor as the average reading grade was grade 9 with scores as high as grade 12 and 13. As an average guide written materials should be between grades 6– 8 although some authors have recommended lower levels of grades 5–6 [16]. This mismatch between reading grades of leaflets and recommended reading grades is supported by older studies in other health topics [16,17]. This is a major challenge as sexual health leaflets do not match the reading levels of the population they are designed for, yet health practitioners still continue to design and distribute these leaflets. A range of reasons have been suggested as to why health professionals continue to create resources not fit for practice. These include organizational policy, assumptions around who and how leaflets will be used, and lack of knowledge of optimum readability levels