Female genital mutilation and the responsibility of reproductive health professionals

1994 ◽  
Vol 46 (2) ◽  
pp. 127-135 ◽  
Author(s):  
N. Toubia
2020 ◽  
Vol 11 ◽  
pp. 215013272093529
Author(s):  
Hina Shaikh ◽  
Karen A. McDonnell

Increased migration has given rise to more advocacy efforts against female genital mutilation or cutting (FGM/C), legislation that criminalizes the practice, and guidance to the health sector for managing care of affected groups. More women and girls who have been cut or who are at risk of FGM/C are migrating from regions where it is common to countries where it is not and interacting with health professionals and other community practitioners in these host countries. Despite numerous studies on the negative health impacts of FGM/C, little is known about toolkits on FGM/C that providers can use in their prevention and response efforts. We sought to explore the nature of Internet-based products referenced as toolkits and materials characteristic of toolkits aimed at different service providers who may interact with women and girls affected by FGM/C. Through an online search, we identified 45 toolkits and collected data about each one. We found that the toolkits targeted different audiences and offered a diverse set of information and resources. The majority of toolkits were aimed at health professionals and provided factual and epidemiological-focused content, yet many did not include research evidence, skills development application, or approaches for implementing the toolkit in practice. This review is the first completed in the area of FGM/C to show a rich diversity of online materials. Future toolkits can be improved with the provision of evidence-based information and practical skills development for use by health professionals in implementing best practices in working with women and girls affected by FGM/C.


BMJ ◽  
2012 ◽  
Vol 344 (mar14 1) ◽  
pp. e1361-e1361 ◽  
Author(s):  
J. Simpson ◽  
K. Robinson ◽  
S. M. Creighton ◽  
D. Hodes

2021 ◽  
Author(s):  
Monica Pilar Diaz ◽  
Mary Steen ◽  
Angela Brown ◽  
Julie Fleet ◽  
Jan Williams

BACKGROUND Female genital mutilation/cutting (FGM/C) is a complex and deeply rooted sociocultural custom that is innately entrenched in the lives of those that continue its practice despite the physical and psychological dangers it perpetrates. Female genital mutilation/cutting (FGM/C) is considered a significant independent risk factor for adverse maternal and fetal outcomes in pregnancy and childbirth. Several studies in high income countries (HIC) have explored the experiences and needs of women with FGM/C, and the knowledge the health professionals, in particular midwives and nurses, that care for them. However, to date, no studies have evaluated the implementation of education for health professionals in HIC to meet the specific needs of women with FGM/C. OBJECTIVE To explore the impact of an FGM/C education program for midwives and nurses as informed by the experiences of women with FGM/C accessing maternity, gynaecological and sexual health services in South Australia. METHODS This study will adopt a three-phase exploratory sequential mixed method design. Phase 1 ‘Exploration’ of women with FGM/C views and experiences accessing maternity and gynaecological (including sexual health) services in South Australia. The findings from phase 1 will inform phase 2: ‘Development’ of an educational program for midwives and nurses on health and cultural needs of women with FGM/C. Phase 3: ‘Evaluation’ of the program, by measuring midwives’ and nurses’ changes in knowledge, attitude, and practice (KAP) of, immediately pre-and-post-test, and four months after completing the program. Phase 1 of this study has been approved by the Women’s and Children’s Health Network (WCHN) Human Research Ethics Committee (HREC) (ID number 2021/HRE00156). RESULTS Phase 1 will commence in August 2021 with interpretation of findings undertaken by November 2021. Phase 2 will be developed and facilitated by February 2022 and the final phase of this study will begin in March 2022. This study is expected to be completed by February 2023. CONCLUSIONS The findings of this research will provide insight into the development and evaluation of education programs for midwives and nurses that includes collaboration with women from culturally and linguistically diverse backgrounds to address the specific cultural and health needs of communities.


Author(s):  
Marianne Stephen

This chapter provides the fundamental principles of care in reproductive health, taking into account important cultural considerations in humanitarian settings. It provides a syndromic approach to sexually transmitted infections and detailed guidance on contraception and clinical presentations such as dysfunctional uterine bleeding, female genital mutilation, and fistulas.


2013 ◽  
Vol 2013 ◽  
pp. 1-10 ◽  
Author(s):  
R. Elise B. Johansen ◽  
Nafissatou J. Diop ◽  
Glenn Laverack ◽  
Els Leye

The prevalence of Female Genital Mutilation (FGM) is reducing in almost all countries in which it is a traditional practice. There are huge variations between countries and communities though, ranging from no change at all to countries and communities where the practice has been more than halved from one generation to the next. Various interventions implemented over the last 30–40 years are believed to have been instrumental in stimulating this reduction, even though in most cases the decrease in prevalence has been slow. This raises questions about the efficacy of interventions to eliminate FGM and an urgent need to channel the limited resources available, where it can make the most difference in the abandonment of FGM. This paper is intended to contribute to the design of more effective interventions by assessing existing knowledge of what works and what does not and discusses some of the most common approaches that have been evaluated: health risk approaches, conversion of excisers, training of health professionals as change agents, alternative rituals, community-led approaches, public statements, and legal measures.


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