Pattern of Female Genital Mutilation among Adolescents Attending Secondary Schools’ in Enugu Metropolis

Author(s):  
Awoere T Chinawa ◽  
Josephat M Chinawa ◽  
Edmund N Ossai ◽  
Ann E Aronu ◽  
Godwin E Ozokoli ◽  
...  

Abstract Background Female genital mutilation (FGM) is a public health menace and it study among adolescents is not exhaustive. Objectives The aim is to study the prevalence, pattern, cultural values, health implications and consequences of FGM among adolescent females attending secondary schools in Enugu metropolis. Methods A descriptive study involving female adolescents aged 13–21 years recruited by multistage sampling in three Girls Secondary Schools in Enugu Metropolis. Results Four hundred and fifty (450) questionnaires were distributed and four hundred and fourteen (414) were retrieved. The parents with moderate value for culture and tradition had the highest circumcised respondents (7.8%) (p = 0.056). Majority of the respondents, 93.7% were aware of female circumcision. The major complications of female circumcision according to the respondents were painful urination and menstrual problems. The prevalence of female circumcision among the respondents was 9.4%. A minor proportion of the respondents, 5.8% were of the opinion that all females should be circumcised. Respondents whose fathers attained tertiary education were three times less likely to be circumcised when compared with those whose fathers attained secondary education and less (adjusted odds ratio  = 0.3; 95% CI: 0.3–1.5). Conclusion Prevalence of FGM among adolescents aged 13–21 years in Enugu metropolis was 9.4%. Majority of the respondents had good knowledge of FGM, and major complications noted were painful urination and menstrual problems. Fathers education level is a very strong reason for this high awareness of FGM among female adolescents.

2021 ◽  
Vol 21 (4) ◽  
pp. 1808-16
Author(s):  
Grace G Ezeoke ◽  
Abiodun S Adeniran ◽  
Kikelomo T Adesina ◽  
Adegboyega A Fawole ◽  
Munirdeen A Ijaiya ◽  
...  

Background: Despite collaborative efforts aimed at its eradication, Female Genital Mutilation/Cutting (FGM/C) continuesin endemic areas. Objective: To evaluate the experience and preparedness of female adolescents to protect their future daughters from FGM/C. Methods: A cross-sectional survey involving adolescent secondary school girls in North Central Nigeria. Participants were secondary school students who completed the study’s self-administered questionnaire after informed parental or participant’s consent. Data management was with SPSS 20.0 (IBM, USA), P-value <0.05 was significant. Results: There were 2000 participants aged 13-19 years (mean 15.56±1.75), prevalence of FGM/C was 35.0%, awareness was 86.1%, mutilation was performed between infancy and eight years of age (mean 3.85±3.24 years), 644(32.2%) desire to mutilatetheir future daughters, 722(36.1%) expressed support for FGM/C and 63.1% of victims of FM/C reported adverse post-mutilation experiences. Support for FGM/C was associated with low social class (P0.0010), opinion that FGM/C has benefit (P0.001) and desire to mutilate future daughters (P0.001) while awareness of efforts to eradicate FMG/C was 813(40.7%). Conclusion: FGM/C remains prevalent with potential support for its continuation among female adolescents despite reported adverse post-mutilation experiences. The multi-pronged approach to eradicate FGM/C should prioritize re-orientation for adolescent girls, rehabilitation of mutilated girls and girl child formal education. Keywords: Female genital mutilation/cutting; female circumcision, harmful traditional practices, adverse childhood experiences.


Author(s):  
Sabera Turkmani ◽  
Caroline Homer ◽  
Angela Dawson

Female genital mutilation (FGM) is a cultural practice defined as the partial or total removal of the external female genitalia for non-therapeutic reasons. Changing patterns of migration in Australia and other high-income countries has meant that maternity care providers and health systems are caring for more pregnant women affected by this practice. The aim of the study was to identify strategies to inform culturally safe and quality woman-centred maternity care for women affected by FGM who have migrated to Australia. An Appreciative Inquiry approach was used to engage women with FGM. We conducted 23 semi-structured interviews and three focus group discussions. There were four themes identified: (1) appreciating the best in their experiences; (2) achieving their dreams; (3) planning together; and (4) acting, modifying, improving and sustaining. Women could articulate their health and cultural needs, but they were not engaged in all aspects of their maternity care or considered active partners. Partnering and involving women in the design and delivery of their maternity care would improve quality care. A conceptual model, underpinned by women’s cultural values and physical, emotional needs, is presented as a framework to guide maternity services.


2002 ◽  
Vol 63 (3) ◽  
pp. 579-600 ◽  
Author(s):  
Mary Nyangweso

[Female initiation rite is one of the many traditional practices found in some African communities. The many rituals during this time of initiation include female circumcision/female genital mutilation, a socially justified mark of maturation, dramatizing the break with childhood and incorporation into adulthood. This practice has received much criticism because of sexist, health, and human implications for woman's integrity. Christian missionaries to Africa condemned it as a barbaric practice, unnecessary for its believers. In spite of condemnations and various efforts to stop the practice, female circumcision persists among a number of Africans including Christians. The author here examines the gospel message, especially what Christ's salvific message means to the Nandi culture, and especially how the practice of female circumcision can be reinterpreted in the light of this message.]


2013 ◽  
Vol 2013 ◽  
pp. 1-12 ◽  
Author(s):  
Katherine Brown ◽  
David Beecham ◽  
Hazel Barrett

With increased migration, female genital mutilation (FGM) also referred to as female circumcision or female genital cutting is no longer restricted to Africa, the Middle East, and Asia. The European Parliament estimates that up to half a million women living in the EU have been subjected to FGM, with a further 180,000 at risk. Aware of the limited success of campaigns addressing FGM, the World Health Organization recommended a behavioural change approach be implemented in order to end FGM. To date, however, little progress has been made in adopting a behaviour change approach in strategies aimed at ending FGM. Based on research undertaken as part of the EU’s Daphne III programme, which researched FGM intervention programmes linked to African communities in the EU (REPLACE), this paper argues that behaviour change has not been implemented due to a lack of understanding relating to the application of the two broad categories of behaviour change approach: individualistic decision-theoretic and community-change game-theoretic approaches, and how they may be integrated to aid our understanding and the development of future intervention strategies. We therefore discuss how these can be integrated and implemented using community-based participatory action research methods with affected communities.


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