scholarly journals Female Genital Mutilation/Cutting: Innovative Training Approach for Nurse-Midwives in High Prevalent Settings

2018 ◽  
Vol 2018 ◽  
pp. 1-12 ◽  
Author(s):  
Samuel Kimani ◽  
Tammary Esho ◽  
Violet Kimani ◽  
Samuel Muniu ◽  
Jane Kamau ◽  
...  
Keyword(s):  
Female Genital Mutilation ◽  
Role Model ◽  
Social Impact ◽  
Psychological Impact ◽  
Genital Mutilation ◽  
Training Interventions ◽  
Medical Benefits ◽  
Nurse Midwives ◽  
Health Complications ◽  
Female Genital

Background. Female genital mutilation/cutting (FGM/C) has no medical benefits and is associated with serious health complications. FGM/C including medicalization is illegal in Kenya. Capacity building for nurse-midwives to manage and prevent FGM/C is therefore critical. Objective. Determine the current FGM/C knowledge and effect of training among nurse-midwives using an electronic tool derived from a paper-based quiz on FGM/C among nurse-midwives. Methods. Nurse-midwives n=26 were assessed pre- and post-FGM/C training using a quiz comprising 12 questions. The quiz assessed the following factors: definition, classification, determining factors, epidemiology, medicalization, prevention, health consequences, and nurse-midwives’ roles in FGM/C prevention themes. The scores for individuals and all the questions were computed and compared using SPSS V22. Results. The mean scores for the quiz were 64.8%, improving to 96.2% p<0.05 after training. Before the training, the following proportions of participants correctly answered questions demonstrating their knowledge of types of cutting (84.6%), link with health problems (96.2%), FGM/C-related complications (96.2%), communities that practice FGM/C (61.5%), medicalization (43.6%), reinfibulation (46.2%), dissociation from religion (46.2%), and the law as it relates to FGM/C (46.2%). The participants demonstrated knowledge of FGM/C-related complications with the proportion of nurse-midwives correctly answering questions relating to physical impact (69.2%), psychological impact (69.2%), sexual impact (57.7%), and social impact (38.5%). Additionally, participant awareness of NM roles in managing FGM/C included the following: knowledge of the nurse-midwife as counselor (69.2%), advocate (80.8%), leader (26.9%), role model (42.3%), and caregiver (34.6%). These scores improved significantly after training. Conclusion. Substantial FGM/C-related knowledge was demonstrated by nurse-midwives. They, however, showed challenges in preventing/rejecting medicalization of FGM/C, and there were knowledge gaps concerning sexual and social complications, as well as the specific roles of NM. This underscores the need to implement innovative FGM/C training interventions to empower health professionals to better respond to its management and prevention.

Female genital mutilation in the UK: considerations for best nursing practice

2019 ◽  
Vol 28 (12) ◽  
pp. 788-791
Author(s):  
Bethany Rose
Keyword(s):  
Public Health ◽  
Female Genital Mutilation ◽  
Nursing Practice ◽  
Health Concern ◽  
Public Health Concern ◽  
Genital Mutilation ◽  
Health Complications ◽  
The Uk ◽  
Female Genital

Female genital mutilation (FGM) is any process that injures or removes part or all of the external female genital organs for non-medical reasons. FGM is a growing public health concern in the UK because of an increase in migration from countries where it is widely practised. Education on FGM for nurses is key to supporting women who have undergone the practice, as well as safeguarding girls and women who are at risk. Nurses must understand the history and culture of FGM as well as the long-term health complications to be able to support affected women both professionally and sensitively.

scholarly journals The Consequences of Female Genital Mutilation on Psycho-Social Well-Being: A Systematic Review of Qualitative Research

2021 ◽  
pp. 104973232110018
Author(s):  
Sarah O’Neill ◽  
Christina Pallitto
Keyword(s):  
Female Genital Mutilation ◽  
Social Impact ◽  
Well Being ◽  
Social Consequences ◽  
Health Consequences ◽  
Genital Mutilation ◽  
The Social ◽  
Women's Lives ◽  
The Impact ◽  
Female Genital

The health consequences of female genital mutilation (FGM) have been described previously; however, evidence of the social consequences is more intangible. To date, few systematic reviews have addressed the impact of the practice on psycho-social well-being, and there is limited understanding of what these consequences might consist. To complement knowledge on the known health consequences, this article systematically reviewed qualitative evidence of the psycho-social impact of FGM in countries where it is originally practiced (Africa, the Middle East, and Asia) and in countries of the diaspora. Twenty-three qualitative studies describing the psycho-social impact of FGM on women’s lives were selected after screening. This review provides a framework for understanding the less visible ways in which women and girls with FGM experience adverse effects that may affect their sense of identity, their self-esteem, and well-being as well as their participation in society.

scholarly journals Female Genital Mutilation/Cutting in the Swiss HIV Cohort Study: A Cross-Sectional Study

2021 ◽  
Author(s):  
Fabio Mauri ◽  
Sara Cottler-Casanova ◽  
Matthias Cavassini ◽  
Marcel Stoeckle ◽  
Gilles Wandeler ◽  
...  
Keyword(s):  
Cohort Study ◽  
Female Genital Mutilation ◽  
Cross Sectional Study ◽  
Hiv Positive ◽  
Cross Sectional ◽  
Female Population ◽  
Genital Mutilation ◽  
Previous Discussion ◽  
Health Complications ◽  
Female Genital

Abstract BackgroundFemale genital mutilation or cutting (FGM/C) is the practice of partial or total removal or injury of the external female genitalia for non-medical reasons. It has been documented in at least 30 countries and, as a result of migration, in high-income countries too. FGM/C causes various negative health complications, and may increase the risk of acquiring human immunodeficiency virus (HIV).Our study aims to generate descriptive statistics about FGM/C among HIV positive migrant women included in the Swiss HIV cohort study (SHCS).MethodsThe Swiss HIV Cohort study (www.SHCS.ch) is a national, prospective cohort study with ongoing community and hospital enrolment of HIV-positive individuals in Switzerland. Two questions on history of FGM/C and previous discussion about it with a healthcare professional were administered by treating infectious disease specialists during the 6-monthly routine visits occurring between June and December 2019. We included all women aged above 18 years, born in one of the 30 countries where FGM/C is prevalent, in care for an HIV-infection and recorded in the Swiss HIV Cohort Study.ResultsOur findings show that FMG/C is common (21%) in the SHCS female population originating from Africa. Such data may be largely underestimated given the 33.6% of non-respondents. The vast majority (70%) of the women reporting to have been cut had never discussed FGM/C with a health professional before the study.Conclusions FMG/C is common in the SHCS female population originating from Africa, but often overlooked by health professionals working with this population. FGM/C screening, diagnosis, care and prevention could be improved significantly through training and information.Trial registration: Not Applicable

scholarly journals Female genital mutilation (FGM) in Somaliland – why is change so slow?

2021 ◽  
Author(s):  
Annika Johansson ◽  
Abdirahman Osman Gaas ◽  
Amina Mahmoud Warsame
Keyword(s):  
Female Genital Mutilation ◽  
Health Workers ◽  
Behavioural Change ◽  
Small Scale ◽  
Community Members ◽  
Community Group ◽  
Medical Reason ◽  
Genital Mutilation ◽  
Health Complications ◽  
Female Genital

Female genital mutilation (FGM) is defined as any procedure involving the alteration or excision of external female genitalia for no medical reason. Somaliland has among the highest prevalence rates of FGM globally. In this article we describe how the Civil Society Organisation (CSO) ‘Network against female genital mutilation in Somaliland’ (NAFIS) has approached the challenge to reduce the high FGM prevalence. From its start in 2006, NAFIS has developed a multifaceted program to reach the overall goal: the elimination of all forms of FGM in Somaliland. Alone among the group of CSOs in the network, NAFIS introduced in its activities medical care and counselling for women who suffer from the consequences of FGM. From 2011 and onwards, thousands of women have been relieved of their FGM-related health complications and participated in counselling sessions at project centres. Shortly after this visit they have been invited to participate in community group meetings to share their experiences with other women who also have received FGM care and counselling, and other community members. The aim of the article is to describe this model of work - combining FGM care and counselling with community dialogues. The article is basically descriptive, using the authors’ own observations and encounters with project clients and staff over eight years. We have also used findings from three Master's theses on aspects of the process, and from other small scale studies to highlight people’s understanding, experiences and opinions in a context of an on-going health intervention. A lesson learnt from NAFIS project is that it has helped to open up communicative spaces in community dialogues where experiences are shared and understanding created of the harm caused by FGM, without the habitual stigma and shame. We discuss this process in a context of behavioural change theories. A major challenge during the process has been to involve men in the project’s FGM information and counselling activities. The role of nurses/midwives, being the first to meet women with FGM complications, is also discussed and the need emphasised to strengthen capacity of this category of health workers. One type of FGM gaining in usage is the poorly defined sunna, the health risks of which are unclear.

scholarly journals Swedish healthcare for women subjected to Female Genital Mutilation/Cutting (FGM/C)

2021 ◽  
Author(s):  
Sharareh Akhavan
Keyword(s):  
Surgical Procedures ◽  
Female Genital Mutilation ◽  
Treatment Options ◽  
Surgical Care ◽  
Healthcare Consumption ◽  
Genital Mutilation ◽  
System A ◽  
Clitoral Reconstruction ◽  
Health Complications ◽  
Female Genital

Abstract Background: FGM/C can lead to a number of health complications, such as pain during intercourse or childbirth, psychological problems, and postpartum complications. This study seeks to describe and assess Swedish healthcare for women subjected to FGM/C.Methods: This aim encompasses three research foci: (1) to inventory Swedish regional healthcare guidelines and policies for care for women who have undergone FGM/C, (2) to map healthcare consumption among women who have undergone FGM/C, and (3) to map the type of care measures and treatment they have been offered in the Swedish healthcare system. A questionnaire was sent to healthcare regional managers and a database study was conducted.Results: The inventory of the healthcare regions' guidelines shows that five of 21 had no guidelines. The number of women who have been subjected to FGM/C and sought care has increased steadily between 2012 and 2018. Women who have been subjected to FGM/C seek care mostly in connection with pregnancy and childbirth.Conclusions: The type of care that should be offered to women who have been subjected to FGM/C vary depending on individual needs. Care may include surgical procedures in the form of defibulation, clitoral reconstruction, or removal of cysts, as well as psychosexual care. Existing treatment options in surgical care, together with psychosexual treatment, are the care measures that seem to be helpful for some women who have undergone FGM/C, but not for all. Communication and treatment are of great importance in order to be able to offer care to women who have undergone FGM/C.

Psychological impact of female genital mutilation among adolescent Egyptian girls: a cross-sectional study

2017 ◽  
Vol 22 (4) ◽  
pp. 280-285 ◽  
Author(s):  
Magdy R. Ahmed ◽  
Mohamed M. Shaaban ◽  
Heba K. Meky ◽  
Mohamed E. Amin Arafa ◽  
Tamer Y. Mohamed ◽  
...  
Keyword(s):  
Female Genital Mutilation ◽  
Psychological Impact ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Genital Mutilation ◽  
Female Genital

scholarly journals Health complications of female genital mutilation in Sierra Leone

2012 ◽  
pp. 321 ◽  
Author(s):  
Owolabi Bjälkander ◽  
Bangura ◽  
Leigh ◽  
Berggren ◽  
Bergström ◽  
...  
Keyword(s):  
Sierra Leone ◽  
Female Genital Mutilation ◽  
Genital Mutilation ◽  
Health Complications ◽  
Female Genital
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