scholarly journals Factors associated with female genital mutilation among women of reproductive age and girls aged 0–14 in Chad: a mixed-effects multilevel analysis of the 2014–2015 Chad demographic and health survey data

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Bright Opoku Ahinkorah
Keyword(s):  
Health Survey ◽  
Female Genital Mutilation ◽  
Employment Status ◽  
Mixed Effects ◽  
Demographic And Health Survey ◽  
Level Of Education ◽  
Genital Mutilation ◽  
Factors Associated ◽  
Women And Girls ◽  
Female Genital

Abstract Background Chad is one of the African countries with high prevalence of female genital mutilation (FGM). The aim of this study was to examine the factors associated with FGM among women aged 15–49 and girls aged 0–14 in Chad. Methods Data for the study were obtained from the 2014–2015 Chad Demographic and Health Survey. FGM among women aged 15–49 and girls aged 0–14 were the outcome variables. The prevalence of FGM among women and girls were presented using percentages while a mixed-effects multilevel multivariable logistic regression analysis was carried out to assess the factors associated with FGM. The results were presented using adjusted odds ratio with associated 95% confidence intervals. Results The results indicate that more than half (50.2%) of the women and 12.9% of girls in Chad had been circumcised. Among women aged 15–49, level of education, employment status, ethnicity, religion, wealth quintile and community literacy level were significant predictors of FGM. Age, partner’s level of education, marital status, employment status, ethnicity, religion and mother’s FGM status were associated with FGM among girls aged 0–14. Conclusion This study has identified several individual and contextual factors as predictors of FGM among women and girls in Chad. The findings imply the need to adopt strategies aimed at addressing these factors in order to help eliminate the practice of FGM. Government and non-governmental organisations in Chad need to implement policies that enhance media advocacy and community dialogue to help deal with FGM in the country.

scholarly journals Spatial distribution and determinant factors of Female Genital Mutilation among reproductive age women in Ethiopia, 2016; Based on Ethiopian National Demographic and Health Survey

2019 ◽  
Author(s):  
Atalay Goshu Muluneh ◽  
Getahun Molla Kassa ◽  
Mehari Mariam Merid
Keyword(s):  
Spatial Distribution ◽  
Spatial Analysis ◽  
Health Survey ◽  
Female Genital Mutilation ◽  
Data Cleaning ◽  
Demographic And Health Survey ◽  
P Value ◽  
Genital Mutilation ◽  
Female Genital ◽  
Variable Analysis

Abstract Background : Though condemned and considered as a crime by the countries government, Female Genital Mutilation (FGM) remains a common public health problem in Africa and Ethiopia as well. Thus, this study was aimed to assess the spatial distribution and associated factors of female genital mutilation in Ethiopia based on the Ethiopian demographic and Health survey 2016 data. Method: This is a secondary data analysis of Ethiopian Demographic and Health Survey (EDHS) 2016 data based on 7,163 women who were included for FGM interview. The data was weighted using sampling weight as recommended by the program. The MS excel and ArcGIS 10.3 softwares were used for data cleaning and spatial analysis respectively. Global and local level clustering was assessed. For the none spatial data and the determinant factors, data cleaning and analysis was done using STATA 14. Multi-level mixed effect logistic regression model was fitted. Variables with P-value <0.25 in the bi-variable analysis were fitted in the multi-variable analysis. Finally, variables with p-value <0.05 with 95% CI of adjusted odds ratio were reported as a statistically significant determinants of FGM. Result : Female genital mutilation was spatially clustered (Global Moran’s I: 0.46, p<0.001). Significant hot spot clusters were found in Amhara, Oromia, Southern Nations Nationalities and Peoples (SNNP) regions. Mothers age >30 (AOR=2.41, 95% CI: 1.78,3.26) years, never in union (AOR=0.31, 95%CI: 0.22, 0.44), currently not working (AOR=0.71, 95%CI: 0.55, 0.92), women who considered FGM to be continued (AOR=2.86, 95%CI: 1.75, 4.68), not heard of FGM (AOR=0.22, 95%CI: 0.08,0.62), had no formal education (AOR=1.67, 95% CI: 1.03, 2.71), muslim (AOR=3.90, 95%CI:2.5, 6.09) and protestant (AOR=1.76, 95%CI: 1.25, 2.97), and those who thought of FGM as required by religion (AOR=1.99, 95%CI: 1.31,2.99) were found to be significant determinants of female genital mutilation. Conclusion: Female genital mutilation was spatially clustered with hotspot areas located. in Amhara, Oromia, and SNNP regions . Age of the mother, religion, occupation, educational level, marital status, information about Female genital mutilation, and intention about FGM to be stopped or continued were significant determinants of female genital mutilation Key words : Female Genital Mutilations, Spatial analysis

scholarly journals Female Genital Mutilation in Benin: Prevalence and Associated Factors Based on Data from the Demographic and Health Survey, 2011-2012

2019 ◽  
Vol 4 (4) ◽  
pp. 74
Author(s):  
Alphonse Kpozehouen ◽  
Yolaine Glele Ahanhanzo ◽  
Elvyre Klikpo ◽  
Colette Azandjame ◽  
Alphonse Chabi ◽  
...  
Keyword(s):  
Health Survey ◽  
Female Genital Mutilation ◽  
Associated Factors ◽  
Demographic And Health Survey ◽  
Genital Mutilation ◽  
Female Genital

scholarly journals Spatial distribution and determinant factors of Female Genital Mutilation among reproductive age women in Ethiopia, 2016; Based on Ethiopian National Demographic and Health Survey

2020 ◽  
Author(s):  
Atalay Goshu Muluneh ◽  
Getahun Molla Kassa ◽  
Mehari WoldeMariam Merid
Keyword(s):  
Spatial Distribution ◽  
Health Survey ◽  
Female Genital Mutilation ◽  
Data Cleaning ◽  
Demographic And Health Survey ◽  
P Value ◽  
Genital Mutilation ◽  
Determinant Factors ◽  
Female Genital ◽  
Variable Analysis

Abstract Background : Though condemned and considered as a crime by the countries government, Female Genital Mutilation (FGM) remains a common public health problem in Africa and Ethiopia as well. Thus, this study was aimed to assess the spatial distribution and associated factors of female genital mutilation in Ethiopia based on the Ethiopian demographic and Health survey 2016 data. Method: This is a secondary data analysis of Ethiopian Demographic and Health Survey (EDHS) 2016 data based on 7,163 women who were included for FGM interview. The data was weighted using sampling weight as recommended by the program. The MS excel and ArcGIS 10.3 softwares were used for data cleaning and spatial analysis respectively. Global and local level clustering was assessed. For the none spatial data and the determinant factors, data cleaning and analysis was done using STATA 14. Multi-level mixed effect logistic regression model was fitted. Variables with P-value <0.25 in the bi-variable analysis were fitted in the multi-variable analysis. Finally, variables with p-value <0.05 with 95% CI of adjusted odds ratio were reported as a statistically significant determinants of FGM. Result : Female genital mutilation was spatially clustered (Global Moran’s I: 0.46, p<0.001). Significant hot spot clusters were found in Amhara, Oromia, Southern Nations Nationalities and Peoples (SNNP) regions. Mothers age >30 (AOR=2.41, 95% CI: 1.78,3.26) years, never in union (AOR=0.31, 95%CI: 0.22, 0.44), currently not working (AOR=0.71, 95%CI: 0.55, 0.92), women who considered FGM to be continued (AOR=2.86, 95%CI: 1.75, 4.68), not heard of FGM (AOR=0.22, 95%CI: 0.08,0.62), had no formal education (AOR=1.67, 95% CI: 1.03, 2.71), muslim (AOR=3.90, 95%CI:2.5, 6.09) and protestant (AOR=1.76, 95%CI: 1.25, 2.97), and those who thought of FGM as required by religion (AOR=1.99, 95%CI: 1.31,2.99) were found to be significant determinants of female genital mutilation. Conclusion: Female genital mutilation was spatially clustered with hotspot areas located. in Amhara, Oromia, and SNNP regions . Age of the mother, religion, occupation, educational level, marital status, information about Female genital mutilation, and intention about FGM to be stopped or continued were significant determinants of female genital mutilation

scholarly journals Do educated women in Sierra Leone support discontinuation of female genital mutilation/cutting? Evidence from the 2013 Demographic and Health Survey

2020 ◽  
Vol 17 (1) ◽  
Author(s):  
Edward Kwabena Ameyaw ◽  
Sanni Yaya ◽  
Abdul-Aziz Seidu ◽  
Bright Opoku Ahinkorah ◽  
Linus Baatiema ◽  
...  
Keyword(s):  
Logistic Regression ◽  
Sierra Leone ◽  
Health Survey ◽  
Female Genital Mutilation ◽  
Formal Education ◽  
Binary Logistic Regression ◽  
Demographic And Health Survey ◽  
Odds Ratios ◽  
Genital Mutilation ◽  
Female Genital

Abstract Introduction Female genital mutilation/cutting (FGM/C) comprises all procedures that involve the total or partial elimination of the external genitalia or any injury to the female genital organ for non-medical purposes. More than 200 million females have undergone the procedure globally, with a prevalence of 89.6% in Sierra Leone. Education is acknowledged as a fundamental strategy to end FGM/C. This study aims to assess women's educational attainment and how this impacts their views on whether FGM/C should be discontinued in Sierra Leone. Methods We used data from the 2013 Sierra Leone Demographic and Health Survey. A total of 15,228 women were included in the study. We carried out a descriptive analysis, followed by Binary Logistic Regression analyses. We presented the results of the Binary Logistic Regression as Crude Odds Ratios (COR) and Adjusted Odds Ratios (AOR) with 95% confidence intervals (CIs). Results Most of the women with formal education (65.5%) and 15.6% of those without formal education indicated that FGM/C should be discontinued. Similarly, 35% of those aged 15–19 indicated that FGM/C should be discontinued. Women with a higher education level had a higher likelihood of reporting that FGM/C should be discontinued [AOR 4.02; CI 3.00–5.41]. Christian women [AOR 1.72; CI 1.44–2.04], those who reported that FGM/C is not required by religion [AOR 8.68; CI 7.29–10.34], wealthier women [AOR 1.37; CI 1.03–1.83] and those residing in the western part of Sierra Leone [AOR 1.61; CI 1.16–2.23] were more likely to state that FGM/C should be discontinued. In contrast, women in union [AOR 0.75; CI 0.62–0.91], circumcised women [AOR 0.41; CI 0.33–0.52], residents of the northern region [AOR 0.63; CI 0.46–0.85] and women aged 45–49 [AOR 0.66; CI 0.48–0.89] were less likely to report that FGM/C should be discontinued in Sierra Leone. Conclusion This study supports the argument that education is crucial to end FGM/C. Age, religion and religious support for FGM/C, marital status, wealth status, region, place of residence, mothers' experience of FGM/C and having a daughter at home are key influences on the discontinuation of FGM/C in Sierra Leone. The study demonstrates the need to pay critical attention to uneducated women, older women and women who have been circumcised to help Sierra Leone end FGM/C and increase its prospects of achieving Sustainable Development Goals (SDG) three and five.

scholarly journals Spatial distribution and determinant factors of Female Genital Mutilation among reproductive age women in Ethiopia, 2016; Based on Ethiopian National Demographic and Health Survey

2020 ◽  
Author(s):  
Atalay Goshu Muluneh ◽  
Getahun Molla Kassa ◽  
Mehari WoldeMariam Merid
Keyword(s):  
Spatial Distribution ◽  
Health Survey ◽  
Female Genital Mutilation ◽  
Data Cleaning ◽  
Demographic And Health Survey ◽  
P Value ◽  
Genital Mutilation ◽  
Determinant Factors ◽  
Female Genital ◽  
Variable Analysis

Abstract Background: Though condemned and considered as a crime by the countries government, Female Genital Mutilation (FGM) remains a common public health problem in Africa and Ethiopia as well. Every year, more than 3 million females undergo FGM and most of them are in Africa. Thus, this study was aimed to assess the spatial distribution and associated factors of female genital mutilation in Ethiopia based on the Ethiopian demographic and Health Survey 2016 data.Method: This is a secondary data analysis of Ethiopian Demographic and Health Survey (EDHS) 2016 data based on 7,163 women who were included for the FGM interview. The data were weighted using sampling weight as recommended by the program. The MS Excel and ArcGIS 10.3 software were used for data cleaning and spatial analysis respectively. Global and local level clustering was assessed. For the none spatial data and the determinant factors, data cleaning and analysis were done using STATA 14. Since the data has significant clustering with the Intraclass Correlation Coefficient [ICC=0.61(0.56, 0.65)], a multi-level mixed-effect logistic regression model was fitted. Variables with a P-value <0.25 in the bi-variable analysis were fitted in the multi-variable analysis. Finally, variables with p-value <0.05 with 95% CI of adjusted odds ratio were reported as a statistically significant determinant of FGM.Result: Female genital mutilation was spatially clustered (Global Moran’s I: 0.46, p<0.001). Significant hot spot clusters were found in Amhara, Oromia, Southern Nations Nationalities and Peoples (SNNP) regions. Mothers age >30 (AOR=2.41, 95% CI: 1.78,3.26) years, never in union (AOR=0.31, 95%CI: 0.22, 0.44), currently not working (AOR=0.71, 95%CI: 0.55, 0.92), women who considered FGM to be continued (AOR=2.86, 95%CI: 1.75, 4.68), not heard of FGM (AOR=0.22, 95%CI: 0.08,0.62), had no formal education (AOR=1.67, 95% CI: 1.03, 2.71), Muslim (AOR=3.90, 95%CI:2.5, 6.09) and protestant (AOR=1.76, 95%CI: 1.25, 2.97), and those who thought of FGM required by religion (AOR=1.99, 95%CI: 1.31,2.99) were found to be significant determinants of female genital mutilation.Conclusion: Female genital mutilation was spatially clustered with hotspot areas located:in Amhara, Oromia, and SNNP regions. Age of the mother, religion, occupation, educational level, marital status, information about Female genital mutilation, and intention about FGM to be stopped or continued were significant determinants of female genital mutilation

scholarly journals Spatial distribution and determinant factors of Female Genital Mutilation among reproductive age women in Ethiopia, 2016; Based on Ethiopian National Demographic and Health Survey

2020 ◽  
Author(s):  
Atalay Goshu Muluneh ◽  
Getahun Molla Kassa ◽  
Mehari WoldeMariam Merid
Keyword(s):  
Spatial Distribution ◽  
Health Survey ◽  
Female Genital Mutilation ◽  
Data Cleaning ◽  
Demographic And Health Survey ◽  
P Value ◽  
Genital Mutilation ◽  
Dire Dawa ◽  
Female Genital ◽  
Variable Analysis

Abstract Background: Though condemned and considered as a crime by the countries government, Female Genital Mutilation (FGM) remains a common public health problem in Africa and Ethiopia as well. Every year, more than 3 million females undergo FGM and most of them are in Africa. Thus, this study was aimed to assess the spatial distribution and associated factors of female genital mutilation in Ethiopia based on the Ethiopian demographic and Health Survey 2016 data. Method: This is a secondary data analysis of Ethiopian Demographic and Health Survey (EDHS) 2016 data based on 7,163 women who were included for the FGM interview. The data were weighted using sampling weight as recommended by the program. The MS Excel and ArcGIS 10.3 software were used for data cleaning and spatial analysis respectively. Global and local level clustering was assessed. For the none spatial data and the determinant factors, data cleaning and analysis were done using STATA 14. Since the data has significant clustering with the Intraclass Correlation Coefficient [ICC=0.61(0.56, 0.65)], a multi-level mixed-effect logistic regression model was fitted. Variables with a P-value <0.25 in the bi-variable analysis were fitted in the multi-variable analysis. Finally, variables with p-value <0.05 with 95% CI of adjusted odds ratio were reported as a statistically significant determinant of FGM. Result: Female genital mutilation was spatially clustered (Global Moran’s I: 0.48, p<0.001). Significant hot spot clusters were found in Eastern-Amhara, Oromia, Southern Nations Nationalities and Peoples (SNNP) regions, Dire-Dawa, and Harari. Mothers age >30 (AOR=2.41, 95% CI: 1.78,3.26) years, never in union (AOR=0.31, 95%CI: 0.22, 0.44), currently not working (AOR=0.71, 95%CI: 0.55, 0.92), women who considered FGM to be continued (AOR=2.86, 95%CI: 1.75, 4.68), not heard of FGM (AOR=0.22, 95%CI: 0.08,0.62), had no formal education (AOR=1.67, 95% CI: 1.03, 2.71), Muslim (AOR=3.90, 95%CI:2.5, 6.09) and protestant (AOR=1.76, 95%CI: 1.25, 2.97), and those who thought of FGM required by religion (AOR=1.99, 95%CI: 1.31,2.99) were found to be significant determinants of female genital mutilation.Conclusion: Female genital mutilation was spatially clustered with hotspot areas found:in Eastern-Amhara, Oromia, and SNNP regions, Dire-Dawa and Harari administrative. Age of the mother, religion, occupation, educational level, marital status, information about Female genital mutilation, and intention about FGM to be stopped or continued were significant determinants of female genital mutilation

scholarly journals Improving care for women and girls who have undergone female genital mutilation/cutting: qualitative systematic reviews

2019 ◽  
Vol 7 (31) ◽  
pp. 1-216 ◽  
Author(s):  
Catrin Evans ◽  
Ritah Tweheyo ◽  
Julie McGarry ◽  
Jeanette Eldridge ◽  
Juliet Albert ◽  
...  
Keyword(s):  
Health Care ◽  
Service Delivery ◽  
Pregnant Women ◽  
Systematic Reviews ◽  
Female Genital Mutilation ◽  
Genital Mutilation ◽  
Women And Girls ◽  
The Uk ◽  
Experienced Female ◽  
Female Genital

Background In a context of high migration, there are growing numbers of women living in the UK who have experienced female genital mutilation/cutting. Evidence is needed to understand how best to meet their health-care needs and to shape culturally appropriate service delivery. Objectives To undertake two systematic reviews of qualitative evidence to illuminate the experiences, needs, barriers and facilitators around seeking and providing female genital mutilation-/cutting-related health care from the perspectives of (1) women and girls who have experienced female genital mutilation/cutting (review 1) and (2) health professionals (review 2). Review methods The reviews were undertaken separately using a thematic synthesis approach and then combined into an overarching synthesis. Sixteen electronic databases (including grey literature sources) were searched from inception to 31 December 2017 and supplemented by reference list searching. Papers from any Organisation for Economic Co-operation and Development country with any date and in any language were included (Organisation for Economic Co-operation and Development membership was considered a proxy for comparable high-income migrant destination countries). Standardised tools were used for quality appraisal and data extraction. Findings were coded and thematically analysed using NVivo 11 (QSR International, Warrington, UK) software. Confidence in the review findings was evaluated using the Grading of Recommendations Assessment, Development, and Evaluation – Confidence in the Evidence from Reviews of Qualitative Research (GRADE-CERQual) approach. All review steps involved two or more reviewers and a team that included community-based and clinical experts. Results Seventy-eight papers (74 distinct studies) met the inclusion criteria for both reviews: 57 papers in review 1 (n = 18 from the UK), 30 papers in review 2 (n = 5 from the UK) and nine papers common to both. Review 1 comprised 17 descriptive themes synthesised into five analytical themes. Women’s health-care experiences related to female genital mutilation/cutting were shaped by silence and stigma, which hindered care-seeking and access to care, especially for non-pregnant women. Across all countries, women reported emotionally distressing and disempowering care experiences. There was limited awareness of specialist service provision. Good care depended on having a trusting relationship with a culturally sensitive and knowledgeable provider. Review 2 comprised 20 descriptive themes synthesised into six analytical themes. Providers from many settings reported feeling uncomfortable talking about female genital mutilation/cutting, lacking sufficient knowledge and struggling with language barriers. This led to missed opportunities for, and suboptimal management of, female genital mutilation-/cutting-related care. More positive experiences/practices were reported in contexts where there was input from specialists and where there were clear processes to address language barriers and to support timely identification, referral and follow-up. Limitations Most studies had an implicit focus on type III female genital mutilation/cutting and on maternity settings, but many studies combined groups or female genital mutilation/cutting types, making it hard to draw conclusions specific to different communities, conditions or contexts. There were no evaluations of service models, there was no research specifically on girls and there was limited evidence on psychological needs. Conclusions The evidence suggests that care and communication around female genital mutilation/cutting can pose significant challenges for women and health-care providers. Appropriate models of service delivery include language support, continuity models, clear care pathways (including for mental health and non-pregnant women), specialist provision and community engagement. Routinisation of female genital mutilation/cutting discussions within different health-care settings may be an important strategy to ensure timely entry into, and appropriate receipt of, female genital mutilation-/cutting-related care. Staff training is an ongoing need. Future work Future research should evaluate the most-effective models of training and of service delivery. Study registration This study is registered as PROSPERO CRD420150300012015 (review 1) and PROSPERO CRD420150300042015 (review 2). Funding The National Institute for Health Research Health Services and Delivery Research programme.

scholarly journals Estimating the indirect prevalence of Female Genital Mutilation/Cutting in Switzerland

2020 ◽  
Author(s):  
Sara Cottler-Casanova ◽  
Jasmine Abdulcadir
Keyword(s):  
At Risk ◽  
Female Genital Mutilation ◽  
Prevalence Data ◽  
Genital Mutilation ◽  
The Past ◽  
High Prevalence ◽  
Prevalence Estimates ◽  
Women And Girls ◽  
Using Data ◽  
Female Genital

Abstract ObjectiveTo update the indirect prevalence estimates for women and girls living with Female Genital Mutilation Cutting (FGM/C) in Switzerland, using data from the Swiss Federal Statistical Office of migrant women and girls born in one of the 30 high-prevalence FGM/C countries that are currently living in Switzerland. MethodsWe used Yoder and Van Baelen’s “Extrapolation of FGM/C Countries’ Prevalence Data” method, where we applied DHS and MICS prevalence figures from the 30 countries when FGM/C is practiced, and applied them to the immigrant women and girls living in Switzerland from the same 30 countries.ResultsIn 2010, the estimated indirect prevalence was 9,059 whereas in 2018, the estimated indirect prevalence was 21,706 women and girls living with or at risk of FGM/C.ConclusionOver the past decade, there have been significant increases in the number of estimated women and girls living with or at risk of FGM/C in Switzerland due to the increase in the total number of women and girls originally coming form the countries where the practice of FGM/C is traditional.

Sign in / Sign up

Export Citation Format

Share Document