scholarly journals What are the Complications Associated with Female Genital Mutilation Among Postnatal Women in Chuko Primary Hospital, Sidama Regional State, Ethiopia?

Author(s):  
Yirgalem Yosef ◽  
Abebe Borsamo ◽  
Seblework Abeje

Abstract Objectives: - To assess female genital mutilation associated birth complications among postnatal women in Chuko Primary Hospital, Sidama National Regional state, Ethiopia, 2020Method: An institutional-based cross-sectional study was conducted in Chuko Primary Hospital, Sidama Regional State, Southern Ethiopia from May 1 to June 15, 2020. Two hundred fifty postnatal women were involved in the study. A systematic random sampling technique was used. The data was collected using pretested and structured interviewers administered questionnaire adapted from a validated questionnaire, content validity was checked by experts, and reliability of the scaled tools was tested by Cronbach's alpha test (0.70). Before analysis data was entered and checked using Epi data and exported into Statistical Package for Social Sciences version 25.00. Bivariate analysis was carried out between the dependent and independent to identify candidate variables for multivariable logistic regression. Multivariable logistic regression analysis was made to obtain the odds ratio and the confidence interval of statistical associations between Female Genital Mutilation associational Birth complications.Result: Two hundred fifty postnatal women were included in the study. The prevalence of FGM was 76.8% with 95% CI: [71.6- 81.6]. Episiotomy (AOR= 7.25[95% CI: 2.27, 23.2] and prolonged labour (AOR= 2.16[95% CI: 0.03, 0.82] were significantly associated with Female Genital Mutilation.Conclusion and recommendations: The prevalence of female genital mutilation among postnatal women in Chuko Primary Hospital was high. Family members, health and social care professionals have crucial roles in determining FGM and associated birth complication of women. Therefore, Stakeholders who are working on the improvement of maternal and neonatal health during delivery should try to reduce FGM by intervening at the individual level, family and community level to lessen the problem to some extent. Further researches in more detail to fully understand the problems and the findings will be used as inputs for concerned bodies.

2020 ◽  
Vol 28 (7) ◽  
pp. 418-429 ◽  
Author(s):  
Joseph Home ◽  
Andrew Rowland ◽  
Felicity Gerry ◽  
Charlotte Proudman ◽  
Kimberley Walton

Performing female genital mutilation (FGM) is prohibited within the UK by the FGM Act of 2003. A mandatory reporting duty for FGM requires regulated health and social care professionals and teachers in England and Wales to report known cases of FGM in under 18-year-olds to the police. An application to the court for an FGM protection order (FGMPO) can be made to keep individual women and girls safe from FGM. This paper reveals the significant disconnect between the number of FGMPO applications and known recorded cases of FGM. The introduction of FGMPOs requires critical exploration as there is insufficient evidence to show that FGMPOs are effective in protecting women and girls from FGM. It is therefore unclear what impact, if any, FGMPOs are having upon the protection of women and girls at risk of FGM. The barriers to the implementation of FGMPOs and possible solutions are discussed.


2020 ◽  
Vol 17 (1) ◽  
Author(s):  
Edward Kwabena Ameyaw ◽  
Sanni Yaya ◽  
Abdul-Aziz Seidu ◽  
Bright Opoku Ahinkorah ◽  
Linus Baatiema ◽  
...  

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.


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