Female “circumcision” African women confront American medicine

Horowitz, Carol R.; Jackson, J. Carey

doi:10.1046/j.1525-1497.1997.00088.x

Cited by 47 publications

(29 citation statements)

References 24 publications

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“…The themes/ codes were selected through a combined approach: deductively based on previous literature and the specifics of the research question from the interview guides, as well as inductively from the obtained data in the transcripts, followed by their refinement. From the literature, evidence show existence of barriers to health seeking among women with FGM/C-related complications that include: judgmental attitudes by health providers [32]; cultural incompetency [42,43]; and poor communication [44,45]. Clinicians were also noted to respond in shock, disbelief, as well as display of psychological and physical distress when they encountered women with FGM/C [32].…”

Section: Data Management and Analysismentioning

confidence: 99%

“…Recently however, shift towards less severe cutting (Sunna circumcision) has been reported [28][29][30][31]. The community practices FGM/C to conform with culture and traditions, enhance girls' marriageability, for aesthetics, avoid social sanctions, as well as for religious reasons [32][33][34]. The practice is alleged to ensure girl's virginity and purity prior to marriage, an essential virtue for maintaining family's honor and dignity [32,35].…”

Section: Introductionmentioning

confidence: 99%

“…The community practices FGM/C to conform with culture and traditions, enhance girls' marriageability, for aesthetics, avoid social sanctions, as well as for religious reasons [32][33][34]. The practice is alleged to ensure girl's virginity and purity prior to marriage, an essential virtue for maintaining family's honor and dignity [32,35]. Indeed, infibulation is traditionally perceived as proof and a marker of virginity when young women get married [29,30,36].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Exploring barriers to seeking health care among Kenyan Somali women with female genital mutilation: a qualitative study

Kimani

Kabiru

Muteshi

et al. 2020

BMC Int Health Hum Rights

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Background: Female genital mutilation/cutting (FGM/C) is a cultural practice associated with health consequences, women rights and deprivation of dignity. Despite FGM/C-related health consequences, circumcised women may encounter additional challenges while seeking interventions for reproductive health problems. Experiences of women/girls while accessing health services for reproductive health problems including FGM/C-related complications in poor, remote and hard to reach areas is poorly understood. We sought to explore barriers to care seeking among Somali women with complications related to FGM/C in public health facilities in Kenya. Methods: We drew on qualitative data collected from purposively selected women aged 15-49 years living with FGM/C, their partners, community leaders, and health providers in Nairobi and Garissa Counties. Data were collected using in-depth interviews (n = 10), key informant interviews (n = 23) and 20 focus group discussions. Data were transcribed and analyzed thematically using NVivo version 12.Results: Barriers were grouped into four thematic categories. Structural barriers to care-seeking, notably high cost of care, distance from health facilities, and lack of a referral system. Concerns regarding perceived quality of care also presented a barrier. Women questioned health professionals' and health facilities' capacity to offer culturallysensitive FGM/C-specific care, plus ensuring confidentiality and privacy. Women faced socio-cultural barriers while seeking care particularly cultural taboos against discussing matters related to sexual health with male clinicians. Additionally, fear of legal sanctions given the anti-FGM/C law deterred women with FGM/C-related complications from seeking healthcare. Conclusion: Structural, socio-cultural, quality of service, and legal factors limit health seeking for reproductive health problems including FGM/C-related complications. Strengthening health system should consider integration of FGM/C-related interventions with existing maternal child health services for cost effectiveness, efficiency and quality care. The interventions should address health-related financial, physical and communication barriers, while ensuring culturally-sensitive and confidential care.

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Section: Data Management and Analysismentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Exploring barriers to seeking health care among Kenyan Somali women with female genital mutilation: a qualitative study

Kimani

Kabiru

Muteshi

et al. 2020

BMC Int Health Hum Rights

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“…15 For infibulation, the wound edges are closed with thorns or sutures, and the thighs may be bound together to fuse the labial edges, with a matchstick or twig inserted to ensure a patent vaginal foramen. 14 These increase the likelihood of implantation dermoid cysts and other complications.…”

Section: Discussionmentioning

confidence: 99%

A case of vulval swelling secondary to female circumcision posing a diagnostic dilemma

Amu

Udeh²,

Ugochukwu

et al. 2012

International Journal of Surgery Case Reports

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“…Anxiety and phobic behavior may occur as some women psychologically experience the pain and trauma of the procedure and its complications over again and again during intercourse. 8 In Waris Dirie's book, she relays the uncomfortable experiences of prolonged urination and excruciating menses that would incapacitate her for 7 to 10 days each month. She also shares the feeling of freedom that she experienced after she was surgically deinfibulated.…”

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confidence: 99%

Medical Complications of Female Genital Mutilation

Epstein¹,

Graham²,

Rimsza

2001

Journal of American College Health

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More than 130 million women are subjected to genital mutilation. Despite increasing efforts to reduce the practice, there are many obstacles to eliminating this 2,000-year-old practice, which is based on strong cultural traditions. As college health clinicians provide care to more international students from countries where female genital mutilation is performed, increased awareness and knowledge of the procedure will enable clinicians to understand and manage its complications. We report a case of obstructive uropathy resulting in hydronephrosis secondary to female genital mutilation and review the medical literature regarding this and other complications of genital mutilation "surgery."

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Female “circumcision” African women confront American medicine

Cited by 47 publications

References 24 publications

Exploring barriers to seeking health care among Kenyan Somali women with female genital mutilation: a qualitative study

Exploring barriers to seeking health care among Kenyan Somali women with female genital mutilation: a qualitative study

A case of vulval swelling secondary to female circumcision posing a diagnostic dilemma

Medical Complications of Female Genital Mutilation

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