Perception of primary health professionals about Female Genital Mutilation: from healthcare to intercultural competence

Kaplan-Marcusán, Adriana; Torán-Monserrat, Pere; Moreno-Navarro, Juana; Fàbregas, Ma Jose Castany; Muñoz-Ortíz, Laura

doi:10.1186/1472-6963-9-11

Cited by 62 publications

(62 citation statements)

References 17 publications

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“…A response rate of around 75% has been estimated, similar to that obtained by the same system in a previous study by our group in 2001 and 2004 [14,15]. …”

Section: Methodssupporting

confidence: 87%

Female Genital Mutilation: perceptions of healthcare professionals and the perspective of the migrant families

Kaplan-Marcusán

Rio²,

Moreno-Navarro³

et al. 2010

BMC Public Health

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BackgroundFemale Genital Mutilation (FGM) is a traditional practice which is harmful to health and is profoundly rooted in many Sub-Saharan African countries. It is estimated that between 100 and 140 million women around the world have been victims of some form of FGM and that each year 3 million girls are at risk of being submitted to these practices. As a consequence of the migratory phenomena, the problems associated with FGM have extended to the Western countries receiving the immigrants. The practice of FGM has repercussions on the physical, psychic, sexual and reproductive health of women, severely deteriorating their current and future quality of life. Primary healthcare professionals are in a privileged position to detect and prevent these situations of risk which will be increasingly more present in Spain.Methods/DesignThe objective of the study is to describe the knowledge, attitudes and practices of the primary healthcare professionals, working in 25 health care centres in Barcelona and Girona regions, regarding FGM, as well as to investigate the perception of this subject among the migrant communities from countries with strong roots in these practices. A transversal descriptive study will be performed with a questionnaire to primary healthcare professionals and migrant healthcare users.Using a questionnaire specifically designed for this study, we will evaluate the knowledge, attitudes and skills of the healthcare professionals to approach this problem. In a sub-study, performed with a similar methodology but with the participation of cultural mediators, the perceptions of the migrant families in relation to their position and expectancies in view of the result of preventive interventions will be determined.Variables related to the socio-demographic aspects, knowledge of FGM (types, cultural origin, geographic distribution and ethnicity), evaluation of attitudes and beliefs towards FGM and previous contact or experience with cases or risk situations will be obtained.DiscussionKnowledge of these harmful practices and a preventive approach from a transcultural perspective may represent a positive intervention model for integrative care of immigrants, respecting their values and culture while also being effective in eliminating the physical and psychic consequences of FGM.

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“…A response rate of around 75% has been estimated, similar to that obtained by the same system in a previous study by our group in 2001 and 2004 [14,15]. …”

Section: Methodssupporting

confidence: 87%

Female Genital Mutilation: perceptions of healthcare professionals and the perspective of the migrant families

Kaplan-Marcusán

Rio²,

Moreno-Navarro³

et al. 2010

BMC Public Health

Self Cite

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“…Eighteen percent of health professionals (including midwives) surveyed in Spain reported that they had no interest in learning about FGM. Less than half could correctly identify the different types despite approximately 30% of the population whom these professionals served, were immigrants from North African and nearly 14% from SubͲSaharan African countries where FGM is practiced (KaplanͲMarcusan et al, 2009). In Australia, a survey of health care practitioners revealed they had little knowledge or experience of the cultural and health issues relevant to FGM (Moeed & Grover, 2012).…”

Section: The Need For Professional Education and Supportive Environmementioning

confidence: 99%

Evidence to inform education, training and supportive work environments for midwives involved in the care of women with female genital mutilation: A review of global experience

et al. 2015

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Objective: to identify how midwives in low and middle income countries (LMIC) and high income countries (HIC) care for women with female genital mutilation (FGM), their perceived challenges and what professional development and workplace strategies might better support midwives to provide appropriate quality care.Design: an integrative review involving a narrative synthesis of the literature was undertaken to include peer reviewed research literature published between 2004 and 2014.Findings: ten papers were included in the review, two from LMIC and eight from HIC. A lack of technical knowledge and limited cultural competency was identified, as well as socioͲcultural challenges in the abandonment process of the practice, particularly in LMIC settings. Training in the area of FGM was limited. One study reported the outcomes of an education initiative that was found to be beneficial.Key conclusions: professional education and training, a working environment supported by guidelines and responsive policy and community education, are necessary to enable midwives to improve the care of women with FGM and advocate against the practice.Implications for practice: Improved opportunities for midwives to learn about FGM and receive advice and support, alongside opportunities for collaborative practice in contexts that enable the effective reporting of FGM to authorities, may be beneficial and require further investigation.

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“…Others postulated that FGC might be begun in societies where the women were subordinate to the men [4]. Regardless of its origin, FGC has been performed by Christians, Muslims, and Animists [5]. The practice was also common in United States of America and Europe in early 19th century where cutting of genitals was used to treat psychological disorders and prevent masturbation as well as “clitoral enlargement” [3].…”

Section: Introductionmentioning

confidence: 99%

Attitude towards the Practice of Female Genital Cutting among School Boys and Girls in Somali and Harari Regions, Eastern Ethiopia

Abathun

Gele

Sundby

2017

Obstetrics and Gynecology International

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Introduction. Female genital cutting (FGC) is a harmful traditional practice that violates women's rights and threatens their health. Although much work has been done to tackle this practice in Ethiopia, the prevalence remains very high in Somali and Harari regions. This study aims to investigate the attitude towards FGC of young people (boys and girls) in Somali and Harari regions of Eastern Ethiopia. Methods. A cross-sectional quantitative study was carried out in Somali and Harari regions from October to December 2015. Two districts were purposely selected from the two regions, and a stratified random sampling technique was employed to select 480 subjects from the randomly selected schools. Results. Out of 480 questionnaires distributed, 478 (99.6%) respondents filled the questionnaires and returned them. The finding of the study reveals that 86% of study participants condemn the practice of FGC. Almost 59% of male participants from both study areas preferred to marry uncircumcised girls. Being a female and being a Muslim are significantly associated with the support toward the continuation of the FGC (P < 0.05). Conclusion. Although the study demonstrates a positive attitude towards the abandonment of FGC, there is a need to increase the knowledge about the position of Islam in FGC and to educate women about the harmful effect of FGC.

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Perception of primary health professionals about Female Genital Mutilation: from healthcare to intercultural competence

Cited by 62 publications

References 17 publications

Female Genital Mutilation: perceptions of healthcare professionals and the perspective of the migrant families

Female Genital Mutilation: perceptions of healthcare professionals and the perspective of the migrant families

Evidence to inform education, training and supportive work environments for midwives involved in the care of women with female genital mutilation: A review of global experience

Attitude towards the Practice of Female Genital Cutting among School Boys and Girls in Somali and Harari Regions, Eastern Ethiopia

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