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Actors Blog Journals

African Journal of AIDS Research

ajar

African Journal of AIDS Research is a peer-review journal published by Taylor & Francis. In this LINK you can submit your own manuscripts and seek for other articles of your interest.

Afr J AIDS Res has published the following on FGM:

Lacey G. Delivering culturally sensitive, sexual health education in western Kenya: a phenomenological case study. 2017 Sep;16(3):193-202. doi: 10.2989/16085906.2017.1349682. LINK

Kotanyi S, Krings-Ney B. Introduction of culturally sensitive HIV prevention in the context of female initiation rites: an applied anthropological approach in Mozambique. 2009;8(4):491-502. LINK

 

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Archives Blog Original research

Delivering culturally sensitive, sexual health education in western Kenya: a phenomenological case study.

Afr J AIDS Res. 2017 Sep;16(3):193-202. doi: 10.2989/16085906.2017.1349682.

Delivering culturally sensitive, sexual health education in western Kenya: a phenomenological case study.

Lacey G

ABSTRACT

While generic programmes have been created to raise sexual health awareness, these cannot always be applied to communities whose cultures and circumstances make them especially vulnerable to infection. Taking a phenomenological approach, this paper examines the circumstances of the Gusii people of Kisii, Kenya, and examines the specific challenges of providing sexual health education to the community as experienced by an ethnic Gusii woman, Joyce Ombasa. Joyce’s story reveals that the Gusii living in and around rural villages have several cultural characteristics that make them susceptible to HIV/AIDS and that render community health education problematic, especially if offered by a female educator of the same ethnicity. Women cannot teach men. Discussions of sex and condom use, and viewing the naked bodies of the opposite sex are taboo. Promiscuity is commonplace and there is a reluctance to use condoms and to undergo HIV testing. Female circumcision persists and there is a high rate of sexual violence, incest and intergenerational sexual intercourse. In addition, government policies and legislation threaten to exacerbate some of the sexually risky behaviours. Bringing HIV education and female empowerment to the rural Gusii requires a culturally sensitive approach, discarding sexual abstinence messages in favour of harm minimisation, including the promotion of condom use, regular HIV testing and the rejection of female circumcision and intergenerational sex. Trust needs to be built through tactics such as adopting a complex and fluid outsider identity and replacing formal sex education with training in income generating skills and casual discussions regarding condoms and sexual health.

This article can be accessed in this LINK

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Archives Blog Original research

Sexual Function, Mental Well-being and Quality of Life among Kurdish Circumcised Women in Iran.

FREEIran J Public Health. 2017 Sep;46(9):1265-1274.

Sexual Function, Mental Well-being and Quality of Life among Kurdish Circumcised Women in Iran.

Daneshkhah F, Allahverdipour H, Jahangiri L, Andreeva T

ABSTRACT

BACKGROUND: Female genital mutilation is an intentional inhumane procedure that threatens girls and women’s health. It is especially widespread in developing countries due to cultural, traditional and religious preferences. The aim of the current study was to investigate how circumcision affects women’s sexual function. METHODS: This cross-sectional study was conducted in the urban and rural area of Piranshahr County, Iran, in 2015 among convenience samples of 200 women, 15-49 yr old, who were applying to health care centers for receiving routine health care services. Data collection was conducted with the use of a self-administered written questionnaire to assess female sexual function, mental well-being, and quality of life. RESULTS: Significant differences were found between circumcised and non-circumcised women in total score of female sexual function index (FSFI) in domains of desire, arousal, vaginal moisture, orgasm, satisfaction, and pain [(P<0.001), MD(95%CI)=5.64(3.64 to 7.64)] and based on Hotelling’s T-square, significant differences were found in dimensions of quality of life and FSFI. CONCLUSION: The revealed sexual dysfunction among mutilated women gives ground to require that public health systems take actions aimed at implementing special sexual education program to improve sexual functions of mutilated women and changing beliefs and social norms in the community level.

This article can be accessed in this LINK

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Archives Blog Review

Female genital mutilation: implications for clinical practice

Br J Nurs. 2017 Oct 12;26(18):S22-S27. doi: 10.12968/bjon.2017.26.18.S22.

Female genital mutilation: implications for clinical practice

von Rège I, Campion D

ABSTRACT

Female genital mutilation (FGM) is an established cultural practice in over 30 countries. It has no health benefits, carries a high risk of physical and psychological harm, and is illegal in many countries including the UK. A sensitive approach is required, both in the management of complications and prevention of this practice. This article discusses the prevalence and classification of FGM, and offers practical advice to nurses and midwives involved in general and obstetric care. Legal aspects, including safeguarding responsibilities and the mandatory duty to report FGM in England and Wales, are outlined.

This article can be accessed in this LINK

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Agenda Blog Conference

Seminar: ‘Les mutilations génitales féminines’ by Armelle Andro.

Seminar on FGM/C by Armelle Andro at the Jardin des Plantes, Grand amphithéâtre d’entomologie, 43 rue Buffon (Paris, France) the next 27th October 2017.

Click image to access more information on the event:

chatelet

 

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Blog News

Management of health outcomes of female genital mutilation: Systematic reviews and evidence syntheses.

FREEInt J Gynaecol Obstet. 2017 Feb;136 Suppl 1:1-2. doi: 10.1002/ijgo.12041.

Management of health outcomes of female genital mutilation: Systematic reviews and evidence syntheses.

Sunday-Adeoye I, Serour G.

EXTRACT

Female genital mutilation (FGM) is a harmful practice without any known benefit. The true burden of FGM is dfficult to determine owing to the lack of reliable data on girls younger than 15 years; women and girls in the Middle East, Africa, Asia, and Latin America; and on immigrant populations continuing the practice in Europe, North America, and Australia.

This article can be accessed in this LINK

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Blog Review

Health information interventions for female genital mutilation.

FREEInt J Gynaecol Obstet. 2017 Feb;136 Suppl 1:79-82. doi:10.1002/ijgo.12052.

Health information interventions for female genital mutilation.

Smith H, Stein K.

ABSTRACT

Providing information and education to women and girls living with female genital mutilation (FGM) could be an important influence on their healthcare-seeking behavior. Healthcare providers also need adequate knowledge and skills to provide good quality care to this population. Recent WHO guidelines on managing health complications from FGM contain best practice statements for health education and information interventions for women and providers. This qualitative evidence synthesis summarizes the values and preferences of girls and women living with FGM, and healthcare providers, together with other evidence on the context and conditions of these interventions. The synthesis highlights that healthcare providers lack skills and training to manage women, and women are concerned about the lack of discussion about FGM with providers. There is a need for more training for providers, and further research to understand how health information interventions may be perceived or experienced by women living with FGM in different contexts.

This article can be accessed in this LINK

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Blog Review

Deinfibulation for treating urologic complications of type III female genital mutilation: A systematic review.

FREEInt J Gynaecol Obstet. 2017 Feb;136 Suppl 1:30-33. doi:10.1002/ijgo.12045.

Deinfibulation for treating urologic complications of type III female genital mutilation: A systematic review.

Effa E, Ojo O, Ihesie A, Meremikwu MM.

ABSTRACT

BACKGROUND: Women and girls who have undergone type III female genital mutilation (FGM) may suffer urologic complications such as recurrent urinary tract infections, obstruction, stones, and incontinence. OBJECTIVE: To assess the effectiveness of deinfibulation for preventing and treating urologic complications in women and girls living with FGM. SEARCH STRATEGY: The following major databases were searched from inception to August 2015: Cochrane Central Register of Controlled Trials (CENTRAL), MEDLINE, SCOPUS, Web of Science, and ClinicalTrials.gov without language restrictions. SELECTION CRITERIA: Randomized controlled studies (RCTs) or observational studies with controls were considered. DATA COLLECTION AND ANALYSIS: We screened the results of the search independently for potentially relevant studies and applied inclusion and exclusion criteria for the full texts of the relevant studies. RESULTS: No RCTs were found. We found three case reports and a retrospective case review, all of which were excluded. CONCLUSION: There is no evidence on the use of deinfibulation to improve urologic complications among women with type III FGM. Current clinical practice may be informed by anecdotal evidence from case reports. Appropriate RCTs and observational studies with comparison groups in countries where FGM is common are needed. PROSPERO registration: CRD42015024901.

This article can be accessed in this LINK

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Blog Review

Deinfibulation for preventing or treating complications in women living with type III female genital mutilation: A systematic review and meta-analysis.

FREEInt J Gynaecol Obstet. 2017 Feb;136 Suppl 1:13-20. doi: 10.1002/ijgo.12056.

Deinfibulation for preventing or treating complications in women living with type III female genital mutilation: A systematic review and meta-analysis.

Okusanya BO, Oduwole O, Nwachuku N, Meremikwu MM.

ABSTRACT

BACKGROUND: Deinfibulation is a surgical procedure carried out to re-open the vaginal introitus of women living with type III female genital mutilation (FGM). OBJECTIVES: To assess the impact of deinfibulation on gynecologic or obstetric outcomes by comparing women who were deinfibulated with women with type III FGM or women without FGM. SEARCH STRATEGY: Major databases including CENTRAL, MEDLINE, and Scopus were searched until August 2015. SELECTION CRITERIA: We included nonrandomized studies that compared obstetric outcomes of women with deinfibulation, type III FGM (not deinfibulated during labor), and no FGM. DATA COLLECTION AND ANALYSIS: Quality of evidence was determined following the GRADE methodology. Summary measures were calculated using odds ratios at 95% confidence intervals. RESULTS: We found no randomized controlled trials. We included four case-control studies. The quality of evidence was very low. Compared with women with type III FGM at delivery, deinfibulated women had a significant reduction in the risk of having a cesarean delivery or postpartum hemorrhage. Compared with women without FGM, deinfibulated women had a similar risk of episiotomy, cesarean delivery, vaginal lacerations, postpartum hemorrhage, and blood loss at vaginal delivery. The length of second stage of labor, mean maternal hospital stay, and Apgar scores less than 7 were also comparable. CONCLUSIONS: Low-quality evidence suggests deinfibulation improves birth outcomes for women with type III FGM.

This article can be accessed in this LINK

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Blog Original research

Acquired Clitoromegaly: A Gynaecological Problem or an Obstetric Complication?

FREEJ Clin Diagn Res. 2016 Dec;10(12):QD10-QD11. doi: 10.7860/JCDR/2016/23212.9072. Epub 2016 Dec 1.

Acquired Clitoromegaly: A Gynaecological Problem or an Obstetric Complication?

Gupta M, Saini V, Poddar A, Kumari S, Maitra A.

ABSTRACT

Acquired non-hormonal clitoromegaly is a rare condition and is due to benign or malignant tumours and sometimes idiopathic. Few cases of clitoral abscesses have been reported after female circumcision. We hereby report a case of clitoral abscess causing acquired clitoromegaly following an obstetrical surgery.

This article can be accessed in this LINK