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Interventions for healthcare providers to improve treatment and prevention of female genital mutilation: a systematic review

BMC Health Serv Res. 2016 Aug 19;16(1):409. doi: 10.1186/s12913-016-1674-1.FREE

Interventions for healthcare providers to improve treatment and prevention of female genital mutilation: a systematic review

Balfour J, Abdulcadir J, Say L, Hindin MJ

ABSTRACT

BACKGROUND: Studies on healthcare providers’ awareness, knowledge and attitudes regarding female genital mutilation (FGM) have shown a lack of awareness of the prevalence, diagnosis, and management of FGM. Our objective was to systematically review the literature on interventions improving healthcare providers’ capacities of prevention and treatment of FGM. METHODS: Systematic review of the published and grey literature on interventions aimed at improving healthcare providers’ capacities of prevention and treatment of FGM (1995-2015). Outcomes observed were knowledge and attitudes about FGM, medicalization, and prevention. RESULTS: Only two studies met our inclusion criteria. They reported on educational interventions aimed at increasing caregivers’ knowledge on FGM. One was conducted with 59 providers, in Mali; the other one with 11 certified nurse-midwives in the United States. The studies report basic statistics regarding the improvement of healthcare professionals’ knowledge, attitude on FGM and medicalization of the practice. Neither conducted multivariable analysis nor evaluated the training effects on the quality of the care offered, the clinical outcomes and the satisfaction of women attended, and prevention. CONCLUSION: As health care providers are essential in prevention and treatment of FGM, developing effective interventions is crucial.

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Female genital mutilation among Edo people: the complications and pattern of presentation at a pediatric surgery unit, Benin City.

Afr J Reprod Health. 2009 Mar;13(1):17-25. FREE

Female genital mutilation among Edo people: the complications and pattern of presentation at a pediatric surgery unit, Benin City.

Osifo DO, Evbuomwan I.

Pediatric Surgery Unit, Department of Surgery, University of Benin Teaching Hospital, Benin City, Nigeria. Leadekso@yahoo.com

ABSTRACT

This prospective study on female genital mutilation among Edo people was based on female children and parents who presented on account of it at the University of Benin Teaching Hospital, Benin City, Nigeria, between January 2002 and December 2007. During the period, 51 female children aged 10 days and 18 years presented with complications following genital mutilation. Twenty-nine were brought by their parents for mutilation while 67 parents interviewed believed strongly on female genital mutilation with 47 mothers mutilated. Religio-cultural and superstitious beliefs were the main indications and the type of mutilation ranged from excision of clitoridal tip in 10 (19.6%) children to complete excision of the clitoris, labia minora and inner layer of majora in 7 (13.7%). Complications ranged from clitoridal cyst formation in 21 (41.2%) to life threatening infections with one mortality due to tetanus infection.

This article can be accessed in this LINK