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INVESTIGATION OF THE CONSEQUENCES OF FEMALE GENITAL MUTILATION- CUTTING
Background to the Study
Female genital mutilation (FGM) commonly known as female circumcision comprises all procedures involving partial or total removal of the external female genitalia either for cultural or other non-therapeutic reasons (Wright, 2006). Whatever the purpose, FGM is a dangerous and potentially life- threatening procedure that causes unspeakable pain and suffering to the victim. According to Black (2000), it is declining in many western worlds but it is still being practiced in many African countries. It continues to be one of the most persistent, pervasive and silently endured human rights violations in the developing world.
An estimated 140 million females in the world today have undergone some form of female mutilation. At the current rates of population increase and with the slow decline in these procedures, it is estimated that each year a further 2 million girls are at risk from the practice, and the women and girls affected live in 28 African countries and a few in the Middle East and Asia (World Health Organization (WHO), 2002).
Recently, it has been identified as a very vital public health problem (Uwasomba, 2003). Referring to female genital mutilation as female circumcision is misleading because it implies that the procedure is similar to male circumcision, which is necessary and simply involves the removal of piece of the foreskin of the genital organ (WHO, 2004). The procedure is far
more invasive and dangerous as a large portion of healthy sensitive tissues of the female external genital organs are normally excised.
In Africa, the practice exists today in about thirty two out of the forty eight African countries among them are Sudan, Egypt, Mali, Niger, Nigeria to mention but a few (Bashir, 1997). In Nigeria, female genital mutilation is noted to be practiced among different tribes, for example the Igbos, Efiks, Ishans, Edo’s, Urhobos, Yorubas, Nupes, Hausas, Idomas and many others (Bardie, 1995).
There are 3 main types of female genital mutilation although some other forms have been identified. They are: Type 1 (Clitoridectomy), Type 2 (Excision) and Type 3 (Infibulations). Clitoridectomy involves removal of the tip of the prepuce, with or without excision of part or all of the clitoris, Excision involves removal of the clitoris along with some part or all of the labia minora while in infibulations most of all the external genitalia is removed, and the vaginal opening is then stitched leaving only a small opening for the flow of urine and menstruation. The procedure can be carried out during infancy, about the eight day of delivery, childhood, at time of marriage or even during first pregnancy depending on the cultural dictates of the area. The operation is often performed by practitioners with little or no formal knowledge of human anatomy and physiology and in most cases under unhygienic conditions without the use of anaesthetic or sterile instruments. The immediate medical consequences according to Black (2000), include, difficulty in passing urine, urine retention, haemorrhage, infection, fever, stress, shock and damage to the genital organs.
Over time, circumcised women may also develop menstrual complications, urinary tract infections, chronic pelvic infection and low fertility or infertility. With all these medical complications prevalent among the circumcised female, the obnoxious practice is still common especially in some rural areas in most developing countries like Nigeria. A lot of campaigns by government and non-governmental organizations highlighting the risks associated with FGM have been mounted, yet the practice is still prevalent in some rural settings in Nigeria (Jerry, 2000). This raises the question, “what could be the factors that are still preserving the continuing practice of FGM?”
Seeking answer to the question prompted the need to examine the socio- cultural perspectives of FGM in rural communities of Enugu State in other to provide evidence-based health education information.
Statement of the Problem
A study of a community in Ekwusigo LGA of Anambra State showed that the incidence of this practice increased from 150 in 1990 to 350 in 2006 despite the numerous teachings about the medical complications of FGM, as well as other health campaigns against this unacceptable practice (Amadigwe, 1999). These medical complications according to WHO (2003) include: bleeding, infection, prolonged labour, lacerations and sometimes death. The procedure negatively affects the psychological and social health and well being of women. Despite the ban by the Enugu State House of Assembly, some communities are still neck deep in the practice. Also, all the efforts in sensitizing the people through other government and non-
governmental agencies highlighting the medical complications of FGM, the practice is still flourishing in some rural communities and one wonders what could be the problems and the factors that seem to preserve such practice. That has many negative effects on the health of the women.
In the rural communities of Enugu East LGA despite the efforts of national and international organizations advocating and campaigning for the abolition of the practice of FGM not much success seems to have been achieved. An eight-day old baby girl died from post circumcision bleeding at Ugwuogo Nike as was observed by the Enugu State Maternal, Newborn and Child Health (MNCH) team while on one of their monitoring visits (Health System Development Project 2008, HSDP2). Thus the study to assess the socio- cultural factors that may contribute to the continued practice of this FGM is deemed necessary.
Purpose of the Study
The purpose of the study is to examine the socio-cultural factors that still preserve the continued practice of female genital mutilation among women in selected rural communities of Enugu State.
Objectives of the StudySpecifically, the objectives of this study include to:
- determine social factors that still preserve the practice of FGM in this rural communities studied.
- identify social structures that preserve the practice of FGM in these rural communities.
- determine cultural beliefs that support FGM practice in these rural communities.
- determine the association between social structures and continued practice of FGM.
- determine the relationship between cultural beliefs and continued practice of FGM
- What are the social factors that promote the practice of FGM in these communities?
- What are the social structures that preserve the practice of FGM in the rural communities under study?
- What are the cultural beliefs that support FGM practice in these rural communities?
- What are the association between social factors that preserve continued practice of FGM and religion?
- What are the relationship between cultural beliefs that preserve continued practice of FGM and religion?