Journal of Women's Health Care

Journal of Women's Health Care
Open Access

ISSN: 2167-0420

Editorial - (2012) Volume 1, Issue 4

Female Genital Mutilation (FGM) is Still a Challenge in Developing Countries

Abdel Aziem A. Ali*
Faculty of Medicine, Kassala University, Sudan
*Corresponding Author: Abdel Aziem A. Ali, P.O. Box 496, Department of Obstetrics and Gynecology, Faculty of Medicine, Kassala University, Kassala, Sudan, Tel: +249912163820, Fax: +249411823501 Email:

Keywords: Female; Genital mutilation; Human rights; World

I am honored to have been invited to write an editorial to the Journal of Women’s Health Care. I would like in this article to discuss one of the harmful practice to woman’s health. Female Genital Mutilation (FGM) or Female Genital Cutting represents a violation of human and child rights and outlawed in many countries [1]. Female Genital Mutilation (FGM) or cutting is defined as “all procedures involving partial or total removal of the external female genitalia or other injury to the female organs whether for cultural or other non-therapeutic reasons” [2]. Even to date, the governments of many developing countries where the practice is highly prevalent are not taking strong stand against female genital cutting, this might be explained by the fear of the government from the society which accept circumcision as necessary, natural and adopt the rationale for its existence [3]. In Sudan, where I am working there is a very high prevalence rate of FGM (ranged between 87%-100%) [4]. It is little bit of low prevalence (50.3%) in neighboring Egypt and ranged between 23.3%-45.2% in Nigeria. In some African and Asian countries for example Eritrea, Djibouti, Mali and Somalia, the prevalence rate of FGM is more than 90% [5]. Generally the girls undergo the procedures between the age of 6 and 12 year old before they become decisive persons, thus the practice is against the child and human rights. Female genital cutting always performed by midwives without anesthesia, moreover it is practiced without precaution concerning the septic conditions is putting the girls at a greater risk of complications. FGM is a public health issue with recognized complications such as hemorrhage, shock, infection, necrotizing fasciitis, pain and psychological morbidities [6].

Among the different socio-demographic factors many studies showed that the educational status of the mother is a social determinant for practicing FGM [7]. Likewise father’s education in many African countries is strongly associated with reproductive health [7]. Karmaker et al. [8] reported that, in Burkina Faso, age and religion were the most socio-demographic variables affecting the risk of FGM [8]. Thus the education should be considered while the policy makers putting their strategies for implementation of anti-FGM projects aiming to eradicate the practice.

In summary, we call for urgent attention by the program managers, stakeholders to put their strategies for eradication of the FGM. Female genital cutting eradication should be a priority; the governments and women’s NGOs (Non-governmental Organizations) should consider the areas where FGM is highly prevalent and investigate the associated factors and the social determinants aiming to put their strategies for the eradication of the practice.

References

  1. Nour NM (2008) Female Genital Cutting: A Persisting Practice. Rev Obstet Gynecol 1: 135-139.
  2. Yirga WS, Kassa NA, Gebremichael MW, Aro AR (2012) Female genital mutilation: prevalence, perceptions and effect on women’s health in Kersa district of Ethiopia. Int J Women’s Health 4: 45-54.
  3. Islam MM, Uddin M M (2001) Female Circumcision in Sudan: Future Prospects and Strategies for Eradication. International Family Planning prospective 27: 71-76.
  4. Satti A, Elmusharaf S, Bedri H, Idris T, Hashim MS, et al. (2006) Prevalence and determinants of the practice of genital mutilation of girls in Khartoum, Sudan. Ann Trop paediatr 26: 303-310.
  5. Kheir H M, Kumar S and Cross A R (1991) Female circumcision: attitudes and practices in Sudan, in: Proceedings of the Demographic and Health surveys World Conference, Washington, DC, Aug.5-7, 1991, Columbia, MD, USA: IRD/Macro International, 1697-1717.
  6. Nour NM (2004) Female genital cutting: clinical and cultural guidelines. Obstet Gynecol Surv 59: 272-279.
  7. Ibekwe PC, Onoh RC, Onyebuchi AK, Ezeonu PO, Ibekwe RO (2012) Female genital mutilation in Southeast Nigeria: A survey on the current knowledge and practice. J Public Health Epidemiol 4: 117-122.
  8. Karmaker B, Kandala NB, Chung D, Clarke A (2011) Factors associated with female genital mutilation in Burkina Faso and its policy implications. Int J Equity Health 10: 20.
Citation: Ali AAA (2012) Female Genital Mutilation (FGM) is Still a Challenge in Developing Countries. J Women’s Health Care 1:e107.

Copyright: © 2012 Ali AAA. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
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