TOPIC: BUILDING PARTNERSHIPS WITH MEDICAL ASSOCIATIONS TO ADDRESS MEDICALIZATION OF FGMC
ANCHORS: PURITY OPARA, RAYMOND OKPANI & ODUNOLA OLABINTAN
ODUNOLA
- Hello, welcome and thank you for joining us on today’s tweet conference, I am Olabintan Odunola and I’ll be joined today by Chiazawom Purity and Raymond Okpani. #endcuttinggirls
- The weekly tweet conference has consistently become one of the key strategies that UNICEF is using to create awareness and build capacities towards the abandonment of FGM. #endcuttinggirls
- The conversation will last from 5pm to 7pm. #endcuttinggirls
- Today, we will be addressing a very important and strategic topic “Building Partnerships with Medical Associations to Address Medicalization of FGM/C.” #endcuttinggirls
- I will lead the first part of the conversation for 30 minutes and my partners too shall have 30 minutes each while the last 30 minutes will be for contributions, questions and answers. #endcuttinggirls
- Before we begin I’ll like to give a brief introduction of what FGM/C is all about. #endcuttinggirls
- FGM/C stands for Female Genital Mutilation/ Cutting is defined as all practices that involve the total or partial removal of the external female genitalia for non-medical reasons. #endcuttinggirls
- FGM is carried out with special knives, scissors, razor blades and pieces of glass. #endcuttinggirls
- Some of the instruments may be reused with being sterilized… #endcuttinggirls
- In some areas like the Gambia, finger nails are used to pluck out the clitoris.
- In local communities in Africa, the practice is being carried out by elderly women who are usually traditional birth attendant. #endcuttinggirls
- There are four types of FGM/C and they are as follows; #endcuttinggirls
- Type 1 (Clitoridectomy) which the removal of the prepuce with or without excision of part of the clitoris. #endcuttinggirls
- Type 2 (Excision) is the removal of the clitoris with partial or total removal of the labia minora #endcuttinggirls
- Type 3 (Infibulation) is the removal of part of the external genitalia, stitching and narrowing of the vaginal orifice for urination and menstrual flow. #endcuttinggirls
- Type 4 (Unclassified) refers to all other harmful procedures to the female genital for non-medical reasons and this could include pricking, piercing, incising, scraping and cauterization. #endcuttinggirls
- It also includes introduction of corrosive substances or herbs into the vagina for the purpose of tightening or narrowing it. #endcuttinggirls
- FGM/C is deeply rooted in culture, has no health benefits, violates the human rights of women and girls and also has short term and long term on their health and well-being. #endcuttinggirls
- Short term effects include; excessive bleeding, bruises, trauma, sepsis, fractures and so much more. #endcuttinggirls
- Long term effect include; psychological trauma, keloid scar formation, painful intercourse, vaginal fistula, asphyxia at child birth, obstructive labour etc. #endcuttinggirls
- According to world health organisation (WHO) over 200 million women have been subjected to FGM/C worldwide. #endcuttinggirls
- For more facts and figures about FGM/C kindly visit our website at endcuttinggirls.org or go to our YouTube channel to view our videos, #endcuttinggirls
- You can also join us for our weekly twitter conference by 5pm every Thursday. #endcuttinggirls
- Thank you and let me now hand over to @lady_purity5 to continue the conversation. #endcuttinggirls
PURITY
- Thank you @thesocial_nerd for that eye opening session. I will continue on issues around FGMC medicalization. #endcuttinggirls
- FGM/C has been predominantly carried out by traditional birth attendants (TBAs) and traditional circumcisers. #endcuttinggirls
- But recently there’s been a significant increase in the performance of the procedure by medical personnel. #endcuttinggirls
- These personnel include doctors, nurses, midwives and community health extension workers (CHEWs). #endcuttinggirls
- FGM/C is performed by health care professionals due to the misconception that the procedure is safer and beneficial when medicalized. #endcuttinggirls
- But as stated earlier FGM/C has no health benefits whatsoever and it also a violation of the law. #endcuttinggirls
- The orientation, support and partnership with health personnel in the #endcuttinggirls campaign is pivotal to ending FGM/C in this generation. #endcuttinggirls
- And one of the ways to achieve this is partnership with various associations these personnel belong to for quicker and faster dispersion of information to them. #endcuttinggirls
- These associations include Nigeria Medical Students’ Association(NIMSA), Nigeria Medical Association (NMA), Association Of Registered Nurses (ARN) etc. #endcuttinggirls
- It is very important that there is a strategic engagement and more capacity building programmes with various medical or health related associations. #endcuttinggirls
- According to the UNFPA- UNICEF Joint Programme on FGM/C Annual report (2010), “FGM/C is being increasingly medicalized and supported by some medical practitioners in countries such as Kenya, Ethiopia, Somalia, Guinea, Sudan and Egypt. #endcuttinggirls
- According to experts, ‘Medicalization’ of female genital mutilation is a serious threat. #endcuttinggirls
- Despite the increasing awareness of the adverse health consequences and greater access to health care services, health workers and professionals have becoming more involved in performing FGMC. #endcuttinggirls
- Data indicates that the prevalence of FGM medicalization is increasing, especially among mothers with secondary education. #endcuttinggirls
- An early comparative overview of data on practitioners of FGM/C from Demographic and Health Survey data drew attention to the “problem” that in certain settings #endcuttinggirls
- FGM was being increasingly performed by medical personnel. #endcuttinggirls
- Medicalization is a situation in which FGM is practiced by any category of health-care provider, whether in a public or private clinic, at home, or elsewhere #endcuttinggirls
- The trend of medicalization is been encouraged with “open arms approach” by many health workers who see FGM as a source of income. #endcuttinggirls
- Thank you everyone and let me now hand over to @rayokpani to continue with the last session of the conversation. #endcuttinggirls
- Thank you @lady_purity5 for that wonderful and educative session. I will continue with the last of the conversation. #endcuttinggirls
RAYMOND
- Data reveal that 74% of girls and women aged 15-49 who report having undergone FGM/C were cut by traditional practitioners. #endcuttinggirls
- In this same age group, an estimated 26% – totaling nearly 16 million girls and women – report having been cut by a health care professional (doctor, nurse, trained midwife or other health professional), a phenomenon commonly referred to as medicalization. #endcuttinggirls
- Medicalized cutting is concentrated in three countries; 93% of women who report having been cut by a health care professional live in Egypt, Sudan and Nigeria #endcuttinggirls
- Years ago in countries such as Kenya, Sudan and Somalia traditional circumcisers or traditional birth attendants were at times provided with surgical supplies such as anesthesia and prophylactic antibiotics #endcuttinggirls
- This also characterized a great decline in FGM/C prevalence as “limited and slow,” with the practice still supported by large segments of the medical or medically trained professionals. #endcuttinggirls
- A growing trend for midwives and nurses to carry out female genital mutilation (FGM) is undermining global efforts to eradicate the internationally condemned practice. #endcuttinggirls
- Hence, Medicalization is one of the biggest threats against the global agenda to #endcuttinggirls
- There are also some CHALLENGES TO STOPPING FGMC MEDICALIZATION and they are as follows #endcuttinggirls
- Lack of protocols, manuals and guidelines to guide the health-care providers. #endcuttinggirls
- Insufficient training and support for health-care providers. #endcuttinggirls
- Lack of involvement of the local health sector in the prevention of female genital mutilation. #endcuttinggirls
- There is unavailability of laws and the will to prosecute offenders #endcuttinggirls
- Lets look at the WAY FORWARD #endcuttinggirls
- There is need to educating families since they are the ones who go asking medical professionals for FGM/C. #endcuttinggirls
- Medical and nursing schools should teach sexuality, medical ethics, and human rights to their students. #endcuttinggirls
- There is need to build strong advocacy support for investment in supporting the abandonment of FGM, engaging political leaders, other leaders, parliamentarians and government ministries. #endcuttinggirls
- Strengthen the understanding and knowledge of health-care providers. #endcuttinggirls
- States should adopt, implement and enforce specific legislation addressing FGM, in order to affirm their commitment to stopping the practice of FGMC. #endcuttinggirls
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