Prevalence of Female Genital Mutilation among reproductive age women in Ethiopia: Systematic Review and Meta-analysis

Prevalence of Female Genital Mutilation among reproductive age women in Ethiopia: Review

Authors

  • Daniel Atlaw lecturer

Keywords:

Female genital mutilation, female genital cutting, female circumcition

Abstract

Introduction: - Female genital mutilation (FGM) is the most common harmful traditional practice. Which is characterized by partial or total removal of the female external genitalia for non-therapeutic reasons. Globally, FGM affects about 130 million women and girls.  Female Genital cutting (FGC) is a harmful traditional practice that affects the physical and mental health of girls and women.

Methods: - Meta-analysis was conducted using the guideline of Preferred Reporting Items for Systematic reviews and Meta-Analysis (PRISMA).  Articles were searched from different databases like PubMed, Popline, AJOL, EMBASE and gray literature like Google Scholar and Google. Articles were searched using terms like “prevalence”, “magnitude”, “female genital cutting” “female genital mutilation”, and “female circumcision”.  Joanna Briggs Institute  Critical Appraisal-Checklist for Analytical Cross-Sectional Studies were used to assess the quality of the included paper. Egger’s test and I2 statistics were used to assess Publication bias and heterogeneity respectively.

Result and discussion: - About thirteen studies with total participants of 7850 were included for systematic review and meta-analysis.  The pooled prevalence of female genital mutilation among reproductive-age women in Ethiopia was 87.5%: 95% CI (84.25, 90.78). ). I square test statistics showed high heterogeneity (I2 =94.4, p=0.000) and Egger’s test was done to check for publication bias, but the test has revealed that there is no statistically significant publication bias (p-value=0.374).

Conclusion: - The pooled prevalence of female genital mutilation is high in Ethiopia.  Subgroup analysis does not show significant differences among different regions found in the country.

 

References

1. Browning A, Allsworth JE, Wall LL. The relationship between female genital cutting and obstetric fistulas. Obstet Gynecol. 2010;115(3):578–83.
2. Vissandjée B, Denetto S, Migliardi P, Proctor J. Female genital cutting ( FGC ) and the ethics of care : community engagement and cultural sensitivity at the interface of migration experiences. BMC Int Heal Hum Rights 2014,. 2014;14(13).
3. Belmaker RH. Successful Cultural Change : The Example of Female Circumcision among Israeli Bedouins and Israeli Jews from Ethiopia. Isr J Psychiatry Relat Sci. 2012;49(3).
4. Klein E, Helzner E, Shayowitz M, Kohlhoff S, Smith-norowitz TA. Female Genital Mutilation : Health Consequences and Complications — A Short Literature Review. Obstet Gynecol Int methods. 2018;2018.
5. Chege A, Askew I. Testing the effectiveness of integrating community based approaches for encouraging abandonment of female genital cutting into CARE â€TM s reproductive health program in Ethiopia and Kenya. agency Int Dev. 2004;
6. Mitike G, Deressa W. Prevalence and associated factors of female genital mutilation among Somali refugees in eastern Ethiopia : a cross-sectional study. BMC Public Health. 2009;9(264).
7. Dickens BM, Fathalla MF. Female genital cutting ( mutilation / circumcision ) : ethical and legal dimensions. Int J Gynecol Obstet. 2002;79:281–7.
8. Ejigu Y, Tiruneh G, Mekonnen M, Kibret GD. Prevalence and Contributing Factors of Female Genital Cutting in Debaytilatgin Clinics in Mother and Child Health. 2014;11(2).
9. Shay TZ, Health P. Magnitude of and driving factors for female genital cutting in schoolgirls in Addis Ababa , Ethiopia : A cross- sectional study. SA J Child Heal. 2010;4(3):78–82.
10. Fikrie Z. Factors associated with perceived continuation of female genital mutilation among women in Ethiopia. Ethiop J Heal Sci. 2010;20(1):49–53.
11. Mohamud M, Kaba M, Tamire M. Assessment of Barriers of Behavioral Change to Stop FGM Practice among Women of Kebri Beyah District, Somali Regional State, Eastern Ethiopia. Glob J Med Res. 2016;16(6).
12. Gajaa M, Wakgari N, Kebede Y, Derseh L. Prevalence and associated factors of circumcision among daughters of reproductive aged women in the Hababo Guduru District , Western Ethiopia : a cross- sectional study. BMC Womens Health. BMC Women’s Health; 2016;16(42):1–9.
13. Cental Statistics Agency. Ethiopia Demographic Health Survey. 2016.
14. WHO. Country profile: female genital mutilation in Ethiopia. 2013.
15. Degefa H, Samuel K, Taye L, Desalegn T. Prevalence of Female Genital Mutilation and its Association with Birth Complications among Women Attending Delivery Service in Nigist Eleni Mohammed General Hospital, Hossana, Southern Nations, Nationalities and Peoples’ Region, Ethiopia. Reprod Syst Sex Disord Curr Res. 2018;6(4).


16. Abathun AD, Sundby J, Gele AA. Pupil ’ s perspectives on female genital cutting abandonment in Harari and Somali regions of Ethiopia. BMC Womens Health. BMC Women’s Health; 2018;18(167):1–10.
17. UNICEF. Eradication of female genital mutilation in somalia. 2010.
18. Gebrekirstos K, Fantahun A, Buruh G. Magnitude and Reasons for Harmful Traditional Practices among Children Less Than 5 Years of Age in Axum Town , North Ethiopia , 2013. Int J Pediatr. Hindawi Publishing Corporation; 2014;2014.
19. Gebremariam K, Assefa D, Weldegebreal F. Prevalence and associated factors of female genital cutting among young adult females in Jigjiga district , eastern Ethiopia : a cross-sectional mixed study. Int J Women’s Heal. 2016;8:357–65.
20. Gebrekirstos K, Abebe M, Fantahun A. A cross sectional study on factors associated with harmful traditional practices among children less than 5 years in Axum town , north Ethiopia , 2013. Reprod Health. 2014;11(1):1–7.
21. Demissie A, Sundby J, Gele AA. Attitude toward female genital mutilation among Somali and Harari people , Eastern Ethiopia. Int J Women’s Heal. 2016;8:557–69.
22. Tamire M, Molla M. Prevalence and belief in the continuation of female genital cutting among high school girls : a cross - sectional study in Hadiya zone , Southern. BMC Public Health. 2013;13(1120).
23. Abathun AD, Gele AA, Sundby J. Attitude towards the Practice of Female Genital Cutting among School Boys and Girls in Somali and Harari Regions , Eastern Ethiopia. Obstet Gynecol Int. 2017;2017.
24. Belda SS, Tololu AK. Knowledge , attitude and practice of mothers towards female genital mutilation in South West Shoa zone , Oromia region , Ethiopia. MOJ Public Heal. 2017;6(2).
25. Kerubo KR. Female genital mutilation effects on women and young girls. 2010;
26. Muktar AH, Alinur AA, Mohammed AM. Knowledge , attitude and practice of female genital mutilation among women in Jigjiga Town , Eastern Ethiopia. 2013;19(3):164–8.
27. Zewde T, Haidar J. Magnitude of and driving factors for female genital cutting in schoolgirls in Addis Ababa , Ethiopia : A cross- sectional study. SA J Child Heal. 2010;4(3).
28. Yirga WS, Kassa NA, Gebremichael MW, Aro AR. Female genital mutilation : prevalence , perceptions and effect on women ’ s health in Kersa district of Ethiopia. Int J Women’s Heal. 2012;4:45–54.
29. Bogale D, Markos D, Kaso M. Prevalence of female genital mutilation and its effect on women ’ s health in Bale zone , Ethiopia : a cross-sectional study. BMC Public Health. 2014;14(1):1–10.
30. Teshome O, Nega A, Yadeta D. Female genital mutilation among mothers and daughters in Harar, eastern Ethiopia. Int Fed Gynecol Obstet. 2016;135(3).
31. Andualem M. Determinants of female genital mutilation practices in East Gojjam zone, western Amhara, Ethiopia. Ethiop Med J. 2016;54(3).
32. Abate A, Kifle W. Prevalence of female genital mutilation and attitude of mothers town and serbo town. Ethiop J Heal Sci. 2002;12(2).

33. Abdisa B, Desalegn M, Tesew A. Assessment of the Prevalence of FGM and Associated Factors among Women ’ s of Reproductive Age Group in Kebirbeyah Town , Somali Region Eastern Study period and area. Heal Sci J. 2017;11(4):1–9.
34. Abeya SG, Chuluko BG, Gemeda DD. Factors Associated with Female Genital Mutilation among Women of Reproductive Age in Gewane Woreda , Afar. Rem Open Access - Womens Heal. 2017;2:1–5.
35. Moges NA, Mullu G, Gedfew M, Redi M, Molla M, Ayenew S, et al. Knowledge , Attitude and Practice of Women Towards Female Genital Mutilation in Lejet Kebele , Dembecha. J Gynecol Obstet. 2015;3(2):21–5.
36. UNFPA-UNICEF. anual report of UNFPA-UNICEF joint programme on female genital mutilation. 2016.
37. Thomson Reuters Foundation. Ethiopia: The law and female genital mutilation. 2018.
38. European Parliament. Zero tolerance for female genital mutilation. 2019.
39. WHO. Global strategy to stop health-care providers from performing female genital mutilation. UNAIDS, UNDP, UNFPA, UNHCR, UNICEF, UNIFEM, WHO, FIGO, ICN, IOM, MWIA, WCPT, WMA. 2010;
40. WHO. Understanding and addressing violence against women Female genital mutilation. 2010.

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Published

2021-03-26

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Section

Review Article