DETERMINANTS OF FEMALE GENITAL MUTILATION PRACTICES IN EAST GOJJAM ZONE, WESTERN AMHARA, ETHIOPIA
AbstractBackground: Female genital mutilation is one of the harmful traditional practices among women and girls. More than 130 million girls and women live today who have undergone female genital mutilation. In Ethiopia, a high prevalence (74.3% national and 68.5% in Amhara region) has been reported. This study was aimed to identify determinant factors of female genital mutilation practices in East Gojjam Zone, Western Amhara, Ethiopia. Methods: A community based cross sectional study was conducted among 730 women aged 15-49 years and having children < 5 years old in September, 2014. Data were collected using a pretested interviewer administered questionnaire. Descriptive statistics were used to describe study objectives, and bivariate and multivariate analysis to identify determinant factors to female genital mutilation.Results: 718 women and 805 daughters participated in the study. FGM prevalence was 689 (96%) and 403 (49%) among women and daughters< 5 years of age, respectively. Type1 and type 2 FGMs were common and daughters <1 years of age exhibited 91% female genital mutilation. Daughters' age, parent education level, residence, women circumcision history, culture, health education, frequent health extension workers follow up and participation in anti FGM interventions were risk factors to female genital mutilation practice.Conclusions: Female genital mutilation practices continues to be a major problem to women and daughter <5 years of age in the study area. A number of factors were associated with FGM practices including daughters’ age, parent education level, residence, health education, culture, mothers circumcision history, frequent health extensions workers follow up and participation in anti FGM interventions were determinants to higher FGM practices.
Key words: Female genital mutilation, determinant factors, Goncha District, Ethiopia
British Medical Association. Female Genital Mutilation: Caring for patients and safeguarding children: A guidance to Females, 2011.
Leye E., Powell RA., Nienhuis G.,Claeys P. Temmerman M. Health Care in Europe for Women with Genital Mutilation.Health Care for Women International. 2006; 27:362–378.
WHO (2007). Female Genital Mutilation. http://www.who.int/reproductive-health/fgm/
WHO and Pan American Health Organization. Understanding and addressing violence against Women: Female genital mutilation. WHO, 2012.
Sakeah E., Beke A., Hodgson AV.Males’ preference for circumcised women in Northern Ghana. African Journal of Reproductive Health. August 2006; 10: 2, 37-47.
Oduro AR, Ansah P, Hodgson A, et al. Trends in the prevalence of female genital mutilation and its effect on delivery outcomes in the Kassena- Nankana District of Northern Ghana: Ghana Medical
Monjok E., Essien EJ., Holmes L. Female Genital Mutilation: Potential for HIV Transmission in sub-Saharan Africa and Prospect for Epidemiologic Investigation and Intervention. African Journal of Reproductive Health. 2007; 11:1, 33-42.
Kaplan A., Hechavarría S., Martínand M., Bonhoure I. Health consequences of female genital mutilation in the Gambia, evidence into action. Reproductive Health. 2011; 8:26.
Kizilhan JI. Impact of psychological disorders after female genital mutilation among Kurdish girls in Northern Iraq. Eur. J. Psychiat. 2011; 25: 2, 92-100.
Nour NM. Female Genital Cutting: A Persisting Practice. Rev Obstet Gynecol. 2008; 1:3,135-139.
Population Reference Bureau. Female Genital Mutilation/Cutting: Data and Trends Update, 2010.
Kaplan-MA., et al. Female Genital Mutilation: perceptions of healthcare professionals and the perspective of the migrant families. BMC Public Health. 2010; 10:193.
Kolawole, Kwaak A. Review of determinants of female genital mutilation in Nigeria. Journal of Medicine and Medical Sciences. 2010; 1:11, 510-15.
Exterkate M. Female Genital Mutilation in the Netherlands: Prevalence, incidence and determinants, 2013.www.pharos.nl
Bjälkander O., Bangura L., Leigh B., Berggren V., Bergström S., Almroth L. Health complications of female genital mutilation in Sierra Leone. International Journal of Women’s Health. 2012; 4: 321–331.
Emam EA., EL-Maghawri AM., Labeeb SA. Cultural awareness about female genital mutilation among female employees of Minia University: Journal of American Science. 2011; 7:4, 611-617.
Karmaker B., Kandala NB., Chung D, Clarke A. Factors Associated with Female Genital Mutilation in Burkina Faso and its Policy Implications. International Journal for Equity in Health. 2011; 10:20.
Bedri NM. Ending FGM/C through Evidence Based Advocacy in Sudan, March 2012.
Okwudili OA, Chukwudi OR. Urinary genital tract obstruction as a complication of female genital mutilation: case report and literature review: J Surg Tech Case Report 2012; 4:64-6.
Tag-Eldin MA., Gadallah MA., Al-Tayeb MN. Prevalence of female genital cutting among Egyptian girls: Bulletin of the World Health Organization. 2008; 86:269–274.
FMOH, CSA. Demographic and Health Survey. Journal of health survey Ethiopia, 2005.
Gebremariam A., Hailemariam A, Belachew T, W.Michael K, Lindstrom D. Support for the continuation of female genital mutilation among adolescence in Jimma Zone, Southwest Ethiopia. Ethiop J Health Sci. July 2009;19: 2,119-129.
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.
Shanko W., Assefa N., WeldayGebremichael M. Female genital mutilation: prevalence, perceptions and effect on women’s health in Kersa district of Ethiopia. International Journal of Women’s Health. 2012;4:45–54.
Yasin YA. Prevalence of female genital mutilation among school girls in El Mansoura Center, El-Dakahlia Governorate, Egypt. IOSR Journal of Dental and Medical Sciences. 2014; 13:11, 76-83.
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; 14:1076.
Inungu J, Tou Y. Factors associated with female genital mutilation in Burkina Faso, Journal of Public Health and Epidemiology. 2013;5:20-28.