Posted by on June 21, 2013 - 8:32am

Surfacing research proves the Sub-Saharan African traditions of Female Genital Mutilation and Female Genital Cutting (FGM/FGC) lead to long-term health consequences. Such health problems are found to impact the delivery and health of newborns.  Researchers and anthropologists from the Autonomus University of Barcelona collected data from 588 females in The Gambia.  Data were carefully gathered through questionnaires and physical examinations of the female patients, and analyzed with 95% confidence intervals. The results showed that 75.6% of the women had undergone FGM or FGC, and these women had a significantly higher prevalence of health problems including dysmenorrhea, vulvar or vaginal pain, fibrosis, keloid, synechia, and sexual dysfunction.  Furthermore, research showed these women were four times more likely to experience delivery complications such as perineal tear, obstructed labor, episiotomy, cesarean-necessitated delivery, and stillbirth.

The Foundation for Research on Women’s Health reported that seven of The Gambia’s nine ethnic groups practice FGM or FGC on girls between the ages of 10 and 15.  Female Genital Mutilation and Cutting occurs in four types.  Type I is a partial clitoridectomy, Type II is a full removal of the clitoris, Type III is a partial or full excision of the external genitalia, and Type IV is vaginal sealing.  While FGM and FGC are not common in many parts of the world, The Gambia sees these practices as rooted in customs and traditions dependent upon ethnic, religious, and cultural foundations.  Culturally, these practices are seen as “rites of passage” into womanhood, and guarantee a woman’s sexual purity, as pleasure is removed from the woman’s body.

Alternatively, FGM and FGC have been internationally recognized as violations of women’s rights and cruel discriminations against women.  Furthermore, since these practices are almost always carried out on minors, sometimes without parental consent, issues of children’s rights also come into play.  The World Health Organization characterized these practices as violating “a person’s rights to health, security, and physical integrity” as well as “the right to be free from torture and cruel, inhuman or degrading treatment” especially when these practices frequently lead to death or long-term health problems.

While it is difficult to impose regulations on cultural traditions so foreign to the Western world, it is important to document the surfacing research that points to the long-term hazards that accompany these practices.  The next steps should be educational outreaches informing the women of The Gambia of the dangers involved with FGM and FGC. This way, they may best make decisions to protect their reproductive health while preserving and respecting their cultural identity.

Sources: Dovepress, The UN Refugee Agency, and The World Health Organization

 

Posted by on December 22, 2012 - 10:57am

On November 28, the United Nations’ (U.N.) human rights committee approved a resolution calling for a ban of female genital mutilation (FGM) throughout the world. The human rights committee condemned the practice as “a harmful and serious threat to the psychological, sexual, and reproductive health of women and girls.” This is the first resolution regarding this topic passed in the U.N., and its Secretary-General Ban Ki-moon believes it is a major step forward in protecting millions of women and girls (UN News Centre).

FGM is a procedure in which a girl’s clitoris, and sometimes other genital parts, are removed during early childhood or adolescence. In 2010, the U.N. estimated that about 70 million women and girls had received the procedure and the World Health Organization reported that about 6,000 girls undergo FGM every day. Some who practice FGM believe that it is required by their religion, or that by completing the procedure they can control women’s sexuality, and perhaps increase fertility. However, it has been proven that there are no health benefits to FGM, and that it leads to painful sexual intercourse, childbirth complications, and other health issues. Despite the prevalence of FGM, reconstructive procedures are not widely available. A group of French researchers and doctors have studied the effects of a type of surgery to reconstruct the clitorises of a group of women, and found that in the long term, most of the women reported either an improvement, or no change, in the amount of pain and clitoral pleasure experienced. Beatrice Cuzin, a urologist who participated in this study states that most women who undergo FGM do not have access to reconstructive surgery, and even if they do, cost is often prohibitive (Barclay, NPR).

FGM is prevalent in many African countries, but is also common in some Middle Eastern and South American communities. However, FGM education and reform should not just be limited to these regions because it is often practiced in diaspora communities all over the world, including the United States. For more detailed information on its prevalence and on efforts to prevent it, the United Nations Population Fund offers additional resources.

It is likely that the full U.N. General Assembly, which consists of 193 member states, will take up this issue in the second half of December, and it is nearly certain that it will be passed. While an approval wouldn’t result in any legal ramifications, U.N. resolutions carry significant moral and political weight, and it would send a strong message to the international community. The resolution condemns the practice and calls for states to create and promote educational campaigns for both men and women to teach them about the negative effects of the practice in an effort to eliminate it. It also encourages countries to enact legislation that prohibits FGM and ends leniency for those who practice it (Lederer, The Associated Press).