The Determinants of Female Genital Mutilation in Sierra Leone: A Recommendation for Local Non Governmental Organizations

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1. Introduction⁠

Female genital mutilation (FGM), female cutting and circumcision are all synonyms for procedures involving partial or total removal of the external genitalia and other injury to the genital organs for non-medical reasons.(WHO 2008)⁠ It is widely practiced in 29 countries. Worldwide more than 125 million girls and women deal with the consequences and every year 3 million girls are circumcised.(UNICEF 2013)⁠

Sierra Leone, located in West-Africa, is one of the countries where FGM is practiced (textbox 1). Here, prevalence of FGM is about 90%. Types I and II (table 1) are most prevalent, accounting together for about 75%.(DHS 2013)⁠ FGM occurs in all 16 ethnic groups in Sierra Leone, in highest amount in the Temne and lowest amount in the minority group of Christian Krio.(MICS 2011)⁠⁠

The procedure often occurs without local anesthesia and under non-sterile conditions. A wide range of complications can occur, reported in 84.5% of cases, including excessive pain, bleeding, shock, urine retention, septicaemia, infertility, obstructed labor, HIV and hepatitis B infection and even death. Also psycho-sexual problems are reported.( Bjälkander, Bangura, et al. 2012; MICS 2011)

Because of the negative health effects, FGM was recognized as a violation of human rights and came under attention in the international human rights law in 1993, at the Vienna World Conference on Human Rights.(WHO 2008)⁠

Several countries in Africa and Europe enacted laws against the practice. Sierra Leone signed conventions on the subject, including the Convention for the Elimination of Discrimination against Women (CEDAW) and the UN Convention on the Rights of the Child (CRC). However, no national law prohibiting FGM has been implemented...

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...ra Leone Multiple Indicator Cluster Survey, 2010, Final Report, Freetown, Sierra Leone.

Sagna, M.L., 2014. Gender differences in support for the discontinuation of female genital cutting in Sierra Leone. Culture, health & sexuality, (April), pp.1–17.

Sipsma, H.L. et al., 2012. Female genital cutting: current practices and beliefs in western Africa. Bulletin of the World Health Organization, 90(2), pp.120–127F.

UNHCR, 2007. Sierra Leone : The Influence of the Secret Societies, with special reference to female genital mutilation, United Kingdom.

UNICEF, 2013. Female genital mutilation/cutting. A statistical overview and exploration of the dynamics of change, New York.

WHO, 2008. Eliminating Female genital mutilation: An interagency statement, Geneva.

WHO, 2010. Global strategy to stop health-care providers from performing female genital mutilation, Geneva.

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