Factors that Influence the Persistent Practice of Female Genital Mutilation. A Case of Tigania People, Meru County
DOI:
https://doi.org/10.53819/81018102t6036Abstract
Female Genital Mutilation refers to the procedures alter or cause injury to the female genital organs in the form of circumcision or clitoridectomy for no known medical reasons. This study aimed to determine the factors that influence the persistent practice of Female Genital Mutilation in Kenya, a case study of Tigania East Sub-county, Meru County. This was done by determining the contribution of the cultural practices to the persistent practice of FGM, determining the influence of environmental factors to the practice of FGM, assessing the contribution of agencies towards the persistent practice of FGM, and determining the influence of awareness on the practice of FGM in the study area. The study employed the cross-sectional research design and used a sample size of 384 study participants. This study used both stratified random and purposive sampling to identify the participants. Both qualitative and quantitative methods of data collection were used in the study, with the use of questionnaires and focused group discussions. Quantitative data was analyzed using the SPSS version 22.0 where the data was subjected to scientific methods of calculations such as means, frequencies, standard deviations, and percentages, and then presented using frequency tables and pie charts in form of descriptive and inferential statistics using the Pearson’s correlation. Qualitative data was analyzed and presented using the relevant themes. The study revealed that all the female respondents involved in the data collection process through the survey had undergone FGM. In the sample of women, 74.2% had circumcised their daughters whereas 25.8% had not. The persistence of FGM was attributed to cultural beliefs. The study found that 76.2% of girls and women interviewed had undergone FGM willingly compared to 23.8% who were forced. This was enhanced through socialization within the community that reinforces the stereotypes against uncircumcised girls or women. In regard to the effect of FGM the study found that of all the women and girls who had undergone FGM, 51.3% indicated excessive bleeding, 12.2% were obstructed labor, and 34.9% were sexual complications. The study draws the following recommendations: the girls should be empowered to refuse the practice of FGM and the community at large should join the efforts to fight the practice of FGM by abolishing harmful cultural beliefs and myths. In addition, the government should develop and enforce policies and frameworks to create awareness against FGM, the NGOs should empower the community through creating awareness against FGM and the health workers should educate the community on the harmful effects of FGM so as to promote the eradication of the practice.
Keywords: Female Genital Mutilation, Cultural practices, Agencies, Awareness
References
African Union (2003). The Maputo Protocol of the African Union: An instrument for the rights of women in Africa.
Aziz, F. A. (1980). Gynecological and Obstetric Complications of Female Circumcision. International Journal of Gynecology and Obstetrics 17. https://doi.org/10.1002/j.1879-3479.1980.tb00207.x
Banda, F. (2003). National legislation against female genital mutilation. Eshborn, Germany, GTZ.
Chege, J., I. Askew and J. Liku. (2001). An assessment of the alternative rites approach for encouraging abandonment of female genital mutilation in Kenya, FRONTIERS Final Report. https://doi.org/10.31899/rh1.1009
CREAW (2008). Status of Women & Girls in Kenya: Urgent need to uphold human rights. Ministry of Health. Government Printers.
Crane, B. and Mohamud, A. (2001). Communication for Change. A Curriculum for Health Workers and Program Planner Program for Appropriate Technology in Health (PATH). Washington DC.
Creswell, J. W. (2003). Research Design: Qualitative, Quantitative and Mixed Methods Approaches. (2nd Ed.). London, Sage Publications.
FIDA Kenya (2009). Protection Against Female Genital Mutilation: A Review of the Implementation of the Children’s Act. Lessons from Samburu and Garissa Districts. Federation of Women Lawyers Kenya (FIDA Kenya). Nairobi
Government of Kenya (1999). National plan of action for the elimination of female genital mutilation in Kenya 1999 - 2019. Ministry of Health. Government Printer.
Government of Kenya (2007). Contributing towards efforts to abandon Female Genital Mutilation/Cutting in Kenya: A situation analysis. Ministry of Gender, Sports, Culture and Social Services. UNFPA. Population Council. Nairobi.
GTZ. (2001). Addressing Female Genital Mutilation: Challenges and Perspectives for Health Programmes. Part 1: Select approaches. Eschborn:
GTZ. (2007). Female Genital Mutilation in Kenya. www.gtz.de/en/dokumente/en-fgm- countries-ke nya.pdf. Retrieved 16.3.2012 2:31 P.M
Kenyatta, Jomo. (1938). Facing Mt. Kenya. London: Secker and Warburg.
Kenya National Bureau of Statistics (2010). Kenya Health and Demographic Survey 2008-2009. Nairobi.
Kenya National Commission on Human Rights (2012). Realizing Sexual and Reproductive Health Rights in Kenya: A Myth or a Reality? A Report of the Public Inquiry into Violations of Sexual and Reproductive Health Rights in Kenya.
Kiarie, M. and Wahlberg, J. (2007) Female genital mutilation. Bachelor Thesis. Jyvaaskyla University of Applied Sciences.
Jaldesa, G. W., I. Askew, C. Njue, and M. Wanjiru. (2005). Female genital cutting among the Somali of Kenya and management of its complications, FRONTIERS Final Report. Population Council. Nairobi. https://doi.org/10.31899/rh3.1003
Lightfoot-Klein, H. (1989). Prisoners of Ritual: An Odyssey into Female Genital Circumcision in Africa. New York: Harrington.
Mackie, G. (2003). Female Genital Cutting: A Harmless Practice? Medical Anthropology Quarterly 17(2):135–158 https://doi.org/10.1525/maq.2003.17.2.135
Ministry of Health (2007). National Reproductive Health Policy: Enhancing reproductive health status for all Kenyans. Government Printer.
Namulondo, J. (2009). Female genital mutilation: A Case of the Sabiny in Kapchowra District, Uganda. Master in Human Rights Practice. Roehampton University.
Njue, C. and Askew, I. (2004). Medicalization of Female Genital Cutting Among the Abagusii in Nyanza Province, Kenya. Nairobi, Population Council/Frontiers in Reproductive Health Program, 2004. https://doi.org/10.31899/rh2.1003
Neuman, W. L. (2003). Social Research Methods. London: Pearson
Oloo, H, Wanjiru, M. and NeWell-jones (2011). Female Genital Mutilation Practices in Kenya: The Role of Alternative Rites of Passage: A case study of Kisii and Kuria Districts. Nairobi. https://doi.org/10.31899/rh2.1075
PATH/MYWO. (2000). Final evaluation report on eliminating the practice of FGM: Awareness raising and community change in four districts of Kenya. Nairobi: PATH/Kenya.
Rahman, A. and Toubia, N. (2000). Female Genital Mutilation: A Guide to Laws and Policies Worldwide. New York: Zed Books; 2000.
Shell-Duncan, B. and Hernlund, Y. (2000). Female Circumcision in Africa: Culture, Controversy, and Change. Boulder, CO: Lynne Rienner Publishers, Inc. https://doi.org/10.1515/9781685850036
Thomas L. N. (2000). (I will circumcise myself): Lessons from colonial campaigns to ban excision in Meru Kenya. In: Shell-Duncan B, Hernlund Y, eds. Female Circumcision in Africa. Colorado: Lynne Rienner Publishers; 2000. https://doi.org/10.1515/9781685850036-008
UNICEF-Somalia/SACB-Health Sector/UNIFEM (2001). Symposium on the total eradication of Female Genital Mutilation. Nairobi.
UNICEF (2005). Female Genital Mutilation/Cutting: A Statistical Exploration 2005. New York. https://doi.org/10.12968/indn.2005.1.8.73966
UNICEF (2007). Changing a harmful social convention. Female genital mutilation/Cutting. Innocenti Digest. Florence
UNICEF (2010). The dynamics of social change. Towards the abandonment of female genital mutilation/cutting in five African countries. Innocenti Digest. Florence
WHO (1997). Female Genital Mutilation: A Joint WHO/UNICEF/UNFPA statement WHO (2001). Management of Pregnancy, Childbirth, and the Postpartum Period in the
WHO (2008). Eliminating female genital mutilation: an interagency. UNAIDS, UNDP, UNECA, UNESCO, UNFPA, UNHCHR, UNHCR, UNICEF, UNIFEM, WHO. Geneva.
WHO (2010). Global strategy to stop health-care providers from performing female genital mutilation. Geneva.
WHO (2011). An update on WHO’s work on female genital mutilation (FGM) Progress report. Geneva.