International: Global Consultation Report on FGM/cutting
To achieve goals 4 and 5, aimed at decreasing child mortality and improving maternal health, FGM/C must be addressed and abandoned.
Increasingly, trained health providers—doctors, midwives, nurses and allied health personnel—are carrying out FGM/C. Hospital cleaners and veterinary doctors have also been reported to perform the practice in some communities. With the increasing awareness of negative health consequences of FGM/C, more families—especially the educated and urbanized—are taking their daughters to health facilities and/or to professionals to reduce immediate complications. Health providers often use hospital equipment and drugs (local anaesthesia, antibiotics, antitetanus and vitamin K) to reduce the immediate complications of the practice, including bleeding and pain. High prevalence is therefore maintained as mothers continue to deem the practice “safe” for their daughters. However, the medicalization of FGM/C does not make it right. Therefore, fighting this practice requires that UNFPA, UNICEF, WHO and their partners take a leading role in advocating for the prohibition of medicalization of this practice.
The argument in the last few years has been that so much money has been expended towards the abandonment of FGM/C, yet nothing much has changed over the decades. It is critical to remember that the practice has many tenacious dimensions. It is associated with tradition, spirituality, gender, myths and misconceptions. The money spent towards the abandonment of this practice has not been wasted. Indeed, changes are taking place globally in abandonment and in commitment for greater support.
In several countries, including Eritrea, Ethiopia and Kenya, where FGM/C abandonment programmes were sustained over many years, the trend in prevalence is downward. In Africa, 17 countries promulgated laws against FGM/C—Benin, Burkina Faso, Central African Republic, Chad, Cote d’Ivoire, Djibouti, Eritrea, Egypt (in 2008), Ethiopia, Ghana, Guinea, Kenya, Mauritania, Niger, Senegal, Togo and the United Republic of Tanzania. In Nigeria, 12 states enacted laws against the practice. In Uganda, community bylaws against the practice are in place. Developed countries where FGM/C is being practised also enacted laws. In the United States, for example, the law requires that communities and medical professionals be educated about FGM/C.
To read the full report: http://www.unfpa.org/webdav/site/global/shared/documents/publications/2008/fgm_2008.pdf