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Management of Female Genital Mutilation/Cutting-Related Obstetric Complications: A Training Evaluation

Author

Listed:
  • Kim Nordmann

    (Institute of Occupational & Social Medicine, RWTH Aachen University, 52062 Aachen, Germany)

  • Ana Belén Subirón-Valera

    (Department of Physiatrics and Nursing, University of Zaragoza, 50009 Zaragoza, Spain
    Research Group Water and Environmental Health (B43_20R), University Institute of Research in Environmental Science of Aragón, University of Zaragoza, 50009 Zaragoza, Spain
    Research Group Sector III Healthcare (GIIS081), Institute of Research of Aragón, 50009 Zaragoza, Spain)

  • Mandella King

    (Saint Joseph’s Catholic Hospital, Monrovia 1000, Liberia)

  • Thomas Küpper

    (Institute of Occupational & Social Medicine, RWTH Aachen University, 52062 Aachen, Germany)

  • Guillermo Z. Martínez-Pérez

    (African Women’s Research Observatory, 08009 Barcelona, Spain)

Abstract

Although female genital mutilation/cutting (FGM/C) is a prevalent practice in Liberia, healthcare workers lack the capacity to provide adequate care for FGM/C survivors. Therefore, Liberian nurses, physician assistants, midwives and trained traditional midwives were trained in sexual, obstetric and psychosocial care for FGM/C survivors in 2019. Through questionnaires, we assessed knowledge acquisition, trainee attitudes towards FGM/C care and acceptability to implement WHO-endorsed recommendations. The questionnaires were analyzed using descriptive statistics for quantitative data and an inductive approach for qualitative data. A total of 99 female and 34 male trainees participated. Most trainees perceived FGM/C as harmful to women’s health, as a violation of women’s rights and showed a willingness to change their clinical practice. While 82.8% ( n = 74/90) perceived their role in advocating against FGM/C, 10.0% ( n = 9/90) felt that they should train traditional circumcisers to practice FGM/C safely. The pre-training FGM/C knowledge test demonstrated higher scores among physician assistants (13.86 ± 3.02 points) than among nurses (12.11 ± 3.12 points) and midwives (11.75 ± 2.27 points). After the training, the mean test score increased by 1.69 points, from 12.18 (±2.91) points to 13.87 (±2.65) points. The trainings successfully increased theoretical knowledge of FGM/C-caused health effects and healthcare workers’ demonstrated willingness to implement evidence-based guidelines when providing care to FMG/C survivors.

Suggested Citation

  • Kim Nordmann & Ana Belén Subirón-Valera & Mandella King & Thomas Küpper & Guillermo Z. Martínez-Pérez, 2022. "Management of Female Genital Mutilation/Cutting-Related Obstetric Complications: A Training Evaluation," IJERPH, MDPI, vol. 19(15), pages 1-12, July.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:15:p:9209-:d:873746
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    References listed on IDEAS

    as
    1. Jacob Michael Lurie & Alessandra Weidman & Samantha Huynh & Diana Delgado & Imaani Easthausen & Gunisha Kaur, 2020. "Painful gynecologic and obstetric complications of female genital mutilation/cutting: A systematic review and meta-analysis," PLOS Medicine, Public Library of Science, vol. 17(3), pages 1-20, March.
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    Cited by:

    1. Shamsa Al Awar & Kornelia Zareba & Gehan Sayed Sallam & Nawal Osman & Teodora Ucenic & Howaida Khair & Suzan Al Shdefat & Hadya Abdel Fattah & Sara Maki, 2023. "Legal Awareness and Practices of Female Genital Mutilation/Cutting (FGM/C) among United Arab Emirates Medical Practitioners," IJERPH, MDPI, vol. 20(6), pages 1-13, March.
    2. Kim Nordmann & Guillermo Z. Martínez-Pérez & Mandella King & Thomas Küpper & Ana Belén Subirón-Valera, 2022. "Acceptability of a Smartphone Application to Enhance Healthcare to Female Genital Mutilation Survivors in Liberia: A Qualitative Study," IJERPH, MDPI, vol. 19(17), pages 1-13, August.

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