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2016 ; 8
(ä): 103-17
Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
Female genital mutilation/cutting: changes and trends in knowledge, attitudes,
and practices among health care professionals in The Gambia
#MMPMID27110140
Kaplan Marcusán A
; Riba Singla L
; Laye M
; Secka DM
; Utzet M
; Le Charles MA
Int J Womens Health
2016[]; 8
(ä): 103-17
PMID27110140
show ga
BACKGROUND: Female genital mutilation/cutting (FGM/C) is a harmful traditional
practice that affects two out of three girls in The Gambia, seriously threatening
their life and well-being with severe health consequences. By tracking the
reference values established in former research conducted between 2009 and 2011,
the objectives of this study are to explore trends and to measure and assess
changes in knowledge, attitudes, and practices regarding FGM/C among health care
professionals (HCPs) in The Gambia. METHODS: A cross-sectional descriptive study
was designed to collect and analyze data from an overall stratified sample
consisting of 1,288 HCPs including health professionals and students throughout
the six regions of The Gambia. Data were collected by the implementation of a
self-administered written knowledge, attitudes, and practices questionnaire
between 2012 and 2014. RESULTS: The results of this study showed that 76.4% of
HCPs are eager to abandon FGM/C, and 71.6% of them regard it as a harmful
practice with negative consequences on life and health. HCPs reported more
knowledge and favorable attitudes towards FGM/C abandonment, being better able to
identify the practice, more aware of its health complications, and more concerned
in their essential role as social agents of change. However, 25.4% of HCPs still
embraced the continuation of the practice, 24.4% expressed intention of
subjecting their own daughters to it, and 10.5% declared to have performed it
within their professional praxis. CONCLUSION: Findings confirm progress in
knowledge and attitudes regarding FGM/C among HCPs, who are better skilled to
understand and manage the consequences. Nevertheless, discrepancies between
information, intention, and behavior unveil resistance in practice and proves
that FGM/C medicalization is increasing. Thus, there is an urgent need to support
HCPs in the integration of FGM/C preventive interventions within the public
health system, to address arguments favoring medicalization, and to use data to
design appropriate strategies.