Varol Nesrin, Fraser Ian S, Ng Cecilia H M, Jaldesa Guyo, Hall John
Queen Elizabeth II Research Institute for Mothers and Infants, University of Sydney, Sydney, Australia; Royal Prince Alfred Hospital, Sydney, Australia.
Aust N Z J Obstet Gynaecol. 2014 Oct;54(5):400-5. doi: 10.1111/ajo.12206. Epub 2014 May 6.
Globally, the prevalence of, and support for, female genital mutilation/cutting (FGM/C) is declining. However, the entrenched sense of social obligation that propagates the continuation of this practice and the lack of open communication between men and women on this sensitive issue are two important barriers to abandonment. There is limited evidence on the role of men and their experiences in FGM/C. Marriageability of girls is considered to be one of the main driving forces for the continuation of this practice. In some countries, more men than women are advocating to end FGM/C. Moreover, men, as partners to women with FGM/C, also report physical and psychosexual problems. The abandonment process involves expanding a range of successful programs, addressing the human rights priorities of communities and providing power over their own development processes. Anecdotal evidence exists that FGM/C is practised amongst African migrant populations in Australia. The Australian Government supports a taskforce to improve community awareness and education, workforce training and evidence building. Internationally, an African Coordinating Centre for abandonment of FGM/C has been established in Kenya with a major global support group to share research, promote solidarity, advocacy and implement a coordinated and integrated response to abandon FGM/C.
在全球范围内,女性生殖器切割/环切(FGM/C)的流行程度及其所获支持正在下降。然而,促使这种做法持续存在的根深蒂固的社会义务感,以及男女在这个敏感问题上缺乏公开交流,是放弃这种做法的两个重要障碍。关于男性在女性生殖器切割/环切中的作用及其经历的证据有限。女孩的适婚性被认为是这种做法持续存在的主要驱动力之一。在一些国家,主张结束女性生殖器切割/环切的男性多于女性。此外,作为接受过女性生殖器切割/环切的女性的伴侣,男性也报告了身体和性心理方面的问题。放弃这一做法的过程包括扩大一系列成功的项目,解决社区的人权优先事项,并赋予社区对自身发展进程的掌控权。有传闻证据表明,在澳大利亚的非洲移民群体中存在女性生殖器切割/环切的现象。澳大利亚政府支持一个特别工作组,以提高社区意识和教育水平、开展劳动力培训并积累证据。在国际上,肯尼亚设立了一个废除女性生殖器切割/环切非洲协调中心,并得到一个主要全球支持团体的支持,以分享研究成果、促进团结与宣传,并对废除女性生殖器切割/环切采取协调一致的综合应对措施。