Centre for Human Rights, Faculty of law, University of Pretoria, Pretoria, South Africa.
Africa Center of Excellence in Public Health and Herbal Medicine (ACEPHEM), Department of Public Health, College of Medicine, University of Malawi, Blantyre, Malawi.
Int J Gynaecol Obstet. 2019 May;145(2):253-257. doi: 10.1002/ijgo.12792. Epub 2019 Mar 13.
While international and regional human rights instruments have recognized female genital mutilation/cutting (FGM/C) as one of the most prevalent forms of violence against women and girls, in many African states FGM/C is a deeply entrenched cultural practice. There is a consensus against FGM, as evidenced by its criminalization in several African countries. The mere fact that the practice continues despite legislative measures to protect women and girls against FGM raises the question of whether change can be legislated. The present article summarizes the trends and effectiveness of FGM criminalization in Africa, including prohibition of medicalization of FGM. Against the backdrop of emerging debate on medicalization of FGM as a harm reduction strategy, we also examine its complex legal and ethical implications. The article argues that while criminalization may not be the best means of stopping FGM, it creates an enabling environment to facilitate the overall strategy of African governments in eradication of the practice.
尽管国际和地区人权文书已经将女性外阴残割/切割(FGM/C)确认为对妇女和女童最普遍的暴力形式之一,但在许多非洲国家,FGM/C 是一种根深蒂固的文化习俗。国际社会普遍反对 FGM/C,这一点从一些非洲国家将其定为犯罪行为就可以得到证明。尽管有立法措施保护妇女和女童免受 FGM/C 侵害,但该习俗仍在继续,这就提出了一个问题,即是否可以通过立法加以改变。本文总结了非洲 FGM/C 定罪的趋势和效果,包括禁止将 FGM/C 医学化。在新兴的关于将 FGM/C 医学化作为减少伤害策略的辩论背景下,我们还审查了其复杂的法律和伦理含义。本文认为,虽然定罪可能不是阻止 FGM/C 的最佳手段,但它为非洲政府根除该习俗的总体战略创造了有利环境。