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探讨肯尼亚卫生保健专业人员对女性生殖器切割/遗弃(FGM/C)的看法。

Exploring Perceptions of Female Genital Mutilation/Cutting Abandonment (FGM/C) in Kenyan Health Care Professionals.

机构信息

University of Birmingham, Birmingham, United Kingdom.

University of Nairobi, Nairobi, Kenya.

出版信息

Qual Health Res. 2021 Sep;31(11):1976-1989. doi: 10.1177/10497323211015967. Epub 2021 Jun 4.

Abstract

Female genital mutilation/cutting (FGM/C) remains a global problem. We aimed to explore Kenyan health care professionals' (HCPs) perceptions of FGM/C abandonment and, in particular, those focused on those serving Maasai communities who continue to practice FGM/C. Using a grounded theory Straussian approach, 18 interviews were conducted with HCPs in Kajiado County, Kenya, to understand perceptions of FGM/C as a cultural practice, identify barriers and facilitators to abandonment, and explore attitudes to medicalization (FGM/C conducted by HCPs) and alternatives of FGM/C. Within a substantive theory, one core category ("FGM/C persists but can be abandoned") comprised two subcategories: "exploring the influencers of persistence" and the "roadmap to abandonment." HCPs believed collaborative multilateral efforts were necessary to support successful abandonment and that "enlightening" the community needed to focus on changing the perception of FGM/C as a social norm alongside a health risk educational approach. Future effective intervention is needed to support the abandonment of FGM/C in Kenya.

摘要

女性生殖器切割仍然是一个全球性问题。我们旨在探讨肯尼亚卫生保健专业人员(HCPs)对放弃女性生殖器切割的看法,特别是那些服务于继续施行女性生殖器切割的马赛社区的 HCPs。本研究采用扎根理论的施特劳斯方法,在肯尼亚卡贾多县对 HCPs 进行了 18 次访谈,以了解他们对女性生殖器切割作为一种文化实践的看法,确定放弃女性生殖器切割的障碍和促进因素,并探讨医学化(HCPs 实施的女性生殖器切割)和替代方案的态度。在一个实质性理论中,一个核心类别(“女性生殖器切割仍然存在,但可以被放弃”)包含两个子类别:“探索持续存在的影响因素”和“放弃的路线图”。HCPs 认为,需要协作的多边努力来支持成功的放弃,而“启发”社区需要将重点放在改变对女性生殖器切割作为社会规范的看法上,同时还要采取健康风险教育方法。未来需要采取有效的干预措施,以支持肯尼亚放弃女性生殖器切割。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/624e/8552390/78d0031514ad/10.1177_10497323211015967-fig1.jpg

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