与肯尼亚曼德拉县阿隆古村女性实施女性生殖器切割习俗相关的因素

Factors Linked to Female Genital Mutilation Practice Among Women Living In Alungu Village of Mandera County, Kenya.

作者信息

Sheikh Mohammed Mohammud, Cheptum Joyce Jebet, Mageto Irene Gacheri

机构信息

Mandera County Hospital, Mandera, Kenya.

National Defence University - Kenya, Nairobi, Kenya.

出版信息

East Afr Health Res J. 2023;7(1):109-115. doi: 10.24248/eahrj.v7i1.716. Epub 2023 Jul 12.

DOI:10.24248/eahrj.v7i1.716

PMID:37529498

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10388673/

Abstract

BACKGROUND

Female Genital Mutilation/Cutting (FGM/C) is a harmful traditional practice with severe health complications, deeply rooted in many sub-Saharan African countries. In Kenya, the prevalence of FGM/C is 15% in women aged between 15 and 49 years. The Kenyan Somalis practice FGM/C with a prevalence above 90%. FGM/C practice continues to persist in Alungu village, Mandera County in the North Eastern of Kenya despite efforts by anti-FGM programs. However, the underlying factors behind FGM practice in the area have not been explored. Objective: To assess factors contributing to female genital mutilation practice among women living in Alungu village of Mandera County, Kenya.

METHODS AND MATERIALS

This study utilised a descriptive cross sectional design. The study population was women of reproductive age (from 18 to 49 years) who resided in Alungu village in Mandera County, Kenya. A study sample of 98 women was selected using simple random sampling technique. Data was collected using a researcher-administered questionnaire and analysed using the Statistical Package for Social Science (SPSS).

RESULTS

Most of the respondents were aged 35 - 44 (45.8%), married (100%), had no formal education (74.7%) and had no formal employment (89.2%). All participants agreed that traditional beliefs, customs and rite of passage to womanhood contributed to FGM, 90.4% of the participants acknowledged that FGM is a symbol of ethnic identity and inclusivity. Factors affecting prevention of and response to FGM were low involvement of women in anti-FGM programs (91.6%); support for FGM by local leaders and elders (100%); failure by authorities to take action against those perpetuating FGM (100%); indifference to FGM practice continuation among local religious and political leaders (96.4%) and poor enforcement of existing laws against FGM (100%).

CONCLUSION

A wide range of socio-cultural factors did contribute to FGM practice among women living in Alungu village, Mandera County.

摘要

背景

女性生殖器切割是一种有害的传统习俗，会引发严重的健康并发症，在撒哈拉以南非洲的许多国家根深蒂固。在肯尼亚，15至49岁女性中的女性生殖器切割流行率为15%。肯尼亚的索马里人实行女性生殖器切割，流行率超过90%。尽管有反女性生殖器切割项目的努力，但在肯尼亚东北部曼德拉县的阿隆古村，女性生殖器切割习俗仍持续存在。然而，该地区女性生殖器切割习俗背后的潜在因素尚未得到探究。目的：评估肯尼亚曼德拉县阿隆古村女性中导致女性生殖器切割习俗的因素。

方法与材料

本研究采用描述性横断面设计。研究人群为居住在肯尼亚曼德拉县阿隆古村的育龄妇女（18至49岁）。使用简单随机抽样技术选取了98名女性作为研究样本。通过研究人员发放的问卷收集数据，并使用社会科学统计软件包（SPSS）进行分析。

结果

大多数受访者年龄在35 - 44岁（45.8%），已婚（100%），未接受过正规教育（74.7%），且没有正式工作（89.2%）。所有参与者都认为传统信仰、习俗和成年仪式促成了女性生殖器切割，90.4%的参与者承认女性生殖器切割是族群身份和包容性的象征。影响女性生殖器切割预防和应对的因素包括：女性参与反女性生殖器切割项目的程度低（91.6%）；当地领导人和长辈对女性生殖器切割的支持（100%）；当局未对实施女性生殖器切割者采取行动（100%）；当地宗教和政治领导人对女性生殖器切割习俗持续存在漠不关心（96.4%）；以及现行反女性生殖器切割法律执行不力（100%）。