Prevalence and Associated Factors of Female Genital Mutilation among Antenatal Clinic Attendees at Alex Ekwueme Federal University Teaching Hospital, Abakaliki

Onuchukwu Victor Jude Uchenna¹, Obi Vitus Okwuchukwu¹, Nwafor Johnbosco Ifunanya^1, , Agu Chidinma Joy², Ibo Chukwunenye Chukwu¹, Onwe Blessing¹, Obi Chuka Nobert¹ and Ugoji Darlington-Peter Chibuzor¹

¹Department of Obstetrics and Gynaecology, Alex Ekwueme Federal University Teaching Hospital, Abakaliki, Nigeria

²Department of Public Health, University of Calabar, Calabar, Nigeria

Cite this paper:
Onuchukwu Victor Jude Uchenna, Obi Vitus Okwuchukwu, Nwafor Johnbosco Ifunanya, Agu Chidinma Joy, Ibo Chukwunenye Chukwu, Onwe Blessing, Obi Chuka Nobert and Ugoji Darlington-Peter Chibuzor. Prevalence and Associated Factors of Female Genital Mutilation among Antenatal Clinic Attendees at Alex Ekwueme Federal University Teaching Hospital, Abakaliki. American Journal of Medical Sciences and Medicine. 2019; 7(2):39-43. doi: 10.12691/ajmsm-7-2-4

Abstract

Background: Female Genital Mutilation is a harmful traditional practice with severe health complications, deeply rooted in many sub-Saharan African countries. Despite its high prevalence, it has remained largely uninvestigated in Abakaliki. Aim: To determine the point prevalence of female genital mutilation and to assess the influence of socio-economic factors on its practice among antenatal clinic attendees at Alex Ekwueme Federal University Teaching Hospital, Abakaliki. Materials and Methods: This was a cross-sectional descriptive study on 408 pregnant women attending the antenatal clinics of Alex Ekwueme Federal University Teaching Hospital, Abakaliki, Southeast, Nigeria. WHO classification was used to confirm the presence, type or absence of female genital mutilation after vulval examination has been carried out. Analysis was done with Epi Info 7.2.5 (Atlanta Georgia). Result: The prevalence of female genital mutilation was 39.0%. Out of this, 29(18.4%) had type I mutilation, 128(80.6%) had type II mutilation, and 2(0.3%) had type II mutilation. There was no type IV mutilation. The lowest trend in female genital mutilation was found in the age of 40-49 years. The sociodemographic characteristics of circumcised women that were of statistical significance were age and educational status with p-value of <0.05. Female genital mutilation decrease could be on account of increased awareness of the impact of the procedure, though cultural beliefs accounted for most of the cases in the study. 67 (42.1%) of women who were circumcised were satisfied with the practice. Culture/tradition was the strongest reason for supporting the practice. Conclusion: The prevalence of female genital mutilation is still high in Abakaliki and most common being WHO type II. The strongest reason for the persistent practice of FGM the study was Culture/tradition. Female genital mutilation is a discriminatory act that must be eradicated through the help of communities, religious leaders and health workers; health education and legislation will go a long way to its eradication.

Keywords:
prevalence female genital mutilation antenatal care Abakaliki

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References:

[1]	Jeremiah I, Kalio DGB, Akani C. The pattern of female genital mutilation in Port Harcourt, Southern Nigeria. Int J of Trop Disease Health 2014; 4(4):461-476.
[2]	Kaplan A, Hechavaria S, Martin M, Bonhouree I. Health Consequences of female genital multilation/cutting in the Gambia, evidence in action. Reprod Health 2011; 8:26.
[3]	UNFPA, UNHCR, UNICEF, UNIFEM, WHO, FIGO, ICN, MWIA, WCPA, WMA. Global strategy to stop health-care providers from performing female genital mutilation. Geneva: World Health Organisation, 2010.
[4]	Ashimi A, Amole TG, IIiyasu Z. Prevalence and predictors of female genital mutilation among infants in a semi urban community in northern Nigeria. Sexual & Reprod Healthcare 2015; 6(4): 243-248.
[5]	Bewley S, Creighton S, Momoh C. Female Genital Mutilation. BMJ 2010; 340: c2728.
[6]	Momoh C. Female Genital Multilation. Trends Urology Men’s Health 2010; 15(3): 11-14.
[7]	Bishai D, Bonnenfant Y-T, Darwish M, Adam T, Bathija H, Johansen E, et al. Estimating the obstetric costs of female genital mutilation in six African countries. Bulletin of the World Health Organization. World Health Organization; 2010; 88(4): 281-288.
[8]	Inungu J, Tou Y. Factors associated with female genital mutilation in Burkina Faso. JPHE 2013; 5(1): 20-28.
[9]	Okonofu FE, Larsen U, Oronsaye F, et al. The association between female genital cutting and correlates of sexual and gynaecological morbidity in Edo State, Nigeria. BJOG 2002; 109: 1089.
[10]	Mitike G, Deressa W. Prevalence and associated factors of female genital mutilation among Somali refugees in eastern Ethiopia: a cross-sectional study. BMC Public Health. BioMed Central; 2009; 9(264): 264.
[11]	Mswela M. Female genital mutilation: medico-legal issues. Med. law. 2010; 29(4): 523-536.
[12]	Babalola S, Brasington A, Agbasimalo A, Helland A, Nwanguma E, Onah N. Impact of a communication programme on female genital cutting in eastern Nigeria. Trop med int health 2006; 11(10): 1594-1603.
[13]	Fahmy A, El-Mouelhy MT, Ragab AR. Female genital mutilation/cutting. Reprod Health Matters. 2010; 18: 181-190.
[14]	Mandara MU. Female genital mutilation in Nigeria. Int j of gynaecol obstet. 2004; 84(3): 291-298.
[15]	Kandala N-B, Nwakeze N, Kandala SNII. Spatial distribution of female genital mutilation in Nigeria. Am J Trop Med Hygiene. 2009; 81(5): 784-792.
[16]	Orji EO, Adetutu B. Correlates of female genital mutilation and its impact on safe motherhood. J Turkish German Gynecol Assoc. 2006; 7(4): 319-324.
[17]	Dattijo LM, Nyango DD, Osagie OE. Awareness, perception and practice of female genital mutilation among expectant mothers in Jos University Teaching Hospital Jos, north-central Nigeria. Niger j med. 2010; 19(3): 311-315.
[18]	Adinma JI, Agbai AO. Practice and perceptions of female genital mutilation among Nigerian Igbo women. J obstet gynaecol. 1999; 19(1): 44-48.
[19]	Ekwueme OC, Ezegwui HU, Ezeoke U. Dispelling the myths and beliefs toward female genital cutting of woman: assessing general outpatient services at a tertiary health institution in Enugu state, Nigeria. East Afr j pub health 2010; 7(1): 64-67.
[20]	WHO. Eliminating Female Genital Mutilation: An interagency statement OHCHR, UNAIDS, UNDP, UNECA, UNESCO, UNFPA, UNHCR, UNICEF, UNIFEM, WHO. Geneva: The World Health Organisation, 2008.
[21]	Igwegbe AO, Egbuonu I. The prevalence and practice of female genital mutilation in Nnewi, Nigeria: the impact of female education. J obstet and gynaecol. 2000; 20(5):520-522.
[22]	Raouf SA, Ball T, Hughes A, Holder R, Papaioannou S. Obstetric and neonatal outcomes for women with reversed and non-reversed type III female genital mutilation. Int J Gynaecol Obstet 2011; 113(2): 141-143.
[23]	Kaplan-Marcusán A, Del Rio NF, Moreno-Navarro J, Castany-Fàbregas MJ, Nogueras MR, Muñoz-Ortiz L, et al. Female Genital Mutilation: perceptions of healthcare professionals and the perspective of the migrant families. BMC Public Health. BioMed Central; 2010; 10: 193.
[24]	Ibekwe PC, Onoh PC, Onyebuchi AK, Ezeonu PO, Ibekwe RO. Female genital mutilation in Southeast Nigeria: A survey on the current knowledge and practice. JPHE 2012; 4(5): 117-122.
[25]	Iliyasu Z, Abubakar IS, Galadanci HS, Haruna F, Aliyu MA. Predictors of female genital cutting among university students in northern Nigeria. J Obstet Gynaecol 2012; 32(4): 387-392.
[26]	Karmaker B, Kandala N-B, Chung D, Clarke A. Factors associated with female genital mutilation in Burkina Faso and its policy implications. Int J Equity Health. BioMed Central; 2011; 10:20.
[27]	Jaeger F, Caflisch M, Hohlfeld P. Female genital mutilation and its prevention: a challenge for paediatricians. Eur J Pediatrics. 2009; 168(1): 27-33.
[28]	Molleman G, Franse L. The struggle for abandonment of Female Genital Mutilation/Cutting (FGM/C) in Egypt. Global health promotion. 2009; 16(1): 57-60.
[29]	Krause E, Brandner S, Mueller MD, Kuhn A. Out of Eastern Africa: defibulation and sexual function in woman with female genital mutilation. J Sexual Medicine. 2011: 1420-1425.
[30]	Oyejide CO. Health Research Methods for Developing country scientists. Codat Publications, Ibadan, Nigeria. 1992: 59-63.