학술논문
Lessons learnt in scaling up evidence-based comprehensive health sector responses addressing female genital mutilation in highly prevalent settings.
Document Type
Academic Journal
Author
Ahmed W; Sexual and Reproductive Health and Research, World Health Organization, Geneva, Switzerland wahmed@who.int.; Gebretsadik E; Maternal and Child Health, World Health Organization, Addis Ababa, Ethiopia.; Gbenou D; Sexual and Reproductive Health, World Health Organization, Ouagadougou, Burkina Faso.; Hien Y; Sexual and Reproductive Health, World Health Organization, Ouagadougou, Burkina Faso.; Dramou B; La Santé de la Reproduction, de la Mère, du Nouveau-Né, de l'Enfant, de l'Adolescent-Jeune, des Personnes Agées et de la Nutrition, World Health Organization, Conakry, Guinea.; Ambelu H; Maternal and Child Health, World Health Organization, Addis Ababa, Ethiopia.; Hussein H; Reproductive Maternal Neonatal Child and Adolescent Health, World Health Organization, Khartoum, Sudan.; Lavussa J; Reproductive Maternal Neonatal Child and Adolescent Health, World Health Organization, Nairobi, Kenya.; Mamo A; Reproductive Maternal Neonatal Child and Adolescent Health, World Health Organization, Nairobi, Kenya.; Cherono M; Reproductive Maternal Neonatal Child and Adolescent Health, World Health Organization, Mogadishu, Somalia.; Kessi M; Violence and Injuries Prevention, World Health Organization, Dar es Salaam, United Republic of Tanzania.; El Hennawy H; Health Promotion, World Health Organization, Cairo, Egypt.; Gholbzouri K; Reproductive Health and Research, World Health Organization Eastern Mediterranean Regional Office, Cairo, Egypt.; Ouedraogo L; Sexual and Reproductive Health, World Health Organization African Regional Office, Brazzaville, Democratic Republic of Congo.; Chilanga A; Reproductive and Maternal Health, World Health Organization Africa Regional Office, Brazzaville, Republic of Congo.; Elamin H; Reproductive and Maternal Health, World Health Organization Africa Regional Office, Brazzaville, Republic of Congo.; Pallitto C; Sexual and Reproductive Health and Research, World Health Organization, Geneva, Switzerland.
Source
Publisher: BMJ Publishing Group Ltd Country of Publication: England NLM ID: 101685275 Publication Model: Print Cited Medium: Print ISSN: 2059-7908 (Print) Linking ISSN: 20597908 NLM ISO Abbreviation: BMJ Glob Health Subsets: MEDLINE
Subject
Language
English
ISSN
2059-7908
Abstract
Female genital mutilation (FGM) affects over 200 million girls and women. Its health complications include acute and potentially lifelong urogenital, reproductive, physical, mental health complications with estimated health treatment costs of US$1.4 billion per year. Moreover, there is a concerning rise in the trend of FGM medicalisation with almost one in five FGM cases being performed by a health worker.The WHO developed several evidence-based resources to apply a comprehensive health approach to strengthen FGM prevention and care services. However, there has been limited uptake of this comprehensive approach in FGM prevalent settings. To address this, a three-step multicountry participatory process was used to engage health sector players from FGM prevalent settings to develop comprehensive action plans, implement foundational activities and harness the learnings to inform subsequent planning and implementation. Support to adapt evidence-based resources and seed funding were also provided to initiate foundational activities that had potential for scale up.A total of 15 countries participated in this three-step this approach between 2018 and 2022. Ten countries developed comprehensive national action plans and eight WHO resources were adapted for foundational activities.This scale up approach can be strengthened by increasing the frequency of multicountry experience sharing meetings, identifying in-country champions to continuously advocate for FGM integration within (public and private) health services and securing stable funding to implement foundational activities. Documentation of each country's experience as case studies including monitoring and evaluation are essential to expand the learning and quality of the health interventions addressing FGM.
Competing Interests: Competing interests: None declared.
(© World Health Organization 2023. Licensee BMJ.)
Competing Interests: Competing interests: None declared.
(© World Health Organization 2023. Licensee BMJ.)