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Female Genital Mutilation practices in Kenya: - Feed the Minds

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executive summary<br />

4.<br />

<strong>the</strong> WHO def<strong>in</strong>es <strong>Female</strong> <strong>Genital</strong><br />

<strong>Mutilation</strong> (FGM) as compris<strong>in</strong>g<br />

‘all procedures <strong>in</strong>volv<strong>in</strong>g partial<br />

or total removal of <strong>the</strong> external<br />

female genitalia or o<strong>the</strong>r <strong>in</strong>jury to<br />

<strong>the</strong> female genital organs for non-medical reasons’.<br />

An estimated 100 –140 million girls and women<br />

currently live with <strong>the</strong> consequences of FGM, most<br />

of whom live <strong>in</strong> 28 African countries.<br />

The ma<strong>in</strong> reasons for <strong>the</strong> cont<strong>in</strong>uation of FGM<br />

are firstly, as a rite of passage from girlhood to<br />

womanhood; a circumcised woman is considered<br />

mature, obedient and aware of her role <strong>in</strong> <strong>the</strong><br />

family and society. Secondly, FGM is perpetuated<br />

as a means of reduc<strong>in</strong>g <strong>the</strong> sexual desire of girls<br />

and women, <strong>the</strong>reby curb<strong>in</strong>g sexual activity before,<br />

and ensur<strong>in</strong>g fidelity with<strong>in</strong>, marriage.<br />

Evidence from <strong>the</strong> <strong>Kenya</strong> Demographic and Health<br />

Surveys (KDHS) shows that <strong>the</strong> overall prevalence<br />

of FGM has been decreas<strong>in</strong>g over <strong>the</strong> last decade.<br />

In 2008/9, 27% of women had undergone FGM,<br />

a decl<strong>in</strong>e from 32% <strong>in</strong> 2003 and 38% <strong>in</strong> 1998.<br />

Older women are more likely to have undergone<br />

FGM than younger women, fur<strong>the</strong>r <strong>in</strong>dicat<strong>in</strong>g <strong>the</strong><br />

prevalence is decreas<strong>in</strong>g. However, <strong>the</strong> prevalence<br />

has rema<strong>in</strong>ed highest among <strong>the</strong> Somali (97%),<br />

Kisii (96%), Kuria (96%) and <strong>the</strong> Maasai (93%),<br />

relatively low among <strong>the</strong> Kikuyu, Kamba and<br />

Turkana, and rarely practiced among <strong>the</strong> Luo and<br />

Luhya (less than 1%).<br />

In <strong>Kenya</strong>, approaches used, with vary<strong>in</strong>g degree<br />

of success, to encourage communities to abandon<br />

FGM <strong>in</strong>clude: health risk/harmful practice<br />

approaches; educat<strong>in</strong>g and provid<strong>in</strong>g alternative<br />

sources of <strong>in</strong>come to circumcisers; alternative rites<br />

of passage; address<strong>in</strong>g FGM through religion;<br />

legal and human rights; and <strong>the</strong> promotion of girls’<br />

education and empowerment programmes.<br />

This research was undertaken to better understand<br />

FGM as currently practised by <strong>the</strong> Kuria and<br />

Kisii communities. The study used a qualitative<br />

approach, <strong>in</strong>volv<strong>in</strong>g focus group discussions and<br />

<strong>in</strong>dividual <strong>in</strong>terviews to <strong>in</strong>vestigate:<br />

•• current attitudes and <strong>practices</strong> <strong>in</strong> relation<br />

to FGM among men and women;<br />

•• awareness and attitudes towards <strong>the</strong><br />

Alternative Rite of Passage (ARP);<br />

•• factors which encourage <strong>in</strong>dividuals to<br />

take decisions to abandon FGM.<br />

The research used qualitative methods, collect<strong>in</strong>g<br />

data through focus group discussions and key<br />

<strong>in</strong>formant <strong>in</strong>terviews.<br />

The f<strong>in</strong>d<strong>in</strong>gs show that FGM is still a celebrated<br />

public event among <strong>the</strong> Kuria, dictated by <strong>the</strong><br />

decrees from <strong>the</strong> Council of Elders, which decides<br />

when circumcision should take place. In Kisii, FGM<br />

is a private family affair, usually without public<br />

celebration, often <strong>in</strong> secret. In both communities,<br />

girls undergo<strong>in</strong>g FGM are given gifts and are<br />

generally considered more suitable for marriage<br />

and more socially acceptable. Uncircumcised girls<br />

and women frequently experience stigmatism,<br />

isolation and ridicule. However, <strong>the</strong>re is evidence<br />

<strong>in</strong> both Kuria and Kisii that <strong>the</strong> isolation and stigma<br />

directed towards uncircumcised girls and women<br />

is far greater for uneducated girls than for those<br />

who are educated.<br />

As reported <strong>in</strong> o<strong>the</strong>r research, <strong>the</strong>re has been a<br />

marked trend towards girls undergo<strong>in</strong>g FGM much<br />

younger, with many girls under 10 years of age.<br />

This appears to be <strong>in</strong> order to circumcise <strong>the</strong>m<br />

before <strong>the</strong>y might refuse and also <strong>in</strong> response<br />

to <strong>the</strong> illegality of FGM under The Children Act,<br />

s<strong>in</strong>ce 2001. The change to us<strong>in</strong>g medical staff to<br />

carry out <strong>the</strong> procedure is particularly evident <strong>in</strong><br />

Kisii, although parents <strong>in</strong> Kuria also expressed a<br />

preference <strong>in</strong> this direction.

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