6. Integration of FGM/C abandonment in adolescent reproductive health modules in Sudan: How can a FGM/C survivor deal with a new reality of FGM/C?

Abstract

FGM prevalence in Sudan is high (87%); 64% of cutting mostly between ages 5-9 years while 92% of 10-19 years report having undergone any form of FGM. Main drivers for FGM are social factors such as marriageability and belief as a religious rite. In 2017, a reproductive health module with FGM content was introduced in School Health Teachers' Manual targeting school children 10 - 17 years. The FGM content aims to delink FGM from religion and highlight short and long-term health complications protecting the girl child health and rights. In this paper, we explored the social and ethical implications such as the change of reality that may conflict with surroundings, FGM survivors' anticipation of health complication and linkage to health care. In-depth interviews were carried out with eight girls and three stakeholders involved in school health program. Two focus group discussions with teachers and parents were conducted. Thematic data analysis was used. Educational intervention to learn about FGM, its myths and its complications is not sufficient. Concerns on social conflicts within community and linkage to health care were mostly reported. Limited services of psychosocial support and health care were raised as concerns. Children/Adolescent FGM educational packages need to be complimented with psychosocial support and health care services.