Abstract
BackgroundPublic and policy attention to female genital mutilation (FGM) in diaspora communities has increased in Europe, but research remains limited and misinformation abounds. As a first step to addressing these issues, this study explored FGM prevention and response interventions in Europe, using a scoping literature review and key informant interviews.MethodsA scoping study design was selected, using Arksey and O’Malley’s six-stage scoping framework to review identified sources. Key informant interviews were used to inform and add depth to literature findings. Findings were summarised thematically, guided by the Scottish Government’s ‘4Ps’ framework for tackling violence against women (i.e. participation, prevention, protection, providing services).ResultsSeventy literature sources, of 1095 screened, plus 16 individual and 3 group interview sources were included. Several countries have developed promising interventions supporting FGM resistance and recovery. However, gaps remain including community participation, professional knowledge and linkages, and evaluation of approaches.ConclusionsThis scoping review is an initial attempt to describe available primary evidence on European initiatives responding to FGM. Further research is required to determine whether interventions are effective, while policy and practice development must be shaped and driven by the experiences, needs, and views of affected communities.
Highlights
Public and policy attention to female genital mutilation (FGM) in diaspora communities has increased in Europe, but research remains limited and misinformation abounds
The research question was identified as “Which FGM-related interventions have been tried in Europe that appear to have most potential to reduce or mitigate FGM among women and girls in affected communities?” Research question selection was guided by the York framework, which recommends a broad, clearly articulated question, defining concept, target population, outcomes, and scope while accounting for the aim of the review [49]
To ensure search comprehensiveness and further validate the approach, a four-stage search strategy was implemented: (i) publications posted on websites of wellknown non-profit organizations working on FGM were searched; (ii) relevant citations were snowballed to references and websites of other pertinent organizations; (iii) a Google search of ‘female genital mutilation/cutting’ was conducted to include additional relevant documents; and (iv) stakeholder recommendations were assessed according to eligibility criteria [49]
Summary
Public and policy attention to female genital mutilation (FGM) in diaspora communities has increased in Europe, but research remains limited and misinformation abounds. As a first step to addressing these issues, this study explored FGM prevention and response interventions in Europe, using a scoping literature review and key informant interviews. Female genital mutilation (FGM) has affected millions of women and girls across continents, belief systems, and socioeconomic strata for approximately 5000 years. More than 125 million women and girls are affected today, predominantly across central Africa, parts of the Middle East and South Asia, and diaspora communities [44, 48]. FGM, defined by the World Health Organisation (WHO) as “all procedures involving partial or total removal of the female external genitalia or other injury to the female genital organs for non-medical reasons”, is internationally recognised as a violation of the fundamental rights of women and girls [50]. “The practice of FGM is an expression of deeply entrenched gender inequalities, grounded in a mix of cultural, religious and social factors inherent within patriarchal families and communities...The reported method, rationale and means of practising FGM are different in different communities, but FGM is fundamentally bound up with systems of patriarchy and... repression of female sexuality.” [17]
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