Abstract

Female genital mutilation or cutting (FGM/C) is a global public health problem. The practice is particularly prevalent amongst people of African, Middle East and South East Asian descent. FGM/C creates a permanent change to the body of women. When such women migrate to other countries, they bring the associated social and health problems of FGM/C with them. As a multicultural society, Australia has many residents who come from settings in which FGM/C is prevalent. This qualitative study investigated whether healthcare professionals in Western Australia are prepared and able to provide adequate healthcare to women living with FGM/C. We found that there is a paucity of literature in Australia generally, and Western Australia more specifically, about FGM/C and the associated experiences of healthcare providers. Healthcare professionals were found to experience challenges when working with women living with FGM/C, mainly because of poor cultural sensitivity and poor levels of communication, and lacked appropriate education and training for working with women living with FGM/C. This study identified a need for empirical studies on how women living with FGM/C experience sexual and reproductive health services in Western Australia.

Highlights

  • Female genital mutilation/cutting (FGM/C) is practised beyond the borders of countries where it is traditionally reported

  • This study aimed to investigate the experiences of healthcare professionals providing sexual and reproductive healthcare to women living with FGM/C in Western Australia

  • A secondary aim of this study was to contribute to the wider body of knowledge regarding healthcare professionals working with women living with FGM/C in Western Australia

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Summary

Introduction

Female genital mutilation/cutting (FGM/C) is practised beyond the borders of countries where it is traditionally reported. Through the influx of asylum seekers and refugees to host countries such as Australia, FGM/C is increasingly creating challenges for healthcare professionals, who may have no or few culturally specific skills to work with its presentation in migrant women [1]. Type Ia involves the intentional removal of the hood of the clitoris and seldomly occurs on its own [4, 5]. In Type II (excision), the clitoris and labia minora are partially removed with sharp objects, some cultures partially cut out the labia majora and may apply ashes or herbs to stop the ensuing bleeding [5, 7]. FGM/C Type III (infibulation) involves the removal of all external genitalia, after which the wound is fused with cat gut, thorns or surgical threads (see [8, 9]). The practice represents the ritual of FGM/C in communities where FGM/C is outlawed ([10, 11]; for other forms of the practice, see [12, 13])

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