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Published in: Reproductive Health 1/2018

Open Access 01-12-2018 | Research

Mapping the lack of public initiative against female genital mutilation in Denmark

Authors: Gro Møller Christoffersen, Peter James Bruhn, Rosanna de Neergaard, Susanne Engel, Vibeke Naeser

Published in: Reproductive Health | Issue 1/2018

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Abstract

Background

Female genital mutilation (FGM) is a harmful practice prevalent in 35 countries, mainly in Africa, as well as in some Middle Eastern countries and a few Asian countries. FGM comprises all procedures that involve partial or complete resection of, or other injury to, external female genitalia for non-medical reasons. The practice of FGM has spread to Western countries due to migration. The European Institute for Gender Equality recommend that FGM be combatted by nationally coordinated efforts through implementation of national action plans, guidelines for professionals as well as comprehensive research in the field. FGM was outlawed in Denmark 2003, but no national actions plan has been implemented. Instead, the task of combatting FGM is currently under the responsibility of local governments in the form of the 98 municipalities. The aim of this study is to investigate the Danish municipalities’ efforts to prevent FGM on the local level, and whether these initiatives are in accordance with international recommendations and standards.

Methods

All 98 Danish municipalities were invited to respond to a questionnaire regarding FGM in their respective municipalities. The inclusion process and questionnaire was designed after a pilot study, which included 29 municipalities. The questionnaire consisted of four overall areas of focus: “action plan”, “registration”, “information material” and “preventive initiatives”. Demographic data were gathered from the 2017 census by Statistics Denmark. Risk countries were defined as countries with a tradition for FGM, identified from the 2016 UNICEF definition.

Results

A total of 67 municipalities participated in the study. At the time of census, 1.8% of the Danish population was immigrants with origins in risk countries. A total of 10.4% of the responding municipalities indicated to have implemented a specific action plan against FGM. A total of 7,5% had implemented specific preventive initiatives against FGM. Registration of reported FGM cases were indicated to be performed in 73.1% of the responding municipalities; however, only 17.9% stated to perform registration of FGM specifically as such, and not as general child abuse.

Conclusions

Our study shows that the current situation of FGM registration and prevention being under local administrative responsibility in the 98 Danish municipalities has led to a severe lack of coordinated public initiative against FGM.
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Literature
1.
go back to reference UNICEF. Female genital mutilation/cutting: a global concern. New York: United Nations Childrens Fund; 2016. UNICEF. Female genital mutilation/cutting: a global concern. New York: United Nations Childrens Fund; 2016.
3.
go back to reference Farina P, Ortensi LE, Menonna A. Estimating the number of foreign women with female genital mutilation/cutting in Italy. Eur J Pub Health. 2016;26(4):656–61.CrossRef Farina P, Ortensi LE, Menonna A. Estimating the number of foreign women with female genital mutilation/cutting in Italy. Eur J Pub Health. 2016;26(4):656–61.CrossRef
4.
go back to reference Van Baelen L, Ortensi L, Leye E. Estimates of first-generation women and girls with female genital mutilation in the European Union, Norway and Switzerland. Eur J Contracept Reprod Health Care. 2016;21(6):474–82.CrossRefPubMed Van Baelen L, Ortensi L, Leye E. Estimates of first-generation women and girls with female genital mutilation in the European Union, Norway and Switzerland. Eur J Contracept Reprod Health Care. 2016;21(6):474–82.CrossRefPubMed
5.
go back to reference Teixeira AL, Lisboa M. Estimating the prevalence of female genital mutilation in Portugal. Public Health. 2016;139:53–60.CrossRefPubMed Teixeira AL, Lisboa M. Estimating the prevalence of female genital mutilation in Portugal. Public Health. 2016;139:53–60.CrossRefPubMed
6.
go back to reference Goldberg H, Stupp P, Okoroh E, Besera G, Goodman D, Danel I. Female genital mutilation/cutting in the United States: updated estimates of women and girls at risk, 2012. Public Health Rep. 2016;131(2):340–7.CrossRefPubMedPubMedCentral Goldberg H, Stupp P, Okoroh E, Besera G, Goodman D, Danel I. Female genital mutilation/cutting in the United States: updated estimates of women and girls at risk, 2012. Public Health Rep. 2016;131(2):340–7.CrossRefPubMedPubMedCentral
7.
go back to reference Ziyada MM, Norberg-Schulz M, Johansen REB. Estimating the magnitude of female genital mutilation/cutting in Norway: an extrapolation model. BMC Public Health. 2016;16:110.CrossRefPubMedPubMedCentral Ziyada MM, Norberg-Schulz M, Johansen REB. Estimating the magnitude of female genital mutilation/cutting in Norway: an extrapolation model. BMC Public Health. 2016;16:110.CrossRefPubMedPubMedCentral
8.
go back to reference Dubourg D, Richard F, Leye E, Ndame S, Rommens T, Maes S. Estimating the number of women with female genital mutilation in Belgium. Eur J Contracept Reprod Health Care. 2011;16(4):248–57.CrossRefPubMed Dubourg D, Richard F, Leye E, Ndame S, Rommens T, Maes S. Estimating the number of women with female genital mutilation in Belgium. Eur J Contracept Reprod Health Care. 2011;16(4):248–57.CrossRefPubMed
9.
go back to reference Koukkula M, Keskimaki I, Koponen P, Molsa M, Klemetti R. Female genital mutilation/cutting among women of Somali and Kurdish origin in Finland. Birth. 2016;43(3):240–6.CrossRefPubMed Koukkula M, Keskimaki I, Koponen P, Molsa M, Klemetti R. Female genital mutilation/cutting among women of Somali and Kurdish origin in Finland. Birth. 2016;43(3):240–6.CrossRefPubMed
10.
go back to reference Zurynski Y, Phu A, Sureshkumar P, Cherian S, Deverell M, Elliott EJ, for Australian Paediatric Surveillance Unit Female Genital Mutilation Study Steering C. Female genital mutilation in children presenting to Australian paediatricians. Arch Dis Child. 2017;102(6):509–15.CrossRefPubMedPubMedCentral Zurynski Y, Phu A, Sureshkumar P, Cherian S, Deverell M, Elliott EJ, for Australian Paediatric Surveillance Unit Female Genital Mutilation Study Steering C. Female genital mutilation in children presenting to Australian paediatricians. Arch Dis Child. 2017;102(6):509–15.CrossRefPubMedPubMedCentral
13.
go back to reference Johnsdotter, Carlbom. FGM in Sweden: Swedish legislation regarding “female genital mutilation” and implementation of the law. 2004 (Research Report in Sociology). Department of Sociology, Lund University. Johnsdotter, Carlbom. FGM in Sweden: Swedish legislation regarding “female genital mutilation” and implementation of the law. 2004 (Research Report in Sociology). Department of Sociology, Lund University.
14.
go back to reference van Kolfschooten F. Dutch government cracks down on female circumcision. Lancet. 2004;363(9420):1531.CrossRefPubMed van Kolfschooten F. Dutch government cracks down on female circumcision. Lancet. 2004;363(9420):1531.CrossRefPubMed
15.
go back to reference PM outlines tough new measures to tackle FGM. J Fam Health Care. 2014;24(5):7. PM outlines tough new measures to tackle FGM. J Fam Health Care. 2014;24(5):7.
18.
go back to reference Eysenbach G. Improving the quality of web surveys: the checklist for reporting results of internet E-surveys (CHERRIES). J Med Internet Res. 2004;6(3):e34.CrossRefPubMedPubMedCentral Eysenbach G. Improving the quality of web surveys: the checklist for reporting results of internet E-surveys (CHERRIES). J Med Internet Res. 2004;6(3):e34.CrossRefPubMedPubMedCentral
20.
go back to reference Berg K. Female genital mutilation: implications for social work. Soc Work. 1997;65(3):16–26.PubMed Berg K. Female genital mutilation: implications for social work. Soc Work. 1997;65(3):16–26.PubMed
21.
go back to reference Royal College of Midwives, Royal College of Nursing, Royal College of Obstetricians andGynaecologists, Equality Now and UNITE. Tackling FGM In The UK: Intercollegiate Recommendations for Identifying, Recording and Reporting. London: Royal College of Midwives, Royal College of Nursing, Royal College of Obstetricians and Gynaecologists, Equality Now and UNITE; 2013. Royal College of Midwives, Royal College of Nursing, Royal College of Obstetricians andGynaecologists, Equality Now and UNITE. Tackling FGM In The UK: Intercollegiate Recommendations for Identifying, Recording and Reporting. London: Royal College of Midwives, Royal College of Nursing, Royal College of Obstetricians and Gynaecologists, Equality Now and UNITE; 2013.
23.
go back to reference Creighton SM, Dear J, de Campos C, Williams L, Hodes D. Multidisciplinary approach to the management of children with female genital mutilation (FGM) or suspected FGM: service description and case series. BMJ Open. 2016;6(2):e010311.CrossRefPubMedPubMedCentral Creighton SM, Dear J, de Campos C, Williams L, Hodes D. Multidisciplinary approach to the management of children with female genital mutilation (FGM) or suspected FGM: service description and case series. BMJ Open. 2016;6(2):e010311.CrossRefPubMedPubMedCentral
25.
go back to reference EIGE. Female genital mutilation in the European Union and Croatia. Lithuania: European Union; 2013. EIGE. Female genital mutilation in the European Union and Croatia. Lithuania: European Union; 2013.
26.
go back to reference EIGE. EIGE. Estimation of girls at risk of female genital mutilation in the European Union. Lithuania: European Union; 2015. EIGE. EIGE. Estimation of girls at risk of female genital mutilation in the European Union. Lithuania: European Union; 2015.
27.
go back to reference Cook JV, Dickinson HO, Eccles MP. Response rates in postal surveys of healthcare professionals between 1996 and 2005: an observational study. BMC Health Serv Res. 2009;9:160.CrossRefPubMedPubMedCentral Cook JV, Dickinson HO, Eccles MP. Response rates in postal surveys of healthcare professionals between 1996 and 2005: an observational study. BMC Health Serv Res. 2009;9:160.CrossRefPubMedPubMedCentral
29.
go back to reference Asch DA, Jedrziewski MK, Christakis NA. Response rates to mail surveys published in medical journals. J Clin Epidemiol. 1997;50(10):1129–36.CrossRefPubMed Asch DA, Jedrziewski MK, Christakis NA. Response rates to mail surveys published in medical journals. J Clin Epidemiol. 1997;50(10):1129–36.CrossRefPubMed
31.
go back to reference Ahmed MR, Shaaban MM, Meky HK, Amin Arafa ME, Mohamed TY, Gharib WF, Ahmed AB. Psychological impact of female genital mutilation among adolescent Egyptian girls: a cross-sectional study. Eur J Contracept Reprod Health Care. 2017;22(4):280–5.CrossRefPubMed Ahmed MR, Shaaban MM, Meky HK, Amin Arafa ME, Mohamed TY, Gharib WF, Ahmed AB. Psychological impact of female genital mutilation among adolescent Egyptian girls: a cross-sectional study. Eur J Contracept Reprod Health Care. 2017;22(4):280–5.CrossRefPubMed
32.
go back to reference Berg RC, Underland V. The obstetric consequences of female genital mutilation/cutting: a systematic review and meta-analysis. Obstet Gynecol Int. 2013;2013:496564.CrossRefPubMedPubMedCentral Berg RC, Underland V. The obstetric consequences of female genital mutilation/cutting: a systematic review and meta-analysis. Obstet Gynecol Int. 2013;2013:496564.CrossRefPubMedPubMedCentral
33.
go back to reference Berg RC, Odgaard-Jensen J, Fretheim A, Underland V, Vist G. An updated systematic review and meta-analysis of the obstetric consequences of female genital mutilation/cutting. Obstet Gynecol Int. 2014;2014:542859.CrossRefPubMedPubMedCentral Berg RC, Odgaard-Jensen J, Fretheim A, Underland V, Vist G. An updated systematic review and meta-analysis of the obstetric consequences of female genital mutilation/cutting. Obstet Gynecol Int. 2014;2014:542859.CrossRefPubMedPubMedCentral
34.
35.
go back to reference Yassin K, Idris HA, Ali AA. Characteristics of female sexual dysfunctions and obstetric complications related to female genital mutilation in Omdurman maternity hospital, Sudan. Reprod Health. 2018;15(1):7.CrossRefPubMedPubMedCentral Yassin K, Idris HA, Ali AA. Characteristics of female sexual dysfunctions and obstetric complications related to female genital mutilation in Omdurman maternity hospital, Sudan. Reprod Health. 2018;15(1):7.CrossRefPubMedPubMedCentral
Metadata
Title
Mapping the lack of public initiative against female genital mutilation in Denmark
Authors
Gro Møller Christoffersen
Peter James Bruhn
Rosanna de Neergaard
Susanne Engel
Vibeke Naeser
Publication date
01-12-2018
Publisher
BioMed Central
Published in
Reproductive Health / Issue 1/2018
Electronic ISSN: 1742-4755
DOI
https://doi.org/10.1186/s12978-018-0499-2

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