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Published in: Reproductive Health 1/2018

Open Access 01-12-2018 | Research

Qualitative evaluation of the Saleema campaign to eliminate female genital mutilation and cutting in Sudan

Authors: Andrea C. Johnson, W. Douglas Evans, Nicole Barrett, Howida Badri, Tamador Abdalla, Cody Donahue

Published in: Reproductive Health | Issue 1/2018

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Abstract

Background

Female genital mutilation and cutting (FGM/C, herein FGM) is a widespread and harmful practice. The Government developed a national campaign in Sudan, called Saleema, to change social norms discouraging FGM. Saleema translates to being “whole”, healthy in body and mind, unharmed, intact, pristine, and untouched, in a God-given condition. An interim evaluation was conducted using focus groups among Sudanese adults. The primary aim was to explore perceptions of the Saleema poster exemplars and to assess if the desired themes were being communicated. Secondary aims were to understand more about participants’ information sources, values, and suggestions for the campaign broadly.

Methods

The Saleema campaign evaluation included four focus groups from each of the 18 states in Sudan (72 total). Participants were presented with three poster stimuli from the Saleema campaign and asked about the content and their reactions. Themes were coded inductively by concepts that arose through content in the transcripts. Codes were also reviewed in conjunction with themes from the broader Saleema evaluation framework.

Results

Participants reported the most common source of information or admiration was from local leaders who are responsive to a community, media-based outlets, and discussions among community members. Participants held high value for education, community solidarity, and/or religious devotion. Participants had positive opinions of Saleema and responded positively to the branding elements in the posters and the campaign as a whole. The most common suggestion was continued awareness. Advocacy, training, and posters were suggested to highlight the harms of FGM through leaders or in community settings. Individuals suggested that these activities target older women and individuals in rural villages. There was also a burgeoning theme of targeting youth for support of the campaign.

Discussion

The results of this focus group analysis demonstrate support for future Saleema campaign efforts promoting awareness and community engagement. The campaign could capitalize on partnerships with young people and those who are respected in the community (e.g., religious leaders) or continue promoting common values aligning with the support of education and community solidarity. Continuing campaign efforts have promise to decrease the harms of FGM in Sudan.
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Literature
1.
go back to reference World Health Organization, Department of Gender, Women and Health. Health complications of female genital mutilation including sequelae in childbirth: a systematic review. 2000. World Health Organization, Department of Gender, Women and Health. Health complications of female genital mutilation including sequelae in childbirth: a systematic review. 2000.
2.
go back to reference UNICEF. Female genital mutilation/cutting: a statistical overview and exploration of the dynamics of change. 2013. UNICEF. Female genital mutilation/cutting: a statistical overview and exploration of the dynamics of change. 2013.
3.
go back to reference Elmusharaf S, Elhadi N, Almroth L. Reliability of self reported form of female genital mutilation and WHO classification: cross sectional study. BMJ. 2006;333(7559):124.CrossRefPubMedPubMedCentral Elmusharaf S, Elhadi N, Almroth L. Reliability of self reported form of female genital mutilation and WHO classification: cross sectional study. BMJ. 2006;333(7559):124.CrossRefPubMedPubMedCentral
4.
go back to reference Central Bureau of Statistics (CBS), UNICEF Sudan. Multiple indicator cluster survey 2014 of Sudan, final report. 2016;Khartoum, Sudan: UNICEF and Central Bureau of Statistics (CBS), February 2016. Central Bureau of Statistics (CBS), UNICEF Sudan. Multiple indicator cluster survey 2014 of Sudan, final report. 2016;Khartoum, Sudan: UNICEF and Central Bureau of Statistics (CBS), February 2016.
5.
go back to reference Cialdini RB. Descriptive social norms as underappreciated sources of social control. Psychometrika. 2007;72:236.CrossRef Cialdini RB. Descriptive social norms as underappreciated sources of social control. Psychometrika. 2007;72:236.CrossRef
6.
go back to reference Evans WD, Hastings G. Public health branding: applying marketing for social change. London, United Kingdom: Oxford University Press; 2008. Evans WD, Hastings G. Public health branding: applying marketing for social change. London, United Kingdom: Oxford University Press; 2008.
7.
go back to reference Evans WD. Social marketing research for global public health: methods and technologies. New York: Oxford University Press; 2016. ISBN 9780199757398. Evans WD. Social marketing research for global public health: methods and technologies. New York: Oxford University Press; 2016. ISBN 9780199757398.
10.
go back to reference Evans WD. Quasi-Experimental and Heavy-Up Experiments in Social Marketing. Chapter 8 In Social Marketing for Global Public Health: Methods and Technologies. New York: Oxford University Press; 2016. Evans WD. Quasi-Experimental and Heavy-Up Experiments in Social Marketing. Chapter 8 In Social Marketing for Global Public Health: Methods and Technologies. New York: Oxford University Press; 2016.
11.
go back to reference Kotler P, Roberto EL, Roberto N. Social marketing: Strategies for changing public behavior. Free Press; 1989. ISBN-13: 978-0029184615. Kotler P, Roberto EL, Roberto N. Social marketing: Strategies for changing public behavior. Free Press; 1989. ISBN-13: 978-0029184615.
12.
go back to reference Saldana J. The coding manual for qualitative researchers. Thousand Oaks, CA: Sage; 2013. Saldana J. The coding manual for qualitative researchers. Thousand Oaks, CA: Sage; 2013.
13.
go back to reference Creswell JW. Qualitative inquiry and research design: choosing among five approaches. 3rd ed. Thousand Oaks, CA: SAGE Publications, Inc; 2013. ISBN-13: 978-1412995306. Creswell JW. Qualitative inquiry and research design: choosing among five approaches. 3rd ed. Thousand Oaks, CA: SAGE Publications, Inc; 2013. ISBN-13: 978-1412995306.
14.
go back to reference Patton MQ. Qualitative research & evaluation methods: integrating theory and practice. 4th ed. Thousand Oaks, CA: SAGE Publications, Inc; 2015. ISBN-13: 978-1412972123. Patton MQ. Qualitative research & evaluation methods: integrating theory and practice. 4th ed. Thousand Oaks, CA: SAGE Publications, Inc; 2015. ISBN-13: 978-1412972123.
15.
go back to reference Tong A, Sainsbury P, Craig J. Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups. Int J Qual Health Care. 2007;19(6):349–57.CrossRefPubMed Tong A, Sainsbury P, Craig J. Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups. Int J Qual Health Care. 2007;19(6):349–57.CrossRefPubMed
Metadata
Title
Qualitative evaluation of the Saleema campaign to eliminate female genital mutilation and cutting in Sudan
Authors
Andrea C. Johnson
W. Douglas Evans
Nicole Barrett
Howida Badri
Tamador Abdalla
Cody Donahue
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/s12978-018-0470-2

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