Female genital mutilation and male involvement: Insights of men and women in two counties in Kenya
Abstract
This qualitative study, conducted in Meru and Kajiado counties in Kenya, explored the perceptions and attitudes of men and women regarding male involvement in FGM in order to inform the design of male involvement strategies in FGM abandonment. We used focus group discussions to collect the data which was then subjected to thematic analysis. Three main themes emerged from the data: i) culture and the role of men; ii) perceived awareness and knowledge of FGM among men, and iii) credible and customised education and engagement. The study found widespread agreement on the importance of male involvement in FGM abandonment. Culture played an important role in determining the extent of involvement, or lack thereof. We conclude that while culture needs to be respected it ought to be challenged to avoid the continued harm to girls. The potential of men as a collective to bring about change was evident, and policy makers and NGOs should utilise the power of male collectives to support efforts to abandon FGM. (Afr J Reprod Health 2022; 26[11]: 105-117).
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Nurse-Findlay S, kuruvilla S, Festin M, Bloem P, Svanemyr J and Vogelsong K. Engaging men and boys in RMNCH knowledge summary: women’s & children’s health [Internet]. Partnership Maternal Newborn Child Health; 2013 p. 1–4. Available from: https://cdn1.sph.harvard.edu/wp-content/uploads/sites/2413/2017/05/ks26.pdf
Roth DM and Mbizvo MT. Promoting Safe Motherhood in the Community: The Case for Strategies That Include Men. Afr J Reprod Health Rev Afr Santé Reprod [Internet]. 2001 [cited 2022 Jun 12];5(2):10–21. Available from: http://www.jstor.org/stable/3583426
UNFPA. Male involvement in reproductive health, including family planning and sexual health. 1995;no. 28. Available from: https://digitallibrary.un.org/record/645023?ln=en
World Health Organization. Eliminating Female Genital Mutilation: An interagency statement, WHO, UNFPA, UNICEF, UNIFEM, OHCHR, UNHCR, UNECA, UNESCO, UNDP, UNAIDS, WHO [Internet]. Geneva; 2008. Available from: https://www.who.int/news-room/fact-sheets/detail/female-genital-mutilation
World Health Organization. Female Genital Mutilation: Key Facts [Internet]. 2022. Available from: https://www.who.int/news-room/fact-sheets/detail/female-genital-mutilation
Akweongo P, Jackson EF, Appiah-Yeboah S, Sakeah E and Phillips JF. It’s a woman’s thing: gender roles sustaining the practice of female genital mutilation among the Kassena-Nankana of northern Ghana. Reprod Health [Internet]. 2021 Mar 1;18(1):52. Available from: https://doi.org/10.1186/s12978-021-01085-z
Mwendwa P, Mutea N, Kaimuri MJ, De Brún A and Kroll T. “Promote locally led initiatives to fight female genital mutilation/cutting (FGM/C)” lessons from anti-FGM/C advocates in rural Kenya. Reprod Health [Internet]. 2020 Feb 28 [cited 2020 May 7];17(1):30. Available from: https://doi.org/10.1186/s12978-020-0884-5
Varol N, Turkmani S, Black K, Hall J and Dawson A. The role of men in abandonment of female genital mutilation: a systematic review. BMC Public Health [Internet]. 2015 Oct 8;15(1):1034. Available from: https://doi.org/10.1186/s12889-015-2373-2
UNICEF. Female genital mutilation/cutting: A statistical overview and exploration of the dynamics of change [Internet]. New York; 2013. Available from: https://data.unicef.org/resources/fgm-statistical-overview-and-dynamics-of-change/
Abdelshahid A and Campbell C. ‘Should I circumcise my daughter?’Exploring diversity and ambivalence in Egyptian parents’ social representations of female circumcision. J Community Appl Soc Psychol. 2015;25(1):49–65.
Gele AA, Johansen EB and Sundby J. When female circumcision comes to the West: Attitudes toward the practice among Somali Immigrants in Oslo. BMC Public Health [Internet]. 2012 Aug 27 [cited 2021 Apr 16];12:697. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3519553/
Axelsson TK and Strid S. Minority migrant men’s attitudes toward female genital mutilation: Developing strategies to engage men. Health Care Women Int. 2019;41:709–26.
Mohammed ES, Seedhom AE and Mahfouz EM. Female genital mutilation: current awareness, believes and future intention in rural Egypt. Reprod Health. 2018 Oct 17;15(1):175.
Yargawa J and Leonardi-Bee J. Male involvement and maternal health outcomes: systematic review and meta-analysis. J Epidemiol Community Health. 2015;69(6):604–12.
Ayebare E, Mwebaza E, Mwizerwa J, Namutebi E, Kinengyere AA and Smyth R. Interventions for male involvement in pregnancy and labour: a systematic review. Afr J Midwifery Womens Health. 2015;9(1):23–8.
Tokhi M, Comrie-Thomson L, Davis J, Portela A, Chersich M and Luchters S. Involving men to improve maternal and newborn health: A systematic review of the effectiveness of interventions. PloS One. 2018;13(1):e0191620.
Panter-Brick C, Burgess A, Eggerman M, McAllister F, Pruett K and Leckman JF. Practitioner Review: Engaging fathers – recommendations for a game change in parenting interventions based on a systematic review of the global evidence. J Child Psychol Psychiatry [Internet]. 2014 Nov 1 [cited 2022 Jun 12];55(11):1187–212. Available from: https://doi.org/10.1111/jcpp.12280
Aguiar C and Jennings L. Impact of male partner antenatal accompaniment on perinatal health outcomes in developing countries: a systematic literature review. Matern Child Health J. 2015;19(9):2012–9.
Kaplan A, Cham B, Njie LA, Seixas A, Blanco S and Utzet M. Female genital mutilation/cutting: the secret world of women as seen by men. Obstet Gynecol Int. 2013;2013.
Abdalla M, Omer A and Elmusharaf K. Female genital mutilation (FGM) in Sudan: what do men think? Contraception [Internet]. 2012 Mar 1 [cited 2018 Nov 26];85(3):317. Available from: https://www.contraceptionjournal.org/article/S0010-7824(11)00682-2/abstract
Mwendwa P, Kroll T and De Brún A. To stop #FGM it is important to involve the owners of the tradition aka men”: An Exploratory Analysis of Social Media Discussions on Female Genital Mutilation. Journal of African Interdisciplinary Studies (JAIS). 2020;4(1):14.
Spadacini B and Nichols P. Campaigning against female genital mutilation in Ethiopia using popular education. Gend Dev. 1998;6(2):44–52.
GoK. Prohibition of Female Genital Mutilation Act [Internet]. Oct 4, 2011. Available from: http://kenyalaw.org:8181/exist/kenyalex/actview.xql?actid=No.%2032%20of%202011
Kenya National Bureau of Statistics. Kenya Demographic and Health Survey 2014 [Internet]. 2015. Available from: https://dhsprogram.com/pubs/pdf/fr308/fr308.pdf
GoK, NCPD, UNFPA. The State of Kenya Population 2020 Zero Harmful Practices –Accelerating the Promise of ICPD25 [Internet]. Nairobi; 2020. Available from: https://kenya.unfpa.org/sites/default/files/pub-pdf/state_of_kenya_population_report_2020.pdf
Ditekemena J, Koole O, Engmann C, Matendo R, Tshefu A, Ryder R and Colebunders R. Determinants of male involvement in maternal and child health services in sub-Saharan Africa: a review. Reprod Health [Internet]. 2012 Nov 21;9(1):32. Available from: https://doi.org/10.1186/1742-4755-9-32
Lusambili AM, Muriuki P, Wisofschi S, Shumba CS, Mantel M, Obure J, Nyaga L, Mulama K, Ngugi A, Orwa J, Luchters S and Temmerman M. Male Involvement in Reproductive and Maternal and New Child Health: An Evaluative Qualitative Study on Facilitators and Barriers From Rural Kenya. Front Public Health [Internet]. 2021;9. Available from: https://www.frontiersin.org/article/10.3389/fpubh.2021.644293
Brown E, Mwangi-Powell F, Jerotich M and le May V. Female Genital Mutilation in Kenya: are young men allies in social change programmes? Reprod Health Matters. 2016 May;24(47):118–25.
KNBS. 2019 Kenya population and housing Census: Volume III. Distribution of population by age and sex [Internet]. Nairobi: Kenya National Bureau of Statistics; 2019. Report No.: III. Available from: https://www.knbs.or.ke/?wpdmpro=2019-kenya-population-and-housing-census-volume-iii-distribution-of-population-by-age-sex-and-administrative-units
Silverman D. Starting Out-Selecting a Case. Doing Qualitative Research. 2005;
Kitzinger J. The methodology of Focus Groups: the importance of interaction between research participants. Sociol Health Illn [Internet]. 1994 [cited 2020 Jul 4];16(1):103–21. Available from: http://onlinelibrary.wiley.com/doi/abs/10.1111/1467-9566.ep11347023
Kitzinger J. Qualitative Research: Introducing focus groups. BMJ [Internet]. 1995;311(7000):299–302. Available from: https://go.exlibris.link/KyZLKTzd
Strauss A and Corbin J. Basics of qualitative research techniques. 1998;
Braun V and Clarke V. Using thematic analysis in psychology. Qual Res Psychol [Internet]. 2006 Jan 1 [cited 2020 Oct 5];3(2):77–101. Available from: https://www.tandfonline.com/doi/abs/10.1191/1478088706qp063oa
Patton MQ. Qualitative evaluation and research methods. 2nd ed. Thousand Oaks, CA; 1990.
Gage A and Van Rossem R. Attitudes toward the discontinuation of female genital cutting among men and women in Guinea. Int J Gynecol Obstet. 2006;92(1):92–6.
Berggren V, Musa Ahmed S, Hernlund Y, Johansson E, Habbani B and Edberg AK. Being victims or beneficiaries? Perspectives on female genital cutting and reinfibulation in Sudan. Afr J Reprod Health. 2006 Aug;10(2):24–36.
Diop NJ and Askew I. The effectiveness of a community‐based education program on abandoning female genital mutilation/cutting in Senegal. Stud Fam Plann. 2009;40(4):307–18.
O’Neill S, Dubourg D, Florquin S, Bos M, Zewolde S and Richard F. MEN SPEAK OUT PROJECT. 2017
El-Bassel N, Gilbert L, Goddard-Eckrich D, Chang M, Wu E, Goodwin S, Tibbetts R, Almonte-Weston M and Hunt T. Effectiveness of a couple-based HIV and sexually transmitted infection prevention intervention for men in community supervision programs and their female sexual partners: a randomized clinical trial. JAMA Netw Open. 2019;2(3):e191139–e191139.
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