Assessment Of Female Genital Mutilation In Nigeria: Case Study Benin City
Assessment Of Female Genital Mutilation In Nigeria: Case Study Benin City
Abstract
This study was carried out on the assessment of female genital mutilation in nigeria case study benin city. To achieve this 2 research hypothesis were formulated. Respondents were obtained from staff of university of Benin teaching hospital (UBTH). The survey design was adopted and the simple random sampling techniques were employed in this study. The population size comprise of the entire staff of university of Benin teaching hospital (UBTH). In determining the sample size, the researcher adopted th Taro Yamani formular to select 133 respondents. Self-constructed and validated questionnaire was used for data collection. The collected and validated questionnaires were analyzed while the hypothesis were tested using Chi-square statistical tool SPSS v23. The result of the test revealed that female genital mutilation does have an significant effect on the sexual habit of the girl child. And government does play a significant role in prohibiting female genital mutilation. Based on the above findings, the researcher recommended that efforts of stakeholders in health should be geared towards planning and implementing aggressive programs aimed at creating more awareness on the negative effect of FGM and its practice. Capacity building should be organized for all cadres of health care providers to grossly know the elements of the practice of FGM and its implication to maternal and new born health. All governmental and non-governmental organizations should put hands on deck to eliminate this ugly trend.
Chapter One
Introduction
1.1 Background of the Study
According to the World Health Organization (WHO), Female genital mutilation (FGM) is defined as all procedures which involve partial or total removal of the external female genitalia and/or injury to the female genital organs, whether for cultural or any other nontherapeutic reasons (World Health Organization 1998). Worldwide, government and non- governmental organizations frown at FGM having seen it as an infringement on the physical and psychosexual integrity of the female child. Nigeria was said to have the highest absolute number of cases of FGM in the world, accounting for about one-quarter of the estimated 115– 130 million circumcised women worldwide (UNICEF 2001).
The prevalence rate of FGM was put at 41% among adult Nigerian women (Okeke 2012). Nigeria is a country in West Africa bordering the Gulf of Guinea between Benin and Cameroon. It has an area of 923,768.00 sq kilometers with a population of 140,431,790 according to the 2006 National Population census (National Bureau of Statistics 2006). The male constituted 71,345,488 while the female were 69,086,302 (National Bureau of Statistics 2006).
This study was donein a tertiary hospital in Edo State, one of the 36 states of Nigeria. Edo State has a population of 2,398,957with the female being 1,215,487and the male 69,086,302 (National Bureau of Statistics 2006). It is majorly inhabited by the Edo’s who are noted for high level of literacy in terms of formal education and is reputed to have produced the reasonable number of professors in Nigeria (Adesina 2008).
The 2008 Nigeria Demographic and Health Survey showed that 30% of female surveyed between ages 15- 40years had undergone female circumcision with the Yoruba and igbo ethnic groups having the highest percentage (58.4% and 51.4% respectively) (National Population Commission 2009).Olamijulo et al., reported the prevalence of FGM among children examined at the child welfare clinic, Wesley Guild Hospital, Ilesha, Nigeria to be 66.3%.The following states in Nigeria have prohibited this act since 1999;Abia, Bayelsa, Cross River, Delta, Edo, Ogun, Osun and Rivers. However, with increasing awareness of the complication of FGM, there is a recent ban on the practice in Nigeria as a nation in year 2015.
The prevalence rate is therefore expected to progressively decline in the younger age groups. FGM practiced in Nigeria is classified into four typesas follows; clitoridectomy or Type I, this involves the removal of the prepuce or the hood of the clitoris and all or part of the clitoris. Type II or “sunna” is a more severe practice that involves the removal of the clitoris along with partial or total excision of the labia minora. Type III (infibulation), involves the removal of the clitoris, the labia minora and adjacent medial part of the labia majora and the stitching of the vaginal orifice, leaving an opening of the size of a pin head to allow for menstrual flow or urine.
Type IV or other unclassified types include introcision and gishiri cuts, hymenectomy, scraping and/or cutting of the vagina, the introduction of corrosive substances and herbs in the vagina, and other forms. Consequences of female genital mutilation include increased risks of urinary tract infections, bleeding, bacterial vaginosis, dyspareunia, obstetric complications, psychological problems such as depression, anxiety, post-traumatic stress disorder, low self-esteem, etc (Behrendt and Moritz, 2005), Abdulcadir and Dällenbach, 2013), Amin et al.,., 2013), Andersson et al.,., 2012), Andro et al.Female genital mutilation is classified into four major types (WHO, 1996). The most common type of the female genital mutilation is type 2 which account for up to 80% of all cases while the most extreme form which is type 3 constitutes about 15% of the total procedures(WHO, 1996; Oduro et al., 2006).
Types 1 and 4 of FGM constitute the remaining 5%. The consequences vary according to the type of FGM and severity of the procedure (Onuh et al., 2006; Oduro et al., 2006). The practice of FGM has diverse repercussions on the physical, psychological, sexual and reproductive health of women, severely deteriorating their current and future quality of life (Oduro et al., 2006; Larsen, 2002). The immediate complications include: severe pain, shock, haemorrhage, urinary complications, injury to adjacent tissue and even death (Onuh et al., 2006; Oduro et al., 2006; Larsen, 2002). The long term complications include: urinary incontinence, painful sexual intercourse, sexual dysfunction, fistula formation, infertility, menstrual dysfunctions, and difficulty with child birth (Akpuaka, 1998; Okonofua et al., 2002; Oguguo and Egwuatu, 1982). The physical and psychological sequelae of female genital mutilation have been well highlighted in many literatures (Onuh et al., 2006; Oduro et al., 2006; Badejo, 1983; Klouman et al., 2005; ACHPR, 2003; Ibekwe, 2004).
Recently, there has been serious concern on the increased rate of transmission of Human Immunodeficiency Virus (HIV) following this practice (WHO, 1996; Klouman et al., 2005). The practice is also a violation of the human rights of the women and girl child. FGM categorically violates the right to health, security and physical integrity, freedom from torture and cruelty, inhuman or degrading treatment and the right to life when the procedure results in death. It constitutes an extreme form of violation, intimidation and discrimination. Despite its numerous complications, this harmful practice has continued unabated, notwithstanding that Nigeria ratified the Maputo Protocols and was one of the countries that sponsored a resolution at the 46th World Health Assembly calling for the eradication of female genital mutilation in all nation (Klouman et al., 2005; ACHPR, 2003; Idowu, 2008).
1.2 Statement of the Problem
The practice of Female Genital Mutilation (FGM) is regrettably persistent in many parts of the world. This occurs commonly in developing countries where it is firmly anchored on culture and tradition, not minding many decades of campaign and legislation against the practice (Onuh et al., 2006; WHO, 2008). Female genital mutilation comprises any procedure involving partial or total removal of the external female genitalia or other injury to the female genital organs for cultural, religious or other non-therapeutic reason (WHO, 2008; WHO, 1996). The World Health Organization (WHO) estimates that between 100 and 140 million girls and women worldwide are presently living with female genital mutilation and every year about three million girls are at risk (WHO, 2008). It is in view of this that the researcher intends to assess the effect of female genital mutilation.
1.3 Objective of the Study
The main objective of the study is on an assessment of female genital mutilation in Nigeria with emphasis on Edo state. But to aid the completion of the study, the researcher intends to achieve the following sub-objective;
- To investigate the effect of female genital mutilation on the sex drive of the girl child
- To investigate the role of the government in prohibiting female genital mutilation
- To investigate the health implication of female genital mutilation
- To ascertain the major reason for female genital mutilation
1.4 Research Hypotheses
To aid the completion of the study, the following research hypotheses were formulated by the researcher
- H0: female genital mutilation does not have any effect on the sexual habit of the girl child
H1: female genital mutilation does have a significant effect on the sexual habit of the girl child - H0: government does not play any significant role in prohibiting female genital mutilation
H2: government does play a significant role in prohibiting female genital mutilation
1.5 Significance of the Study
At the completion of the study, it is believed that the study will be of great important to the federal ministry of women affair and the house committee on women affairs as the study will help them formulate policy that will help prohibit or eliminate the archaic and orthodox practice of female genital mutilation, the study will also be of great importance to every parent as the study seek to expose the dangers of female genital mutilation among female. The study will also be of great importance to student who intend to embark on a study in similar topic as the findings of the study will serve as a pathfinder to them. Finally the study will be of great importance to students, teachers and the general public as the finding will add to the pool of existing literature.
1.6 Scope and Limitation of the Study
The scope of the study covers an assessment on female genital mutilation in Nigeria, with emphasis on Benin City. But in the cause of the study, there were some factors which limited the scope of the study
a) Availability of Research Material:
The research material available to the researcher is insufficient, thereby limiting the study.
b) Time:
The time frame allocated to the study does not enhance wider coverage as the researcher has to combine other academic activities and examinations with the study.
c) Finance:
The finance available for the research work does not allow for wider coverage as resources are very limited as the researcher has other academic bills to cover
1.7 Definition of Terms
Female
Female is the sex of an organism, or a part of an organism, that produces non-mobile ova (egg cells). Barring rare medical conditions, most female mammals, including female humans, have two X chromosomes.
Female genital mutilation
Female genital mutilation (FGM), also known as female genital cutting and female circumcision, is the ritual cutting or removal of some or all of the external female genitalia. The practice is found in Africa, Asia and the Middle East, and within communities from countries in which FGM is common
Reproductive health
Within the framework of the World Health Organization’s (WHO) definition of health as a state of complete physical, mental and social well-being, and not merely the absence of disease or infirmity, reproductive health, or sexual health/hygiene, addresses the reproductive processes, functions and system at all stages of life. Reproductive health implies that people are able to have a responsible, satisfying and safer sex life and that they have the capability to reproduce and the freedom to decide if, when and how often to do so.
One interpretation of this implies that men and women ought to be informed of and to have access to safe, effective, affordable and acceptable methods of birth control; also access to appropriate health care services of sexual, reproductive medicineand implementation of health education programs to stress the importance of women to go safely through pregnancy and childbirthcould provide couples with the best chance of having a healthy infant.
1.8 Organization of the Study
This research work is organized in five chapters, for easy understanding, as follows.
- Chapter one is concern with the introduction, which consist of the (background of the study), statement of the problem, objectives of the study, research questions, research hypotheses, significance of the study, scope of the study etc.
- Chapter two being the review of the related literature presents the theoretical framework, conceptual framework and other areas concerning the subject matter.
- Chapter three is a research methodology covers deals on the research design and methods adopted in the study.
- Chapter four concentrate on the data collection and analysis and presentation of finding.
- Chapter five gives summary, conclusion, and recommendations made of the study.
Chapter Five
Summary, Conclusion and Recommendation
5.1 Introduction
It is important to ascertain that the objective of this study was on assessment of female genital mutilation in Nigeria.
In the preceding chapter, the relevant data collected for this study were presented, critically analyzed and appropriate interpretation given. In this chapter, certain recommendations made which in the opinion of the researcher will be of benefits in addressing the menace of female genital mutilation.
5.2 Summary
This study has been able to assess socio-cultural factors that preserve FGM practice in some selected rural communities in Benin City. The study also show that they also have good understanding of what the procedure was all about showing that the continued practice of this act is not as a result of ignorance, but it might be due to long standing tradition. The main reason for the practice of female genital mutilation were social values, tradition, customs/culture and beliefs indicating that the practice is entrenched in tradition and social values showing that the practice is at the heart of the community. No wonder its continued practice in spite of the adequate knowledge and understanding of what the practice entails. Among the women and respondents, the social factors, social structures, cultural beliefs are main reason for their patronage. These are probably because, they are not aware of the demerits and its implication to increasing maternal and new born deaths. Also, various factors such as religious belief, age, marital status and occupation were found to be determinants of the continued support and practice of FGM in the study communities.
5.3 Conclusion
The mapping of residual spatial effects indicated that, the prevalence of FGM varied, differently, at state level. Individual factors such as education and community factors such as area and state of residence were strongly associated with FGM. FGM prevalence maps generated here could be a useful tool for policy design, monitoring and targeted intervention to eradicate this harmful practice in Benin City. Also, considering the economic implications of FGM in the policy design is important. Identifying and understanding environmental factors that are associated with state differences in FGM prevalence represents an important investigation to disentangle fully the influences of communities, ethnic and cultural factors on FGM. Both novel and less conventional methodologies including various data sources are required to broaden the view of environment at both individual women and community level.
5.4 Recommendations
Haven completed the study, the researcher recommends that efforts of stakeholders in health should be geared towards planning and implementing aggressive programs aimed at creating more awareness on the negative effect of FGM and its practice. Capacity building should be organized for all cadres of health care providers to grossly know the elements of the practice of FGM and its implication to maternal and new born health. All governmental and non-governmental organizations should put hands on deck to eliminate this ugly trend. To this end, government at all levels should make policies, promulgate laws, and punish offenders of the practice of FGM and their supporters.
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