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July 1, 2012International Journal of Women s HealthOpen Access

Health complications of female genital mutilation in Sierra Leone

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Authors

OBOwolabi BjälkanderKarolinska InstitutetBBanguraLLLeigh LeighSt Bartholomew's Hospital

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Implication

Cross-sectional study reveals frequent physical complications and low formal care-seeking in girls and women following female genital mutilation, highlighting an urgent public health need.

Key Points

  • To evaluate the prevalence and characteristics of health complications associated with female genital mutilation and examine health care-seeking behaviors.
  • Conducted a cross-sectional survey using interview-administered structured questionnaires among randomly selected females attending antenatal and Well Women Clinics in Bo Town and Makeni Town, Sierra Leone (N = 258).
  • Questionnaires with open-ended questions were administered by trained female personnel following a feasibility study to refine the instruments.
  • All 258 respondents had undergone female genital mutilation (predominantly between ages 10 and 14), with 218 participants (84.5%) reporting complications, most frequently excessive bleeding, delayed or incomplete healing, and tenderness.
  • Undergoing the procedure prior to 10 years of age was significantly associated with higher reports of fever compared to undergoing it at an older age.
  • Among the 218 participants reporting complications, 187 (85.8%) sought treatment, but primarily from traditional healers (n = 89) or traditional circumcisers (n = 75), with only 16 seeking care from a medical professional.

Cite This Study

Bjälkander et al. (2012) studied this question.

synapsesocial.com/papers/6a1ce05e5a7763abe789d8bbhttps://doi.org/10.2147/ijwh.s32670
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Also Consider

Synapse has enriched 3 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Female Genital Cutting Practices in Burkina Faso and Mali and Their Negative Health Outcomes1999 · 140 citations
  2. 2Health consequences of female genital mutilation/cutting in the Gambia, evidence into action2011 · 130 citations
  3. 3The Circumcision of Women: A Strategy for Eradication1988 · 182 citations