Cultural practices in Africa

HEALTH IMPLICATIONS OF FEMALE GENITAL MUTILATION

Female Genital Mutilation (FGM) is a harmful traditional practice that involves altering or injuring the female genitalia for non-medical reasons.1 This practice, prevalent in many cultures around the world, has severe health implications for women and girls who undergo it. From physical to psychological consequences, FGM leaves a lasting impact on the well-being of individuals subjected to it. Some of the health implications include:

Immediate Complications: FGM can result in severe pain, bleeding, and shock immediately following the procedure. In some cases, it can even lead to death due to excessive bleeding or infections.

Long-term Health Issues: Women and girls who undergo FGM may face long-term health problems such as chronic pain, infections, urinary problems, and complications during childbirth. Scar tissue formation and damage to the reproductive organs can cause difficulties in sexual intercourse and menstruation.

Increased Risk of Infections: The practice of FGM often involves using unsterilized tools or performing the procedure in unsanitary conditions, leading to an increased risk of infections such as tetanus, HIV/AIDS, and hepatitis B and C.

Trauma and Psychological Distress: The experience of undergoing FGM can cause significant trauma and psychological distress, leading to anxiety, depression, and post-traumatic stress disorder (PTSD). The violation of bodily integrity and the associated pain can have long-lasting effects on mental well-being.

Interference with Sexual Functioning: FGM can interfere with sexual functioning and intimacy, causing pain during intercourse and reducing sexual pleasure. This can strain relationships and have negative effects on overall quality of life.

The health implications of FGM are profound and multifaceted, encompassing physical, psychological, and social dimensions. Efforts to address FGM must take a comprehensive approach, including education, advocacy, and support for affected individuals, as well as community engagement and legal reforms to eradicate this harmful practice and uphold the rights and dignity of women and girls.

Over the years, CFHI has observed the International Day of Zero Tolerance for Female Genital Mutilation as part of its own efforts to curb Female Genital Mutilation (FGM). A notable aspect of it was the celebration held at the St. Theresa Catholic church in Anurie Omanze, Idu LGA, Imo state, wherein the community was made aware of the importance of achieving zero FGM records. Over 100 participants were reached and they all pledged to join the movement.

Monday Health Burst is an initiative of CFHI to address issues of basic health concern. Join us every Monday on all our social media platforms for more episodes.

.1. World Health Organization_Female Genital Mutilation

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FEMALE ROLES IN ERADICATING HARMFUL CULTURAL PRACTICES

Certain cultures in different parts of the world accommodate harmful practices that encourage forms of exploitation, violence, abuse, injustice, discrimination and marginalization, committed primarily against women and children. Female Genital Mutilation (FGM), child/forced marriage, initiation rites, infanticide, male preference, honour killings, forced begging, stoning, acid attacks, bonded labour, sexual slavery, breast ironing, and nutritional taboos are harmful practices that are detrimental to the health and wellbeing of its victims.

Significant progress has been made thus far to eradicate harmful cultural practices globally, but the economic, physical and social disruptions caused by the ongoing pandemic could deter the advancement. The new United Nations Population Fund (UNFPA) projections in April 2020 predict that the COVID-19 pandemic may cause about 2 million more cases of Female Genital Mutilation and about 13 million new child marriages in the next decade because of significant delays in programmes organized to tackle harmful cultural practices and economic hardships.

Women are at the forefront raising their voices against harmful cultural practices and providing interventions to support its victims even amidst the pandemic. Stephanie Linus is an award winning Nigerian actress, filmmaker and activist passionate about women and child rights. ‘Dry’ an award winning movie produced by her exposes the evils of child marriage and the physical and psychological consequences associated with it. Through her foundation ‘Extended Hands’ she has  partnered with local and international organizations in building awareness on fistula prevention, maternal health, family planning and has provided various medical interventions to indigent girls and women suffering Vesico Vaginal Fistula (VVF) in Sokoto, Kebbi, Cross River, Oyo, and Kwara states in Nigeria. Her foundation has continued to provide more interventions to vulnerable women and girls, deflating the number of new victims of harmful traditional practices in the COVID-19 era. She was recently appointed as the UNFPA Regional Goodwill Ambassador for West and Central Africa.

It is important to note that women are the most qualified advocates to fight for the eradication of harmful traditional practices. This is because women are the highest fatalities who have experienced and survived the repercussions of these practices. Hence, more women should be encouraged to speak up and empowered to be self-reliant.

Centre for Family Health Initiative (CFHI) continues to echo the call for an end to the suffering of girls and women caused by harmful traditional practices through community outreaches, policy-oriented research, and media campaigns. CFHI has through the United States Consulate Women And Youth Empowerment (WYNE) project, mitigated the rate of female genital mutilation, child marriage, violence against women, land disinheritance, gender (Son) preference, Incest, rape and harmful widowhood practices in Ngor Okpala community, Imo State, Nigeria.  After having ten community dialogues with the community stakeholders, resolutions on these harmful practices were reached, leading to the development of a community charter that was signed by the paramount traditional ruler and representatives of the villages that make up the community. Operation-Know-Your-Right Campaign was thereafter organized through which over 735 women and 28 youths were sensitized with the right knowledge to stand against harmful cultural practices within and outside the community.

Speak Wednesday is an initiative of Centre for Family Health Initiative to stop the cycle of domestic violence by breaking the silence around gender based violence and gender bias. Join us every Wednesday on all our social media handles for more episodes.

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SPEAK WEDNESDAY – SEXISM

According to Wikipedia, Sexism is prejudice or discrimination based on a person’s sex or gender. Sexism can affect anyone, but it primarily affects women and girls. It has been linked to stereotypes and gender roles, and may include the belief that one sex or gender is intrinsically superior to another.

Sexism manifests in various forms and due to stigmatization from the society, women are forced to accept abuse and neglect. Some females are denied access to proper health care, good nutrition, education and legal rights which is an infringement on their basic human rights as humans. Child marriage, female genital mutilation and other traditional harmful practices, objectification, women trafficking, forced labour, and unequal school participation are other instruments of sexism.

It is pertinent to know that not just violence but other forms of sexism have devastating consequences. Some of these repercussions affect the physical and mental health of the individuals. Sexual transmitted infections, mental disorders, depression, anxiety, low birth weight and sometimes death of the fetus of teenage mothers, obstetric fistula, death of the victim, excessive bleeding, urinary tract infections, neuroses, hatred for any form of sexual relation and psychoses fall into this category.

Education is the key for women to achieve economic independence, yet, Unite Nations (UN) estimates that women make up more than two-third of the world’s 796 million illiterate people. If a nation must achieve sustainable success, education and proper sensitization is essential. According to a popular quote by African Proverb “If you educate a man, you educate an individual. But if you educate a woman, you educate a nation”.

Proper sensitization with full participation of all genders should be encouraged to end gender stereotypes and harmful cultural practices that affect women and girls. The goal is to create a balanced system for everyone.

Speak Wednesday is an initiative of Centre for Family Health Initiative to stop the cycle of domestic violence by breaking the silence around gender based violence. Join us every Wednesday on all our social media handles for more episodes.

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HARMFUL GENDER-BASED CULTURAL PRACTICES IN AFRICA

Africa accommodates various cultural, religious and traditional beliefs and practices that encourage discrimination, marginalization and injustice. Women and girls in Africa are mostly subjected to these harmful practices because these cultures encourage male preference and domination.

Female genital mutilation, breast ironing, early marriage, widowhood rites, girls initiation rites, trokosi, sororate, levirate, inability to access good healthcare especially during childbirth, lack of access to education and good nutrition, lip plate, milk teeth extraction, eyebrow incision are some of the harmful cultural practices melted out to women and girls in Africa. Females are groomed to fit into these stereotypes and are stigmatized when they do otherwise.

Female genital mutilation can lead to serious health complications such as infection, infertility, prolonged bleeding and complications during delivery, often leading to death. Infants of teenage mothers are likely to be still born or die in the first month of life. Pregnant and nursing mothers who suffer malnourishment are majorly victims of early marriage, who dropped out of school and may never get the opportunity to return.

Some victims of harmful cultural practices run away to break free from these practices, only to become vulnerable to sexual predators and human traffickers. They could suffer emotional and psychological damage that may lead to depression and suicide.  Other effects include pain, resentment for sex, premature birth, low birth weight, increased violence against women and girls, increased risk of contracting HIV and STIs, impaired emotional and sexual relations, social stigma and isolation.

Raising awareness on the dangers of harmful gender-based cultural practices in Nigeria is one of the effective ways to curb this silent menace. Just like Centre for Family Health Initiative, other Community Based Organizations and Non-Governmental Organizations can work with communities to source ways to end harmful practices and promote gender equality. The government should enact policies at all levels to protect women and girls, ensuring that these policies are implemented irrespective of the socioeconomic class.

Free education, skill acquisition trainings, increased access to basic health amenities, especially for the poor and vulnerable are measures that can aid the eradication of harmful practices in communities.

Speak Wednesday is an initiative of Centre for Family Health Initiative to stop the cycle of domestic violence by breaking the silence around gender based violence. Join us every Wednesday on all our social media handles for more episodes.

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