ObjectivesThis research documents the experiences of people with Somali heritage with female genital mutilation (FGM)-safeguarding services in healthcare and whether such services are considered appropriate by the people who encounter them.DesignSix focus groups conducted with ethnic Somalis living in Bristol, during the summer of 2018, divided by gender and whether people had experienced FGM-safeguarding as adults or children.SettingParticipants experienced FGM-safeguarding in primary and secondary care.Participants30 people (21 women and 9 men), identified through local organisations or snowball sampling. All participants were of Somali heritage and aged over 18.ResultsGovernment priorities to support those who have experienced female genital cutting/mutilation (FGC/M) are being undermined by their own approaches to protect those considered at risk. Participants argued that approaches to FGM-safeguarding were based on outdated stereotypes and inaccurate evidence which encouraged health and other service providers to see every Somali parent as a potential perpetrator of FGC/M. Female participants described providers in a range of healthcare settings, including Accident and Emergency Departments (A&E), antenatal care and general practice, as ‘fixated’ with FGC/M, who ignored both their health needs and their experience as victims. Participants felt stigmatised and traumatised by their experience. This undermined their trust in health services, producing a reticence to seek care, treatment delays and reliance on alternative sources of care. Associated recommendations include developing more accurate evidence of risk, more appropriate education for healthcare providers and more collaborative approaches to FGM-safeguarding.ConclusionAll the participants involved in this study are committed to the eradication of FGC/M. But the statutory approaches currently adopted to enable this are considered ill-conceived, unnecessarily heavy-handed and ultimately detrimental to this. Recognising these common aims can enable the development of services better able to protect and support those at risk of FGC/M in ways which are culturally competent and sensitive.
This article uses Finch’s (2007) idea of ‘display’ to analyse the process in which autobiographical statements for family immigration applications and appeals are drafted in the United Kingdom. I argue that legal representatives play a key role in ‘translating culture’ (Good, 2011) in relation to both content and form, a process that is driven primarily by the need to demonstrate compatibility with the cultural assumptions of ethnocentrically conceived Immigration Rules. These rules act as ‘moral gatekeepers’ (Wray, 2006) to set limits on the conceptual structure of ‘family’ and to outline what a ‘genuine’ marital relationship looks like, thereby excluding cultural Others. The findings show that legal representatives translate the experiences, norms and values of their clients’ relationships using authorial devices to make the account ring true within a commonsense understanding of British culture. I suggest that legal representatives thus contribute to a successful outcome for those lacking in cultural capital.
It is widely reported that 'tens of thousands of girls' are living in the UK with the risk of experiencing Female Genital Cutting or Mutilation (FGC/M). This paper reviews the data on which such claims are based. It finds that the data available with which to establish the scale of such risk is both sparse and problematic, and that the numbers claimed to be at risk are considerably overinflated. For example, data collected by the National Health Service suggests that as few as eight girls had FGC/M while resident in the UK since their records began, with as few as one or two experiencing FGC/M types 1, 2 or 3. Other data publicly available or retrieved from Freedom of Information requests to the Home Office,
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