Factors Associated with Health Care Provider Attitudes, and Confidence for the Care of Women and Girls Affected by Female Genital Mutilation/Cutting

Marea, Christina X.; Warren, Nicole; Glass, Nancy; Johnson‐Agbakwu, Crista; Perrin, Nancy

doi:10.1089/heq.2020.0130

Cited by 8 publications

(10 citation statements)

References 43 publications

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“…A key message that these bridging navigators can share with the community is the reassurance that their problems will be resolved, and they will generally be satisfied with care that they can expect from services received, as our study has shown. It is also crucial for healthcare providers to receive iterative training on trauma-informed care approaches, which are culturally informed and linguistically congruent [ 2 , 3 , 16 ]. Training must be extended beyond clinicians to also engage mental health and social service providers [ 20 ].…”

Section: Discussionmentioning

confidence: 99%

“…In the USA, it is estimated that approximately 545,000 women and girls have either undergone a form of FGM/C or were born to women from FGM/C-practicing countries [ 1 ]. FGM/C has captured global attention in recent years due to the increasing influx of migrants and refugees to high-income countries where healthcare providers are continually faced with the challenge of providing high quality, culturally sensitive care amidst limited training opportunities on the care of affected women and girls [ 2 , 3 ].…”

Section: Introductionmentioning

confidence: 99%

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Influence of Female Genital Mutilation/Cutting on Health Morbidity, Health Service Utilization and Satisfaction with Care among Somali Women and Teenage Girls in the United States

Johnson‐Agbakwu

Fox

Banke-Thomas

et al. 2022

J. Racial and Ethnic Health Disparities

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Introduction There is scant evidence on the health morbidities experienced by Somali women and girls affected by female genital mutilation/cutting (FGM/C) and their resultant health-seeking behavior in the USA as compared to those who have not undergone the procedure. To fill this gap, we conducted a comprehensive examination of health morbidity among women and teenage girls with and without FGM/C in a Somali migrant community. Methods Using a comprehensive community-based participatory research approach, a cross-sectional survey was administered to 879 Somali women and teenage girls in Phoenix and Tucson, Arizona. We employed Chi-square and analysis of variance to disentangle health and healthcare use among those with and without FGM/C. Results The majority of respondents had undergone FGM/C (79%). Respondents with FGM/C experienced significantly more health concerns compared to uncut women and girls, with those possessing Type III FGM/C experiencing significantly more obstetric, gynecologic, sexual, and mental health morbidity than those with Type I or Type II. Rates of service use, while varied, were low overall, particularly for mental health services, even with health insurance. The majority of respondents who sought care indicated that their concerns were resolved, and they were satisfied with the healthcare received. Conclusions Community-engaged strategies that build upon satisfaction with care of women who seek care to enhance trust, nurture community embeddedness and facilitate peer navigation, while equipping health and social service providers with the competency and tools to provide respectful, trauma-informed care, will be critical to advance health equity for FGM/C-affected communities.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Influence of Female Genital Mutilation/Cutting on Health Morbidity, Health Service Utilization and Satisfaction with Care among Somali Women and Teenage Girls in the United States

Johnson‐Agbakwu

Fox

Banke-Thomas

et al. 2022

J. Racial and Ethnic Health Disparities

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“…A possible reason for this underutilization is the perception that the topic is too sensitive [ 36 ]. Globally, there is a need for FGM/C specific training for frontline clinical practitioners such as midwives, nurses and physicians to improve their capacity to make correct diagnoses, document, report, treat, and provide psychosexual care [ 41 – 44 ]. Our previous research has demonstrated that tailoring sexual health training modules or coursework to a Tanzanian setting is an effective strategy for strengthening the understanding, knowledge, and skills of healthcare professionals [ 45 ].…”

Section: Introductionmentioning

confidence: 99%

The need for and acceptability of a curriculum to train nursing and medical students in the sexual healthcare of clients with female genital mutilation/cutting in Tanzania

Mwakawanga,

Massae,

Kohli

et al. 2024

BMC Women's Health

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Background Female genital mutilation/cutting (FGM/C) is tied to one of the most conservative cultures in the Mediterranean and Sub-Saharan Africa. More than 200 million girls and women in 30 African, Asian and the middle Eastern countries have undergone FGM/C. However, healthcare professionals are not adequately trained to prevent and manage FGM/C-related complications including sexual health problems. This study aimed to assess the need and acceptability of a curriculum to train nursing and medical students in the sexual healthcare of clients with FGM/C in Tanzania. Methods We used a descriptive and cross sectional study design to collect and analyse information from 271 medical and 137 nursing students in Tanzania. A Qualtrics online survey was used to obtain quantitative data on training interest, previous training received, and the curriculum delivery method. Open-ended questions were used to explore their insights on significance to obtain the necessary competencies to treat and prevent FGM/C. Descriptive statistics were used to analyze quantitative data while qualitative data were analyzed using a thematic approach. Results Almost half of the participants reported they had little to no training in sexual healthcare for women with FGM/C (47%). In all, 82.4% reported the training to be acceptable. Following thematic analysis of open-ended questions, participants expressed a desire to improve their competencies to meet the current and future sexual and psychological health needs of women and girls who have undergone FGM/C. Conclusion It is a necessary and acceptable to develop a curriculum to train healthcare students to diagnose, treat and prevent sexual health complications related to FGM/C. In our study, designing a culturally sensitive curriculum and its delivery method, that includes practical sessions with simulated patients, was considered the most beneficial and favorable.

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Section: Introductionmentioning

confidence: 99%

“…Nevertheless, only a few studies [ 46 , 47 , 50 , 51 , 53 , 54 , 60 ] have examined the association between the received training on FGC and the healthcare providers' knowledge or performance of certain FGC-related practices (e.g., identification of FGC cases and notification to child protection authorities). We identified only one [ 60 ] study that has investigated care provision. This latter study found a positive association between the healthcare providers' confidence in providing FGC-related healthcare and knowledge of health complications, experience with women with FGC, and more than five years of clinical experience.…”

Section: Introductionmentioning

confidence: 99%

Factors associated with general practitioners' routines and comfortability with assessing female genital cutting: a cross-sectional survey

Ziyada

Johansen

Berthelsen

et al. 2023

BMC Health Serv Res

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Background Female genital cutting (FGC) may cause a series of health problems that require specialized healthcare. General practitioners (GPs) are gatekeepers to specialized healthcare services in Norway. To refer girls and women subjected to FGC to appropriate services, GPs need to assess whether the health problems reported by these patients are related to FGC. However, we do not know to what degree GPs assess FGC as a potential cause of the patients' health problems. We also know little about the GPs' patterns of training and knowledge of FGC and their effect on the GPs' assessment of FGC as a potential cause of health problems. Method We employed a cross-sectional online survey among GPs in Norway to examine: 1) patterns of received training on FGC, self-assessed knowledge, and experiences with patients with FGC-related problems and 2) the association between these three factors and the GPs' assessment of FGC as a potential cause of patients' health problems. A total of 222 GPs completed the survey. Data were analysed using binary logistic regression, where we also adjusted for sociodemographic characteristics. Results Two-third of the participants had received training on FGC, but only over half received training on FGC-related health problems. Over 75% of the participants stated a need for more knowledge of FGC typology and Norwegian legislation. While the majority of the participants assessed their knowledge of FGC medical codes as inadequate, this was not the case for knowledge of the cultural aspects of FGC. Female GPs were more likely to have experience with patients with FGC-related health problems than male GPs. Among GPs with experience, 46% linked health problems to FGC in patients unaware of the connection between FGC and such health problems. GPs were more likely to assess FGC as a potential cause of health problems when they had experience with patients having FGC-related problems and when they assessed their knowledge of FGC typology and FGC-related medical codes as adequate. Conclusion To improve their assessment of FGC as a potential cause of patients' health problems, GPs should receive comprehensive training on FGC, with particular emphasis on typology, health problems, and medical codes.

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Factors Associated with Health Care Provider Attitudes, and Confidence for the Care of Women and Girls Affected by Female Genital Mutilation/Cutting

Abstract: Background: Female genital mutilation/cutting (FGM

Cited by 8 publications

References 43 publications

Influence of Female Genital Mutilation/Cutting on Health Morbidity, Health Service Utilization and Satisfaction with Care among Somali Women and Teenage Girls in the United States

Influence of Female Genital Mutilation/Cutting on Health Morbidity, Health Service Utilization and Satisfaction with Care among Somali Women and Teenage Girls in the United States

The need for and acceptability of a curriculum to train nursing and medical students in the sexual healthcare of clients with female genital mutilation/cutting in Tanzania

Factors associated with general practitioners' routines and comfortability with assessing female genital cutting: a cross-sectional survey

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