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What interventions are effective to prevent or respond to female genital mutilation? A review of existing evidence from 2008–2020

As the final decade of acceleration towards zero new cases of Female Genital Mutilation (FGM, SDG Target 5.3) by 2030 has begun, increasing the rigour, relevance, and utility of research for programming, policy development and resource allocation is critical. This study aimed to synthesize and asses...

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Autores principales: Matanda, Dennis Juma, Van Eekert, Nina, Croce-Galis, Melanie, Gay, Jill, Middelburg, Maria Johanna, Hardee, Karen
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10187928/
https://www.ncbi.nlm.nih.gov/pubmed/37192150
http://dx.doi.org/10.1371/journal.pgph.0001855
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author Matanda, Dennis Juma
Van Eekert, Nina
Croce-Galis, Melanie
Gay, Jill
Middelburg, Maria Johanna
Hardee, Karen
author_facet Matanda, Dennis Juma
Van Eekert, Nina
Croce-Galis, Melanie
Gay, Jill
Middelburg, Maria Johanna
Hardee, Karen
author_sort Matanda, Dennis Juma
collection PubMed
description As the final decade of acceleration towards zero new cases of Female Genital Mutilation (FGM, SDG Target 5.3) by 2030 has begun, increasing the rigour, relevance, and utility of research for programming, policy development and resource allocation is critical. This study aimed to synthesize and assess the quality and strength of existing evidence on interventions designed to prevent or respond to FGM between 2008 and 2020.The study drew on a Rapid Evidence Assessment of the available literature on FGM interventions. The quality of studies was assessed using the ‘How to Note: Assessing the Strength of Evidence’ guidelines published by the Foreign, Commonwealth and Development Office (FCDO) and strength of evidence using a modified Gray scale developed by the What Works Association. Of the 7698 records retrieved, 115 studies met the inclusion criteria. Of the 115 studies, 106 were of high and moderate quality and were included in the final analysis. This review shows that at the system level, legislation-related interventions must be multifaceted to be effective. Whilst all levels would benefit from more research, for the service level especially more research is needed into how the health system can effectively prevent and respond to FGM. Community-level interventions are effective for changing attitudes towards FGM, but more must be done to innovate with these interventions so that they move beyond affecting attitudes alone to creating behaviour change. At the individual level, formal education is effective in reducing FGM prevalence among girls. However, the returns of formal education in ending FGM may take many years to be realized. Interventions targeting intermediate outcomes, such as improvement in knowledge and change in attitudes and beliefs towards FGM, are equally needed at the individual level.
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spelling pubmed-101879282023-05-17 What interventions are effective to prevent or respond to female genital mutilation? A review of existing evidence from 2008–2020 Matanda, Dennis Juma Van Eekert, Nina Croce-Galis, Melanie Gay, Jill Middelburg, Maria Johanna Hardee, Karen PLOS Glob Public Health Research Article As the final decade of acceleration towards zero new cases of Female Genital Mutilation (FGM, SDG Target 5.3) by 2030 has begun, increasing the rigour, relevance, and utility of research for programming, policy development and resource allocation is critical. This study aimed to synthesize and assess the quality and strength of existing evidence on interventions designed to prevent or respond to FGM between 2008 and 2020.The study drew on a Rapid Evidence Assessment of the available literature on FGM interventions. The quality of studies was assessed using the ‘How to Note: Assessing the Strength of Evidence’ guidelines published by the Foreign, Commonwealth and Development Office (FCDO) and strength of evidence using a modified Gray scale developed by the What Works Association. Of the 7698 records retrieved, 115 studies met the inclusion criteria. Of the 115 studies, 106 were of high and moderate quality and were included in the final analysis. This review shows that at the system level, legislation-related interventions must be multifaceted to be effective. Whilst all levels would benefit from more research, for the service level especially more research is needed into how the health system can effectively prevent and respond to FGM. Community-level interventions are effective for changing attitudes towards FGM, but more must be done to innovate with these interventions so that they move beyond affecting attitudes alone to creating behaviour change. At the individual level, formal education is effective in reducing FGM prevalence among girls. However, the returns of formal education in ending FGM may take many years to be realized. Interventions targeting intermediate outcomes, such as improvement in knowledge and change in attitudes and beliefs towards FGM, are equally needed at the individual level. Public Library of Science 2023-05-16 /pmc/articles/PMC10187928/ /pubmed/37192150 http://dx.doi.org/10.1371/journal.pgph.0001855 Text en © 2023 Matanda et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Matanda, Dennis Juma
Van Eekert, Nina
Croce-Galis, Melanie
Gay, Jill
Middelburg, Maria Johanna
Hardee, Karen
What interventions are effective to prevent or respond to female genital mutilation? A review of existing evidence from 2008–2020
title What interventions are effective to prevent or respond to female genital mutilation? A review of existing evidence from 2008–2020
title_full What interventions are effective to prevent or respond to female genital mutilation? A review of existing evidence from 2008–2020
title_fullStr What interventions are effective to prevent or respond to female genital mutilation? A review of existing evidence from 2008–2020
title_full_unstemmed What interventions are effective to prevent or respond to female genital mutilation? A review of existing evidence from 2008–2020
title_short What interventions are effective to prevent or respond to female genital mutilation? A review of existing evidence from 2008–2020
title_sort what interventions are effective to prevent or respond to female genital mutilation? a review of existing evidence from 2008–2020
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10187928/
https://www.ncbi.nlm.nih.gov/pubmed/37192150
http://dx.doi.org/10.1371/journal.pgph.0001855
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