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Lessons learnt in scaling up evidence-based comprehensive health sector responses addressing female genital mutilation in highly prevalent settings
Female genital mutilation (FGM) affects over 200 million girls and women. Its health complications include acute and potentially lifelong urogenital, reproductive, physical, mental health complications with estimated health treatment costs of US$1.4 billion per year. Moreover, there is a concerning...
Autores principales: | , , , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BMJ Publishing Group
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10277070/ https://www.ncbi.nlm.nih.gov/pubmed/37308264 http://dx.doi.org/10.1136/bmjgh-2023-012270 |
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author | Ahmed, Wisal Gebretsadik, Eyob Gbenou, Dina Hien, Yelmali Dramou, Bernadette Ambelu, Haimanot Hussein, Hiba Lavussa, Joyce Mamo, Anabay Cherono, Matilda Kessi, Mary El Hennawy, Hala Gholbzouri, Karima Ouedraogo, Leopold Chilanga, Asmani Elamin, Hayfa Pallitto, Christina |
author_facet | Ahmed, Wisal Gebretsadik, Eyob Gbenou, Dina Hien, Yelmali Dramou, Bernadette Ambelu, Haimanot Hussein, Hiba Lavussa, Joyce Mamo, Anabay Cherono, Matilda Kessi, Mary El Hennawy, Hala Gholbzouri, Karima Ouedraogo, Leopold Chilanga, Asmani Elamin, Hayfa Pallitto, Christina |
author_sort | Ahmed, Wisal |
collection | PubMed |
description | Female genital mutilation (FGM) affects over 200 million girls and women. Its health complications include acute and potentially lifelong urogenital, reproductive, physical, mental health complications with estimated health treatment costs of US$1.4 billion per year. Moreover, there is a concerning rise in the trend of FGM medicalisation with almost one in five FGM cases being performed by a health worker. The WHO developed several evidence-based resources to apply a comprehensive health approach to strengthen FGM prevention and care services. However, there has been limited uptake of this comprehensive approach in FGM prevalent settings. To address this, a three-step multicountry participatory process was used to engage health sector players from FGM prevalent settings to develop comprehensive action plans, implement foundational activities and harness the learnings to inform subsequent planning and implementation. Support to adapt evidence-based resources and seed funding were also provided to initiate foundational activities that had potential for scale up. A total of 15 countries participated in this three-step this approach between 2018 and 2022. Ten countries developed comprehensive national action plans and eight WHO resources were adapted for foundational activities. This scale up approach can be strengthened by increasing the frequency of multicountry experience sharing meetings, identifying in-country champions to continuously advocate for FGM integration within (public and private) health services and securing stable funding to implement foundational activities. Documentation of each country’s experience as case studies including monitoring and evaluation are essential to expand the learning and quality of the health interventions addressing FGM. |
format | Online Article Text |
id | pubmed-10277070 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | BMJ Publishing Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-102770702023-06-19 Lessons learnt in scaling up evidence-based comprehensive health sector responses addressing female genital mutilation in highly prevalent settings Ahmed, Wisal Gebretsadik, Eyob Gbenou, Dina Hien, Yelmali Dramou, Bernadette Ambelu, Haimanot Hussein, Hiba Lavussa, Joyce Mamo, Anabay Cherono, Matilda Kessi, Mary El Hennawy, Hala Gholbzouri, Karima Ouedraogo, Leopold Chilanga, Asmani Elamin, Hayfa Pallitto, Christina BMJ Glob Health Practice Female genital mutilation (FGM) affects over 200 million girls and women. Its health complications include acute and potentially lifelong urogenital, reproductive, physical, mental health complications with estimated health treatment costs of US$1.4 billion per year. Moreover, there is a concerning rise in the trend of FGM medicalisation with almost one in five FGM cases being performed by a health worker. The WHO developed several evidence-based resources to apply a comprehensive health approach to strengthen FGM prevention and care services. However, there has been limited uptake of this comprehensive approach in FGM prevalent settings. To address this, a three-step multicountry participatory process was used to engage health sector players from FGM prevalent settings to develop comprehensive action plans, implement foundational activities and harness the learnings to inform subsequent planning and implementation. Support to adapt evidence-based resources and seed funding were also provided to initiate foundational activities that had potential for scale up. A total of 15 countries participated in this three-step this approach between 2018 and 2022. Ten countries developed comprehensive national action plans and eight WHO resources were adapted for foundational activities. This scale up approach can be strengthened by increasing the frequency of multicountry experience sharing meetings, identifying in-country champions to continuously advocate for FGM integration within (public and private) health services and securing stable funding to implement foundational activities. Documentation of each country’s experience as case studies including monitoring and evaluation are essential to expand the learning and quality of the health interventions addressing FGM. BMJ Publishing Group 2023-06-12 /pmc/articles/PMC10277070/ /pubmed/37308264 http://dx.doi.org/10.1136/bmjgh-2023-012270 Text en © World Health Organization 2023. Licensee BMJ. https://creativecommons.org/licenses/by-nc/3.0/igo/This is an open access article distributed under the terms of the Creative Commons Attribution IGO License (CC BY NC 3.0 IGO (https://creativecommons.org/licenses/by-nc/3.0/igo/) ), which permits use, distribution, and reproduction in any medium, provided the original work is properly cited. In any reproduction of this article there should not be any suggestion that WHO or this article endorse any specific organization or products. The use of the WHO logo is not permitted. This notice should be preserved along with the article’s original URL. |
spellingShingle | Practice Ahmed, Wisal Gebretsadik, Eyob Gbenou, Dina Hien, Yelmali Dramou, Bernadette Ambelu, Haimanot Hussein, Hiba Lavussa, Joyce Mamo, Anabay Cherono, Matilda Kessi, Mary El Hennawy, Hala Gholbzouri, Karima Ouedraogo, Leopold Chilanga, Asmani Elamin, Hayfa Pallitto, Christina Lessons learnt in scaling up evidence-based comprehensive health sector responses addressing female genital mutilation in highly prevalent settings |
title | Lessons learnt in scaling up evidence-based comprehensive health sector responses addressing female genital mutilation in highly prevalent settings |
title_full | Lessons learnt in scaling up evidence-based comprehensive health sector responses addressing female genital mutilation in highly prevalent settings |
title_fullStr | Lessons learnt in scaling up evidence-based comprehensive health sector responses addressing female genital mutilation in highly prevalent settings |
title_full_unstemmed | Lessons learnt in scaling up evidence-based comprehensive health sector responses addressing female genital mutilation in highly prevalent settings |
title_short | Lessons learnt in scaling up evidence-based comprehensive health sector responses addressing female genital mutilation in highly prevalent settings |
title_sort | lessons learnt in scaling up evidence-based comprehensive health sector responses addressing female genital mutilation in highly prevalent settings |
topic | Practice |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10277070/ https://www.ncbi.nlm.nih.gov/pubmed/37308264 http://dx.doi.org/10.1136/bmjgh-2023-012270 |
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