Cargando…

Female genital cutting (FGC) and the ethics of care: community engagement and cultural sensitivity at the interface of migration experiences

BACKGROUND: Female Genital Cutting (FGC) anchored in a complex socio-cultural context becomes significant at the interface of access of health and social services in host countries. The practice of FGC at times, understood as a form of gender-based violence, may result in unjustifiable consequences...

Descripción completa

Detalles Bibliográficos
Autores principales: Vissandjée, Bilkis, Denetto, Shereen, Migliardi, Paula, Proctor, Jodi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4012131/
https://www.ncbi.nlm.nih.gov/pubmed/24758156
http://dx.doi.org/10.1186/1472-698X-14-13
_version_ 1782314887424245760
author Vissandjée, Bilkis
Denetto, Shereen
Migliardi, Paula
Proctor, Jodi
author_facet Vissandjée, Bilkis
Denetto, Shereen
Migliardi, Paula
Proctor, Jodi
author_sort Vissandjée, Bilkis
collection PubMed
description BACKGROUND: Female Genital Cutting (FGC) anchored in a complex socio-cultural context becomes significant at the interface of access of health and social services in host countries. The practice of FGC at times, understood as a form of gender-based violence, may result in unjustifiable consequences among girls and women; yet, these practices are culturally engrained traditions with complex meanings calling for ethically and culturally sensitive health and social service provision. Intents and meanings of FGC practice need to be well understood before before any policies that criminalize and condemn are derived and implemented. FGC is addressed as a global public health issue with complex legal and ethical dimensions which impacts ability to access services, far beyond gender sensitivity. The ethics of terminology are addressed, building on the sustained controversial debate in regards to the delicate issue of conceptualization. An overview of international policies is provided, identifying the current trend of condemnation of FGC practices. Socio-cultural and ethical challenges are discussed in light of selected findings from a community-based research project. The illustrative examples provided focus on Western countries, with a specific emphasis on Canada. DISCUSSION: The examples provided converge with the literature confirming the utmost necessity to engage with the FGC practicing communities allowing for ethically sensitive strategies, reduction of harm in relation to systems of care, and prevention of the risk of systematic gendered stigmatization. A culturally competent, gender and ethically sensitive approach is argued for to ensure the provision of quality ethical care for migrant families in host countries. We argue that socio-cultural determinants such as ethnicity, migration, sex and gender need to be accounted for as integral to the social construction of FGC. SUMMARY: Working partnerships between the public health sector and community based organisations with a true involvement of women and men from practicing communities will allow for more sensitive and congruent clinical guidelines. In order to honour the fundamental principles and values of medical ethics, such as compassion, beneficence, non-malfeasance, respect, and justice and accountability, socio-cultural interactions at the interface of health and migration will continue to require proper attention. It entails a commitment to recognise the intrinsic value and dignity of girls’ and women’s context.
format Online
Article
Text
id pubmed-4012131
institution National Center for Biotechnology Information
language English
publishDate 2014
publisher BioMed Central
record_format MEDLINE/PubMed
spelling pubmed-40121312014-05-08 Female genital cutting (FGC) and the ethics of care: community engagement and cultural sensitivity at the interface of migration experiences Vissandjée, Bilkis Denetto, Shereen Migliardi, Paula Proctor, Jodi BMC Int Health Hum Rights Debate BACKGROUND: Female Genital Cutting (FGC) anchored in a complex socio-cultural context becomes significant at the interface of access of health and social services in host countries. The practice of FGC at times, understood as a form of gender-based violence, may result in unjustifiable consequences among girls and women; yet, these practices are culturally engrained traditions with complex meanings calling for ethically and culturally sensitive health and social service provision. Intents and meanings of FGC practice need to be well understood before before any policies that criminalize and condemn are derived and implemented. FGC is addressed as a global public health issue with complex legal and ethical dimensions which impacts ability to access services, far beyond gender sensitivity. The ethics of terminology are addressed, building on the sustained controversial debate in regards to the delicate issue of conceptualization. An overview of international policies is provided, identifying the current trend of condemnation of FGC practices. Socio-cultural and ethical challenges are discussed in light of selected findings from a community-based research project. The illustrative examples provided focus on Western countries, with a specific emphasis on Canada. DISCUSSION: The examples provided converge with the literature confirming the utmost necessity to engage with the FGC practicing communities allowing for ethically sensitive strategies, reduction of harm in relation to systems of care, and prevention of the risk of systematic gendered stigmatization. A culturally competent, gender and ethically sensitive approach is argued for to ensure the provision of quality ethical care for migrant families in host countries. We argue that socio-cultural determinants such as ethnicity, migration, sex and gender need to be accounted for as integral to the social construction of FGC. SUMMARY: Working partnerships between the public health sector and community based organisations with a true involvement of women and men from practicing communities will allow for more sensitive and congruent clinical guidelines. In order to honour the fundamental principles and values of medical ethics, such as compassion, beneficence, non-malfeasance, respect, and justice and accountability, socio-cultural interactions at the interface of health and migration will continue to require proper attention. It entails a commitment to recognise the intrinsic value and dignity of girls’ and women’s context. BioMed Central 2014-04-24 /pmc/articles/PMC4012131/ /pubmed/24758156 http://dx.doi.org/10.1186/1472-698X-14-13 Text en Copyright © 2014 Vissandjée et al.; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited.
spellingShingle Debate
Vissandjée, Bilkis
Denetto, Shereen
Migliardi, Paula
Proctor, Jodi
Female genital cutting (FGC) and the ethics of care: community engagement and cultural sensitivity at the interface of migration experiences
title Female genital cutting (FGC) and the ethics of care: community engagement and cultural sensitivity at the interface of migration experiences
title_full Female genital cutting (FGC) and the ethics of care: community engagement and cultural sensitivity at the interface of migration experiences
title_fullStr Female genital cutting (FGC) and the ethics of care: community engagement and cultural sensitivity at the interface of migration experiences
title_full_unstemmed Female genital cutting (FGC) and the ethics of care: community engagement and cultural sensitivity at the interface of migration experiences
title_short Female genital cutting (FGC) and the ethics of care: community engagement and cultural sensitivity at the interface of migration experiences
title_sort female genital cutting (fgc) and the ethics of care: community engagement and cultural sensitivity at the interface of migration experiences
topic Debate
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4012131/
https://www.ncbi.nlm.nih.gov/pubmed/24758156
http://dx.doi.org/10.1186/1472-698X-14-13
work_keys_str_mv AT vissandjeebilkis femalegenitalcuttingfgcandtheethicsofcarecommunityengagementandculturalsensitivityattheinterfaceofmigrationexperiences
AT denettoshereen femalegenitalcuttingfgcandtheethicsofcarecommunityengagementandculturalsensitivityattheinterfaceofmigrationexperiences
AT migliardipaula femalegenitalcuttingfgcandtheethicsofcarecommunityengagementandculturalsensitivityattheinterfaceofmigrationexperiences
AT proctorjodi femalegenitalcuttingfgcandtheethicsofcarecommunityengagementandculturalsensitivityattheinterfaceofmigrationexperiences