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Management of Female Genital Mutilation/Cutting-Related Obstetric Complications: A Training Evaluation

Although female genital mutilation/cutting (FGM/C) is a prevalent practice in Liberia, healthcare workers lack the capacity to provide adequate care for FGM/C survivors. Therefore, Liberian nurses, physician assistants, midwives and trained traditional midwives were trained in sexual, obstetric and...

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Autores principales: Nordmann, Kim, Subirón-Valera, Ana Belén, King, Mandella, Küpper, Thomas, Martínez-Pérez, Guillermo Z.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9367947/
https://www.ncbi.nlm.nih.gov/pubmed/35954566
http://dx.doi.org/10.3390/ijerph19159209
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author Nordmann, Kim
Subirón-Valera, Ana Belén
King, Mandella
Küpper, Thomas
Martínez-Pérez, Guillermo Z.
author_facet Nordmann, Kim
Subirón-Valera, Ana Belén
King, Mandella
Küpper, Thomas
Martínez-Pérez, Guillermo Z.
author_sort Nordmann, Kim
collection PubMed
description Although female genital mutilation/cutting (FGM/C) is a prevalent practice in Liberia, healthcare workers lack the capacity to provide adequate care for FGM/C survivors. Therefore, Liberian nurses, physician assistants, midwives and trained traditional midwives were trained in sexual, obstetric and psychosocial care for FGM/C survivors in 2019. Through questionnaires, we assessed knowledge acquisition, trainee attitudes towards FGM/C care and acceptability to implement WHO-endorsed recommendations. The questionnaires were analyzed using descriptive statistics for quantitative data and an inductive approach for qualitative data. A total of 99 female and 34 male trainees participated. Most trainees perceived FGM/C as harmful to women’s health, as a violation of women’s rights and showed a willingness to change their clinical practice. While 82.8% (n = 74/90) perceived their role in advocating against FGM/C, 10.0% (n = 9/90) felt that they should train traditional circumcisers to practice FGM/C safely. The pre-training FGM/C knowledge test demonstrated higher scores among physician assistants (13.86 ± 3.02 points) than among nurses (12.11 ± 3.12 points) and midwives (11.75 ± 2.27 points). After the training, the mean test score increased by 1.69 points, from 12.18 (±2.91) points to 13.87 (±2.65) points. The trainings successfully increased theoretical knowledge of FGM/C-caused health effects and healthcare workers’ demonstrated willingness to implement evidence-based guidelines when providing care to FMG/C survivors.
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spelling pubmed-93679472022-08-12 Management of Female Genital Mutilation/Cutting-Related Obstetric Complications: A Training Evaluation Nordmann, Kim Subirón-Valera, Ana Belén King, Mandella Küpper, Thomas Martínez-Pérez, Guillermo Z. Int J Environ Res Public Health Article Although female genital mutilation/cutting (FGM/C) is a prevalent practice in Liberia, healthcare workers lack the capacity to provide adequate care for FGM/C survivors. Therefore, Liberian nurses, physician assistants, midwives and trained traditional midwives were trained in sexual, obstetric and psychosocial care for FGM/C survivors in 2019. Through questionnaires, we assessed knowledge acquisition, trainee attitudes towards FGM/C care and acceptability to implement WHO-endorsed recommendations. The questionnaires were analyzed using descriptive statistics for quantitative data and an inductive approach for qualitative data. A total of 99 female and 34 male trainees participated. Most trainees perceived FGM/C as harmful to women’s health, as a violation of women’s rights and showed a willingness to change their clinical practice. While 82.8% (n = 74/90) perceived their role in advocating against FGM/C, 10.0% (n = 9/90) felt that they should train traditional circumcisers to practice FGM/C safely. The pre-training FGM/C knowledge test demonstrated higher scores among physician assistants (13.86 ± 3.02 points) than among nurses (12.11 ± 3.12 points) and midwives (11.75 ± 2.27 points). After the training, the mean test score increased by 1.69 points, from 12.18 (±2.91) points to 13.87 (±2.65) points. The trainings successfully increased theoretical knowledge of FGM/C-caused health effects and healthcare workers’ demonstrated willingness to implement evidence-based guidelines when providing care to FMG/C survivors. MDPI 2022-07-28 /pmc/articles/PMC9367947/ /pubmed/35954566 http://dx.doi.org/10.3390/ijerph19159209 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Nordmann, Kim
Subirón-Valera, Ana Belén
King, Mandella
Küpper, Thomas
Martínez-Pérez, Guillermo Z.
Management of Female Genital Mutilation/Cutting-Related Obstetric Complications: A Training Evaluation
title Management of Female Genital Mutilation/Cutting-Related Obstetric Complications: A Training Evaluation
title_full Management of Female Genital Mutilation/Cutting-Related Obstetric Complications: A Training Evaluation
title_fullStr Management of Female Genital Mutilation/Cutting-Related Obstetric Complications: A Training Evaluation
title_full_unstemmed Management of Female Genital Mutilation/Cutting-Related Obstetric Complications: A Training Evaluation
title_short Management of Female Genital Mutilation/Cutting-Related Obstetric Complications: A Training Evaluation
title_sort management of female genital mutilation/cutting-related obstetric complications: a training evaluation
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9367947/
https://www.ncbi.nlm.nih.gov/pubmed/35954566
http://dx.doi.org/10.3390/ijerph19159209
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