Management of female genital mutilation/cutting-related obstetric complications: a training evaluation
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Authors
Nordmann, Kim
Subirón-Valera, Ana Belén
King, Mandella
Küpper, Thomas
Martínez-Pérez6, Guillermo Z.
Issue Date
2022-07-28
Type
Article
Language
en_US
Keywords
Female Genital Mutilation , Female Genital Cutting , Training Evaluation , Nurses , Midwives , Obstetric Complications , Liberia , Sub-Saharan Africa
Alternative Title
Abstract
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.
Description
Citation
Nordmann, K., Subirón-Valera, A. B., King, M., Küpper, T., & Martínez-Pérez, G. Z. (2022). Management of Female Genital Mutilation/Cutting-Related Obstetric Complications: A Training Evaluation. International journal of environmental research and public health, 19(15), 9209. https://doi.org/10.3390/ijerph19159209
Publisher
International Journal of Environmental Research And Public Health