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concern for women’s sexuality. A number of scholars and activists, however, have concluded that the<br />

most “sensitive” and least controversial angle from which to argue for the elimination of the practice is<br />

that of the right to health and bodily integrity.<br />

A number of African nations have passed legislation against FGM, although enforcement mechanisms<br />

vary. Many feel, however, that outright legislation against the practice, especially during the early stages<br />

of abandonment, is highly problematic as it pits community members against each other, penalizing<br />

individuals acting in good faith within their cultural framework, and potentially driving the practice<br />

underground and reducing the likelihood that those who need medical attention will receive it.<br />

The “development and modernization” approach suggests that overall improvements in socioeconomic<br />

status and education, especially for women, will have far-reaching social effects, including a reduced<br />

demand for FGM. The empirical data do not consistently support this conclusion, however, and many<br />

argue that changing social conditions will not automatically change strongly held beliefs and values<br />

regarding female “circumcision,” but that targeted intervention issues on the harmful effects of the<br />

practice are needed as well.<br />

The “convention theory” of abandonment argues that practices such as FGM are conventions locked<br />

in place by interdependent expectations in the marriage market and that once in place such conventions<br />

become deeply entrenched, since those who fail to comply also risk failing to reproduce (Mackie 2000).<br />

Therefore, education about adverse consequences does not suffice, but must be accompanied by a<br />

collective convention shift. This approach, which has been carried out in practice by the Senegalese<br />

NGO Tostan, uses basic education leading to public declarations in which communities who historically<br />

intermarry join in denouncing FGM.<br />

It is common for activists to argue that one of the reasons that FGM is so “entrenched” is that it<br />

constitutes an important source of income for those performing the procedure. Consequently, some<br />

eradication efforts have focused in part on schemes to compensate circumcisers for lost income. Critics<br />

(see Mackie 2000) argue that this is a misguided functionalism: although circumcisers immediately do<br />

cause circumcision of girls, they do not cause parents to want circumcision for their daughters and<br />

thus do not directly cause the continuation of the practice. Others point out that circumcisers may<br />

receive compensation for not practicing while continuing to do so in secrecy. However, in contexts in<br />

which circumcisers are prestigious community leaders, their genuine conversion is crucial and it may<br />

be an important strategy to provide at least symbolic, and perhaps limited material, support to those<br />

circumcisers who have already had a change of heart, thus motivating them to stick to their decision,<br />

which is distinct from “bribing” people to stop.<br />

Some groups and communities have experimented with alternative, non-circumcising rituals, for<br />

example in Kenya and The Gambia. The success of such an approach has not been documented,<br />

however, and there are reports from Kenya that girls who have undergone “ritual without cutting” have<br />

later been coerced into actual genital cutting.<br />

While these approaches have been discussed separately, in reality most campaigns combine a variety<br />

of strategies into an integrated approach.<br />

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