Female Genital Mutilation - World Health Organization

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WHO/FCH/GWH/01.4 WHO/RHR/01.17 Dist: General Original: English Female Genital Mutilation Integrating the Prevention and the Management of the Health Complications into the curricula of nursing and midwifery. A Student’s Manual Department of Gender and Women’s Health Department of Reproductive Health and Research Family and Community Health World Health Organization Geneva
ACKNOWLEDGMENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 FOREWORD . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 INTRODUCTION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 Who is the manual for? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 How is the manual organized? . . . . . . . . . . . . . . . . . . . . . . . . 6 Learning activities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 Evaluation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 MODULE 1: FOUNDATION MODULE: INTRODUCTION TO FEMALE GENITAL MUTILATION General Objectives . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 Essential competencies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 Reference materials . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 Session 1: Analyzing and influencing traditions . . . . 11 Session 2: Description, background and WHO classification of FGM . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16 Session 3: Complications of FGM . . . . . . . . . . . . . . . . . . 28 Session 4: Professional ethics and legal implications of FGM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32 Session 5: Human rights and of FGM . . . . . . . . . . . . . . 34 MODULE 2: COMMUNITY INVOLVEMENT IN THE PREVENTION OF FEMALE GENITAL MUTILATION General objectives . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37 Essential competencies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37 Reference materials . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37 Session 1: Beliefs, values and attitudes . . . . . . . . . . . . . . .39 Session 2: Traditional beliefs, values and attitudes towards FGM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .44 Session 3: Strategies for involving individuals, families and communities in the prevention of FGM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .48 Session 4: Strategies for involving political and government leaders in the prevention of FGM . . . 51 MODULE 3: MANAGEMENT OF GIRLS AND WOMEN WITH FGM COMPLICATIONS General objectives . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 55 Essential competencies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 55 Reference materials . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 55 TABLE OF CONTENTS Session 1: Assessment to identify physical complications due to FGM . . . . . . . . . . . . . . . . . . . . . . . 57 Session 2: Management of clients with physical complications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 60 Session 3: Using counselling skills . . . . . . . . . . . . . . . . . . 65 Session 4: Assessment to identify psychosocial and sexual complications of FGM . . . . . . . . . . . . . . . 68 Session 5: Management of a girl or a woman with psychosocial and sexual complications of FGM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 70 Session 6: Demonstrating referral skills . . . . . . . . . . . . 72 Session 7: Family planning and FGM . . . . . . . . . . . . . . . 74 Session 8: The procedure for opening up type III FGM (infibulation) . . . . . . . . . . . . . . . . . . . . . . . . . . . 76 MODULE 4: MANAGEMENT OF WOMEN WITH FGM DURING PREGNANCY, LABOUR, DELIVERY AND THE POSTPARTUM PERIOD General objectives . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 81 Essential competencies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 81 Reference materials . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 81 Session 1: Assessment and management of complications due to FGM during pregnancy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 82 Session 2: Obstetric complications due to FGM during labour and delivery . . . . . . . . . . . . . . . . 86 Session 3: Assessment and management of a woman with FGM during labour and delivery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 88 Session 4: Management of women with FGM during the postpartum period . . . . . . . . . . . . . 91 APPENDIX: FEMALE GENITAL MUTILATION STUDENT MANUAL 1: Case studies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 95 2: Learning resources . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 99 3
Page 1: WHO/FCH/GWH/01.4 WHO/RHR/01.17 Dist
Page 5 and 6: An estimated 100 to 140 million gir
Page 7 and 8: ideas given by students after a gro
Page 9 and 10: This module is intended to equip st
Page 11 and 12: Key reference ● Dorkenoo, E. Trad
Page 13 and 14: But there was one very old woman in
Page 15 and 16: Summary interpretation of the story
Page 17 and 18: STRUCTURE FUNCTION Skene’s and Ba
Page 19 and 20: FEMALE GENITAL MUTILATION STUDENT M
Page 21 and 22: Figure 1.7: It is performed on babi
Page 23 and 24: The origins of female genital mutil
Page 29 and 30: threatening complication of female
Page 31 and 32: of feelings. The experience is a vi
Page 33 and 34: Legal implications of FGM ● The e
Page 35 and 36: ased on the idea of the inferiority
Page 37 and 38: This module is intended to prepare
Page 39 and 40: Session objectives Learning activit
Page 41 and 42: Value clarification Value clarifica
Page 43 and 44: _____ Teaching community about the
Page 45 and 46: ● After they have shared their vi
Page 47 and 48: Student guideline for the community
Page 49 and 50: Because of the personal and cultura
Page 51 and 52: Introduction The involvement of pol
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partnership is to educate relevant
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This module is intended to prepare
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Session objectives Key references
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- Expose the necessary area for ins
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- If injury is very extensive refer
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e due to obstruction of the urine i
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Session objectives Introduction Cou
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Role Play Students should practice
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menstrual patterns and sexual relat
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● If symptoms are severe, refer c
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expect and what to do at the referr
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Table 2: Family Planning Method and
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● Counsel the client on the proce
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Figure 4.6: Sutured sides of the op
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Module 4 is also an intervention mo
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eassure them that you are comfortab
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● Follow the procedure for openin
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perineum as a result of scarring of
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Assessment of the introitus during
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Key references ● A Systematic Rev
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● Assure client that you are avai
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CASE 1 Adela is a 27 years old woma
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also was mutilated when she was a c
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Films and videos APPENDIX 2: LEARNI
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NOTES FEMALE GENITAL MUTILATION STU
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NOTES FEMALE GENITAL MUTILATION STU
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Female Genital Mutilation - World Health Organization

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