The perceived effects of COVID-19 pandemic on female genital mutilation/cutting and child or forced marriages in Kenya, Uganda, Ethiopia and Senegal.


Journal

BMC public health
ISSN: 1471-2458
Titre abrégé: BMC Public Health
Pays: England
ID NLM: 100968562

Informations de publication

Date de publication:
29 03 2022
Historique:
received: 06 07 2021
accepted: 18 03 2022
entrez: 30 3 2022
pubmed: 31 3 2022
medline: 2 4 2022
Statut: epublish

Résumé

The effects of COVID-19 on harmful traditional practices such Female Genital Mutilation/Cutting (FGM/C) and Child or Forced Marriages (CFM) have not been well documented. We examined respondents' perceptions on how the COVID-19 pandemic has affected FGM/C and CFM in Kenya, Uganda, Senegal, and Ethiopia. A cross-sectional study design with a mixed methods approach was used. Data collection on participants' perceptions on the effects of COVID-19 on FGM/C and CFM took place between October-December 2020. Household surveys targeting women and men aged 15-49 years in Kenya (n = 312), Uganda (n = 278), Ethiopia (n = 251), and Senegal (n = 208) were conducted. Thirty-eight key informant interviews with programme implementers and policymakers were carried out in Kenya (n = 17), Uganda (n = 9), Ethiopia (n = 8), and Senegal (n = 4). In Kenya, the COVID-19 pandemic has contributed to the increase in both FGM/C and CFM cases. Minimal increase of FGM/C cases was reported in Uganda and a significant increase in CFM cases. In Ethiopia, the COVID-19 pandemic had a limited perceived effect on changes in FGM/C and CFM. In Senegal, there were minimal perceived effects of COVID-19 on the number of FGM/C and CFM cases. The pandemic negatively affected implementation of interventions by the justice and legal system, the health system, and civil societies. The pandemic has had varied perceived effects on FGM/C and CFM across the four countries. Generally, the pandemic has negatively affected implementation of interventions by the various sectors that are responsible for preventing and responding to FGM/C and CFM. This calls for innovative approaches in intervening in the various communities to ensure that women and girls at risk of FGM/C and CFM or in need of services are reached during the pandemic. Evidence on how effective alternative approaches such as the use of call centres, radio talk shows and the use of local champions as part of risk communication in preventing and responding to FGM/C and CFM amid COVID-19 is urgently required.

Sections du résumé

BACKGROUND
The effects of COVID-19 on harmful traditional practices such Female Genital Mutilation/Cutting (FGM/C) and Child or Forced Marriages (CFM) have not been well documented. We examined respondents' perceptions on how the COVID-19 pandemic has affected FGM/C and CFM in Kenya, Uganda, Senegal, and Ethiopia.
METHODS
A cross-sectional study design with a mixed methods approach was used. Data collection on participants' perceptions on the effects of COVID-19 on FGM/C and CFM took place between October-December 2020. Household surveys targeting women and men aged 15-49 years in Kenya (n = 312), Uganda (n = 278), Ethiopia (n = 251), and Senegal (n = 208) were conducted. Thirty-eight key informant interviews with programme implementers and policymakers were carried out in Kenya (n = 17), Uganda (n = 9), Ethiopia (n = 8), and Senegal (n = 4).
RESULTS
In Kenya, the COVID-19 pandemic has contributed to the increase in both FGM/C and CFM cases. Minimal increase of FGM/C cases was reported in Uganda and a significant increase in CFM cases. In Ethiopia, the COVID-19 pandemic had a limited perceived effect on changes in FGM/C and CFM. In Senegal, there were minimal perceived effects of COVID-19 on the number of FGM/C and CFM cases. The pandemic negatively affected implementation of interventions by the justice and legal system, the health system, and civil societies.
CONCLUSIONS
The pandemic has had varied perceived effects on FGM/C and CFM across the four countries. Generally, the pandemic has negatively affected implementation of interventions by the various sectors that are responsible for preventing and responding to FGM/C and CFM. This calls for innovative approaches in intervening in the various communities to ensure that women and girls at risk of FGM/C and CFM or in need of services are reached during the pandemic. Evidence on how effective alternative approaches such as the use of call centres, radio talk shows and the use of local champions as part of risk communication in preventing and responding to FGM/C and CFM amid COVID-19 is urgently required.

Identifiants

pubmed: 35351084
doi: 10.1186/s12889-022-13043-w
pii: 10.1186/s12889-022-13043-w
pmc: PMC8961092
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

601

Informations de copyright

© 2022. The Author(s).

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Auteurs

Tammary Esho (T)

Amref Health Africa, Langata Rd, PO Box 27691-00506, Nairobi, Kenya. tammary.esho@amref.org.

Dennis J Matanda (DJ)

Population Council, Avenue 5, 3rd Floor Rose Ave, Nairobi, Kenya.

Timothy Abuya (T)

Population Council, Avenue 5, 3rd Floor Rose Ave, Nairobi, Kenya.

Sintayehu Abebe (S)

Amref Health Africa, Addis Ababa, Ethiopia.

Yeshitila Hailu (Y)

Amref Health Africa, Addis Ababa, Ethiopia.

Khaltoume Camara (K)

Amref Health Africa, Dakar, Senegal.

Bachir Mouhammed (B)

Amref Health Africa, Dakar, Senegal.

Tonny Kapsandui (T)

Amref Health Africa, Kampala, Uganda.

Lilian Kamanzi (L)

Amref Health Africa, Kampala, Uganda.

Andrew Wabwire (A)

Amref Health Africa, Kampala, Uganda.

Patrick Kagurusi (P)

Amref Health Africa, Kampala, Uganda.

Maureen Nankanja (M)

Amref Health Africa, Kampala, Uganda.

Anne Gitimu (A)

Amref Health Africa, Langata Rd, PO Box 27691-00506, Nairobi, Kenya.

David Kawai (D)

Amref Health Africa, Langata Rd, PO Box 27691-00506, Nairobi, Kenya.

John Kogada (J)

Amref Health Africa, Langata Rd, PO Box 27691-00506, Nairobi, Kenya.

Millicent Ondigo (M)

Amref Health Africa, Langata Rd, PO Box 27691-00506, Nairobi, Kenya.

Joachim Osur (J)

Amref International University, Nairobi, Kenya.

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Classifications MeSH