Female Genital Mutilation/Cutting and the Occurrences of Birth Complications Among Women of Reproductive Age in Gewane Woreda, Afar Regional State, Ethiopia
Cancer Research Journal
Volume 6, Issue 1, March 2018, Pages: 1-9
Received: Nov. 9, 2017; Accepted: Nov. 16, 2017; Published: Jan. 5, 2018
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Authors
Bayush Gizachew Chuluko, Department of Public Health, Adama General Hospital and Medical College, Adama, Ethiopia
Sileshi Garoma Abeya, Department of Public Health, Adama Hospital Medical College, Adama, Ethiopia
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Abstract
Female genital mutilation/cutting (FGM/C), one of the most deeply rooted, harmful traditional practices, is still highly prevalent in many African countries, including Ethiopia. The reproductive health complications of FGM/C include acute hemorrhage, painful sexual life, the inability-to-conceive, fistula, and death secondary to birth complications. This study was aimed to assess the magnitude, associated factors and birth outcomes of FGM/C among women of reproductive age groups (15-49 years) in Gewane, Woreda from July 4 to 17, 2016. A population-based, cross-sectional survey was conducted using quantitative data collection methods. A sample of 792 women who ever gave birth was selected using systematic random methods. Data was collected using pretested questionnaire and analyzed using SPSS Version 21. Chi-square and logistic regression models were used to analyze and find the associations between the study variables. The prevalence of FGM/C among childbearing women was 90.8%. Infibulations (WHO Type III) was the predominantly (86.1%) practiced type of FGM/C. Higher age (AOR, 11.56; 95% CI: 2.56, 48.39), Afar Ethnic group (AOR, 4.55; 95% CI: 1.95-10.61), literate (AOR, 0.35; 95% CI: 0.15, 0.81) were factors significantly associated with FGM/C. A statistically significant association (P< 0.05) was found between FGM/C and perineal lacerations, episiotomy, postpartum complications, postpartum hemorrhage, wound infection, and stillbirth. FGM/C was highly prevalent in the study area. Infibulation, WHO Type III was the most severe form of FGM/C widely practiced. Age, ethnicity and literacy were associated with FGM/C. Women with Type III FGM/C was at higher risk of having birth and postpartum complications. Education, culturally sound community awareness raising programs, and enforcing legislation are recommended to reduce the adverse outcomes associated with FGM/C.
Keywords
Afar Region, Ethiopia, Female Genital Mutilation/Cutting
To cite this article
Bayush Gizachew Chuluko, Sileshi Garoma Abeya, Female Genital Mutilation/Cutting and the Occurrences of Birth Complications Among Women of Reproductive Age in Gewane Woreda, Afar Regional State, Ethiopia, Cancer Research Journal. Vol. 6, No. 1, 2018, pp. 1-9. doi: 10.11648/j.crj.20180601.11
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Copyright © 2018 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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