Estimates of female genital mutilation/cutting: comparison between a nationwide survey in midwifery practices and extrapolation-model

Kawous, R., van den Muijsenbergh, M.E.T.C., Geraci, D. et al. 

Estimates of female genital mutilation/cutting in the Netherlands: a comparison between a nationwide survey in midwifery practices and extrapolation-model

BMC Public Health 201033 (2020). https://doi.org/10.1186/s12889-020-09151-0

Background

Owing to migration, female genital mutilation or cutting (FGM/C) has become a growing concern in host countries in which FGM/C is not familiar. There is a need for reliable estimates of FGM/C prevalence to inform medical and public health policy. We aimed to advance methodology for estimating the prevalence of FGM/C in diaspora by determining the prevalence of FGM/C among women giving birth in the Netherlands.

Methods

Two methods were applied to estimate the prevalence of FGM/C in women giving birth: (I) direct estimation of FGM/C was performed through a nationwide survey of all midwifery practices in the Netherlands and (II) the extrapolation model was adopted for indirect estimation of FGM/C, by applying population-based-survey data on FGM/C in country of origin to migrant women who gave birth in 2018 in the Netherlands.

 

Sexual and reproductive health a COVID-19 priority (Statement)

Burnet Institute, 28 May, 2020

Burnet Institute is a member of a consortium of Australian-based non-governmental organisations (NGOs) and academic institutes concerned about the detrimental effects of the COVID-19 pandemic on the sexual and reproductive health and rights of women and girls globally.

The International Sexual and Reproductive Health and Rights Consortium, which includes Save the Children, Family Planning NSW, CARE Australia, The Nossal Institute for Global Health, and Médecins Sans Frontières Australia, is calling on the Australian Government to prioritise the needs of women and girls in its response to COVID-19.

Collectively, the consortium works across 160 countries to champion universal access to sexual and reproductive health and rights.

It’s concerned that women and girls across the globe are struggling to access critical sexual and reproductive health care, citing evidence that COVID-19 lockdowns are likely to cause millions of unplanned pregnancies.

In the Pacific, travel to rural and remote areas have been curtailed, and physical distancing requirements have forced the cancellation of most group training on sexual and reproductive rights.

A recent UNFPA report determined that a six-month lockdown could mean 47 million women and girls globally cannot access contraception, and seven million will become pregnant.

The consortium has issued a joint statement setting out priorities to ensure Australia’s global response to COVID-19 meets the critical needs of all women and girls, including:

  • Recognise and respond to the gendered impacts of the pandemic, and the increased risk to women and girls from gender-based violence and other harmful practices
  • Improve the supply of contraceptives and menstrual health products which are being impacted by the strain and disruption on global supply chains
  • Increase flexibility in delivering sexual and reproductive health services during lockdown using innovative health delivery models such as task-sharing, tele-health and pharmacy distribution
  • Support sexual and reproductive health workers and clinics to continue delivering services sagely with access to personal protective equipment as well as training on how to refer, test or diagnose COVID-19.

 

Disability Support Toolkit for frontline workers – violence and abuse

1800RESPECT, March 2020

The Disability Support Toolkit has resources for front line workers supporting people with disability who have been impacted by violence and abuse.

People with disability are 1.8 times more likely to experience violence and abuse, including more varied forms of abuse. (Source: AIHW Report 2019.) They are also less likely, and take longer to reach out for support.

This Toolkit includes:

  • Research paper on best practice to implement the disability toolkit
  • Videos to share with clients on how to contact the 1800RESPECT service and how the service works
  • Easy English booklets that can be downloaded or ordered free from 1800RESPECT.

This Toolkit can be used in conjunction with information provided on our website on Inclusive Practice: Supporting people with disability.

‘Putting it into practice’ Guidelines

The ‘Putting it into Practice’ guidelines are a resource to support access and inclusion. The guidelines provide information on:

  • General principles
  • Engaging women with disabilities, including language
  • Using specialist resources

 

  • Download the guidelines in Word or PDF.

Scope Videos

This set of 3 videos were co-developed by Scope and 1800RESPECT. They are designed to be viewed by people with disability, and include information on how to contact 1800RESPECT, and how the service works.

  • Watch the videos here

Easy English booklets

The Easy English booklets have been developed as part of the Disability Pathways Project and with Women with Disabilities Australia. They are evidence based, user group tested and easy to use.

Sunny app

Sunny is 1800RESPECT’s app for women with disability who have experienced violence and abuse. Sunny has been co-designed with women with disability to make sure it provides the very best support for the people who use it. Learn more about Sunny. Sunny is free to download and is free to use on your phone.

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COVID-19: A Gender Lens – sexual & reproductive health and gender inequality

UN Population Fund (UNFPA), March 2020

Disease outbreaks affect women and men differently, and pandemics make existing inequalities for women and girls and discrimination of other marginalized groups such as persons with disabilities and those in extreme poverty, worse. This needs to be considered, given the different impacts surrounding detection and access to treatment for women and men.

Women represent 70 percent of the health and social sector workforce globally and special attention should be given to how their work environment may expose them to discrimination, as well as thinking about their sexual and reproductive health and psychosocial needs as frontline health workers

We won’t eradicate FGM if we keep misunderstanding its history (Opinion)

by Sada Mire, The Guardian, Mon 9 Mar 2020

FGM researcher says midwives are the frontline of Australia’s fight against the practice

ABC Radio Sydney, 6/2/2020

For Western Sydney University researcher Olayide Ogunsiji, female genital mutilation was so prevalent where she grew up in Nigeria, her own cutting was never questioned. When her daughter was born, there was every chance her child would have also undergone the traumatic practice if not for the education Dr Ogunsiji received in antenatal care. 

Key points:

  • Female genital mutilation/cutting refers to procedures that removed or injured female genital organs for non-medical reasons
  • The practice is illegal in Australia but roughly 53,000 women have been living with female genital mutilation in Australia
  • Antenatal clinics were often on the frontline of helping these women, but one expert said staff needed more specialised training to be better equipped in dealing with these patients