Management of female genital mutilation / cutting-related obstetric complications: a training evaluation

Nordmann, K. ; Subirón Valera, A. B. (Universidad de Zaragoza) ; King, M. ; Küpper, T. ; Martínez-Pérez, G. Z.

Resumen: Although female genital mutilation/cutting (FGM/C) is a prevalent practice in Liberia, healthcare workers lack the capacity to provide adequate care for FGM/C survivors. Therefore, Liberian nurses, physician assistants, midwives and trained traditional midwives were trained in sexual, obstetric and psychosocial care for FGM/C survivors in 2019. Through questionnaires, we assessed knowledge acquisition, trainee attitudes towards FGM/C care and acceptability to implement WHO-endorsed recommendations. The questionnaires were analyzed using descriptive statistics for quantitative data and an inductive approach for qualitative data. A total of 99 female and 34 male trainees participated. Most trainees perceived FGM/C as harmful to women''s health, as a violation of women''s rights and showed a willingness to change their clinical practice. While 82.8% (n = 74/90) perceived their role in advocating against FGM/C, 10.0% (n = 9/90) felt that they should train traditional circumcisers to practice FGM/C safely. The pre-training FGM/C knowledge test demonstrated higher scores among physician assistants (13.86 ± 3.02 points) than among nurses (12.11 ± 3.12 points) and midwives (11.75 ± 2.27 points). After the training, the mean test score increased by 1.69 points, from 12.18 (±2.91) points to 13.87 (±2.65) points. The trainings successfully increased theoretical knowledge of FGM/C-caused health effects and healthcare workers'' demonstrated willingness to implement evidence-based guidelines when providing care to FMG/C survivors.

Idioma: Inglés

DOI: 10.3390/ijerph19159209

Año: 2022

Publicado en: International journal of environmental research and public health 19, 15 (2022), 9209 [12 pp.]
ISSN: 1661-7827

Factor impacto CITESCORE: 5.4 - Medicine (Q2) - Environmental Science (Q2)

Factor impacto SCIMAGO: 0.828 - Health, Toxicology and Mutagenesis (Q2) - Public Health, Environmental and Occupational Health (Q2) - Pollution (Q2)

Tipo y forma: Artículo (Versión definitiva)

Área (Departamento): Área Enfermería (Dpto. Fisiatría y Enfermería)