Female Genital Mutilation in Benin: Prevalence and Associated Factors Based on Data from the Demographic and Health Survey, 2011-2012
World Journal of Public Health
Volume 4, Issue 4, December 2019, Pages: 74-80
Received: Aug. 29, 2019;
Accepted: Oct. 4, 2019;
Published: Oct. 23, 2019
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Alphonse Kpozehouen, Regional Institute of Public Health, University of Abomey-Calavi, Ouidah, Benin
Yolaine Glele Ahanhanzo, Regional Institute of Public Health, University of Abomey-Calavi, Ouidah, Benin
Elvyre Klikpo, Faculty of Health Sciences, University of Abomey-Calavi, Cotonou, Benin
Colette Azandjame, Regional Institute of Public Health, University of Abomey-Calavi, Ouidah, Benin
Alphonse Chabi, Regional Institute of Public Health, University of Abomey-Calavi, Ouidah, Benin
Charles Sossa Jerome, Regional Institute of Public Health, University of Abomey-Calavi, Ouidah, Benin
Moussiliou Noel Paraiso, Regional Institute of Public Health, University of Abomey-Calavi, Ouidah, Benin
Edgard-Marius Ouendo, Regional Institute of Public Health, University of Abomey-Calavi, Ouidah, Benin
Female genital mutilation has multiple adverse impacts on victims’ physical and psychosocial well-being. This study aimed to determine the prevalence and potential factors associated with female genital mutilation in Benin. A logistic regression was performed on the 2011 Benin Demographic and Health Survey dataset, using Stata 12. The dependent variable was based on participants’ declaration about the “Cut respondent’ question and was dichotomous (Yes/No). Independent variables were sociodemographic characteristics. A total of 11,008 women were selected, with 7.14% (CI 95% = [5.91, 8.60]) reported to be victims of female genital mutilation. The majority of the women were between 25 and 34 years old (34.5%), uneducated (54.6%), and married (51.3%). Women aged 35 to 49 were more likely to be victims of FGM than women aged 15 to 18 (OR = 5.43; CI 95% [3.77-7.82]). The risk of FGM was higher in married women (OR = 7.76) than those who had never been in a union, with the same trend observed for Muslim women (OR = 33.39) compared to followers of voodoo/traditional religion. Female genital mutilation is still practiced in Benin, especially in the north. This study reveals that factors such as marital status, religion, area of residence, level of education, ethnicity, and département of residence are associated with this practice. Therefore, they should be taken into account for effective interventions to eliminate it at national level.
Yolaine Glele Ahanhanzo,
Charles Sossa Jerome,
Moussiliou Noel Paraiso,
Female Genital Mutilation in Benin: Prevalence and Associated Factors Based on Data from the Demographic and Health Survey, 2011-2012, World Journal of Public Health.
Vol. 4, No. 4,
2019, pp. 74-80.
Berg RC, Odgaard-Jensen J, Fretheim A, Underland V, Vist G: An updated systematic review and meta-analysis of the obstetric consequences of female genital mutilation/cutting. Obstetrics and gynecology international 2014: 542859.
Dawson A, Turkmani S, Fray S, Nanayakkara S, Varol N, Homer C: Evidence to inform education, training and supportive work environments for midwives involved in the care of women with female genital mutilation: a review of global experience. Midwifery 2015, 31 (1): 229-238.
Perron L, Senikas V, Burnett M, Davis V: Female genital cutting. Journal of obstetrics and gynaecology Canada: JOGC: JOGC 2013, 35 (11): 1028-1045.
Reig-Alcaraz M, Siles-Gonzalez J, Solano-Ruiz C: A mixed-method synthesis of knowledge, experiences and attitudes of health professionals to Female Genital Mutilation. Journal of advanced nursing 2016, 72 (2): 245-260.
Yaya S, Ghose B: Female Genital Mutilation in Nigeria: A Persisting Challenge for Women’s Rights. Social Sciences 2018, 7 (12): 244.
Zurynski Y, Sureshkumar P, Phu A, Elliott E: Female genital mutilation and cutting: a systematic literature review of health professionals' knowledge, attitudes and clinical practice. BMC international health and human rights 2015, 15: 32.
Bjalkander O, Bangura L, Leigh B, Berggren V, Bergstrom S, Almroth L: Health complications of female genital mutilation in Sierra Leone. International journal of women's health 2012, 4: 321-331.
Dare FO, Oboro VO, Fadiora SO, Orji EO, Sule-Odu AO, Olabode TO: Female genital mutilation: an analysis of 522 cases in South-Western Nigeria. Journal of obstetrics and gynaecology: the journal of the Institute of Obstetrics and Gynaecology 2004, 24 (3): 281-283.
Osifo DO, Evbuomwan I: Female genital mutilation among Edo people: the complications and pattern of presentation at a pediatric surgery unit, Benin City. African journal of reproductive health 2009, 13 (1): 17-25.
Rymer J, O'Flynn N: Female genital mutilation: everyone's problem. The British journal of general practice 2013, 63 (615): 515.
World Health Organization: Les Mutilations Sexuelles Féminines: Aperçu du Problème [Female Genital Mutilation: An Overview]. In. Geneva: World Health Organization; 1998.
Okeke T, Anyaehie U, Ezenyeaku C: An overview of female genital mutilation in Nigeria. Annals of medical and health sciences research 2012, 2 (1): 70-73.
Onuh SO, Igberase GO, Umeora JO, Okogbenin SA, Otoide VO, Gharoro EP: Female genital mutilation: knowledge, attitude and practice among nurses. Journal of the National Medical Association 2006, 98 (3): 409-414.
Ashimi AO, Amole TG: Perception and attitude of pregnant women in a rural community north-west Nigeria to female genital mutilation. Archives of gynecology and obstetrics 2015, 291 (3): 695-700.
Yirga WS, Kassa NA, Gebremichael MW, Aro AR: Female genital mutilation: prevalence, perceptions and effect on women's health in Kersa district of Ethiopia. International journal of women's health 2012, 4: 45-54.
Serour GI: Medicalization of female genital mutilation/cutting. African Journal of Urology 2013, 19 (3): 145-149.
Institut National de la Statistique et de l’Analyse Économique (INSAE) et ICF International: Enquête Démographique et de Santé du Bénin 2011-2012. In. Calverton, Maryland, USA INSAE et ICF International; 2013.
Packer C, Runnels V, Labonte R: Canada's response to female genital mutilation: are we failing our girls? CMAJ: Canadian Medical Association journal = journal de l'Association medicale canadienne 2015, 187 (6): E188-189.
Bowen NK, Powers JD: Knowledge gaps among school staff and the role of high quality ecological assessments in schools. Research on social work practice 2005, 15 (6): 491-500.
Filmer D, Pritchett LH: Estimating wealth effects without expenditure data--or tears: an application to educational enrollments in states of India. Demography 2001, 38 (1): 115-132.
Vyas S, Kumaranayake L: Constructing socio-economic status indices: how to use principal components analysis. Health policy and planning 2006, 21 (6): 459-468.
Bennett S, Woods T, Liyanage WM, Smith DL: A simplified general method for cluster-sample surveys of health in developing countries. World Health Stat Q 1991, 44 (3): 98-106.
StataCorporation: Stata Statistical Software. In. College Station, TX; 2001.
Setegn T, Lakew Y, Deribe K: Geographic Variation and Factors Associated with Female Genital Mutilation among Reproductive Age Women in Ethiopia: A National Population Based Survey. PloS one 2016, 11 (1): e0145329.
Kaplan A, Forbes M, Bonhoure I, Utzet M, Martin M, Manneh M, Ceesay H: Female genital mutilation/cutting in The Gambia: long-term health consequences and complications during delivery and for the newborn. International journal of women's health 2013, 5: 323-331.
Achia TN: Spatial modelling and mapping of female genital mutilation in Kenya. BMC public health 2014, 14: 276.
Ojo TO, Ijadunola MY: Sociodemographic factors associated with female genital cutting among women of reproductive age in Nigeria. The European journal of contraception & reproductive health care: the official journal of the European Society of Contraception 2017, 22 (4): 274-279.
Karmaker B, Kandala NB, Chung D, Clarke A: Factors associated with female genital mutilation in Burkina Faso and its policy implications. International journal for equity in health 2011, 10: 20.
Khalaf I: Female genital cutting/mutilation in Africa deserves special concern: An overview. African Journal of Urology 2013, 19 (3): 119-122.
Makinde ON, Elusiyan JB, Adeyemi AB, Taiwo OT: Female genital mutilation: are we winning? East African medical journal 2012, 89 (6): 193-198.
Olubayo-Fatiregun M: Determinants and health consequences of female genital mutilation among women of child bearing age in Ife East Local Government Area of Osun State, Nigeria. Int J Humanit Soc Sci 2007, 4: 200–205.
Mandara MU: Female genital mutilation in Nigeria. International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics 2004, 84 (3): 291-298.