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The Ebola Epidemic Halted Female Genital Cutting in Sierra Leone: Temporarily

  • David A. Schwartz
Chapter
Part of the Global Maternal and Child Health book series (GMCH)

Abstract

This chapter discusses the occurrence of female genital cutting (FGC) in Sierra Leone before, during, and after the West African Ebola virus epidemic. Female genital cutting, also termed female genital mutilation or female circumcision, is a procedure that involves the removal of parts or all of the entire external female genital organs, or other injuries to the external female genital organs, for nonmedical reasons. Sierra Leone has one of the highest rates of FGC in the world, with up to 90% or more of all girls and women having undergone the procedure. In Sierra Leone, it is associated with membership in a secret women’s society, the Bondo Society, which yields enormous social and political power throughout the urban and rural areas of the country. Because it is typically performed under unhygienic circumstances, FGC can result in numerous medical complications including recurrent genitourinary infections, sepsis, pain, hemorrhage, infertility, and even death. FGC is internationally recognized as a violation of the basic human rights of girls and women. During the Ebola epidemic that began in Sierra Leone in 2014, there was a governmental ban on FGC to prevent Ebola virus transmission, not only to the children and girls who were at risk for undergoing the procedure, but also to protect the soweis—older women who are the senior members of the Bondo societies and who perform the circumcision. However, once the Ebola epidemic was over in 2015, there was a return to “business as usual” by the country’s soweis and FGC has returned. In the post-Ebola era, efforts continue to eliminate FGC from Sierra Leone.

Keywords

Sierra Leone Female genital cutting Female genital mutilation Female circumcision Human rights Reproductive rights Sowei Secret society Bondo society Sante society Coming of age Excision Infibulation Clitoridectomy Children’s rights Women’s rights Ebola epidemic 

References

  1. 28 Too Many. (2014). Country profile. FGM in Sierra Leone June 2014. Retrieved April 13, 2018, http://www.refworld.org/pdfid/54bce6334.pdf.
  2. Acland, O. (2016). Ebola ended FGM in Sierra Leone, but now it’s back. Vice News. Retrieved April 15, 2018, from https://news.vice.com/article/ebola-ended-fgm-in-sierra-leone-but-now-its-back.
  3. Behrendt, A., & Moritz, S. (2005). Posttraumatic stress disorder and memory problems after female genital mutilation. American Journal of Psychiatry, 162, 1000–1002.CrossRefGoogle Scholar
  4. Bjälkander, O., Bangura, L., Leigh, B., Berggren, V., Bergström, S., & Lars Almroth, A. (2012). Health complications of female genital mutilation in Sierra Leone. International Journal of Women’s Health, 4, 321–331. Retrieved April 30, 2018, from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3410700/.CrossRefGoogle Scholar
  5. Bjälkander, O., Grant, D. S., Berggren, V., Bathija, H., & Almroth, L. (2013). Female genital mutilation in Sierra Leone: Forms, reliability of reported status, and accuracy of related demographic and health survey questions. Obstetrics and Gynecology International, 2013, 1–14. https://doi.org/10.1155/2013/680926.CrossRefGoogle Scholar
  6. Bosire, O. T. (2012). The Bondo secret society: Female circumcision and the Sierra Leonean state (PhD thesis, University of Glasgow).Google Scholar
  7. Dapper, O. (1668). Naukeurige Beschrijvinge der Afrikaensche Gewesten van Egypten, Barbaryen, Libyen, Biledulgerid, Guinea, Ethiopiën, Abyssine. Amsterdam: J. van Meurs.Google Scholar
  8. Devi, S. (2018). FGM in Sierra Leone. Lancet, 391(10119), 415. Retrieved April 20, 2018, from https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(18)30189-2/fulltext.CrossRefGoogle Scholar
  9. Devries, N. (2014). Ebola fears bring female genital mutilation to near halt in Sierra Leone. Aljazeera America. Retrieved April 28, 2018, from http://america.aljazeera.com/articles/2014/12/4/sierra-leone-fgmebola.html.
  10. Goldberg, E. (2015). Ebola could put a stop to female genital mutilation in Sierra Leone. Huffington Post. Retrieved May 3, 2018, from https://www.huffingtonpost.com/2015/01/16/female-genital-mutilation-sierra-leone_n_6481054.html.
  11. Gruenbaum, E. (2000). The Female Circumcision Controversy. An Anthropological Perspective. Philadelphia: University of Pennsylvania Press.Google Scholar
  12. Guilbert, K. (2016). Sierra Leone urged to ban FGM after death of teenage girl. Reuters. Retrieved April 15, 2018, from https://www.reuters.com/article/us-leone-fgm/sierra-leone-urged-to-ban-fgm-after-death-of-teenage-girl-idUSKCN10T15V.
  13. Index Mundi. (n.d.). Sierra Leone—Fertility rate, total (births per woman). Retrieved April 14, 2018, from https://www.indexmundi.com/facts/sierra-leone/indicator/SP.DYN.TFRT.IN.
  14. Jones, S. F. (2018). Can Sierra Leone’s female secret societies be allies in the fight against female genital mutilation? 50.50. Open Democracy. Retrieved May 1, 2018, from https://www.opendemocracy.net/5050/shanna-f-jones/sierra-leone-female-secret-societies-allies-fight-against-fgm.
  15. Kargbo, M. A. (2015). FGM: Now that Ebola is over. Cocorioko. Retrieved April 30, 2018, from http://cocorioko.net/fgm-now-that-ebola-is-over/.
  16. Mamaye. (2014). Facts and figures. The Sierra Leone Demographic and Health Survey 2013.Google Scholar
  17. Merlan, A. (2015). Ebola is temporarily halting female genital mutilation in Sierra Leone. Retrieved April 19, 2018, from https://jezebel.com/ebola-is-temporarily-halting-female-genital-mutilation-1679493487.
  18. Mgbako, C. (2010). Penetrating the silence in Sierra Leone: A blueprint for the eradication of female genital mutilation. Harvard Human Rights Journal, 23(1), 110–140.Google Scholar
  19. Milton, B. (2017). Sierra Leone News: Salone hosts Mapotu Protocol… government pledges to support to women’s empowerment. Awoko. Retrieved May 1, 2018, from https://awoko.org/2017/03/23/sierra-leone-news-salone-hosts-mapotu-protocol-government-pledges-to-support-to-womens-empowerment/.
  20. Peyton, N. (2018). Seeking fair elections, Sierra Leone bans FGM during campaign season. Reuters. Retrieved May 5, 2018, from https://www.reuters.com/article/us-leone-women-fgm/seeking-fair-elections-sierra-leone-bans-fgm-during-campaign-season-idUSKBN1FP2CB.
  21. Scoop Independent News. (2006). UNICEF: Toward ending female genital mutilation. Retrieved April 25, 2018, from http://www.scoop.co.nz/stories/WO0602/S00099.htm.
  22. Statistics Sierra Leone (SSL), Ministry of Health and Sanitation, & ICF International. (2013). Sierra Leone Demographic and Health Survey 2013. Rockville: Statistics Sierra Leone (SSL) and ICF International.Google Scholar
  23. The Guardian. (2015). Sierra Leone’s secret FGM societies spread silent fear and sleepless nights. The Guardian. Retrieved April 15, 2018, from https://www.theguardian.com/global-development/2015/aug/24/sierra-leone-female-genital-mutilation-soweis-secret-societies-fear.
  24. The Guardian. (2016). Captured and cut: FGM returns to Sierra Leone despite official ban. The Guardian. Retrieved April 12, 2018, https://www.theguardian.com/global-development/2016/sep/29/female-genital-mutilation-returns-sierra-leone-official-ban.
  25. 28 Too Many. (2018). Sierra Leone. The Law and FGM. September 2018. Retrieved November 22, 2018, from https://www.28toomany.org/static/media/uploads/Law%20Reports/sierra_leone_law_report_v1_(september_2018).pdf
  26. UNFPA. (2015). Demographic perspectives on female genital mutilation. United Nations Population Fund. Retrieved April 15, 2018, from https://www.unfpa.org/sites/default/files/pub-pdf/1027123_UN_Demograhics_v3%20%281%29.pdf.
  27. UNFPA. (2017). To secure a better future, teens in Sierra Leone look to family planning. United Nations Population Fund. Retrieved April 12, 2018, from http://sierraleone.unfpa.org/en/news/secure-better-future-teens-sierra-leone-look-family-planning.
  28. UNFPA. (2018). Female genital mutilation (FGM) frequently asked questions. United Nations Population Fund. Retrieved April 15, 2018, from https://www.unfpa.org/resources/female-genital-mutilation-fgm-frequently-asked-questions#.Google Scholar
  29. UNICEF. (2007). Sierra Leone approves the National Child Rights Bill. UNICEF. Retrieved May 3, 2018, from https://www.unicef.org/media/media_39951.html.
  30. US Department of Health & Human Services. (2017). Female genital cutting. Womenshealth.gov. Retrieved April 13, 2018, from https://www.womenshealth.gov/a-z-topics/female-genital-cutting.
  31. Vloeberghs, E., van der Kwaak, A., Knipscheer, J., & van den Muijsenbergh, M. (2012). Coping and chronic psychosocial consequences of female genital mutilation in the Netherlands. Ethnicity & Health, 17, 677–695.CrossRefGoogle Scholar
  32. WHO. (2008). Eliminating female genital mutilation. An interagency statement—OHCHR, UNAIDS, UNDP, UNECA, UNESCO, UNFPA, UNHCR, UNICEF, UNIFEM, WHO. Retrieved April 10, 2018, from http://apps.who.int/iris/bitstream/handle/10665/43839/9789241596442_eng.pdf;jsessionid=87022C9002FEE85E1B3A681FA3D5EB0B?sequence=1.
  33. WHO. (2018). Female genital mutilation. World Health Organization. Retrieved April 19, 2018, from http://www.who.int/mediacentre/factsheets/fs241/en/.
  34. WHO, Banks, E., Meirik, O., Farley, T., Akande, O., Bathija, H., et al. (2006). Female genital mutilation and obstetric outcome: WHO collaborative prospective study in six African countries. Lancet, 367(9525), 1835–1841.CrossRefGoogle Scholar
  35. Yoder, P. S., Abderrahim, N., & Zhuzhuni, A. (2004). DHS Comparative Reports no. 7. Female genital cutting in the demographic and health surveys: a critical and comparative analysis. Measure DHS+, Calverton. Retrieved May 1, 2018, from http://www.measuredhs.com/pubs/pdf/CR7/CR7.pdf.
  36. Yoder, P. S., Wang, S., & Johansen, E. (2013). Estimates of female genital mutilation/cutting in 27 African countries and Yemen. Studies in Family Planning, 44(2), 189–204.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • David A. Schwartz
    • 1
  1. 1.Department of PathologyMedical College of Georgia, Augusta UniversityAugustaUSA

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