Zewde, Thewodros (2009) Prevalence and Determinants of Female Genital Cutting among Primary School Girls in Addis Ababa Ethiopia. Masters thesis, Addis Ababa University.
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Abstract
Background: Female Genital Cutting (FGC) is practiced throughout the world, with the practice concentrated most heavily in Asia and Africa. Although the magnitude of FGC in Ethiopia has decreased still the prevalence is high because the procedure doesn’t have any benefit. Objective: The aim of this study was to assess the prevalence of FGC and its potential factors contributing to the act of FGC among primary in-school girls of Addis Ababa. Methods: There were approximately two hundred ten thousand girls who were enrolled in 656 primary schools in Addis Ababa. First the schools were stratified according to their ownership as government, public, private and religious schools. Then one primary school was randomly selected from each stratum. A total of 442 girls were proportionally selected from the four selected schools. The association of FGC to demographic and other important variables was tested by chi-square test. A stepwise background logistic regression model was also applied to test further the significant associations observed in chi square tests using SPSS version 15.A p value below 0.05 was considered statistically significant. Results: The mean age of circumcision was 2.9 ranging from 1 to 5 years. The prevalence of FGC was significantly higher (36.6%) in government schools than public (28.9%), private (5.1%) and religious (6.3%) schools. Likewise the prevalence of FGC was higher in parents with lower income (19.9%) group & low educational status of mothers (12.5%) and fathers (10.1%).The proportion of mothers deciding to perform FGC was higher (39%) than fathers (23.8%) and other relatives (22.9%).The vast majority (94.1%) of the girls’ parents stated that FGC is harmful practice. Although most (94.6%) parents were aware of FGC complication, still about a quarter (25.8%) of them have circumcised their daughters. FGC had significantly association with ethnicity, education, occupation, income and cultural reasons given by the families. In the multivariate analysis, of these factors only the reason of being FGC painful and healthy procedure was found as a predictor of the practice of female circumcision (AOR=0.35; 95%=0.17 to 0.72). Conclusions: Despite a high level of knowledge regarding the complications of FGC and a high level of awareness, FGC practice is prevalent among primary schoolgirls in Addis Ababa and most of these circumcisions were performed by the decision of mothers so that health education for women through different women’s forum and CBO (Idir, Mahiber) is recommended in order to bring significant behavioral change.
| Item Type: | Thesis (Masters) |
|---|---|
| Subjects: | R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine R Medicine > RJ Pediatrics > RJ101 Child Health. Child health services |
| Divisions: | Africana |
| Depositing User: | Emmanuel Ndorimana |
| Date Deposited: | 02 Aug 2018 09:38 |
| Last Modified: | 02 Aug 2018 09:38 |
| URI: | http://thesisbank.jhia.ac.ke/id/eprint/8250 |
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