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Obstetrics and Gynecology International
Volume 2018, Article ID 5043512, 12 pages
Research Article

Female Genital Mutilation/Cutting: Innovative Training Approach for Nurse-Midwives in High Prevalent Settings

1Africa Coordinating Centre for Abandonment of FGM/C, Kenyatta National Hospital, University of Nairobi, P.O. Box 19676-00202, Nairobi, Kenya
2School of Nursing Sciences, Kenyatta National Hospital, P.O. Box 19676-00202, Nairobi, Kenya
3Technical University of Kenya, P.O. Box 52426, Nairobi, Kenya
4School of Public Health, Kenyatta National Hospital, P.O. Box 19676-00202, Nairobi, Kenya
5Aga Khan University Hospital, 3rd Parklands Avenue, Limuru Rd., Nairobi, Kenya
6Department of Clinical Chemistry, Kenyatta National Hospital, University of Nairobi, P.O. Box 19676-00202, Nairobi, Kenya
7Department of Obstetrics and Gynaecology, Kenyatta National Hospital, University of Nairobi, P.O. Box 19676-00202, Nairobi, Kenya

Correspondence should be addressed to Samuel Kimani;

Received 2 September 2017; Revised 17 January 2018; Accepted 28 January 2018; Published 15 March 2018

Academic Editor: Enrique Hernandez

Copyright © 2018 Samuel Kimani et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Background. Female genital mutilation/cutting (FGM/C) has no medical benefits and is associated with serious health complications. FGM/C including medicalization is illegal in Kenya. Capacity building for nurse-midwives to manage and prevent FGM/C is therefore critical. Objective. Determine the current FGM/C knowledge and effect of training among nurse-midwives using an electronic tool derived from a paper-based quiz on FGM/C among nurse-midwives. Methods. Nurse-midwives were assessed pre- and post-FGM/C training using a quiz comprising 12 questions. The quiz assessed the following factors: definition, classification, determining factors, epidemiology, medicalization, prevention, health consequences, and nurse-midwives’ roles in FGM/C prevention themes. The scores for individuals and all the questions were computed and compared using SPSS V22. Results. The mean scores for the quiz were 64.8%, improving to 96.2% after training. Before the training, the following proportions of participants correctly answered questions demonstrating their knowledge of types of cutting (84.6%), link with health problems (96.2%), FGM/C-related complications (96.2%), communities that practice FGM/C (61.5%), medicalization (43.6%), reinfibulation (46.2%), dissociation from religion (46.2%), and the law as it relates to FGM/C (46.2%). The participants demonstrated knowledge of FGM/C-related complications with the proportion of nurse-midwives correctly answering questions relating to physical impact (69.2%), psychological impact (69.2%), sexual impact (57.7%), and social impact (38.5%). Additionally, participant awareness of NM roles in managing FGM/C included the following: knowledge of the nurse-midwife as counselor (69.2%), advocate (80.8%), leader (26.9%), role model (42.3%), and caregiver (34.6%). These scores improved significantly after training. Conclusion. Substantial FGM/C-related knowledge was demonstrated by nurse-midwives. They, however, showed challenges in preventing/rejecting medicalization of FGM/C, and there were knowledge gaps concerning sexual and social complications, as well as the specific roles of NM. This underscores the need to implement innovative FGM/C training interventions to empower health professionals to better respond to its management and prevention.