Female Genital Mutiliation/Cutting in Tanzania 2014

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    Tel: +44 (0)20 3137 5500 ●  www.childreach.org.uk ●  Charity number 1132203

    FGM/C in Tanzania

    The International Day of Zero Tolerance to Female Genital Mutilation (FGM/C) is an UN-

    sponsored awareness day that takes place on February 6 each year. It is an international effort to

    make the world more aware of the practice and to promote its eradication. In order tocommemorate the day, Childreach International has released this paper on the procedure,

    documenting Childreach International’s proposed work in Tanzania combating FGM/C in the Maasai

    and Pare communities in Same District.

    The World Health Organisation (WHO) defines FGM/C as “all procedures that involve partial

    or total removal of the external female genitalia or other injury to the female genital organs for non-

    medical reasons”. The procedure has no known health benefits for girls and women. Those who

    undergo the procedure are at serious risk of death due to blood loss and haemorrhaging, and

    immediate complications include excruciating pain, shock and ulceration of the genitals (UNICEF,

    2005). Long-term consequences including recurrent urinary tract and bladder infections, cysts,infertility, and increased risk of childbirth complications and new born deaths. FGM/C constitutes a

    major violation of the human rights of girls and women. It is deeply rooted in gender inequality,

    ideas about purity, modesty and aesthetics, and attempts to control women’s sexuality.

    FGM/C is concentrated in a swathe of countries from the Atlantic Coast to the Horn of

    Africa. It is estimated that 125 million women and girls in Africa and the Middle East have undergone

    the procedure. In Africa alone it is believed 101 million girls over the age of ten have undergone

    FGM/C. The country with the highest number of cut girls is Egypt, with approximately 27.2 million

    girls and women having undergone FGM/C in the country (UNICEF, 2013). This is closely followed by

    Ethiopia with 23.8 million women and Nigeria with 19.9 million (UNICEF, 2013). In Africa, more thanthree million girls are said to be at risk for FGM/C annually. The age of girls when they are forced to

    undergo the procedure varies from weeks after birth to puberty; in half the countries for which

    figures were available for 2013, most girls were cut before the age of 5 (UNICEF, 2013).

    The majority of girls that undergo FGM/C have had their genitalia cut with some flesh

    removed. In nearly all countries where FGM/C is concentrated, traditional practitioners perform

    most of the procedures, often without anaesthesia and with an instrument such as a razor or knife

    that has been used on multiple other women. When asked why FGM/C is still performed, social

    acceptance is the most frequently cited reason for supporting the continuation of the practice. This

    suggests that the only way to combat the proliferation of FGM/C is to encourage change of socialnorms. This involves a collective process that includes exposure to new information and to possible

    alternatives, deliberation within the social group, organised diffusion and public declarations or

    other manifestations of commitment to a new social rule.

    While no international human rights instruments specifically address the practice, FGM/C is

    illegal under international law. It is considered as a form of violence against women. Similarly,

    defining FGM/C as a form of torture brings it under the rubric of the Convention against torture.

    Since FGM/C is regarded as a traditional practice prejudicial to the health of children it violates the

    UN Convention on the Rights of the Child.. Recent regional treaties such as the Maputo Protocol,

    which was adopted in 2003 specifically, address FGM/C. In Tanzania, FGM/C is illegal under domesticstate law.

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    Tanzania

    It is estimated that approximately 15% of the female Tanzanian population has undergone

    FGM/C. It appears that the practice is generally on the decline, with women aged 45 to 40 three

    times more likely to have been cut than girls aged 15 to 19. The UNICEF 2013 report on FGM/C

    revealed that all the women who had undergone the procedure had had it carried out by a

    traditional practitioner known as a ngariba, not by someone with medical experience, which

    increases the likelihood of infection and death. Ninety-eight per cent of mothers whose daughters

    had undergone the procedure reported that their daughters had been cut, with flesh removed (Type

    1/2); 2% had their genital sown closed (Type 3); and 1% had their flesh cut with no flesh removed or

    nicked (Type 4). Forty-six per cent of girls in Tanzania had been cut before they turned four, with an

    additional 24% being cut between the ages of five and nine; 24% between the ages of 10 and 14 and

    10% were cut when they were over the age of 15. New evidence shows that girls are undergoing

    FGM/C at a younger age – with those cut before age one year increasing from 28.4% to 31.7% in

    2010 (28Too Many, 2013). The UNICEF study mentioned previously revealed that 92% of the girls

    and women they spoke to believed that the procedure should be stopped immediately. In addition,

    only 10% of boys believed the procedure should continue, with 85% believing it should be stopped

    with immediate effect. Seventy-seven per cent of women aged between 15 and 49 who had

    undergone the procedure believed that it too should be stopped. Education appeared to have quite

    a significant impact on respondents’ perspectives on FGM/C. Girls and women with no education

    were 7% more likely to support the procedure. Daughters of uneducated mothers were also more

    likely to have undergone the procedure than daughters of mothers who had at least primary

    education. The country’s Demographic Health Survey (DHS, 2010) consistently shows that

    prevalence among women residing in urban areas is much lower than in rural areas.

    In Tanzania, FGM/C is practiced for a variety of reasons. It is commonly upheld as a

    necessary means to secure female virginity, reduce sexual desire and promiscuity, and to improve

    fertility. In the Maasai and Pare communities, FGM/C is considered to be a rite of passage into

    adulthood – an integral part of becoming a woman – and is therefore considered to be universally

    practiced, with some reports stating that an uncircumcised woman cannot call herself a Maasai. Girls

    who have not undergone the procedure may be banned from performing every day duties such as

    cooking and cleaning as she is considered unclean. Any girl who has not undergone the procedure is

    therefore considered undesirable and subsequently unmarriageable. The provision of a bride price

    from the family of the groom to the family of the bride is common in these two groups, and so if a

    girl fails to get married she is considered to be a financial burden on her family. Many educatedMaasai men and women still favour the practice, not because they are uninformed about the

    dangers and risks involved, but because they fear the possible social repercussions should they

    reject the custom. A survey carried out by Msuyu in 2002 found that perpetuation of tradition (67%)

    and the opportunity to teach about marriage and life (40%) were the most common reasons given

    for carrying out FGM/C. Due to recent campaigns citing the illegality of FGM/C, communities have

    started cutting girls just after birth rather than waiting until they are slightly older, out of fear that

    the girls may refuse to undergo the procedure and/or report community members to the relevant

    authorities for prosecution.

    In 2013, Childreach Tanzania embarked on a process to establish and strengthen the childprotection system in Same District in the Kilimanjaro region in northern Tanzania. The research

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    Tel: +44 (0)20 3137 5500 ●  www.childreach.org.uk ●  Charity number 1132203

    particularly focused on the Maasai and Pare tribes who dominate Ruvu Ward. The research revealed

    that education and health provision in the district was exceedingly weak, and that while children

    were aware of their right to life and right to education, they were unfamiliar with their right to

    participate and right to be protected from harm. With regards to child protection issues, two-thirds

    of the children revealed that FGM/C was a problem affecting their community. In addition, 54.4%

    acknowledged that rape was an issue; 47.2% noted family conflicts; 60.8% noted early marriages;

    45.8% acknowledged child neglect; and 59.6% of the children were aware that corporal punishment

    was a problem in their community.

    The research subsequently revealed that there was an evident need for external assistance

    with regards to the child protection system in Same District. What ought to be noted is that the

    Maasai and Pare considered FGM/C to be in the best interests of their children, and continue to

    frame the issue as a way of keeping their children safe. The children were undergoing the procedure

    because their parents wanted them to, out of fear as to what would happen to the family if the

    children were not circumcised. As the forms of child abuse mentioned above are so embedded in

    rural and traditional communities, it is imperative that discussions around resolution of these norms

    are addressed in and by communities themselves to ensure that protective mechanisms for children

    are found and can be strengthened within Tanzanian culture, rather than imposing values from

    outside. A campaign solely based on combating these practices through emphasizing their illegality

    will not work. The only way to address these discriminatory practices is to address the underlying

    discrimination against women in society. Previous work in Tanzania has shown that programmes

    which help to raise the status of girls and women in society have effectively helped to discourage

    FGM/C as well as child marriage and forced marriage in the past (UNICEF, 2013). Empowering girls

    themselves will be crucial in bringing about change. Active social change is therefore essential for

    terminating these traditional and harmful practices such as FGM/C, early marriage and sexualviolence. This social change must start with the elders themselves.

    Recommendations

    On the whole, appropriate mechanisms for containing or preventing abuse of children in

    Tanzania are grossly insufficient. Existing policies and strategies have failed to eliminate abuse

    against children, and female genital mutilation is carried out with impunity. With regards to FGM/C,

    the most effective way to address the problem is to combat its underlying roots in the discrimination

    against women. In order to achieve this, especially with regards to the practice in the Maasai and

    Pare communities, it is vital to coordinate sustained action and partnerships with civil society,

    including opinion leaders and tribal elder. Culturally sensitive awareness-raising of the public at large

    through information, legal prevention and protection, exposure to alternatives and most importantly

    through education is increasingly important, as this will empower women and girls to claim their

    rights. When it is accompanied by human rights education programmes and community dialogue to

    foster a consensus on the abandonment of the practice, a legislative approach can be an important

    instrument for promoting the abandonment of FGM/C. The country also ought to include provisions

    in its Penal Code that criminalises FGM/C against women over the age of 18.

    Childreach International will be working with the children and families of Same District in Northern

    Tanzania over the next five years to transform attitudes towards girls and women thus tackling the

    root cause of FGM/C.

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    References

    Msuya, S. E., Mbizvo, E., Hussain, A., et. al. (2002) Female genital Cutting in Kilimanjaro, Tanzania:

    Changing Attitudes? , Tropical Medicine and International Health, Vol 7, No. 2, pp.159-165.

    UNICEF (2013) Female Genital Mutilation/Cutting: A statistical overview and exploration of thedynamics of change. Available at: http://www.childinfo.org/files/FGCM_Lo_res.pdf  

    UNICEF (2005) Early Marriage: A Harmful Traditional Practice. Available at:

    http://www.unicef.org/publications/files/Early_Marriage_12.lo.pdf  

    28 Too Many (2013) Country Profile: FGM in Tanzania. Available at:

    http://www.28toomany.org/media/uploads/tanzania_final_final_final.pdf  

    http://www.childinfo.org/files/FGCM_Lo_res.pdfhttp://www.childinfo.org/files/FGCM_Lo_res.pdfhttp://www.childinfo.org/files/FGCM_Lo_res.pdfhttp://www.unicef.org/publications/files/Early_Marriage_12.lo.pdfhttp://www.unicef.org/publications/files/Early_Marriage_12.lo.pdfhttp://www.28toomany.org/media/uploads/tanzania_final_final_final.pdfhttp://www.28toomany.org/media/uploads/tanzania_final_final_final.pdfhttp://www.28toomany.org/media/uploads/tanzania_final_final_final.pdfhttp://www.unicef.org/publications/files/Early_Marriage_12.lo.pdfhttp://www.childinfo.org/files/FGCM_Lo_res.pdf