female genital mutilation/cutting - unicef data · 76 cameroon 1 central african republic 24 chad...

Female Genital Mutilation/Cutting:A statistical overview and exploration of the dynamics of change

A statistical snapshot

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How widespread is the practice of FGM/C?

Above 80%51% - 80%26% - 50%10% - 25%Less than 10%FGM/C is not concentratedin these countries

Liberia66 Burkina

Faso76

Cameroon1

Central African Republic

24

Chad44

Côte d'Ivoire

38

Djibouti93

Egypt91

Eritrea89

Ethiopia74

Gambia76

Ghana4

Guinea96

Guinea-Bissau

50

Iraq8

Kenya27

Mali89

Mauritania69 Niger

2

Nigeria27

Senegal26

SierraLeone

88

Somalia98

Sudan88

United Republic

of Tanzania15

Togo4

Uganda1

Yemen23

Benin13

FGM/C is concentrated in a swath of countries from the Atlantic Coast to the Horn of Africa, with wide variations in the percentage of girls and women cut, both within and across countriesPercentage of girls and women aged 15 to 49 years who have undergone FGM/C, by country and regions within countries

Notes: This map is stylized and not to scale. It does not reflect a position by UNICEF on the legal status of any country or territory or the delimitation of any frontiers. The final boundary between the Republic of the Sudan and the Republic of South Sudan has not yet been determined. Subnational data for Yemen could not be displayed due to discrepancies between the regional groupings in DHS and those available in the soft-ware used to create the map.Sources: DHS, MICS and SHHS, 1997-2012.

FGM/C prevalence levels among girls do not reflect those who have not yet been cut due to their young agePercentage of girls aged 0 to 14 years who have undergone FGM/C (as reported by their mothers)

Notes: Data for Senegal refer to daughters aged 0 to 9. Data for Egypt have been recalculated for daughters aged 0 to 14.Sources: DHS, MICS and SHHS, 2008-2011.

0 10 20 30 40 50 60 70 80 90 100

Togo

Ghana

Uganda


Senegal

Sierra Leone

Burkina Faso

Nigeria

Egypt

Sudan

Mauritania

Gambia

14

56

54

37

17

13

13

12

1

1

1

0.4

• Levels of FGM/C prevalence vary dramatically among ethnic groups

• Although no causal link can be established, FGM/C appears to be more common in rural areas

• In most countries, FGM/C prevalence is lower among girls in the wealthiest households

• Daughters of uneducated mothers are significantly more likely to have undergone FGM/C

• While the majority of cut girls and women are Muslim, other religious groups also practise FGM/C

Above 80%51% - 80%26% - 50%10% - 25%Less than 10%FGM/C is not concentratedin these countries

Liberia66 Burkina

Faso76

Cameroon1


24

Chad44

Côte d'Ivoire

38

Djibouti93

Egypt91

Eritrea89

Ethiopia74

Gambia76

Ghana4

Guinea96

Guinea-Bissau

50

Iraq8

Kenya27

Mali89

Mauritania69 Niger

2

Nigeria27

Senegal26

SierraLeone

88

Somalia98

Sudan88

United Republic

of Tanzania15

Togo4

Uganda1

Yemen23

Benin13

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When and how is FGM/C performed?

Sources: DHS, MICS and SHHS, 1997–2011.

Traditional practitioners perform most cases of FGM/CPercentage distribution of girls who have undergone FGM/C (as reported by their mothers), according to the type of person/practitioner performing the procedure

0 10 20 30 40 50 60 70 80 90 100

Egypt

Sudan

Kenya

Nigeria

Guinea

Djibouti

Iraq

Ghana

Yemen

Chad

Mali

Mauritania

Ethiopia

Sierra Leone

Benin

Eritrea


United Republic of Tanzania

Burkina Faso

Côte d'Ivoire

Gambia

Guinea-Bissau

Niger

Senegal

Don't know/missingOthersTraditional practitionersHealth personnel

Most girls who have undergone FGM/C have had their genitalia cut, with some flesh removedPercentage distribution of girls who have undergone FGM/C (as reported by their mothers), by type

Sources: DHS and MICS, 1995-2011.

Country

Type of FGM/C

Cut, no flesh removed/nicked

Cut, flesh removed Sewn closed

Type not determined/ not sure/doesn’t know

Benin 2 95 2 1

Burkina Faso N/A N/A 1 N/A

Central African Republic 24 61 6 9

Chad 9 81 8 2

Côte d’Ivoire 7 82 6 5

Djibouti 15 53 30 3

Egypt N/A N/A 2 1

Eritrea 52 6 38 4

Ethiopia N/A N/A 4 N/A

Gambia 0 86 12 1

Ghana 8 68 17 7

Guinea 2 85 10 2

Guinea-Bissau 0 88 10 2

Kenya 3 79 17 1

Mali 16 71 3 11

Mauritania 6 80 N/A 14

Niger 0 63 35 2

Nigeria 16 69 6 9

Senegal N/A N/A 21 N/A

Sierra Leone 1 70 12 17

Somalia 5 25 63 7

United Republic of Tanzania 1 98 2 N/A

In half of the countries with available data, the majority of girls were cut before age 5Percentage distribution of girls who have undergone FGM/C (as reported by their mothers), by age at which cutting occurred

Sources: DHS and MICS, 2000-2010.

Don't know/missing

0 10 20 30 40 50 60 70 80 90 100

Nigeria

Mali

Eritrea

Ghana

Mauritania

Senegal

Ethiopia

Niger

Burkina Faso

Côte d'Ivoire


Benin

Sierra Leone

Guinea-Bissau

Guinea

Djibouti

Chad

Togo

Egypt

Somalia

Kenya


15+ years10-14 years5-9 years 0-4 years

• In Egypt, doctors, as opposed to other health personnel, undertake most FGM/C procedures

• Most cases of FGM/C are performed at home using a blade or razor

• More than one in five daughters have undergone the most invasive form of FGM/C (involving the sewing of genitalia) in Somalia, Eritrea, Niger, Djibouti and Senegal

• The type of FGM/C performed is often linked to ethnicity

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What are the prevailing attitudes towards FGM/C?

0 10 20 30 40 50 60 70 80 90 100

Mali

Guinea

Sierra Leone

Somalia

Gambia

Egypt

Eritrea

Liberia

Sudan

Yemen

Mauritania

Chad

Djibouti

Guinea-Bissau

Ethiopia

Nigeria

Côte d'Ivoire

Senegal


Kenya

Burkina Faso

Uganda

Cameroon


Iraq

Niger

Togo

Ghana

Benin

Say it depends/are not sureThink FGM/C should stopThink FGM/C should continue

In most countries where FGM/C is practised, the majority of women and menthink it should endPercentage distribution of girls and women aged 15 to 49 years and percentage distribution of boys and men aged 15 to 49 (or 59, see note) years who have heard about FGM/C, by their attitudes about whether the practice should continue

Notes: The category of girls and women and boys and men who are unsure or responded that ‘it depends’ also includes those for whom data are missing. In Liberia, only cut girls and women were asked about their attitudes towards FGM/C; since girls and women from practising com-munities are more likely to support the practice, the level of support in this country as captured by the 2007 DHS is higher than would be anticipated had all girls and women been asked their opinion. Data from Benin, Burkina Faso, Cameroon, Egypt, Sierra Leone, Sudan and the United Republic of Tanzania refer to boys and men aged 15 to 49. Data from all other countries refer to boys and men aged 15 to 59. Data presented in these charts cannot be directly compared for all countries since data sources for girls and women are more recent than those for boys and men for some countries.Sources for girls and women: DHS, MICS and SHHS, 1997-2011.Sources for boys and men: DHS, MICS and SHHS, 1995-2010.

0 10 20 30 40 50 60 70 80 90 100

Mauritania

Mali

Egypt

Guinea

Eritrea

Sierra Leone

Chad

Sudan

Nigeria

Côte d'Ivoire

Senegal

Burkina Faso


Cameroon

Niger

Benin

Say it depends/are not sureThink FGM/C should stopThink FGM/C should continue

• Among girls and women, as well as boys and men, the most commonly reported benefit of FGM/C is gaining social acceptance

• Large percentages of women and men are unaware of what the opposite sex thinks about FGM/C

• In 4 out of 14 countries, more than 50 per cent of girls and women regard FGM/C as a religious requirement

• Girls and women who have been cut are more likely to favour maintaining the practice

• Many girls and women who have undergone FGM/C want the practice to end

Notes: Data for Egypt have been recalculated for girls aged 0 to 14. Data for Senegal refer to girls aged 0 to 9. Data for Uganda are not presented since they are based on less than 25 unweighted cas-es. Data for daughters whose mothers think FGM/C should continue for Ghana and Togo were based on 25-49 unweighted cases. Sources: DHS, MICS and SHHS, 2008-2011.

0102030405060708090

100

Daughters whose mothers think FGM/C should stopDaughters whose mothers think FGM/C should continue

23

615

10 925

24

1

3531

43

11

54

1715

5964

54

75

41

87

Central A

frican Republic

Sierra Leone

EgyptGhana

TogoSudan

Burkina Faso

Senegal

Nigeria

Gambia

Mauritania

Many girls who are cut are daughters of women who oppose the practiceAmong daughters of cut girls and women, the percentage of girls aged 0 to 14 years who have undergone FGM/C (as reported by their mothers),

by mothers’ attitudes about whether the practice should continue

0 10 20 30 40 50 60 70 80 90 100

Mali

Guinea

Sierra Leone

Somalia

Gambia

Egypt

Eritrea

Liberia

Sudan

Yemen

Mauritania

Chad

Djibouti

Guinea-Bissau

Ethiopia

Nigeria

Côte d'Ivoire

Senegal


Kenya

Burkina Faso

Uganda

Cameroon


Iraq

Niger

Togo

Ghana

Benin

Say it depends/are not sureThink FGM/C should stopThink FGM/C should continueGirls and Women Boys and Men

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0 10 20 30 40 50 60 70 80 90 100

Girls aged 15 to 19 years

Women aged 45 to 49 years

Cameroon

Uganda

Togo

Ghana

Niger

Iraq


Benin

Kenya


Nigeria

Yemen

Senegal

Côte d'Ivoire

Chad

Liberia

Guinea-Bissau

Burkina Faso

Ethiopia

Mauritania

Egypt

Sudan

Mali

Guinea

Djibouti

Somalia

Sierra Leone

Gambia

Eritrea

9997

9490

10089

8988

8984

75

81

66

62

58

5048

44

47

85

41

4028

2924

38

34

2519

19

18

15

16

22

8

7

105

32

6

7

2

1

21

20.4

49

89

8096

7977

9578

9681

In most of the 29 countries, FGM/C is less common among adolescent girls thanmiddle-aged women Percentage of girls aged 15 to 19 years and women aged 45 to 49 years who have undergone FGM/C

• The practice is becoming less common in more than half of the 29 countries. The decline is particularly striking in some moderately low to very low prevalence countries

• In a few countries, new data on girls under 15 years of age seem to confirm an important trend towards the elimination of the practice in recent years

• Overall support for the practice is declining, even in countries where FGM/C is almost universal, such as Egypt and Sudan

• The percentage of girls and women who reportedly want FGM/C to continue has remained constant in countries including Guinea, Guinea-Bissau, Senegal and the United Republic of Tanzania

• In Egypt, the percentage of girls cut by health personnel has increased dramatically. An increasing trend towards the medicalization of FGM/C is also observed in Kenya

• Overall, little change is seen in the type of FGM/C performed across generations

• Age at cutting has remained fairly stable in most countries. Where change has occurred, the most common trend is towards younger ages

Is the practice of FGM/C changing?

Notes: Confidence intervals for Sierra Leone could not be calculated since the prevalence among girls aged 15 to 19 has been adjusted. Confidence intervals for Yemen could not be calculated since access to the dataset is restricted. Sources: DHS and MICS, 1997-2011.

Implications for programming

• Take into account differences among population groups within and across national borders

• Seek change in individual attitudes about FGM/C, but also address expectations surrounding the practice within the larger social group

• Find ways to make hidden attitudes favouring the abandonment of the practice more visible

• Increase engagement by boys and men in ending FGM/C and empower girls

• Increase exposure to groups that do not practise FGM/C

• Promote abandonment of FGM/C along with improved status and opportunities for girls, rather than advocating for milder forms of the practice

FGM/C: A human rights violation

Female genital mutilation/cutting (FGM/C) refers to “all

procedures involving partial or total removal of the female

external genitalia or other injury to the female genital

organs for non-medical reasons.”[i] FGM/C is a violation

of girls’ and women’s human rights and is condemned by

many international treaties and conventions, as well as

by national legislation in many countries. Yet, where it is

practised, FGM/C is performed in line with tradition and

social norms to ensure that girls are socially accepted and

marriageable, and to uphold their status and honour and

that of the entire family. UNICEF works with governments

and civil society partners towards the elimination of

FGM/C in countries where it is still practised.

[i] World Health Organization, Eliminating Female Genital Mutilation: An interagency statement, WHO, UNFPA, UNICEF, UNIFEM, OHCHR, UNHCR, UNECA, UNESCO, UNDP, UNAIDS, WHO, Geneva, 2008, p. 4.

Cover photos:Top: Fatima, who underwent FGM/C at the age of 1, sits on a bed in her home in the village of

Karensa, in Amibara district, Afar region, Ethiopia.

© UNICEF/NYHQ2009-2260/Holt

Bottom: Photographs of girls who were not subjected to FGM/C adorn the walls of the Rohi-Weddu

Pastoral Women Development Organization office in the town of Awash Sabat Kilo, in Amibara

district, Afar region, Ethiopia. The girls were spared the procedure because of Rohi-Weddu’s activities

in the region, which include advocacy, training and the promotion of community dialogue. These

kinds of holistic, human rights-based programmes are helping to change attitudes about harmful

practices, with girls who are most affected playing an active role.

© UNICEF/NYHQ2009-2256/Holt

Contact: UNICEF

Statistics and Monitoring SectionDivision of Policy and Strategy

3 United Nations PlazaNew York, NY 10017, USA

Tel: +1 (212) 326-7000Email: [email protected]

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female genital mutilation/cutting - unicef data · 76 cameroon 1 central african republic 24 chad...

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