Towards the elimination of FGM by 2030: A statistical assessment
| Autor: | Berhanu Legesse, Kathrin Weny, Nafissatou J. Diop, Romesh Silva, Rachel Snow |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Epidemiology
Psychological intervention Social Sciences Kaplan-Meier Estimate Rural Health Surveys Global Health Mali Cohort Studies Geographical Locations Mathematical and Statistical Techniques 0302 clinical medicine Sociology Surveys and Questionnaires Medicine and Health Sciences 030212 general & internal medicine Child Socioeconomics Geographic Areas Multidisciplinary Geography 030503 health policy & services Member states Rural health Statistics Female Genital Mutilation Middle Aged Research Design Child Preschool Circumcision Female Physical Sciences Medicine Female 0305 other medical science Research Article Urban Areas Adult Female circumcision Adolescent United Nations Clinical Research Design Science Human Geography Research and Analysis Methods Sexual and Gender Issues Urban Geography Young Adult 03 medical and health sciences Humans Statistical Methods Retrospective Studies Pace Sustainable development Survey Research Infant Newborn Urban Health Infant Survival Analysis Cross-Sectional Studies Medical Risk Factors People and Places Africa Earth Sciences Women's Health Geographic space Mathematics Urban health |
| Zdroj: | PLoS ONE, Vol 15, Iss 10, p e0238782 (2020) PLoS ONE |
| ISSN: | 1932-6203 |
| Popis: | In 2015, UN member states committed to eliminate female genital mutilation (FGM) by 2030 as part of the Sustainable Development Agenda. To reach this goal, interventions need to be targeted and guided by the best available evidence. To date, however, estimates of the number of girls and women affected by FGM and their trends over time and geographic space have been limited by the availability, specificity and quality of population-level data. We present new estimates based on all publicly available nationally representative surveys collected since the 1990s that contain both information on FGM status and on the age at which FGM occurred. Using survival analysis, we generate estimates of FGM risk by single year of age for all countries with available data, and for rural and urban areas separately. The likelihood of experiencing FGM has decreased at the global level, but progress has been starkly uneven between countries. The available data indicate no progress in reducing FGM risk in Gambia, Guinea-Bissau, Mali and Guinea. In addition, rural and urban areas have diverged over the last two decades, with FGM declining more rapidly in urban areas. We describe limitations in the availability and quality of data on FGM occurrence and age-at-FGM. Based on current trends, the SDG goal of eliminating FGM by 2030 is out of reach, and the pace at which the practice is being abandoned would need to accelerate to eliminate FGM by 2030. The heterogeneity in trends between countries and rural vs urban areas offers an opportunity to contrast countries where FGM is in rapid decline and explore potential policy lessons and programmatic implications for countries where the practice of FGM appears to remain entrenched. |
| Databáze: | OpenAIRE |
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