Quality of services offered to women with female genital mutilation across health facilities in a Kenyan County

Autor: Samuel Kimani, Chantalle Okondo, Jacinta Muteshi-Strachan, Jaldesa Guyo
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: BMC Health Services Research, Vol 22, Iss 1, Pp 1-12 (2022)
Druh dokumentu: article
ISSN: 1472-6963
DOI: 10.1186/s12913-022-07979-3
Popis: Abstract Background Female genital mutilation (FGM) curtails women’s health, human rights and development. Health system as a critical pillar for social justice is key in addressing FGM while executing the core mandate of disease prevention and management. By leveraging opportune moments, events and experiences involving client-provider interactions, relevant FGM-related communications, behavior change and management interventions can be implemented through health facilities or in communities. It is unclear whether Kenyan health system has maximized this strategic advantage and positioning to address FGM. Objective Determine the quality of services offered to women with FGM across health facilities in West Pokot county, Kenya. Methods A mixed quantitative data collection strategies were used. These included: client-provider interactions observations with (61) health care workers (HCWs) and women with FGM seeking services; client-exit interviews with (360) women with FGM seeking services. These approaches sought to determine the content and quality of FGM-related care services; and service data abstractions involving records on services sought/offered from (10) facilities in West Pokot. Results A large (76%) proportion of women had experienced FGM aged 11–15 years, were married between 15 and 19 years (39%), had primary (47.5%) or no education (33%) with income
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