Economic burden of female genital mutilation in 27 high-prevalence countries

Dados Bibliográficos

ID21878636
AutoresDavid Tordrup (0000-0002-7779-9303, Pharmo Institute), Chrissy Bishop (0000-0002-0790-2395, Independent Consultant, London, UK), Nathan Green (0009-0001-8745-6814, University College London), Max Petzold (0000-0003-4908-2169, University of Gothenburg), Fernanda Vallejo (0000-0002-5753-5482, Pontificia Universidad Javeriana), Fernando Ruiz Vallejo (Institute of Public Health, Pontificia Universidad Javeriana, Bogotá, Colombia), Joshua P Vogel (0000-0002-3214-7096, Burnet Institute), Christina Pallitto (0009-0007-1700-6774, World Health Organization, autor correspondente)
Ano2022
Volume7
Fascículo2
Páginase004512
Data de publicação2022-01-01
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoBMJ Global Health (JOURNAL)
Identificadores do periódicoISSN: 2059-7908 • E-ISSN: 2059-7908
EditoraBMJ (PUBLISHER • GB)
DOI10.1136/bmjgh-2020-004512
PMID35105556
OpenAlexW4210745151
IdiomaEN
Citações recebidas10
Referências citadas84

BACKGROUND: Female genital mutilation (FGM) is a traditional harmful practice affecting 200 million women and girls globally. Health complications of FGM occur immediately and over time, and are associated with healthcare costs that are poorly understood. Quantifying the global FGM-related burden is essential for supporting programmes and policies for prevention and mitigation. METHODS: Health complications of FGM are derived from a meta-analysis and stratified by acute, uro-gynaecological, obstetric and psychological/sexual. Treatment costs are calculated from national cohort models of 27 high-burden countries over 30 years. Savings associated with full/partial abandonment are compared with a current incidence reference scenario, assuming no changes in FGM practices. RESULTS: Our model projects an increasing burden of FGM due to population growth. As a reference scenario assuming no change in practices, prevalent cases in 27 countries will rise from 119.4 million (2018) to 205.8 million (2047). Full abandonment could reduce this to 80.0 million (2047), while partial abandonment is insufficient to reduce cases. Current incidence economic burden is US$1.4 billion/year, rising to US$2.1 billion/year in 2047. Full abandonment would reduce the future burden to US$0.8 billion/year by 2047. CONCLUSION: FGM is a human rights violation, a public health issue and a substantial economic burden that can be avoided through effective prevention strategies. While decreasing trends are observed in some countries, these trends are variable and not consistently observed across settings. Additional resources are needed to prevent FGM to avoid human suffering and growing costs. The findings of this study warrant increased political commitment and investment in the abandonment of FGM

Disease burden · Environmental health · Political science · Population · Public health · Body Image and Dysmorphia Studies · Demography · Female Genital Mutilation/Cutting Issues · Medicine · Sexual function and dysfunction studies