changing youth attitudes towards female genital mutilation in egypt leah freij, phd senior technical...
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Changing Youth Attitudes Towards Female Genital Mutilation in Egypt
Leah Freij, PhDSenior Technical AdvisorThe Centre for Development and Population Activities
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Presentation Overview
• Egyptian Context
• CEDPA’s Programs
• Lessons Learned
• Next Steps
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Context
• High illiteracy rate – 70%
• High fertility rate – 1 in 5 married before 15
• High rate of female circumcision – 97%
CEDPA began working in Egypt in 1986:
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New Horizons Program (1996-2004)
• Literate and illiterate girls (aged 9-20)
• Demystify and communicate reproductive health
• Basic life skills
• 62,582 girls completed the program
Non-formal education program for girls
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Why a Boys’ Program?
“What about my father, brother and future husband? If they don't know these things, we will have difficulties getting our rights.”
– a girl from Qena
“How are we going to benefit and put this into action if men around us don't appreciate it? Can you please educate them?”
– a girl from Sohag
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New Visions Program (2002-2004)
• Literate boys between 12-20
• Responds to boys distinct needs
• Communities where girls’ program was delivered
• Implemented in youth centers
• 13,895 boys completed program
Non-formal education for boys; complements girls’ program
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New Horizons and New Visions Shared Objectives
• Improve the life-skills, self-confidence, social competence
• Increase knowledge on reproductive health
• Increase awareness on gender sensitivity
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Sessions for Girls and Boys
MANUAL II• Health &
Nutrition• Life Skills• Work• Civil & Legal
Rights• Health Rights
• First Aid• Our Community• Environment• Planning for the Future
MANUAL I• Values• Human
emotions• Gender• Communication
s• Human
relations
• Marriage• Family• Puberty & Adolescence• Reproductive Health
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Why a Community Involvement Program?
• Individuals and families are reluctant to abandon FGM
• Need an enabling environment for individuals to change behavior
Responded to results of New Horizons and New Visions program:
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FGM Abandonment Program (2004-
2006) • Community mobilization program
• Identify at-risk girls, and those in immediate risk of being circumcised (9-12)
• Prevent families from following through with their intention
• 40 communities in 4 governorates
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FGM Abandonment Program• Mobilize those who do not
practice FGM (positive deviants)
• Use personal solutions in community
• Conduct outreach activities within communities
• Home visits to families of girls at risk: track, monitor outcome of visits
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General Programmatic Achievements
• Encouraged individuals to question practices taken for granted
• Introduced concept of rights-based gender equality
• Space for youth to shape notions of femininity and masculinity
• Favorable shift in gender relations
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Evaluation Methods• Outcome Study (girls) –
Focus Group Discussion
• Quantitative – Knowledge, Attitudes and Practice Survey (boys)
• Qualitative Approach (boys)
• Retrospective Study
• Community Study (FGMAP)
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Outcome Study, Girls
• Changing young women’s beliefs on FGM is difficult
• Girls/young women opposed to FGM intended to circumcise their daughters– Family and community pressure to maintain
social norms– Women’s complicity
• No facilitators will circumcise their daughters
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Quantitative Study – Changes in Boys’ Attitudes
Likert-scaleBase Line
End Line
Minscor
e
Maxscor
e
% Increase
FGM – 3 items:(i) Preference to marry
(un)/circumcised woman
(ii) Benefits of FGM outweigh harms
(iii) Type of violence 5.1 6.8 2 8 27%Highest score is most favorable.
Results indicate that boys remain ambivalent around FGM
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Voices of Stakeholders & Facilitators
“After I joined the program I realized that [FGM] constitutes physical violence because it involves the removal of a part of the female’s body.”
—Facilitator
“Not only were we convinced, we felt guilty. I remember by heart, the words of one religious leader at the seminar who said that ‘FGM is a cheap victory on a girls’ freedom.’”
—Director of Youth Center
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Retrospective Study, Girls
– Women tended to be undecided reflecting power of social pressure
– Women from southern Egypt were more likely to circumcise their daughters than women from northern Egypt
– Reasons for circumcising daughters: religious, medical/hygienic, cultural reasons
Question: Do you intend to circumcise your daughter?
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Retrospective Study, Boys
Two-item scale: 1. Some people believe that the advantages to
female circumcision outweigh the disadvantages
2. Some men would only marry a girl who has been circumcised
– 44.5% agreed and 20.6% strongly agreed with statements
– Boys in southern Egypt had more favorable attitude on FGM than boys in northern Egypt
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FGM Abandonment Project Results• Resistance to/intentions not to circumcise
daughters depended on communities’ conservative nature
• Girls’ behavior/virtue is governed by upbringing and not circumcision
• Youth are vehicles for social change
• Young Muslim religious leaders played an important role
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Lessons Learned
• Change can happen— but not easily
• Societal norms constrain men and women
• Degree of ambivalence differs among communities
• Understand women’s complicity
• Religious leaders and physicians influence community attitudes
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Next Steps to Accelerate FGM Abandonment• Transparency in our work
• Multi-pronged approaches – stand alone and incorporated into existing programs
• Empower individuals and communities to challenge practice of FGM
• Political will at national and international level to continue funding FGM programs
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Thank you!
Leah Freij, PhDSenior Technical AdvisorThe Centre for Developmentand Population Activities1133 21st Street, NWSuite 800Washington, DC [email protected]
The Towards New Horizons Project was conducted with support from the U.S. AGENCY FOR INTERNATIONAL DEVELOPMENT under the terms of USAID/Cairo Grant Number 263-G-00-00-00003-00. Female Genital Mutilation Abandonment Program (FGMAP) was funded under a grant by UNICEF Egypt (August 2004 - April 2006). The opinions stated in this presentation are those of the author and do not reflect those of our funders.