A systematic review of doctors' experiences and needs to support the care of women with female genital mutilation

Abstract

Background: Female genital mutilation (FGM) involves partial or complete removal of the external female genitalia or other injury for non-therapeutic reasons. Little is known about the knowledge and skills of doctors who care for affected women and their practice in relation to FGM.

Objectives: To examine the FGM experiences and educational needs of doctors.

Search strategy: A structured search of five bibliographic databases was undertaken to identify peer-reviewed research literature published in English between 2004 and 2014 using the keywords "female genital mutilation," "medical," "doctors," "education," and "training."

Selection criteria: Observational, quasi-experimental, and non-experimental descriptive studies were suitable for inclusion.

Data collection and analysis: A narrative synthesis of the study findings was undertaken and themes were identified.

Main results: Ten papers were included in the review, three of which were from low-income countries. The analysis identified three themes: knowledge and attitudes, FGM-related medical practices, and education and training.

Conclusions: There is a need for improved education and training to build knowledge and skills, and to change attitudes concerning the medicalization of FGM and reinfibulation.

Keywords: Doctors; Education; Female genital mutilation; Medical practitioners; Systematic review.