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Showing posts with label Pakistan. Show all posts
Showing posts with label Pakistan. Show all posts

Thursday, January 5, 2012

PAKISTAN: Low awareness of hidden FGM/C practices

December 26, 2012
IRIN Asia

KARACHI, 26 December 2011 (IRIN) - In certain cafés close to medical colleges in Pakistan, and of course within the institutions themselves, students studying gynaecology speak of some unexpected sights they have seen.

“Recently, we examined a woman who complained of pain in her genital region. We were shocked to see when we examined her that she had suffered some mutilation of her private parts. I have read about these practices but I didn’t know they took place here,” Zeba Khan, a 4th year medical student, told IRIN.

Though female genital mutilation/cutting (FGM/C) takes place, the practice is hidden, hardly ever spoken of, barely known about. The country, for instance, is considered to be “free” of FGM/C, like a number of other Muslim majority countries in the region. Indeed, this view is widely held. “No such thing happens here,” Saadia Ahmed, a gynaecologist, told IRIN.

But there is evidence which suggests this widely held view may be inaccurate.

“I can still remember when it happened,” Zehra Ali*, 22, told IRIN. She said soon after her eighth birthday, her mother “gave me a big bowl of ice-cream” and then led her to a spare bedroom where an elderly woman spoke to her kindly, had her lie down on the bed and do “a terrible” thing. Zehra says a small part of her clitoris was quickly snipped off, that she felt “some pain” but mainly a strong sense of being “violated”. She said the episode, which she “never forgot”, causes her problems “now that I am married” and that she needed counselling before she was willing to consent to sex, “for psychological not physical reasons”.

Bohra community

Zehra belongs to the Bohra community, a sect of the majority Muslim population which numbers some 100,000, according to official figures, and is based mainly in the southern province of Sindh. The Bohras are among the few communities practising FGM/C in Pakistan.

Other groups which carry out the mutilation are groups with African or Arab origins, such as the ethnic Sheedi community which numbers several thousand, came to the country originally as slaves during the 19th and 20th centuries, and is based primarily in Sindh. There has been little research on the practice among these groups.

Zehra believes that even today at least 50-60 percent of Bohra women undergo circumcision, involving usually a symbolic snipping of the clitoris. “In the past there was more mutilation, and I think 80-90 percent of women suffered it. More awareness has helped reduce the practice,” she said.

“I have seen females who have suffered `khatna’ as female circumcision is called. Sometimes there is merely a symbolic snipping of some skin, but in some women - especially those who are not so young, there is somewhat more extensive cutting,” said a midwife (she preferred anonymity) in the Tando Muhammad Khan District of Sindh, who has attended to Sheedi women. She said she herself did not perform circumcisions.

According to the World Health Organization (WHO), FGM/C “includes procedures that intentionally alter or injure female genital organs for non-medical reasons”.  It says an estimated 100-140 million girls and women worldwide are living with FGM/C, 92 million of them in Africa.

“Symbolic” cutting

Shershah Syed, a former president of the Society of Obstetricians and Gynaecologists, who devotes his practice to serving deprived women, told the media he had come across cases in urban Pakistan where women have undergone the procedure.

“In Pakistan, with growing awareness [of the effects of FGM/C], they are now doing it merely symbolically, with only a bit of skin being removed. But even so, I find it to be in clear violation of human rights. There is absolutely no scientific evidence supporting any medical benefit of the procedure. In fact, it can lead to health complications,” said Syed.

The WHO lists the string of complications that can arise from the procedure, including repeated infections, cysts, infertility, higher childbirth complications and the need for repeated surgeries.

“In our community, this practice has taken place for generations. The girls nowadays have it done in sterile conditions. It is rarely spoken of. It is just something the women know about and do,” said Raazia*, 60, a member of the Bohra community and a grandmother. She says her granddaughters “will be safely circumcized.”

“The impact is not just on health, it is psychological too. Such practices leave deep scars, and in our country these have not been studied at all, because so little is known about the mutilation of women in this way,” said Aliya Rizvi, a psychologist.

*Not her real name

To read the full article on the IRIN website, click here

Thursday, November 3, 2011

Female genital mutilation 'may be occurring in the Maldives'

November 1, 2011
International Federation of Gynecology and Obstretics
Paul Robertson

Worries have emerged that female genital mutilation could be being practised in the Maldives, the local Minivan News has revealed.

A Health Ministry insider from the Department of Gender and Family Protection told the publication there have been reports girls are being circumcised, although the news provider was not able to find conclusive evidence of this on a trip to Addu Atoll, where the act was thought to be being perpetrated.

The country's vice-president Dr Mohamed Waheed Hassan was quoted by the information source as saying: "Mostly this is a failure of education ... many students receive free offers to go to madrassas in places like Pakistan, where they learn very traditional values."

Female genital mutilation was thought to have stopped in the Maldives in the 80s and 90s and the deputy health minister Fathimath Afiya told the Minivan News there were no official reports of the practice occurring but non-governmental organisations have raised their concerns.

GPs in the UK were recently urged by chairman of the British Medical Association's Ethical Committee Dr Tony Callard to look out for signs a girl may have been circumcised, particularly those who are from countries where the act is more prevalent, such as Iraq, Nigeria and Ethiopia, healthcare magazine Pulse reported.


To read the full article on the FIGO website, click here

Thursday, August 18, 2011

Female genital mutilation in Pakistan, and beyond

August 18, 2011
The Express Tribune Blogs
Aneka Chohan


According to the World Health Organisation, female genital mutilation (FGM) is defined as all “procedures involving partial or total removal of the external female genitalia or other injury to the female genital organs for non-medical reasons.”

The process is carried out for a wide number of reasons, none of which have positive health implications. As a social cause, young girls and their families are pressurized to surrender to the tradition of FGM that has been carried out for generations.

People who practice female genital mutilation are motivated by the belief that by mutilating the female genitalia, a girl will feel no difficulty in resisting “illicit” sexual acts. Moreover, the fear of experiencing pain that comes with the opening of the stitches of the narrowed/covered vaginal opening is said to prevent further “illicit” relations amongst women and men.

However, women who have been through the ordeal of FGM have clarified that the practice has not benefited them in any way. In fact, it is the source of incredibly painful ordeals throughout pregnancy, childbirth and intercourse.

The sad reality, however, is that although FGM is widely common in African countries, most people are unaware that this brutal practice is in Pakistan too.

What happens in Pakistan

In Pakistan, the act of FGM is practiced amongst select areas and communities – one example being the Bohra Muslims. There are roughly about 100,000 Bohra Muslims in the country, mostly in the southern regions of Pakistan, such as Sindh. In recent years, due to a rise in strict sect religious compliance by the Bohra Muslims, the practice of FGM has increased. Unless the Bohra chief, known as Dai, issues a decree to forbid the act, the practice will remain firmly rooted in the people’s culture and will continue to be practiced.

Countless news reports from all over the world have provided sound proof to support the immense damage that FGM can cause.

Take, for instance, the news report about a girl who went through the traumatic ordeal of FGM at the age of six – a fact uncovered at age 12, when doctors were investigating what they thought was a cyst. However, the girl had become infertile due to years of menstrual blood being blocked, prevented from leaving her body due to the stitching of her vaginal opening.

Another report mentioned a story of a woman who went for a check-up. The midwife was examining her and suddenly ran out of the room, retching and crying after she saw the state of the patient’s genitals.

It is not just the young women of Pakistan but also British girls of Pakistani origin who are subjected to this procedure. Young British girls pack their bags with their favourite outfits, books and toys and jump with joy at the thought of six weeks of holiday with their relatives. However, many young girls are unaware that their parents are taking them to Pakistan to carry out the FGM procedure.

What clerics say

Since the State of Pakistan is an Islamic country, let’s take a look at what Islam says about the practice.

To begin with, the Holy Quran does not bear even a single mention of female circumcision. In addition to this, there is no Hadith that mandates this practice. However, some have argued that one Hadith, although not requiring it, appears to accept the practice:

“Circumcision is a commendable act for men (Sunnah) and is an honourable thing for women” (Makromah).

This Hadith is criticised on the grounds that a distinction is made between male circumcision, which is described in a stronger way, whilst a weaker explanation is offered for female circumcision, which is not required religiously.

But ask yourself: how is cutting or partially/completely removing parts of the female genitalia an honourable thing for women? What is it that makes it honourable? Is it the pain or the abnormal sight of a mutilated body?

The glaring fact is that this practice leads to a tremendous amount of pain, infections, a battle with child birth, infertility in women, and in severe cases, even death.

Sheikh Talib, Dean of the Faculty of Shariah of Al Azhar, has said:

“all practices of female circumcision and mutilation are crimes and have no relationship with Islam.”

This statement is supported by the fact that the procedure of FGM pre-dates the life of the Holy Prophet Muhammad (PBUH) and the beginning of Islam.

FGM is not something that “purifies” a woman or preserves their virginity. It is a practice that mutilates a woman’s body and damages her in the most appalling of ways. Parents who hold their daughters’ arms and legs down, forcing them to go through this terrible crime, are not maintaining their family’s honour. They are, in fact, severely reducing the chances of their daughter’s bearing children. They are, thus, eliminating opportunities that may bless them with future generations and eventually, they will have no trace of themselves on earth.Once again, from an Islamic perspective, God creates men and women alike, in the best design possible. Surely, it is wrong to alter the design that God has put together in the human form. Everyone has the right to respect their body and demand the same respect from everyone else. No one, regardless of whether they are parents or so-called health professionals, has the right to destroy a woman’s ability to bear children or damage her body. FGM is, hence, a crime, sitting at the top rung of immorality.

Perhaps, a young girl is screaming in pain right, at this very moment, as you read this article.

However, it is not too late – we can still make a difference.

We can rise up, and raise our voices for those innocent girls whose families have FGM in plan for them. One voice may not be loud enough but when an entire assembly of voices resound together, it makes a difference and causes peoples’ heads to turn. Let us, thus, rise up together, and put a stop to this torture.