Evidence map›Paper›PMID 37308264›Full record

ArticleBMJ global health2023

Lessons learnt in scaling up evidence-based comprehensive health sector responses addressing female genital mutilation in highly prevalent settings.

Wisal Ahmed, Eyob Gebretsadik, Dina Gbenou, Yelmali Hien, Bernadette Dramou, Haimanot Ambelu, Hiba Hussein, Joyce Lavussa, Anabay Mamo, Matilda Cherono and 7 more

Abstract read
In one paragraph

Article in BMJ global health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Capacity building for healthcare workers on preventing and managing female genital mutilation: Impact on knowledge, attitudes, skills, and quality of care-A systematic review.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2026
    Pooled it
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

17 authors.

Wisal AhmedSexual and Reproductive Health and Research, World Health Organization, Geneva, Switzerland wahmed@who.int.ORCID 0000-0001-8155-8249
Eyob GebretsadikMaternal and Child Health, World Health Organization, Addis Ababa, Ethiopia.
Dina GbenouSexual and Reproductive Health, World Health Organization, Ouagadougou, Burkina Faso.
Yelmali HienSexual and Reproductive Health, World Health Organization, Ouagadougou, Burkina Faso.
Bernadette DramouLa Santé de la Reproduction, de la Mère, du Nouveau-Né, de l'Enfant, de l'Adolescent-Jeune, des Personnes Agées et de la Nutrition, World Health Organization, Conakry, Guinea.
Haimanot AmbeluMaternal and Child Health, World Health Organization, Addis Ababa, Ethiopia.
Hiba HusseinReproductive Maternal Neonatal Child and Adolescent Health, World Health Organization, Khartoum, Sudan.
Joyce LavussaReproductive Maternal Neonatal Child and Adolescent Health, World Health Organization, Nairobi, Kenya.
Anabay MamoReproductive Maternal Neonatal Child and Adolescent Health, World Health Organization, Nairobi, Kenya.
Matilda CheronoReproductive Maternal Neonatal Child and Adolescent Health, World Health Organization, Mogadishu, Somalia.
Mary KessiViolence and Injuries Prevention, World Health Organization, Dar es Salaam, United Republic of Tanzania.
Hala El HennawyHealth Promotion, World Health Organization, Cairo, Egypt.
Karima GholbzouriReproductive Health and Research, World Health Organization Eastern Mediterranean Regional Office, Cairo, Egypt.
Leopold OuedraogoSexual and Reproductive Health, World Health Organization African Regional Office, Brazzaville, Democratic Republic of Congo.
Asmani ChilangaReproductive and Maternal Health, World Health Organization Africa Regional Office, Brazzaville, Republic of Congo.
Hayfa ElaminReproductive and Maternal Health, World Health Organization Africa Regional Office, Brazzaville, Republic of Congo.
Christina PallittoSexual and Reproductive Health and Research, World Health Organization, Geneva, Switzerland.

Funding

World Health Organization 001
6 · The paper itself

Abstract

Female genital mutilation (FGM) affects over 200 million girls and women. Its health complications include acute and potentially lifelong urogenital, reproductive, physical, mental health complications with estimated health treatment costs of US$1.4 billion per year. Moreover, there is a concerning rise in the trend of FGM medicalisation with almost one in five FGM cases being performed by a health worker.The WHO developed several evidence-based resources to apply a comprehensive health approach to strengthen FGM prevention and care services. However, there has been limited uptake of this comprehensive approach in FGM prevalent settings. To address this, a three-step multicountry participatory process was used to engage health sector players from FGM prevalent settings to develop comprehensive action plans, implement foundational activities and harness the learnings to inform subsequent planning and implementation. Support to adapt evidence-based resources and seed funding were also provided to initiate foundational activities that had potential for scale up.A total of 15 countries participated in this three-step this approach between 2018 and 2022. Ten countries developed comprehensive national action plans and eight WHO resources were adapted for foundational activities.This scale up approach can be strengthened by increasing the frequency of multicountry experience sharing meetings, identifying in-country champions to continuously advocate for FGM integration within (public and private) health services and securing stable funding to implement foundational activities. Documentation of each country's experience as case studies including monitoring and evaluation are essential to expand the learning and quality of the health interventions addressing FGM.

Indexed as

Circumcision, FemaleFemaleHealth ServicesHumansMental HealthPhysical ExaminationReproductive Healthhealth policies and all other topicshealth systemsreview

Identifiers

PMID37308264
PMCPMC10277070

What OpenQuestion holds

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LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.