
In
Ealing, Hammersmith & Fulham
Community
Awareness Report


Report By
Mary Kanu
Sponsored
By
West
London Health Promotion Agency
Hammersmith
and Fulham Team
Introduction
Development Support Agency Development Support Agency is
set up to relieve poverty, sickness and distress of African women by raising
awareness, disseminating information and advancing education among African
women, including refugees and asylum seekers, displaced and trafficked women,
and those facing all other forms of abuse and exploitation in rural and urban
communities, in England & Wales and Africa.
Our
Vision
Our
vision is a world in which African women and their communities are empowered to
promote their interests and live free of perennial poverty, ill health, lack of
decision-making powers and other forms of disempowerment and exploitation.
DSA
aims to promote and uphold the principles and values of, Participation,
Sustainability, Transparency and Justice
Our
Thematic Areas: Our work falls under four thematic areas:
·
·
Community Health
·
Community Involvement
·
Project Support
Project
Aims
The
project was aimed at developing a participatory approach for sustainable
empowerment of women to campaign against Female Genital Mutilation
(FGM)
within Ealing, Hammersmith & Fulham
The
Project Objectives were
Project
Activities
The
following activities were aimed at carrying out the project within the
framework of the six months time frame:
The
first phase of this project was to identify the ethnic communities within
Ealing, Hammersmith and Fulham that practice FGM. The community outreach work
was able to identify the following groups of people in the community:
·
Those with expertise on the cultural issues, practice and implications
of FGM in their various communities
·
Community leaders, men and women willing to attend meetings and focus
group discussions on FGM
·
Those willing to attend information sharing workshops
·
Those willing to share their life experiences on the practice and
implications of FGM
The
grant supervisor for this project, Ms Eunice Kyalo was also present during the
events. Ms Kyalo, a specialist on Sexual Health Matters, made significant
contributions and highlighted the wider aspects of FGM to include the
challenges and implications of migrating to
The
project identified and collated information and educational materials suited to
the needs of the proposed participants for the various activities of the
project. We had developed an information flyer that identified types of FGM and
graphic illustrations of the different forms of FGM. At the meetings, the
participants also watched a video and were given handouts on the issues
covered.
We
held two community meetings, (one for men and one for women) and two workshops
for the women.
The aim of the community meetings was to enable
African women and men to share their views, experiences and opinions on:
Meeting Objectives:
It was expected that by the end of the meeting, the
participants would be able to:
Fourteen participants attended the meeting. All of
them were women of African origin who represented different nations from the
African continent. There were 6 Somali women, 2 Nigerians, 2 Ugandans and 4
Kenyans.
It was interesting to note that every country/culture
represented practiced one form of FGM or other.
In this session, the facilitator explained to both
meetings that there are several types of FGM practiced in
Why circumcision is still practised in the African
culture?
In the women’s meeting, this question produced several
answers. The answers were recorded as follows:
These points were however refuted as invalid. In the
first instance, in some cultural groups, little girls as young as four years
were mutilated in the name of transition from childhood to adulthood. What
happened in reality is that these children were deprived of their childhood and
unlike their male counterparts, they were forced to grow up overnight. This in
itself is very distressing as the girls are now forbidden to play freely, dress
like before and do things they used to enjoy, all in the name of growing up. In
most cultures, for example the Bantu speaking groups of
Secondly, the older generation of women within the
Muslim community was brought up to believe that circumcision was a way of
becoming pure and thus more in line with the will of Allah. They therefore
upheld the practice with fastidiousness trusting that Allah acknowledged their
faithfulness. However, it has since been proven that female Genital Mutilation
is mentioned nowhere in either the Koran or the Bible. Male circumcision is
recorded in both Books as a pact between God and man.
Thirdly, cultural traditions are used to inhibit
women’s free expression within the community. This is a deep-rooted gender
issue whereby the men who are fundamentally the governors of traditional norms,
perpetuate male domination through such practices. An outgoing, outspoken woman
is considered sexually active and an embarrassment to the community. It was
believed that by cutting off the clitoris, this would inhibit sexual activity
and thus render the woman more docile and submissive to her husband and the
community at large.
In practicing communities, pulling of the labia is
done by an older aunt who begins this practice on the little nieces at the
tender age of four or five. This is a form of abuse whereby the girls are
brought up knowing that pulling (painful and distressing) will make them good
wives. The girls will carry the scars of elongated labia and loosened vulvas
all their lives.
Likewise, the use of corrosive substances causes pain
and discomfort for the women. However, since it is culturally justified as a
requirement for pleasuring and “keeping your husband happy”, the woman is
obliged to undergo the exercise.
In
discussing this issue, the women shared their experiences and made the
following contributions:
Proposed Solutions
The
women emphasised the need to lobby the following groups, who are the mainstay
of this practice:
The group also noted the fixation with this cultural
practice has led many people to commit crimes or cause children to run away.
There have been cases of murder, suicide, disappearance where the adherence to
culture has become overbearing. There is a need to slowly turn the people’s
mindset on harmful practices while offering an alternative that will benefit
the entire community. For example developing alternative rites of passage that
uphold cultural values and better health for all can replace the harmful
practice of FGM.
The
Men’s Meeting
This second community meeting was
exclusively set-aside for men. The meeting was attended by men, mainly from the
Somali community. The age range was between 36 and 60 years. The men offered
different opinions regarding the reasons for the practice of FGM in their
country. It is interesting to note that although they all came from
The Practice of FGM
When men were asked the reasons for
upholding FGM in the African culture, they came up with the following
responses:
The Harmful effects of FGM
With regard to the harmful effects of FGM, the men
required prompting because the apparent reasons were all for the good of the
community. But after further prompting from the facilitators and with emphasis
on the health and social implications, the following responses came up
reluctantly:
·
Although it is for security, it is a barbaric culture. The perpetrators
never considered the suffering the women would be going through. And even if
she suffered, she would be reminded that it was for her good and the good of
the community at large.
·
This has caused infections in men and women because her passage being
too small, the woman suffers repeated painful penetration and the man also
self-harms in the struggle to penetrate. An example was given where a young
couple was unable to have intercourse for over three months and finally
required assistance at the clinic to have the woman opened up.
·
Urinary tract infections as a result of retention of urine and menstrual
blood flow
·
The men seemed to remember many women who had died as a result of
childbirth but unaware that these complications were related to FGM
(stillbirths due to the closed passage, haemorrhaging, infections and vaginal
odour)
During the second sessions the participants discussed
ways of alleviating the suffering of African women and young girls. Both groups
were very clear about the need to have information and facilities that could
assist in alleviating the suffering of women and girls. The following were the
remarks that came from the group.
Women’s
Recommendations
1.
There is a need to have a counselling centre for families that struggle
with the practice of FGM.
2.
The centres should also provide group counselling and support for women
and other key people who are the influential role models and the community
gatekeepers to enable them address the positive and negative aspects of
cultural practices, especially the health and social implications.
3.
Educate social workers and law enforcement agencies on the harmful
effects of taking children away from their parents after they have been
mutilated. The group proposed vigorous prevention campaigns rather than cure
when the harm is already done.
4.
Provide a list of culturally sensitive, aware and equipped
centres/officers that will assist and support women who have to live with FGM.
Examples of already existing centres are GUYS Clinic,
5.
Develop a strategy of reaching out to key perpetrators of FGM within the
communities, i.e. mothers, aunties, mothers-in-law, fathers, older men and
young men.
6.
Hold local informal groups for women and men in their local meeting
places.
7.
Inform and educate mainstream health professionals on FGM in order to
avoid the stigmatization that leads to women avoiding critical checks like the
smear test and other gynaecological issues.
8.
Lobby policy makers and address the existing laws regarding child abuse.
The government is lacking in providing appropriate prevention services and only
responds when the crime has been committed. There should be a legal requirement
allowing the children to reach an age of consent whereby they may “design”
their bodies if they so wish.
9.
Acquire funding to recruit outreach volunteer and sessional workers who
will meet with the local community on a regular basis in order to build trust
and support to effectively address the issues of FGM.
10. Provide crèche facilities and
transport fees for all participants. This will also provide the women with an
opportunity to go out and meet with other members of the community as a way of
therapy for isolation, loneliness and in some instances, depression emanating
from their cultural beliefs and demands.
11. Organise monthly meetings
specifically for aunties, mothers-in-law and men to address their role in
perpetuating FGM among the younger generations.
The Men’s Recommendations
The men reluctantly agreed that the community needs to
question some of these anachronistic practices. The following recommendations
were generally agreed upon:
·
There should be a massive campaign in the
·
The awareness campaigns must take place both in the
·
There should be a clinic to assist circumcised girls who cannot “open”
on their wedding night. Also for FGM sufferers who may be in need of attention
due to complications such urinary infections and PID (Pelvic inflammatory
diseases).
·
Provide information on existing services for sufferers of FGM.
·
Hire people from the various practicing communities to facilitate
sessional and voluntary outreach work. The communities, (Somali in particular)
responds to word of mouth; many are illiterate or do not respond to written
invitations. They will attend community events and perhaps volunteers could
take advantage of such events to pass on important information.
·
Provide counselling and support services both for men and women who may
be suffering as a consequence of FGM. Men too can be traumatised by FGM through
painful penetration and stigmatization of not being able to penetrate.
·
Counselling and advice is also necessary for men who may require help in
dealing with exposure to the risk of HIV/AIDS within the community in
Evaluation and Conclusions
The participants agreed that the meetings were very
helpful. For example, it was the first time that Somali women had actually met
with women from other communities where various types of FGM are practised.
They were very surprised to learn of other methods and consequences of FGM
among other cultural groups.
The men found the meeting very stimulating. At the
same time it dawned that the task of influencing change within the community
would be very challenging. The urgency of the matter was not ignored, thus the
urge to set up awareness campaigns in the
The facilitators thanked DSA for planning, preparing
and conducting the meeting and reiterated the fact that a lot had been learned.
This part of the programme was divided into two
workshops. The first training workshop took place on 16th August
2003 and the second on 30th August 2003. Both meetings were designed to provide more insight on the types of
Female Genital Mutilation that women still suffer in
A total of 20 women attended the two workshops. The
participants represented six countries in Africa;
Ms. Eunice Kyalo and Ms Nimo Mohammed facilitated the
two workshops. Ms Kyalo gave insight on the breaches to human rights that women
suffer worldwide. Female Genital Mutilation is just one of these violations.
She went on to explain the processes of FGM and the social and health-related
consequences of the practice.
The participants were particularly curious to know how
different types of FGM affected the sexual health of the women affected. It
emerged that even among the Somali women; there were different responses
because of the different types of FGM practiced in the country.
Ms Nimo Mohammed facilitated this session. She started
by inviting the women to give their experiences on FGM, facilitated the first
sessions. Participants were able to identify the different types of FGM
highlighted at the community awareness sessions. They also highlighted the
social and health implications of FGM. The trainer reinforced this by using a
videocassette to highlight the human rights violations that women all over the
world suffer She urged the participants to watch a Channel Four TV documentary
shot in Kenya on the practice of FGM and the effort of a group of people to
stop the practice in the country.
First Session Recommendations
The participants made the following recommendations:
The
Second Workshop Session
Session I
Nimo Mohamed and Eunice Kyalo facilitated the second
workshop. The first session was set out to review the previous meetings and
give participants the opportunity to share their experiences since the last
sessions.
Eunice gave an overview of the extent of FGM today.
Over 3million women worldwide experience FGM annually and the practice is
prevalent in 28 African countries. It is therefore not a practice that is
peculiar to one group of people. She noted that different communities practise
FGM differently, for different reasons and at different occasions. In
In the Somali community, the ritual is mainly upheld
for purposes of presenting brides in their virginal state to their husbands, a
condition that is tied to much honour or woe to the families concerned and to
the community at large.
Among some communities, the woman experiences the
cutting on her wedding day and is expected to have sex with her groom. Other
women are cut and stitched immediately after delivery. All this causes pain,
trauma and complication.
Session II
The participants were divided into two groups to
discuss the benefits, if any, and disadvantages of FGM from experiences. The
groups were asked to look at the consequences of FGM and the benefits. The
following were the responses shared:
This group decided to look at the consequences of FGM
in a sequential manner starting with the actual process of FGM. The
contributions were recorded as follows:
Benefits
This group could not find any benefits to this
practice.
Group II.
This group looked at the benefits that the community
claimed to warrant the necessity of FGM.
Disadvantages
Long-term effects
During marriage
Conclusions
from the two groups
The groups came together and
gave the following analysis. FGM is beneficial only to men and is used as a
means of upholding the so-called integrity of the community. There is
absolutely no advantage to the women who are forced to practice this barbaric
act.
This workshop has been a very informative one to the
organizers, DSA, who had not envisaged the magnitude of the implications of FGM
among African women. The contributions of these women prove that many African
women are still suffering in silence and many are still advocating for the
practice on their daughters even though they accept that the consequences are
adverse.
This realisation prompts the need to prepare special
training workshops for volunteers who can now go into the communities for
mediation and support for women who may be in need of support, advice and
information regarding how to address issues around FGM.
Also the women were keen and ready to receive training
in order to become advocates in the community.
This workshop also highlighted the fact that the
participants are not in need of training on FGM. Rather, they require awareness
raising tools on the consequences of the practice, enabling them to address
these issues within their communities and the skills to present them
effectively.
They will benefit more from seminars, information
sharing workshops and forums that update them on issues of sexual health,
social development and personal empowerment. Training will not be of visible
importance to them.
Case Studies
Names have been changed to
ensure anonymity
Halima.
She got the shock of her life when, after giving
birth, she went to pass urine and the flow was so intense that she jumped off
her feet. This was an entirely new experience for her because, as long as she
can remember, she has always passed urine in droplets. This is because she was
stitched when she was a little girl and had since gotten used to this limited
flow.
Amina.
After giving birth to her second child, she is unable
to take antibiotics to cure her urinary tract infection because she is
breastfeeding. She was stitched as a young girl and this infection has been
with her for a long time.
Jane was the envy of the group as she explained her
type of FGM as the sunna which only slits the clitoris without
chopping off any parts of the genitalia. She gave examples of her fulfilled
sexual experience to the amazement of many women in the workshop.
She has gone through the trauma of a divorce because
she had married outside her culture, and her husband could not cope with the
complications of FGM. Some of these were the fact that she had painful
intercourse. Besides, like most women, Mariam feels that the men do not
understand the need to be sensitive and even more patient because the trauma of
FGM has scarred their wives’ genitalia as well as their ability to fully enjoy
sex.
Her
parents divorced because her stitches would not hold after two attempts. As a
result of what she went through, she ensured that her daughters did not go
through the pains and suffering of FGM.
Anda
Her
first pregnancy ended in a stillbirth because of her stitches. Medical intervention
was not readily available to relieve her labour.
Enne
She
recalled that as a young girl she was always dehydrated because she was too
scared to drink water. She found the ordeal of trying to pass urine very
traumatic.
A woman came to see her wanting to be stitched up because
her husband had been good to her, and this would be the best gift she could
think of. As a result of several births, she no longer considered herself
“tight” enough to please her husband. Upon his return from a long journey
away, he was overjoyed to experience such sexual pleasure that he had only
had when he first married his wife. Amazingly,
after this first experience, he recommended her to go back to the midwife
to have her “tightened” again in order to give him the same pleasure.