An Insider–Outsider Approach to Understanding the Prevalence of Female Genital Mutilation in Pusiga in the Upper East Region of Ghana

Female Genital Mutilation/Cutting (FGM/C) as a form of gender-related violence continues to thrive within communities and across borders, with (under)reported prevalence among in the diaspora. Reports FGM/C diaspora speak socio-cultural religious factors which promote its prevalence. Successful interventions offer alternatives such rites passage socio-cultural-religious prospects offered by practicing communities. This suggests need for critical approach research methods that engage intimately worldview while inferring implications designing health-promotion specific contexts. paper draws on insider outsider positionality assess accounting Pusiga (3.8% nationally 27.8% Pusiga) Upper East Region Ghana lessons health promotion interventions. Applying phenomenological qualitative design guided focus groups interviews, we draw present contextually culturally sensitive report five survivors, non-survivors, ten leaders account FGM/C. Next, assume an infer based participants’ perspectives curb The findings suggest shifting from economic undertones underpinning Inter-generational differences also vary attitudes toward We recommend systematic addresses FGM/C’s deep economic, underpinnings Pusiga. insider–outsider continuum feminist provides powerful producing knowledge contextual particular settings.