Estimating the obstetric costs of female genital mutilation in six African countries.

نویسندگان

  • David Bishai
  • Yung-Ting Bonnenfant
  • Manal Darwish
  • Taghreed Adam
  • Heli Bathija
  • Elise Johansen
  • Dale Huntington
چکیده

OBJECTIVE To estimate the cost to the health system of obstetric complications due to female genital mutilation (FGM) in six African countries. METHODS A multistate model depicted six cohorts of 100,000 15-year-old girls who survived until the age of 45 years. Cohort members were modelled to have various degrees of FGM, to undergo childbirth according to each country's mortality and fertility statistics, and to have medically attended deliveries at the frequency observed in the relevant country. The risk of obstetric complications was estimated based on a 2006 study of 28,393 women. The costs of each complication were estimated in purchasing power parity dollars (I$) for 2008 and discounted at 3%. The model also tracked life years lost owing to fatal obstetric haemorrhage. Multivariate sensitivity analysis was used to estimate the uncertainty around the findings. FINDINGS The annual costs of FGM-related obstetric complications in the six African countries studied amounted to I$ 3.7 million and ranged from 0.1 to 1% of government spending on health for women aged 15-45 years. In the current population of 2.8 million 15-year-old women in the six African countries, a loss of 130,000 life years is expected owing to FGM's association with obstetric haemorrhage. This is equivalent to losing half a month from each lifespan. CONCLUSION Beyond the immense psychological trauma it entails, FGM imposes large financial costs and loss of life. The cost of government efforts to prevent FGM will be offset by savings from preventing obstetric complications.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

An Analytical Approach to Female Genital Mutilation in West Africa

Female genital mutilation in different parts of the African continent isconsidered as one of the vast territory’s social problems. This social problem whichis accounted as an old tradition in different countries of the African continent hashad so many unpleasant physical and mental effects on urban and rural Africanwomen during recent centuries. Throughout recent decades, considerable effortsha...

متن کامل

P-178: Female Genital Mutilation: The Jewish, Christian and Islamic Views

Background: Female genital mutilation (FGM) is a practice involving the removal of all or parts of the female external genitalia.It has been documented in 28 African countries and in some countries in Asia and the Middle East,but due to increasing immigration from these countries to the western world,FGM has become a worldwide human rights and health issue. Materials and Methods: This paper is ...

متن کامل

Female genital mutilation in Djibouti.

The practice of female genital mutilation (we will use the latest definition adopted by WHO/UNFP: female genital mutilation/cutting or FGM/C) is still widespread in 28 African countries. The World Health Organisation (WHO) estimates that more than two million females undergo some form of genital mutilation every year. Its negative health impact and its ethical and human rights aspects have been...

متن کامل

Female genital mutilation.

PURPOSE OF REVIEW The purpose of this review is to provide an up to date account of recent papers and attitude on female genital mutilation in the past year. It is aimed at all professionals caring and supporting women/girls with female genital mutilation, and to identify gaps. RECENT FINDINGS Given the multidisciplinary complexity of the practice of female genital mutilation, it is surprisin...

متن کامل

Female genital mutilation.

Female genital mutilation, also misleadingly known as female circumcision, is usually performed on girls ranging in from 1 week to puberty. Immediate physical complications include severe pain, shock, infection, bleeding, acute urinary infection, tetanus, and death. Longterm problems include chronic pain, difficulties with micturition and menstruation, pelvic infection leading to infertility, ...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:
  • Bulletin of the World Health Organization

دوره 88 4  شماره 

صفحات  -

تاریخ انتشار 2010