Female circumcision in Nigeria and attitudes towards its discontinuation

Afr J Med Med Sci. 2015 Dec;44(4):343-54.

Abstract

Background: Female Circumcision (FC) is a harmful traditional practice and remains a public health problem particularly in the era of HIV/AIDS. Aside its numerous health implications, it can cause infertility, complications in childbirth and increased risk of newborn deaths. FC is widely practised in Nigeria.

Objective: The study assessed the level of FC, daughters' circumcision and attitude towards discontinuation of the practice among women of reproductive age.

Methods: Data were extracted from the 2008 Nigeria Demographic Health and Survey. Data were analysed using Chi-square and binary logistic regression models (á = 0.05).

Results: Among the respondents, prevalence of FC was 49.2% with 30.6% having circumcised their daughters and 25.8% wishing the practice to continue. About 56% of circumcised women also circumcised their daughters whereas only 2.9% of uncircumcised women circumcised their daughters. Approximately 69.8% of women who had circumcised their daughters would like FC to continue compared to 8.8% of those who never circumcised any of their daughters. The likelihood of FC was higher (OR = 2.07; C.I = 1.85-2.30) among Moslems compare to Christians. Igbo women were less likely to discontinue FC compared to women of Hausa/Fulani ethnic group despite controlling for the confounding variables (OR = 0.57; C.I = 0.35-0.91).

Conclusion: Female circumcision is still practiced in all parts of Nigeria and a high proportion of women reported that the practice should continue. There is need to intensify efforts on the campaign against female circumcision in Nigeria.

MeSH terms

  • Adolescent
  • Adult
  • Circumcision, Female* / adverse effects
  • Circumcision, Female* / ethnology
  • Circumcision, Female* / psychology
  • Culture
  • Female
  • Health Knowledge, Attitudes, Practice
  • Humans
  • Medicine, African Traditional* / methods
  • Medicine, African Traditional* / psychology
  • Middle Aged
  • Needs Assessment
  • Nigeria / epidemiology
  • Social Perception
  • Surveys and Questionnaires