Providing information about the consequences of female genital mutilation to healthcare providers caring for women and girls living with female genital mutilation: A systematic review.
BACKGROUND
The persistence of female genital mutilation (FGM) in some countries, despite an overall decline in the prevalence of the practice, calls for improvement in the capacity of healthcare workers and institutions to provide optimal care for this population.


OBJECTIVE
To determine the impact of providing information on FGM and its consequences to healthcare providers on their attitudes toward FGM, and quality of care and patient satisfaction.


METHODS
The following major databases were searched from inception to August 2015: Cochrane Central Register of Controlled Trials (CENTRAL), MEDLINE, SCOPUS, Web of Science, and ClinicalTrials.gov, without language restrictions.


METHODS
Controlled studies were included based on use of objective measures.


METHODS
Two team members independently screened and collected data. Relative risks and proportions were calculated and evidence assessed using the GRADE (Grade of Recommendation, Assessment, Development and Evaluation) approach.


RESULTS
One study was identified. Based on this study there was no evidence to suggest change in healthcare provider outcomes after the intervention.


CONCLUSIONS
Despite a comprehensive search, only one study of low methodological quality was included. This precludes a definitive conclusion regarding the impact of providing information on FGM to healthcare providers. More research is needed.
CRD42015024570.
GIDP Entomology and Insect Science, University of Tucson, Tucson, AZ, USA.|Cochrane Nigeria, Institute of Tropical Diseases Research and Prevention, University of Calabar Teaching Hospital, Calabar, Nigeria.
Chioma M
CM
Oringanje
Cross River Health and Demographic Surveillance System, University of Calabar, Calabar, Nigeria.
Anthony
A
Okoro
Cochrane Nigeria, Institute of Tropical Diseases Research and Prevention, University of Calabar Teaching Hospital, Calabar, Nigeria.|London School of Hygiene and Tropical Medicine, London, UK.
Ogonna N
ON
Nwankwo
Cochrane Nigeria, Institute of Tropical Diseases Research and Prevention, University of Calabar Teaching Hospital, Calabar, Nigeria.|Department of Pediatrics, College of Medical Sciences, University of Calabar, Calabar, Nigeria.
Martin M
MM
Meremikwu
D019093:Circumcision, Female / Q000009:adverse effects*; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006282:Health Personnel / Q000193:education*; D006801:Humans
Circumcision; Female genital mutilation and cutting; Healthcare providers; Information; Intervention