Factors associated with the knowledge and attitude towards Female Genital Mutilation among antenatal clinic attendees in Southern Nigeria

  • AI Obi University of Benin/University of Benin Teaching Hospital
  • OE Obarisiagbon
  • OL Igbinadolor
  • KM Fatai
  • OO Adesoye
Keywords: Benin City, Female Genital Mutilation, Knowledge, Perception, Antenatal Clinic


Background: Female Genital Mutilation (FGM) remains a common cultural practice in Benin City, Edo State and by extension, Nigeria. The knowledge and attitude towards FGM may play significant roles in influencing this harmful socio-cultural practice.

Objective: To identify factors associated with knowledge and attitude towards female genital mutilation (FGM) among Antenatal Clinic (ANC) attendees in selected health facilities in Benin City, Edo State.

Methods: A facility-based, descriptive, cross-sectional study was conducted involving 400 pregnant women recruited by systematic sampling technique from selected health facilities in Benin City, Edo State. A pre-tested, interviewer-administered questionnaire was utilized for data collection from consenting pregnant women attending antenatal care clinics in selected public tertiary and secondary health facilities in the study area. Information related to socio-demographic characteristics, knowledge, and attitude towards FGM were collected.

Results: The mean age of the respondents was 30.3±4.8 years. All the respondents were aware of the term Female Genital Mutilation. Two hundred and forty-eight (62%) and 302 (75.5%) had good knowledge and negative attitude towards FGM respectively. Age group (p = 0.005), religion (p = 0.007) and educational status (p <0.001) were identified as significant factors influencing knowledge of FGM while in relation to attitude towards FGM, knowledge of FGM (p<0.001) had significant influence.

Conclusion: This study identified a gap between knowledge and attitude towards FGM among the respondents. Good knowledge of FGM significantly influenced attitude towards FGM. There is a need to scale up health sensitization during ANC sessions to bridge the gap identified.


World Health Organisation. Eliminating female genital mutilation: An Interagency Statement, Geneva. WHO, OHCRH, UNAIDS, UNIDO, UNELA, UNESCO, UNFPA, UNHCR, UNICEF; 2008.

Nawal MN. Female genital cutting: A persisting practice. Rev. Obstet Gynecol 2008; 1(3): 135-139.

World Health Organisation. Eliminating female genital mutilation: An interagency statement Geneva: 2008: pp 103-109.

National Population Commission (NPC). Nigeria and ICF International. Nigeria Demographic and Health Survey 2013, Abuja, Nigeria and Rockville, Maryland, USA: NPC and ICF International. 2014.

Gage AJ, Van Rossem R. Attitude towards the discontinuation of the female genital cutting among men and women in Guinea. Int J Gynecol Obstet; 2006; 92(1): 92-96.

Allam MF, Irala- Esterez j, Fernandez- creheut Navajas R, Serrano del Castillo A, Hoashi JS, Pankovich MB et al. Factors associated with the condoning of female genital mutilation among university students. Public Health 2001; 115(5): 350-355.

Okeke T, Anyaehie U, Ezenyeaku C. An overview of female genital mutilation in Nigeria. Ann Med Health Sci Res 2012; 2(1): 70-73.

United Nations children’s fund. Female genital mutilation/cutting: A global concern. New York: UNICEF; 2016.

UNICEF. Female genital mutilation/cutting, 2015 http://www.unicef.org/protection/57929_58002.html. Accessed February 7, 2016.

Berg RC, Underland V. The obstetric consequences of female genital mutilation/cutting: a systematic review and meta-analysis. Obstet Gynecol Int 2013; 2013: 496564. http:/www.hindawi.com/journals/ogi/2013/496564/ Accessed March 23, 2017.

Odukogbe AA, Afolabi BB, Bello OO, and Adeyanju AS. Female genital mutilation/cutting in Africa. Transl Androl Urol 2017; 6(2): 138-148. doi: 10.21037/tau.2016.12.01.

Obi AI, Adesoye O, Labiran A. Female Genital Mutilation: Attitude and Practices among women in Okada Community, Edo State. J Med Biomed Res 2015; 14(2): 138-150.

Obi AI, Igbinadolor L. Prevalence of Female Genital Mutilation and its determinants among pregnant women in Benin City. Nigeria. J Comm Med Pry Health Care 30(2): 12-21.

Edo State Statistical Year Book 2013: 103-109.

Edo State Health Development Plan (2010-2015). Benin City: Edo State Ministry of Health; 2010:1-139.

Cochran WG. Sampling techniques. 3rd Edition. New York: John Wiley & Sons. 1973.

Adeyemo AR, Omisore AO, Oladipupo A. Knowledge and Practice of Female Circumcision among Women of Reproductive Ages in southwest Nigeria. J Human Soc Sci 2012; 2(3): 38-45.

Omolase CO, Akinsanya OO, Faturiti SO, Omolase BO. Attitude towards female genital cutting among pregnant women in Owo, Nigeria. South Afr Fam Pract 2012; 54(4): 363-366.

Violence against Persons (Prohibition) Act, 2015. Laws of the Federation of Nigeria.

United Nations Sustainable Development Goals. http://www.un.og/sustainable-development-goals/. Accessed September 10th, 2018.

Ibekwe PC, Onoh RC, Onyebuichi AK, Ezeonu PO, Ibekwe RO. Female Genital Mutilation in southeast Nigeria: A survey on the current knowledge and practice. J Public Health Epidemiol 2012; 4(5): 117-122.

Dehghankhalili M, Fallahi S, Mahmudi F, Ghaffarpasand F, Shahrzad ME, Taghavi M, Fereydooni A M. Epidemiology, Regional Characteristics, Knowledge, and Attitude toward Female Genital Mutilation/Cutting in Southern Iran. J Sex Med 2015; 12(7): 1577-1578. doi: 10.1016/j.ijgo.2016.06.017.

Almroth L, Almroth- Berggen V, Hassanein OM, EL Hadi N, Al-Said SS, et al. A community-based study on the change of practice of female genital mutilation in a Sudanese village. Int J Gynecol Obstet 2001; 74(2): 179-185.

Oljira T, Assefa N, Dessie Y. Female genital mutilation among mothers and daughters in Harare, eastern Ethiopia. Int J Gynaecol Obstet. 2016; 135(3):304-309.doi: 10.1016/j.ijgo.2016.06.017.

Original Research