265860 Female Genital Circumcision in Egypt: A GIS Approach to Identify Areas for Future Interventions

Tuesday, October 30, 2012 : 1:30 PM - 1:45 PM

Goleen Samari, MPH, MA , Community Health Sciences Department, School of Public Health- University of California, Los Angeles, Los Angeles, CA
Background: In Egypt, female genital circumcision (FGC) is a widespread practice with estimates of up to 96% of the women being circumcised. Complications include hemorrhage, increased risk of maternal death, and psychosocial effects. In Egypt, contributing factors may include religious perceptions and the availability of hospitals. The purpose of this study is to analyze the spatial distribution of female genital circumcision and associated indicators like religious beliefs and hospital availability and to identify hotspots for future FGC interventions in Egypt. Methods: Utilizing data from the 2008 Egypt Demographic Health Survey, I used Geographic Information Systems (GIS) techniques to map the distribution of female genital circumcision across governorates in Egypt. I created an index and utilized hot spot analysis to identify high risk areas for focus of future interventions. Results: Female genital circumcision for women 15 to 49 years is above 70% for all governorates except Matroh and up to 99% of women circumcised in certain governorates. In most governorates, over 80% of women reported being circumcised before age 10. FGC occurs in Christian and Muslim areas and is frequently performed by traditional birth attendants despite hospital and physician availability. The hot spot analysis indicates that efforts should focus on New Valley, Kalyubia, Menoufia, Kafr El Sheikh, Aswan, Qena, Souhag, and Assuit working closely with the community to deal with the continued risk of FGC. Implications: The distribution of FGC and hotspots for risk of FGC can help policymakers, program planners, and community health workers create targeted interventions for specific communities.

Learning Areas:
Assessment of individual and community needs for health education
Diversity and culture
Planning of health education strategies, interventions, and programs
Program planning
Public health or related public policy

Learning Objectives:
Describe the spatial distribution of female genital circumcision in Egypt. Explain the variation in age at circumcision, circumcision beliefs, and physician assisted circumcisions in governorates in Egypt. Identify hotspots for female genital circumcision interventions in Egypt.

Keywords: International Reproductive Health, Geographic Information Systems

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am a PhD student in the Department of Community Health Sciences. I focus on reproductive health in the Middle East, and I analyzed the necessary data and wrote the content of this presentation.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.