Living with FGM: Improving Knowledge and Skills of Health Care Providers in Iraqi Kurdistan

O. Mahmoudi
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Abstract

Background: Despite the high prevalence of female genital mutilation in many settings and the health consequences associated with it, many healthcare providers have limited knowledge of female genital mutilation and limited skills for preventing and managing related complications. With Knowledge of this Important matter aim of this study is to determine the effectiveness of TOT workshops on the knowledge and skills of social workers working with girls and women affected by FGM.Methods: To demonstrate the findings, a quasi-experimental study was conducted with a pre and post-assessment. There were 44 participants who worked with FGM victims across Iraqi Kurdistan. Socio-demographic details of the participants who have collected knowledge on psychosexual and physical care, psychosexual skills, and referral programs were assessed using a continuum scale of 0 to 4. Descriptive and inferential statistics were carried out for the analysis.Results: The results showed that participants' knowledge and skills improved in relation to psychosexual and physical care for girls and women living with FGM and referral programs for them. The paired sample t-test carried showed a significant increase in knowledge among participants in psychosexual and physical care for girls and women living with FGM (f=9.25, df=1, P=.001), Psychosexual skills (f=-8.20, df=1, P=.001), and FGM victims referral Programs (t=12.95, df=1, P=.001). Follow-up test also showed that these changes were constant from post-test to follow-up.Conclusions: Preparing the social workers on the integration of physical and psychosocial care for girls and women living with FGM in their existing activities would equip them in providing holistic care for them in addressing the emerging psychosexual problems.
与女性生殖器切割共存:提高伊拉克库尔德斯坦卫生保健提供者的知识和技能
背景:尽管切割女性生殖器官的现象在许多环境中非常普遍,并造成与之相关的健康后果,但许多卫生保健提供者对切割女性生殖器官的知识有限,预防和管理相关并发症的技能也有限。了解了这一重要问题,本研究的目的是确定TOT讲习班对从事受女性生殖器切割影响的女孩和妇女工作的社会工作者的知识和技能的有效性。方法:采用准实验研究方法,进行前后评价。有44名参与者在伊拉克库尔德斯坦与女性生殖器切割受害者一起工作。收集了性心理和生理护理知识、性心理技能和转诊项目的参与者的社会人口学细节使用0到4的连续尺度进行评估。采用描述性统计和推断性统计进行分析。结果:结果显示,参与者在为遭受女性生殖器切割的女孩和妇女提供性心理和身体护理以及为她们提供转诊方案方面的知识和技能有所提高。配对样本t检验显示,参与者对遭受女性生殖器切割的女孩和妇女的性心理和身体护理(f=9.25, df=1, P=.001)、性心理技能(f=-8.20, df=1, P=.001)和女性生殖器切割受害者转诊计划(t=12.95, df=1, P=.001)的知识显著增加。随访测试也表明,这些变化从测试后到随访都是恒定的。结论:对社会工作者进行培训,使其了解在现有活动中对遭受女性生殖器切割的女童和妇女进行身体和心理护理的整合,将使他们能够为她们提供全面护理,以解决新出现的性心理问题。
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