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Valentine Nkoyo Director, Mojatu Foundation BA Hons, MBA

Valentine Nkoyo Director, Mojatu Foundation BA Hons, MBA. Understanding Female Genital Mutilation # NottsEndFGM , # EndFGM @ MojatuF , @ MojatuMedia. Media Education/training Community engagement & integration Health promotion -FGM, mental health, HIV, cancer, diabetes

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Valentine Nkoyo Director, Mojatu Foundation BA Hons, MBA

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  1. Valentine NkoyoDirector, Mojatu FoundationBA Hons, MBA Understanding Female Genital Mutilation #NottsEndFGM, #EndFGM @MojatuF, @MojatuMedia

  2. Media Education/training Community engagement & integration Health promotion -FGM, mental health, HIV, cancer, diabetes Sickle cells disease etc Our main work strands

  3. Understanding FGM, statistics, reasons it’s practiced and the impact on individuals Understanding the law and our responsibilities Tackling FGM confidently and sensitively Working with survivors and affected communities How professionals can get involved Work in the community and it’s importance Key learning objective

  4. There is no easy way to talk about FGM – although there is no attempt to shock in this presentation, you may find some of the content difficult and may feel upset Look after yourself - If you need to take a break please do Our fousis safeguarding children and young people Note…

  5. ‘FGM is a procedure where the female genital organs are injured or changed and there is no medical reason for this. It is frequently a very traumatic and violent act for the victim and can cause harm in many ways.’ Multi-agency statutory guidance on FGM – HM Government 2016 Female Genital Cutting? Female Circumcision? Other ethnic names eg Sunna, bondo, Ibiugwu What is Female Genital Mutilation?

  6. Types of FGM • Type 1 – Clitoridectomy: partial or total removal of the clitoris (a small, sensitive and erectile part of the female genitals) and, in very rare cases, only the prepuce (the fold of skin surrounding the clitoris). • Type 2 – Excision: partial or total removal of the clitoris and the labia minora, with or without excision of the labia majora (the labia are the ‘lips’ that surround the vagina).

  7. Types of FGM… • Type 3 – Infibulation: narrowing of the vaginal opening through the creation of a covering seal. The seal is formed by cutting and repositioning the inner, or outer, labia, with or without removal of the clitoris. • Type 4 – Other: all other harmful procedures to the female genitalia for non-medical purposes, e.g. pricking, piercing, incising, scraping and cauterising the genital area. Multi-agency statutory guidance on FGM HM Government 2016

  8. PHYSICAL Complications in pregnancy and childbirth Difficulties in menstruation Bleeding/hemorrhaging Sexual dysfunction Severe pain and shock Infection/urine retention Cysts and abscesses Psychological damage including PTSD Death EVERY WOMAN EXPERIENCE IS DIFFERENCE! EMOTIONAL & PSYCHOLOGICAL Trauma Betrayal Feelings of fear around sex or intimacy Anxious Angry Ashamed Defensive Pride A sense of belonging Might not know how they feel EVERY WOMAN EXPERIENCE IS DIFFERENCE! Impact on girls and women

  9. FGM prevalence?

  10. Estimated that up to 200 million women and girls worldwide have undergone FGM (UNICEF 2016) Age varies but manly carried out between 5 and 8 yrs Estimated 103,000 women aged 15-49 and approximately 24,000 women aged 50 + who have migrated to England and Wales are living with the consequences of FGM Approximately 10,000 girls aged under 15 who have migrated to England and Wales are likely to have undergone FGM. Multi-agency statutory guidance on FGM HM Government 2016 In Nottingham, about 85 new cases were recorded through NHS in 2016/17- Tip of the iceberg? International, National & local Statistics

  11. WHY?.........

  12. FGM is illegal in England and Wales under the:- Female Genital Mutilation Act 2003 illegal to perform FGM (unless for medical reasons, eg. cancer) illegal to assist a girl to carry out FGM illegal to assist a non-UK person or UK resident to carry out FGM outside the UK on a UK national or permanent UK resident. Max 14 years Imprisonment The UK law

  13. The Serious Crimes Act 2015 amended the 2003 act to also include: -An offence of failing to protect a girl from the risk of FGM (person who is responsible for the girl at the time the FGM occurred) -Lifelong anonymity for survivors -FGM Protection Order - can be used to protect girls at risk. -A mandatory reporting duty (U18) for regulated profession eg teacher, healthcare, social care… use 101 non emergency crime number The UK law……

  14. A girl born to a woman who has been subjected to FGM Any girl who has a sister or cousin has already undergone FGM A girl whose father comes from an affected community Belief that FGM is integral to cultural/religious identity. Strong levels of influence and involvement of elders in family life Limited level of integration within UK community Potential Risk Factors

  15. Family is not engaging with professionals (health, education or other) Family is already know to social care in relation to other safeguarding issues Limited access to information about FGM effects or UK law A girl whose parent/family member expresses concern that FGM maybe carried out A girl withdrawn from PSHE at school may be at risk as a result of her parents wishing to keep her uninformed about her body and rights Potential Risk Factors…..

  16. FGM is a serious child protection concern (Significant Harm threshold) We have a multi-agency responsibility to respond and protect Follow multi-agency statutory guidance/your services safeguarding procedures Check FGM is included in policies/procedures Safeguarding

  17. Some tips for professionals Care of affected girl/woman- primary concern Be non-judgemental and prioritise safeguarding Ensure there is appropriate time and environment to listen Be aware of specific circumstances of the individual- complexities Do not be afraid to ask about FGM- use appropriate and sensitive language Beware some women might not know they have FGM Show respect and compassion Be aware of other services available for referral including community and peer support

  18. Examples of starting a discussion… “I can see in your notes from the obstetrician or midwife that you have been cut. Could you tell me a bit more about this?” “I know that (some) women in your country have been cut. How do you feel about this? Could you tell me a bit more?” “You have talked about your cutting and the traditions in your country. Is there anything else you want to tell me about this?” “How do you, and how does your partner, feel about female genital cutting? How do the people around you feel about this? Are you still in touch with relatives in your country? How do they feel about it? At what age is it usually performed?

  19. Community Steering Group- since March 2014 Awareness raising and community engagement Survivors/ family support….links with SS Training-Community, Education, health etc Research Resource development and publications Consultancy Advocacy-Zero tolerance & influencing policy Our Mojatu FGM Work

  20. Survivors and community members engagement Lobbying followed by motion at full council house Nottingham in Parliament- National event Bratislava- WFWPI Vienna- United Nations Kenya- Development of a National Strategic plan(Forced marriage and FGM) Maasai Cricket Warriors tour Zero Tolerance to FGM Journey

  21. More survivors, families and community members coming forward- KEY Our community engagement & involvement Recognition & interest beyond Nottingham- other cities, WFWPI, UN, Kenya UN Publications Resource development Partnership development- Social services Partnership implementation of Zero Tolerance pledge- on the agenda End FGM Logo Key achievements

  22. Adopt a tree Advertise and share stories in our magazines Awareness raising through your networks and promote our work Book for a training session Volunteer Fundraise to support our work Purchase our Clit warriors/Change Makers/No Abuse T-shirts How you can get involved with Mojatu Foundation

  23. Curriculum Approaches ‘It is up to schools, colleges and universities to decided exactly how they address FGM, taking account of the numbers of pupils from relevant communities. They can, however, create an ‘open’ and supportive environment by raising awareness thorough learning in SRE within PSHE’ Home Office FGM Resource Pack. Suggestions for curriculum resources • NSPCC PANTS campaign • FGM lesson to go with Christopher Winter Project • Skills Ladder • Bristol Integrate • FORWARD Schools Pack • FGM session PSHE Association Website SEE MORE ON THE MULTI-AGENCY GUIDELINES DOCUMENT

  24. Important contacts/resources Concerned or need to refer • Refer survivors and families to community groups like Mojatu Foundation for further support , referrals and engagement. • NSPCC – helpline dedicated to FGM that is anonymous and open 24/7, you can call them on: 0800 028 3550 • Liaise with local social services for safeguarding issues • Urgent matters if FGM just happened or about to happen ring 999immediately • UK FGM clinics http://www.forwarduk.org.uk/wp-content/uploads/2014/12/Specialist-Clinic-Services-Listing-10-12-14.pdf • Multi-agency practice guidelines- https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/512906/Multi_Agency_Statutory_Guidance_on_FGM__-_FINAL.pdf

  25. Contacts and more information • Talk to us TODAY! • Websites: www.mojatufoundation.org and www.issuu.com/mojatu • Tel & M: +441158457009/+447794372214 • Email: valentine@mojatu.com & info@mojatu.com • Facebook: Valentine Nkoyo and Mojatu Foundation • Twitter: @MojatuF and @Valnkoyo

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