FGM in Gambia
In the Gambia, Female Genital mutilation (FGM), is a severe violation of human rights. Gambia is among the top 10 countries, with the highest levels of FGM, with a national prevalence of 75.7%, 44% of women aged 15 - 49 believe the practice should be continued. 95.7% of traditional practitioners, many of them being women, perform most of the FGM cases in Gambia. This has led to deaths in some cases as well as short-term and long-term mortality in many more instances. In 2020, Gambia DHS data showed a slight decrease in FGM, 73% of girls and women (15-49) have survived FGM compared to 75% in 2013. However, the percentage of girls and women ages 10 to 19 who experience FGM has not changed significantly.
FGM is slightly more common in Urban areas than in rural areas. There is no relationship between FGM and women's education in Gambia.
The most rural region of Gambia, Basse, has the highest prevalence (95%) of women (ages 15-49); Banjul, the most urbanised area, has the lowest prevalence (48.8%).
The Sarahulis practice Type I cutting on their girls from the age of one week after birth (story of Jaha who later advocated for the ban of FGM in the country- https://youtu.be/MAQldouaOLE?feature=shared ). The Bambaras practice Type III cutting with girls ages 10-15 years.
The Fulas practise a different method of Type III, which they describe as ‘vaginal sealing’ (the removal of the clitoris and labia minora, followed by sealing the vaginal opening with blood clots and herbal powder, leaving only an opening as small as the diameter of a match stick for urination and menstruation). After the procedure, the girl’s legs are forced tightly together for roughly 40 days during healing to allow the raw vaginal tissues to fuse. They also practise Type IV cutting.
Before the ages of 5, 54.8% of women attested to having undergone Cutting and 28.1% to experiencing it at ages 5-9. ‘Cut, flesh removed’, is the most common type of FGM practiced.
FGM is often seen as a ritual or passage for young girls, helping them to transition to womanhood and get prepared for marriage. They believe that the practice puts a curb on sexual desires for girls and ensures they have their virginity intact when they marry.
The Gambia primarily practices Type I FGM; involving the partial or total removal of the clitoris, the most sensitive part of the female genitalia
Traditionally, FGM is performed by older women, often referred to as “Circumcisers” or a woman of the blacksmith's class who is believed to be gifted with knowledge of the occult traditionally carries out these procedures. Having limited medical training or understanding often leads to health risks during and after the procedure.A big party is usually held on their behalf to get girls excited about the process, however, if girls are persistent about avoiding it, they are pressured by family members or taken by the village women, who perform the procedure without consent.