FGM AND CULTURE
FGM/C is practiced by several ethnic groups including the Kusasis, Frafras, Kassenas, Nankanis, Busangas, Wallas, Dagarbas, Builsas and Sisalas, who live mainly in the Upper East, Upper West and Northern regions of Ghana and the migrant population in the south. The form of FGM mostly practiced in Ghana is Type II (commonly referred to as excision). Other forms, such as Type I (commonly referred to as clitoridectomy) and Type III (commonly referred to as infibulation) are also practised.
Between 2011 and 2017-18, the overall prevalence for women aged 15-49 decreased slightly from 3.8% to 2.4%. However, breaking down the most recent data by age group shows that the prevalence for women aged 45-49 is 4.9%, while for the youngest age group this has fallen to 0.6%. Despite the fact that a small number of women may be cut after the age of 15, the data suggests that there is a trend towards lower prevalence among younger women.
The procedures are performed by excisors known as “Wazams” (both men and women), the elderly in society (i.e. the traditionalists), mothers or traditional birth attendants (TBAs) who use unsterilised instruments such as knives and razor blades. No anaesthesia is used and no antiseptic precautions are taken when the same instrument is used on multiple girls.
The procedure may be carried out during adolescence, at marriage, during a first pregnancy or on babies as young as seven days old.
It is usually done in exchange for goods or small livestock, with a higher price if the girl is not a virgin.
The usual age for undergoing this procedure follows regional patterns. In the Upper East, it is most often performed during puberty as a rite of passage to womanhood. Communities in the Upper West and Northern Volta regions more often perform this procedure on infants.
FGM AND LAW
The legal system in Ghana is based on a mixed system of English common law and customary law. The main law relating to FGM in Ghana is the Criminal and Other Offences Act 1960 (Act 29), Section 69A (Female Gender Mutilation) (COA 1960). In 1994 the Criminal Code (Amendment) Act inserted Article 69A to the COA 1960 to prohibit ‘female circumcision’. In 2007 this was further amended to ‘female genital mutilation’ and penalties were increased.
The Constitution of Ghana, passed in 1992, does not specifically address FGM, but
- Article 15 states that ‘the dignity of all persons shall be inviolable’ and that no person shall be subjected to torture, cruel, inhuman, or degrading treatment or any other condition that ‘detracts or is likely to detract from his dignity and worth as a human being’.
- Article 26(2) prohibits all customary practices that ‘dehumanise or are injurious to the physical and mental wellbeing of a person’
- Article 28(3) further states that no child shall be subjected to torture or other cruel, inhuman or degrading treatment or punishment. Particularly relevant to FGM,
- Article 39(2) obliges the State to ensure that ‘traditional practices which are injurious to the health and well-being of the person are abolished’.
While Section 69A of the COA 1960 sets out a clear definition of FGM and criminalises the performance of FGM and all those who procure or assist in the practice, as follows:
- Section 69A(1) – ‘Anyone who carries out FGM and excises, infibulates or otherwise mutilates the whole or any part of the labia minora, labia majora and the clitoris of another person commits an offence, and will be subject to punishment.