1 INTRODUCTION This aim of this essay is to provide a critical analysis of the legal, cultural, social and religious aspects of female genital mutilation. Female genital mutilation sometimes referred to as female circumcision or female genital cutting is a practice wide spread in many African countries as well the Middle East and some Asian countries such as Afghanistan. According to the World Health Organisation (WHO), FGM comprises all procedures which involve partial or total removal of the external female genitalia or injury to the female genital organs whether for cultural or any other non-therapeutic reasons. 1
The age at which girls undergo FGM varies enormously according to the ethnic group practicing it. The procedure may be carried out when the girl is a newborn, during childhood, adolescence, at the time of marriage or during the first labour. In some FGM practicing cultures, women are re-infibulated (re-stitched) following childbirth as a matter of routine. 2
The World Health Organisation states that FGM is nearly always carried out on minors and is a violation of the rights of children. The practice also violates a person's rights to health, security and physical integrity, the right to be free from torture and cruel, inhuman or degrading treatment, and the right to life when the procedure results in death. 3
The circumcision is carried out by the elder women in the village and is usually performed without anaesthetic and under unhygienic conditions. Knives, scissors, razor blades or pieces of broken glass are used as instruments among others 4 . The NHS website lists many of the risks that could arise from undergoing this type of procedure; this list is not exhaustive and includes immediate effects such as severe pain, shock, excessive bleeding and death. Long term consequences are difficulties passing urine and persistent urine infections, kidney impairment and possible kidney failure, damage to the reproductive system, including infertility, cysts and the formation of scar tissue. 5
1 World Health Organisation, (1997) 2 WHO (1997) 3 World Health Organisation.(2013). 4 Desert Flower Foundation. (2013). 5 NHS Choices. (2012). FGM has no health benefits, and it harms girls and women in many ways. It involves removing and damaging healthy and normal female genital tissue, and interferes with the natural functions of girls' and women's bodies. 6
2 RELIGION AND HISTORY It is a widely held belief that female genital mutilation predates many of the religions of today such as Islam, Christianity or Judaism. The practice has been dated to Ancient Egypt and also 4 th
century Ancient Greece where a document was found to contain details of a procedure very similar to modern day female genital mutilation 7 . Many people believe that the practice of cutting is limited only to certain regions in Africa and Asia, however this is incorrect. As recent as the 1950s, clitoridectomy was practiced in Western Europe and the United States to treat 'ailments' in women as diverse as hysteria, epilepsy, mental disorders, masturbation, nymphomania, melancholia and lesbianism 8 . Religion is often cited as one of the main reasons this procedure is performed, although no religion to date encourages the practice or demands that a girl should be circumcised. It is often argued that religion is used to scare the young girls or women into having the procedure done and thus resulting in the control and oppression of female sexuality. 3 CULTURE There are many arguments against female genital mutilation; however there are very few arguments for. The most well know and recognized argument to allow the practice to continue was put forward by Dr. Mutisya who is the author of A symbolic Form of Female Circumcision Should Be Allowed for Those Who want It (November 1997) Dr Mutisya argues that the people who are against the practice are uneducated and do not thoroughly understand what the practice means to the women who participate in it. Dr. Mutisya also argues that type 1 circumcision, where the prepuce is pricked or cut to allow for a form of bloodletting, should be allowed as it is analogous to male circumcision. In Africa, where the practice is most prevalent, female genital mutilation is used as a tool to ensure that the girls remain in a pure state ready for marriage. Many communities believe that if the girls clitoris is removed then she will not have sexual urges and will have a calmer disposition. This claim has recently been disproven by a study conducted in Nigeria of 1836 women, 45% of whom were circumcised. The study found that circumcised women experience sexual arousal and orgasm as frequently as uncircumcised women. The researchers also found no difference in the frequency of intercourse or age of first sexual experience between the two groups of women 9 . This study contradicts findings from a study
6 World Health Organisation. (2013). 7 Global-alliance-fgm.org, (2013) 8 Brown, I.B, (1866) 9 Female circumcision does not reduce sexual activity - 24 September 2002 - New Scientist conducted in London which found that women who had undergone circumcision had a lower sexual quality of life than women who were uncircumcised 10 . Dr. Kopelman states in her research paper on female genital mutilation that in the Masai tribes in Kenya uncircumcised women cannot be called mother when she has a child and uncircumcised women are excluded from many tribal celebrations and events. Uncircumcised women are ostracised and many give into peer pressure to be accepted by the tribe and their own families. A question that must be raised is whether or not it is morally wrong to impose western morals upon another culture, is this not a case of cultural imperialism? In western societies it is widely acceptable for women to pierce their genitals for aesthetics or to enhance sexual pleasure. However, is this not also a form of female genital mutilation, are these women not modifying a part of their anatomy by piercing it and in some extreme circumstances women also participate in scarification, which is the action of scarring or branding the genitalia with use of instruments such as a scalpel. Why does the law determine that one form of body modification or mutilation is acceptable yet another that has deep cultural routes is not? The main argument for this appears to be the issue of consent and the manner in which the practice is carried out. The issue of consent could be used to argue that male circumcision should also be illegal due to the fact that a male baby or child is unable to consent to the procedure. Male circumcision is more widely accepted by society as it is a religious requirement and is less harmful than female circumcision. Many also argue that it is the right of the parents to choose to circumcise their sons for religious or cultural reasons as they are doing what they believe to be in the best interest of the child. This argument is very rarely applied to female circumcision instead parents are criminalised for doing what they believe is in the best interest of their daughters. A closer look at the two procedures shows many similarities, both involve young children having unnecessary medical procedures which cause distress and pain to the child at the request of the parents. It is a wide held belief that girls or women who undergo the procedure are forced against their will to take part; however this is erroneous as some of these girls/women elect to have the procedure done as it is a mark of their culture and belief system. Girls are given presents and money to celebrate their transition to womanhood this could be seen as bribery or merely a tradition similar to a Brit Milah. Some women feel so strongly about their cultural identity that after childbirth they are reinfibulated. Reinfibulation is purported to have significant health benefits as well as moral value. According to many women who request to be reinfibulated it purifies the womans body and prepares her to resume sexual intercourse 11 . Some women also find sexual intercourse more pleasurable once they have been reinfibulated 12 .
10 FGM significantly reduces sexual quality of life, suggests new study - News - BJOG: 2013 11 Denniston, 2010 12 Troper and Weinfeld, 1999 4 LAW AND HUMAN RIGHTS In the United Kingdom it is illegal under the Female Genital Mutilation Act 2003 s.1 to participate in the practice of female genital mutilation. 13 . The act provides an exception for surgical operations that are necessary for a girls physical or mental health and operations carried out in connection with childbirth. But the exception applies only if the operation is carried out: in the UK by a registered medical practitioner or registered midwife or a person training to be one; or outside the UK by overseas equivalents of such persons 14 . Interestingly, the act also states that when assessing a girls mental health no account is taken of any belief that the operation is needed as a matter of custom or ritual 15
however, it could and has been argued, that if the girl does not undergo this procedure she will be completely outcast from her family and community, leaving her vulnerable and causing her distress mentally. The act also takes no account of the victims bodily autonomy, the victim may choose to have the procedure done but the law prevents her from doing so and therefore prevents her from exercising control over her own body.
It is against the law in the UK to also take a girl out of the country to be circumcised but is it necessary to criminalise a procedure which does not take place in the UK? What right does the UK have to specify that it is illegal to be circumcised in a different country especially if there are laws already in place in that country to protect girls?
Until 2014 there had been no prosecutions brought forward by the CPS under the current English legislation. However, the question must be asked as to why it has taken many years and many campaigns for the CPS to bring just one case 16 before the courts when in other countries such as France there have been over 120 convictions 17 . According to a government report over 20,000 girls and women are at risk each year of undergoing the procedure with another 66,000 already have thought to have been circumcised 18 . Departments face many difficulties when attempting to prosecute those involved in female genital mutilation as it is a taboo subject and police are often reluctant to approach communities and discuss the subject. Other problems arise from poor communication between governmental departments and many simply do not understand or even know that the procedure exists. In a recent study conducted by NSPCC it was found that 16% of teachers interviewed did not know the procedure was illegal in the UK and that they did not consider it to be child abuse whilst 83% of teachers stated that they had received no child protection training about girls at risk. 19 This study highlights the need for greater training across all sectors that deal with girls who are at risk of undergoing circumcision.
Many organisations have stated that FGM is a violation of human rights but yet in many cases women who have attempted to use this violation to seek asylum have been turned away as they cannot prove they are at risk. Article 3 of the European Convention on Human Rights 20 prohibits
13 Female Genital Mutilation Act 2003 s.1 14 Female Genital Mutilation Act 2003 s.1 (2) 15 Female Genital Mutilation Act 2003 s.1 (5) 16 BBC News 2014 17 European Institute of Gender Equality 18 GOV.UK. (2013) 19 Nspcc.org.uk, 2013 20 Human Rights Act 1998, sch 1 part I art. 3 inhumane and degrading treatment as well as torture. Women who fear they are at risk of being cut have attempted to use Article 3 to seek asylum in European countries such as Sweden as was the case in Collins and Akaziebie v. Sweden (2007) 21 . This case was brought before the European Court for Human Rights by Emily Collins who fled from Nigerias Delta State to Sweden, upon arriving in Sweden Mrs Collins filed for asylum claiming that she and her new- born child were at serious risk of being forced to undergo female circumcision. The Swedish Migration Board rejected the asylum application, explaining that FGM was not grounds for asylum, and that FGM was outlawed by Nigerian law so it was unlikely the first applicant would be submitted to the procedure upon return to Nigeria. Following several more attempts within Sweden to be granted asylum, the applicants filed a complaint with the ECHR, alleging that if they were returned to Nigeria, they would face a high likelihood of being submitted to FGM. They argued this would violate Article 3 of the Convention for the Protection of Human Rights and Fundamental Freedoms. The ECHR rejected the complaint, ruling that the applicants had failed to substantiate that they would face a real risk of being subjected to female genital mutilation upon returning to Nigeria.
In this case the applicant was turned away as she could not prove she was at risk and because the practice was against the law in her native country. However, female genital mutilation is still practiced in countries where it is illegal as it is very difficult to detect as it is mainly carried out by nomadic tribes and the girls are unwilling to testify against their families and communities. There is also fear that bringing in legislation alone will result in the practice being pushed underground therefore making it even more difficult to detect and prosecute, it is for this reason that the work of NGOs is important as they work with the communities to educate and inform the community about the illegality and the problems that arise from performing female circumcision. 22
Article 9 HRA 1998 23 may also be utilised by advocates of FGM as they claim that by denying a woman the right to undergo female genital mutilation it is an interference with their religious beliefs and freedom of thought. However although article 9 HRA 1998 24 which allows for the basic freedom of religion is absolute there is also a provision under article 9(2) HRA 1998 25
which allows for interference with that right when the Courts believe that they must protect the rights and freedoms of the wider society.
21 23944/05 22 IRIN, 2005 23 Human Rights Act 1998, sch 1 part I art. 9 24 Human Rights Act 1998, sch 1 part I art. 9 25 Human Rights Act 1998, sch 1 part I art. 9(2) 5 CONCLUSION The power to permanently change the traditions of a culture must come from within the group itself otherwise we risk denying groups the right of self-identification. This practice has continued for nearly two millennia, and the majority of the backlash against the procedure comes from the West. When we open borders for the exchange of thought, we risk change to tradition, but should this risk be borne on both sides of the exchange? While women in Africa are being told that the Western world wishes to educate them on the rights they have, should not the West face a similar argument on the continuation of tradition and celebration of culture? To a Westernized mind, the practice of female genital cutting seems harmful, painful, and unnecessary, but does a culture where it marks a sign of desirability, maturity, and custom have the right to continue the tradition without public scrutiny?
Feminists and human rights activists from Europe, America, and all across the African continent have spoken against female genital cutting, with lasting results seen when local and international opinion align and the community welcomes the change. This illustrates the lasting ability of tradition and culture in spite of international pressure from people both within and outside of the perceived community. Surely, the only way for true change to take place, the group that the change will affect must seek that change. From this, the Western world should understand the need to work with the victimized group, as opposed to continuing the imperialistic mindset by forcing their ideals upon others. In the end, this will be the only way to ensure lasting change in the fields of human and womens rights.
6 BIBLIOGRAPHY Bjog.org. 2013. BJOG release: FGM significantly reduces sexual quality of life, suggests new study - News - BJOG: An International Journal of Obstetrics & Gynaecology. [online] Available at: http://www.bjog.org/details/news/2725781/BJOG_release_FGM_significantly_reduces_sex ual_quality_of_life_suggests_new_study.html [Accessed: 28 Nov 2013]. Brown, I. 1866. On the curability of certain forms of insanity, epilepsy, catalepsy, and hysteria in females. London: Robert Hardwicke. BBC News Online. (2014, March 21). Fgm: Uk's first female genital mutilation prosecutions announced. BBC News Online. Retrieved from http://www.bbc.co.uk/news/uk-26681364 Denniston, G. 2010. Bodily integrity and the politics of circumcision. New York: Springer. Desertflowerfoundation.org. 2013. What is FGM? | Desert Flower Foundation. [online] Available at: http://www.desertflowerfoundation.org/en/what-is-fgm/. [Accessed: 28 Nov 2013]. European Institute of Gender Equality. Current situation of female genital mutilation in FRANCE. 2014. [e-book] France: European Institute of Gender Equality. Available through: http://eige.europa.eu/sites/default/files/documents/Current%20situation%20and%20trends%20of %20female%20genital%20mutilation%20in%20France_EN.pdf [Accessed: 27 Mar 2014]. Global-alliance-fgm.org. 2013. Global Alliance > Portal > About FGM > Historical Note. [online] Available at: http://www.global-alliance- fgm.org/Portal/AboutFGM/HistoricalNote.aspx [Accessed: 28 Nov 2013]. Helping to end female genital mutilation for girls and women in Africa - Improving the lives of girls and women in the world's poorest countries - Policies - GOV.UK. 2014. Helping to end female genital mutilation for girls and women in Africa - Improving the lives of girls and women in the world's poorest countries - Policies - GOV.UK. [ONLINE] Available at:https://www.gov.uk/government/policies/improving-the-lives-of-girls-and-women-in- the-worlds-poorest-countries/supporting-pages/helping-to-end-female-genital-mutilation- for-girls-and-women-in-africa. [Accessed 06 January 2014].
IRINnews. 2005. Razor's Edge - The Controversy of Female Genital Mutilation. [online] Available at: http://www.irinnews.org/in-depth/62462/15/razor-s-edge-the-controversy-of- female-genital-mutilation [Accessed: 6 Jan 2014]. Newscientist.com. 2013. Female circumcision does not reduce sexual activity - 24 September 2002 - New Scientist. [online] Available at: http://www.newscientist.com/article/dn2837- female-circumcision-does-not-reduce-sexual-activity.html#.UpeFj8RdWqY [Accessed: 28 Nov 2013].
Nhs.uk. 2013. Female genital mutilation - NHS Choices. [online] Available at: http://www.nhs.uk/Conditions/female-genital-mutilation/Pages/Introduction.aspx. [Accessed: 28 Nov 2013]. Nspcc.org.uk. 2013. Teachers not trained to deal with FGM | Press releases | NSPCC. [online] Available at: http://www.nspcc.org.uk/news-and-views/media-centre/press- releases/2013/female-genital-mutilation/NSPCC-warning-teachers-on- FGM_wdn94822.html [Accessed: 28 Nov 2013]. Ras-Work, B., Kluge, E. and Others. 1995. Female genital mutilation: a joint WHO/UNICEF/UNFPA policy statement.. INTER-AFRICAN COMMITTEE ON TRADITIONAL PRACTICES AFFECTING THE HEALTH OF WOMEN AND CHILDREN NEWSLETTER, 16 (17), p. 11. The Day I will Never Forget. 2002. [film] Channel 4 Documentary. Troper, H. and Weinfeld, M. 1999. Ethnicity, politics, and public policy. Toronto, Ont.: University of Toronto Press. Who.int. 2013. WHO | Female genital mutilation. [online] Available at: http://www.who.int/mediacentre/factsheets/fs241/en [Accessed: 28 Nov 2013].
CASES AND LEGISLATION Collins and Akaziebie v. Sweden, 23944/05, Council of Europe: European Court of Human Rights, 8 March 2007, available at: http://www.refworld.org/docid/46a8763e2.html [accessed 6 January 2014] Female Genital Mutilation Act 2003 s.1, s.1(2), s.1(5) Article 3 European Convention on Human Rights 1998 Article 9 European Convention on Human Rights 1998 Article 9(2) European Convention on Human Rights 1998