Using surveys to monitor

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Using surveys to monitor Female Genital
Cutting The 4th Annual Global Health
Mini-University P. Stanley Yoder Senior
Qualitative Research Specialist ORC Macro
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MEASURE DHS. . .

• is a USAID-funded project that assists
  developing countries worldwide in the

collection and use of data
to monitor and evaluate population, health, and
nutrition programs
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Type of information collected

• Demographic characteristics
• Fertility
• Family planning
• Maternal and child health
• Child mortality
• Nutritional status
• HIV/AIDS knowledge and behavior
• Surveys can be adapted to meet country interests
• FGC
• Malaria
• Domestic violence

• HIV/AIDS
• Maternal mortality
• Womens status

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DHS has conducted over 150 surveys in 68 countries
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Where has DHS collected data on FGC?
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DHS Reports on FGC

• Chapter on FGC in final report for each country
• Special Report Female Genital Cutting Findings
  from the DHS Program 1997
• Qualitative Research Report Lexcision et la
  socialisation des adolescentes en Guinée. 1999
• Analytical Study Female Genital Cutting in
  Guinea Qualitative and Quantitative Research
  Strategies. 2001
• Indicator data available from the website using
  STATcompiler
• Tables can be produced by individual country and
  by background characteristics
• CD Rom with all DHS findings and reports related
  to FGC

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CD Rom on Female Genital CuttingFindings and
Reports from DHS

• Introduction to the DHS data
• FGC chapters from 19 DHS surveys
• Questionnaires used in each survey
• Current FGC module in English and French
• Reports published by ORC Macro
• Report from PRB that uses DHS data on
• intervention strategies against FGC

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Table Countries in which one DHS survey was
conducted with questions about Female Genital
Cutting
Sample consisted of ever-married women
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Continued Table Countries in which one DHS
survey was conducted with questions about Female
Genital Cutting
Sample consisted of ever-married women
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Table Countries in which two DHS surveys were
conducted with questions about Female Genital
Cutting
Sample consisted of ever-married women
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Continued Table Countries in which two DHS
surveys were conducted with questions about
Female Genital Cutting
Sample consisted of ever-married women
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Table Prevalence of female genital cutting by
DHS survey grouped by region National level data
Sample consisted of ever-married women
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Continued Table Prevalence of female genital
cutting by DHS survey grouped by region
National level data
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Continued Table Prevalence of female genital
cutting by DHS survey grouped by region
National level data
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Continued Table Prevalence of female genital
cutting by DHS survey grouped by region
National level data
Sample consisted of ever-married women
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Percentage of eldest daughters circumcised by
education of mother
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Variations in FGC prevalence by ethnic group
and region
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FGC prevalence in Côte dIvoire by ethnic group
Ethnic group
Prevalence
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FGC prevalence by ethnic group in Kenya
Ethnic group
Prevalence
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FGC prevalence by ethnicity in Benin
Ethnic group
Prevalence
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FGC Prevalence by Region Tanzania, 1996
Region
Prevalence
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Types of questions asked in FGC module

• Circumcision status of respondent
• Attributes of event of circumcision of respondent
• - age, type, person performing FGC
• Circumcision status of one daughter
• Attributes of event of circumcision of a daughter
• - age, type, person performing FGC
• Perceptions of FGC by respondents
• - support for FGC, benefits of FGC

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Table Percentage of respondents circumcised
grouped by age categories
Information based on respondents daughters
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Continued
Table Percentage of respondents circumcised
grouped by age categories
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Continued
Table Percentage of respondents circumcised
grouped by age categories
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Table Percentage of respondents circumcised
grouped by age categories
Information based on respondents daughters
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Table Percentage of respondents circumcised
grouped by age categories and added cumulatively
Circumcision of daughters, not respondents
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Continued
Table Percentage of respondents circumcised
grouped by age categories and added cumulatively
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Continued
Table Percentage of respondents circumcised
grouped by age categories and added cumulatively
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Continued
Table Percentage of respondents circumcised
grouped by age categories and added cumulatively
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The persons who perform the procedure by country
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Who performs the procedure? Ethiopia, 2000
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Who performs the procedure? Nigeria, 1999
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Who performs the procedure? Egypt, 2000
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Table Types of performers of circumcision
reported by respondents
Question asked about the daughters experience,
not the respondent
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Continued
Table Types of performers of circumcision
reported by respondents
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Continued
Table Types of performers of circumcision
reported by respondents
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Continued
Table Types of performers of circumcision
reported by respondents
Question asked about the daughters experience,
not the respondent
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Table Percent of circumcised respondents by
whether they support continuation of FGC or want
it stopped
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Continued
Table Percent of circumcised respondents by
whether they support continuation of FGC or want
it stopped
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Continued
Table Percent of circumcised respondents by
whether they support continuation of FGC or want
it stopped
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Continued
Table Percent of circumcised respondents by
whether they support continuation of FGC or want
it stopped
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Table Percentages of men and women who said FGC
should continue
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Research to understand how FGC is practiced

• Who participates in the ceremonies?
• Who benefits from the interactions?
• What happens if someone refuses?
• How and when is FGC discussed within the family?
• Need for study of how this event now occurs