MONDAY HEALTH BURST

Community Development, Gender, Health, Health Communication, Healthy Dieting, Hygiene, Men, Men's Health, Mental Health, Monday Health Burst, Nation Building, WHO / cfhinitiative

Hygiene and Health for Every Man

Good hygiene is not only a personal responsibility but a fundamental aspect of disease prevention, dignity, and overall well-being for men across all ages. Research shows that poor hygiene contributes significantly to the global burden of infectious diseases. According to the World Health Organization, inadequate hygiene practices account for nearly 432,000 deaths annually from diarrheal diseases alone⁽¹⁾with millions more suffering from preventable infections linked to poor personal and environmental hygiene. Studies also reveal that men are statistically less likely than women to engage in consistent hygiene routines, including regular handwashing, oral care, and preventive health screenings. A 2022 global survey noted that over 65% of men admit to skipping basic hygiene routines⁽²⁾increasing their vulnerability to infections, skin diseases, urinary tract complications, and communicable illnesses. Poor hygiene also affects mental health, social interactions, productivity, and overall quality of life, especially in environments where men are primary earners and caregivers.

The implications of poor hygiene for men extend far beyond physical health. Lack of proper personal and environmental cleanliness can affect workplace productivity, family health, and community wellness. For example, studies show that effective handwashing alone can reduce respiratory infections by over 21% ⁽³⁾ yet many men either neglect this simple act or lack access to clean water and safe sanitation facilities. Globally, 3.5 billion people still lack safe sanitation ⁽⁴⁾ and this affects men in marginalized communities disproportionately, often exposing them to contaminated environments and increasing their risk of illness. Oral hygiene is another overlooked aspect; research indicates that men are 40% less likely than women to seek dental care ⁽⁵⁾leading to higher rates of gum disease, which has been linked to heart disease, stroke, and diabetes. Hygiene is not just cleanliness it is a cornerstone of preventive health.

As we commemorate International Men’s Day and World Toilet Day, we encourage, admonish, and advise men everywhere to stay true to hygiene and neatness. Cleanliness is strength. Hygiene is responsibility. And taking care of your health is an act of leadership and self-respect. Men must break free from harmful cultural norms that label hygiene awareness as weakness or unmanliness. True masculinity includes caring for one’s body, environment, and overall well-being. A healthy man becomes a healthier father, partner, colleague, and community member. The global theme for this period emphasizes dignity, safe sanitation, and improved well-being for everyone and men must be active participants in this movement.

Wash your hands often, maintain proper grooming, care for your oral health, keep your environment clean, use toilets responsibly, practice safe sanitation, and seek regular health checks. Small habits save lives. Hygiene is health, and health is power. Let this be a reminder that healthier men build stronger families, stronger communities, and a stronger nation.

For enquiries, partnerships, or to invite CFHI for sensitization programs, kindly contact us via: info@cfhinitiative.org

References

World Health Organization. Diarrhoeal disease. 2023. Available from: https://www.who.int/news-room/fact-sheets/detail/diarrhoeal-disease
Global hygiene behaviours survey results. 2022. Available from: https://yougov.co.uk/topics/health/articles-reports
Centers for Disease Control and Prevention. Show Me the Science – How to Wash Your Hands. 2023. Available from: https://www.cdc.gov/handwashing/show-me-the-science-handwashing.html
World Health Organization & UNICEF. Progress on household drinking water, sanitation and hygiene 2023 update. Available from: https://www.who.int/publications/i/item/9789240073347
American Dental Association. Oral health and men’s health. 2022. Available from: https://www.ada.org/resources/research/science-and-research-institute

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CFHI and Imo State Ministry of Health Unite for World Diabetes Day 2025!

Community Development, Diabetes, Diabetes Awareness and Care, Gender Equality, Health, Health Communication, Healthy Dieting, Hygiene / cfhinitiative

The Centre for Family Health Initiative (CFHI) partnered with the Imo State Ministry of Health to mark World Diabetes Day 2025, at the Ministry of Health Block, Imo State Secretariat, Port Harcourt Road, Owerri, reaching 50 individuals with vital diabetes awareness and screening services.
focusing on the theme “Diabetes and Well-being: Creating Supportive Environments in the Workplace”.

Key Highlights:
Free BP and Blood Sugar Testing
Expert Dietitians on ground for personalized meal planning
Empowering individuals with diabetes to thrive at all life stages.
Integrated care and support for physical and mental well-being.

Our mission was to spark a movement! We aimed to educate, empower, and encourage employers, employees, and the global community to act towards healthier workplaces.

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MONDAY HEALTH BURST

16DaysOfActivism, Anxiety Disorder, Attention Deficit, Community Development, Diabetes, Diabetes Awareness and Care, Global warming, Health, Health Communication, Healthy Dieting, Men's Health, Monday Health Burst / cfhinitiative

Early Detection and Lifestyle Choices Against Diabetes

Diabetes has become one of the fastest-growing health challenges globally, claiming millions of lives and affecting countless families. According to the World Health Organization (WHO), more than 537 million adults are living with diabetes, and that number is projected to rise to 643 million by 2030. The International Diabetes Federation (IDF) also notes that one in ten adults currently lives with diabetes, and nearly half are undiagnosed meaning millions are silently living with the condition without receiving the care they need ^[1,2].

Early detection is a vital weapon in the fight against diabetes. Type 2 diabetes, which accounts for around 90% of all cases, often develops gradually, showing little or no symptoms until complications such as heart disease, kidney failure, or vision loss have already set in. Detecting the disease early allows for timely medical intervention, lifestyle modification, and proper management, which significantly reduces the risk of complications and improves long-term outcomes. Studies have shown that early diagnosis and treatment of diabetes reduce cardiovascular and renal complications and lower overall mortality rates ^[3].

One of the most remarkable pieces of evidence for prevention comes from the Diabetes Prevention Program (DPP), a landmark study in the United States. The research found that participants who adopted healthier diets, engaged in moderate physical activity for about 150 minutes per week, and achieved modest weight loss reduced their risk of developing diabetes by 58% compared to those who did not make lifestyle changes ^[4]. This clearly shows that lifestyle choices particularly nutrition, exercise, and maintaining a healthy body weight play a powerful role in preventing or delaying diabetes.

Healthy living begins with awareness. Regular screening for blood glucose levels, blood pressure, and weight helps individuals know their risk status early. The Centers for Disease Control and Prevention (CDC) recommends that adults aged 35 and above, or younger people with risk factors such as obesity, family history of diabetes, or sedentary lifestyle, undergo regular diabetes screening ^[5]. Screenings should not stop at diagnosis; they should be paired with counseling, education, and access to proper care for effective management. The World Health Organization stresses that integrated care, including screening and education, remains essential for effective diabetes control ^[6].

In Nigeria, diabetes continues to pose significant public health challenges, driven by persistent rise in medication costs⁷, limited awareness, unhealthy diets, and rapid urban lifestyle changes. Recognizing this, the Centre for Family Health Initiative (CFHI) has consistently raised awareness about diabetes prevention and care. Through its Diabetes Awareness and Care (DAC) project in Imo state, CFHI has conducted free diabetes screening for over 36,000 persons, alongside health education sessions and outreach campaigns reaching about half a million individuals to encourage early testing and lifestyle change. These community-based interventions mirror global best practices, showing that education and early detection can help prevent diabetes and its complications before they start.

Ultimately, combating diabetes requires a joint effort from individuals, communities, health systems, and the government. While early detection helps identify risks, lifestyle choices, healthy eating, regular exercise, and avoiding harmful habits remain the cornerstone of prevention. As CFHI continues to promote healthier communities through advocacy, education, and screening programs, the message remains clear: diabetes can be managed and even prevented when detected early and addressed with healthy lifestyle choices.

As the world marks World Diabetes Day 2025 under the theme “Empowering Lives Through Early Detection and Access to Care”, it is a timely reminder that diabetes prevention starts with awareness and action. CFHI joins the global community in calling for affordable access to care, increased access to screening opportunities, education, and quality healthcare services for all. Together, we can build a future where early detection saves lives, and healthy lifestyle choices protect generations from the silent burden of diabetes.

References

World Health Organization. Diabetes. Geneva: WHO; 2024. Available from: https://www.who.int/health-topics/diabetes
International Diabetes Federation. IDF Diabetes Atlas. Brussels: IDF; 2024. Available from: https://diabetesatlas.org
Herman WH, Ye W, Griffin SJ, et al. Early detection and treatment of type 2 diabetes reduce cardiovascular morbidity and mortality: simulation and trial evidence. Diabetes Care. 2015;38(8):1449–1455. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4512138/
Knowler WC, Barrett-Connor E, Fowler SE, et al. Reduction in the incidence of type 2 diabetes with lifestyle intervention or metformin. N Engl J Med. 2002;346:393–403. Available from: https://www.nejm.org/doi/full/10.1056/NEJMoa012512
Centers for Disease Control and Prevention. Diabetes Screening: Who Should Get Tested and When. CDC; 2024. Available from: https://www.cdc.gov/diabetes/data-research/research/diabetes-screening-eligible.html
World Health Organization. World Diabetes Day: Prevention and Early Detection of Diabetes. WHO; 2024. Available from: https://www.who.int/news-room/events/detail/2024/11/14/default-calendar/world-diabetes-day-2024
Punch Health Wise. Diabetes patients lament as cost of medications rises from N70,000 to N180,000. Available from: (NAN, 2024)

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MONDAY HEALTH BURST – COMMON CAUSES AND SYMPTOMS OF ANEMIA

Health, Health Communication, Monday Health Burst, WHO / cfhinitiative

Anemia is a condition characterized by a reduction in the number of red blood cells or hemoglobin in the blood. This can result in a decreased capacity of the blood to transport oxygen to the body’s tissues and organs. Anemia can manifest in different forms and symptoms and can be caused by various factors.

According to a 2023 report from the United Nations Children Fund (UNICEF) report, 55 percent of adolescent girls and women suffer from anemia in Nigeria.

Some common causes of anemia include:

Iron deficiency: This is the most common cause of anemia worldwide. It occurs when the body doesn’t have enough iron to produce adequate amounts of hemoglobin.

Vitamin deficiency: Lack of specific vitamins like vitamin B12 or folate can impair the production of healthy red blood cells.

Chronic diseases: Conditions such as kidney disease, liver disease, cancer, or autoimmune disorders can interfere with the production of red blood cells.

Blood loss: Excessive bleeding from menstruation, trauma, surgery, or gastrointestinal conditions like ulcers or hemorrhoids can lead to anemia.

Inherited disorders: Certain genetic conditions like sickle cell anemia or thalassemia affect the structure or production of red blood cells.

The symptoms of anemia can vary depending on the underlying cause and the severity of the condition. However, common symptoms include:

Fatigue and weakness
Shortness of breath
Pale skin
Dizziness or lightheadedness
Rapid or irregular heartbeat
Cold hands and feet
Headaches
Chest pain (in severe cases)

It’s important to consult with a healthcare professional for an accurate diagnosis and appropriate treatment plan if you suspect you have anemia or are experiencing related symptoms.

Monday Health Burst is an initiative of CFHI to address issues of basic health concern. Join us every Monday on all our social media platforms for more episodes.

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MONDAY HEALTH BURST – VIRAL HEPATITIS IN NIGERIA

#ViralHepatitis, Health, Health Communication, Hepatitis B, Hepatitis C / cfhinitiative

Viral hepatitis is one of the most communicable diseases in the world. It is spread through contaminated blood, intravenous drug abuse and sexual contact with an infected person. In highly endemic areas like sub-Saharan Africa and Asia, hepatitis B is most commonly spread from mother to child at birth (perinatal transmission). In addition, infection can occur during medical, surgical and dental procedures, tattooing, or through the use of razors and similar objects that are contaminated with infected blood. Annually, viral hepatitis affects 400 million people worldwide, causing acute and chronic liver diseases and killing about 1.5 million people (4,000 people daily), mostly from hepatitis B and C. Yet, it is entirely preventable.

Infection with hepatitis B virus (HBV) or hepatitis C virus (HCV) is the main cause of liver cancer. According to Centre for Disease Control (CDC), viral hepatitis causes 80% of all liver cancer deaths. In Nigeria, liver cancer is the second leading cause of cancer deaths, accounting for over 11,000 deaths yearly and 32 deaths every day. Liver cancer is less common among children and teenagers and more common with adults. The average age of occurrence in Nigeria is about 46 years compared to the developed world where the average age of occurrence is in the mid-60s. Also, liver cancer is more common in men with a male: female ratio of about 2 in 1 according to National Center for Biotechnology Information (NCBI). Liver cancer is rare in children and teenagers.

Every year, July 28 is marked as World Hepatitis Day (WHD). It is a day dedicated to increase the global awareness and understanding of viral hepatitis and the diseases that it causes. This is because research shows that with better awareness and application of its preventive measures, this life-threatening disease could be eliminated, and 4,000 lives could be saved daily.

Centre for Family Health Initiative (CFHI) takes advantage of this special event annually to work towards eliminating viral hepatitis across different states in Nigeria. Aside awareness creation in communities by CFHI, other successful ways employed to curb this menace is to reach out to key populations in Abuja, Nasarawa and Imo states with sensitization programs, vaccination and referrals. These key populations include female sex workers, drug addicts, inmates in correctional centres, worship centres, and people living in hard-to-reach communities. CFHI also carries out street interviews to know the level of awareness of people towards hepatitis and has over the years reached out to over 1000 people.

During the sensitization campaigns, participants are shown different ways of preventing the transmission of viral hepatitis, which include avoiding sharing of needles and other items such as toothbrushes, razors or nail scissors, avoiding tattoos or body piercings from unlicensed facilities and screening of blood donation products, practicing safe sex by minimizing the number of partners and using barrier protective measures (condoms), reducing alcohol intake, obesity, and avoiding aflatoxin prone foods like tree nuts (almonds, cashews, and walnuts), peanut, rice, corn, dried fruits, cereals, among others.

During the street interviews by CFHI, about 40% of the respondents were unaware of what hepatitis really is, neither do they know the means of transmission and preventive measures; 30% agreed to have heard about hepatitis, but never cared much about it; 20% were either infected or affected by HBV or HCV; and 10% had proper knowledge of viral hepatitis and were vaccinated.

To significantly reduce the current hepatitis epidemic, screening and early diagnosis still remains a major tool in preventing transmission of viral hepatitis and other health problems that may result from viral hepatitis infection. There is need for massive awareness and widespread availability of these interventions. With CFHI already facilitating health education, screening as well as vaccination against hepatitis at the grassroots and among key populations, a larger number of persons in Nigeria will be reached with more support.

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HEALTH CONDITIONS ASSOCIATED WITH DRUG ABUSE

Health, Health Communication, Monday Health Burst / cfhinitiative

The Diagnostic and Statistical Manual of Mental Disorders fourth edition (DMS-4) defines drug abuse as “a maladaptive pattern of substance use leading to clinically significant impairment or distress.” Drug abuse also known as substance abuse refers to the use of certain chemicals to create pleasurable effects on the brain. Drugs most often used include alcohol, amphetamines, cannabis, cocaine, hallucinogens, and opioids.

Globally, some 35 million people are estimated to suffer from drug use disorder according to the latest World Drug Report, released by the United Nations Office on Drugs and Crime (UNODC). The report also estimates the number of opioid users at 53 million, up 56 per cent from previous estimates, and that opioids are responsible for two-thirds of the 585,000 people who died as a result of drug use in 2017. According to a survey led by Nigeria’s National Bureau of Statistics (NBS) and the Center for Research and Information on Substance Abuse, over the past year alone, nearly 15% of the adult population in Nigeria (around 14.3 million people) reported a “considerable level” of use of psychoactive drug substances—it’s a rate much higher than the 2016 global average of 5.6% among adults. It showed the highest levels of drug use were recorded among people aged between 25 to 39, with cannabis being the most widely used drug.

Addiction to any substance, whether legal or illegal, can in some cases lead to serious health conditions. The effects of drug abuse according to Medical News Today 2018 publication, depend on the type of drug, any other substances that a person is using, and their health history. Abusing a drug, or misusing prescription medication, can produce other short-term effects, such as changes in appetite, sleeplessness or insomnia, increased heart rate, slurred speech etc. On the other hand, experts have linked chronic drug use with the following health conditions:

Cardiovascular disease: Stimulants, such as cocaine and methamphetamines, can damage the heart and blood vessels. The long-term use of these drugs can lead to coronary artery disease, arrhythmia, and heart attack.
Respiratory problems: Drugs that people smoke or inhale can damage the respiratory system and lead to chronic respiratory infections and diseases.
Kidney damage: The kidneys filter excess minerals and waste products from the blood. Heroin, ketamine and synthetic cannabinoids can cause kidney damage or kidney failure.
Liver disease: Chronic drug and alcohol use can damage the liver cells, leading to inflammation, scarring, and even liver failure.
Overdose: Taking too much of a drug or taking multiple drugs together can result in an overdose.

Drug addiction is treatable and starts with detox under medical supervision. Family and friends can begin the healing process through group therapy, counselling, and talking to others in peer support groups or meetings and drug addiction forums.

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MONDAY HEALTH BURST

6 Comments / Anxiety Disorder, Health, Health Communication, Mental Health, Monday Health Burst / cfhinitiative

ANXIETY DISORDER – CAUSES, SYMPTOMS AND TREATMENT

Anxiety is a normal reaction to stress and can be beneficial in some situations. It can alert us to dangers and help us prepare and pay attention. However, when a person regularly feels disproportionate levels of anxiety, it might become a medical disorder. Anxiety disorder is a mental health disorder characterized by feelings of worry, anxiety or fear that are strong enough to interfere with one’s daily activities. The excessive anxiety can make you avoid work, school, and other social situations that might trigger or worsen the symptoms.

Anxiety disorders form a category of mental health diagnoses that lead to excessive nervousness, fear, apprehension and worry. These disorders alter how a person processes emotions and behave, also causing physical symptoms. Mild anxiety might be vague and unsettling, while severe anxiety may seriously affect day-to-day living.

The causes of anxiety disorders are not fully understood. Researchers are yet to know exactly what brings on anxiety disorders. A complex mix of things play a role in who does and does not get one. Life experiences such as traumatic events appear to trigger anxiety disorders in people who are already prone to anxiety. Inherited treats can also be a factor. Some causes of anxiety disorders are:

Genetics – Anxiety disorders can run in families.
Brain chemistry – Research suggests anxiety disorders may be linked to faulty circuits in the brain that control fear and emotions.
Environmental stress – This refers to stressful events you have seen or lived through. Life events often linked to anxiety disorders include childhood abuse and neglect, a death of a loved one, being attacked or witnessing violence.
Drug withdrawal or misuse – Certain drugs may be used to hide or decrease certain anxiety disorder. Anxiety disorder often goes hand in hand with alcohol and substance use.
Medical conditions – Some heart, lung, and thyroid conditions can cause symptoms similar to anxiety disorders or make anxiety symptoms worse. It is important to get a full physical exam to rule out other medical conditions when talking to your doctor about anxiety.

Anxiety disorders are characterized by a variety of symptoms. One of the most common is excessive and intrusive worrying that disrupts daily functioning, other signs include agitation, restlessness, fatigue, difficulty concentrating, irritability, tense muscles and trouble sleeping. Anxiety disorder can be debilitating, but they can be managed with proper help from a medical professional. Recognizing the symptoms is the first step.

Once one is diagnosed with anxiety disorder, it is important to explore treatment options with a doctor. For some people, medical treatment is not necessary. Lifestyle changes may be enough to cope with the symptoms. Treatment for anxiety disorder falls into two categories: psychotherapy and medication. Meeting with a therapist or psychologist can help learn tools to use and strategies to cope with anxiety when it occurs.

Medications typically used to treat anxiety disorder include antidepressants and sedatives. They work to balance brain chemistry, prevent episodes of anxiety, and ward off the most severe symptoms of the disorder.

Monday Health Burst is an initiative of CFHI to address issues of basic health concerns. Join us every Monday for more interesting episodes.

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Dementia, Health, Health Communication, Mental Health, Monday Health Burst / cfhinitiative

DEMENTIA – CAUSES, SYMPTOMS, AND TREATMENT

Dementia, also called neurocognitive disorder, is a collective term used to describe various symptoms of cognitive decline. Dementia is not a single disease in itself, but a general term to describe the loss of cognitive functioning – thinking, remembering and reasoning and behavioral abilities to such an extent that it interferes with a person’s daily life and activities. These functions include memory, language skills, visual perception, problem solving, self-management and the ability to focus and pay attention. Some people with dementia find it difficult to control their emotions, and their personalities may change.

Dementia ranges in severity from the mildest stage, when it is just beginning to affect a person’s functioning, to the most severe stage, when the person must depend completely on others for basic activities for living.

The causes of dementia can vary, depending on the types of brain changes that may be taking place. Alzheimer’s disease is the most common cause of dementia. Alzheimer is characterized by “plaques” between the dying cells in the brain and “tangles” within the cells (both are due to protein abnormalities). The brain tissue in a person with Alzheimer’s has progressively fewer cells and connection and the total brain size shrink. Other causes of dementia include;

Vascular disorders. These conditions affect the blood circulation in the brain.
Traumatic brain injuries caused by car accidents, falls, concussions etc.
Infections of the central nervous system. These include meningitis, HIV
Long-time alcohol or drug use

Symptoms of dementia can vary greatly. Many conditions are progressive, which means that the signs of dementia start out slowly and gradually get worse. Possible symptoms of dementia compiled and published by the American Academy of Family Physicians (AAFP) include;

Recent memory loss- a sign of this might be asking the same question repeatedly
Difficulty completing familiar tasks
Problems communicating – difficulty with language; forgetting simple words or using the wrong ones.
Disorientation
Problems with abstract thinking
Misplacing things
Mood changes

Treatment of dementia depends on its cause. In the case of most progressive dementias, including Alzheimer’s disease, there is no cure and no treatment that slows or stops its progression. But there are drug treatments that may temporarily improve symptoms. The same medications used to treat Alzheimer’s are among the drugs sometimes prescribed to help with symptoms of other types of dementias. Non-drug therapies can also alleviate some symptoms of dementia.

Monday Health Burst is an initiative of CFHI to address issues of basic health concerns. Join us every Monday for more interesting episodes.

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Endometriosis, Health, Health Communication, Monday Health Burst / cfhinitiative

ENDOMETRIOSIS – CAUSES, SYMPTOMS, AND TREATMENT

Endometriosis, sometimes called “Endo,” is a common health problem in women. It gets its name from the word endometrium, the tissue that normally lines the uterus or womb. Endometriosis happens when tissue similar to the lining of the uterus (womb) grows outside of the uterus and on other areas in the body where it does not belong. It is especially common among women in 30s and 40s and may make it harder to get pregnant. Endometriosis is often found on the ovaries, fallopian tubes, tissues that hold the uterus in place or outer surface of the uterus.

The cause of Endometriosis is yet unknown, However, there are several theories associated with the causes of Endometriosis. The widely accepted theory is that the womb lining does not leave the body properly during a period and embeds itself on the organs of the pelvis. This is known as retrograde menstruation. Other factors include

Genetic factors -Because endometriosis runs in families, it may be inherited in the genes.
Immune system problems -A faulty immune system may fail to find and destroy endometrial tissue growing outside of the uterus. Immune system disorders and certain cancers are more common in women with endometriosis.
Hormones -the hormone estrogen appears to promote endometriosis. Research is looking at whether endometriosis is a problem with the body’s hormone system.
Surgery -during a surgery to the abdominal area, such as a Cesarean (C-section) or hysterectomy, endometrial tissue could be picked up and moved by mistake. For instance, endometrial tissue has been found in abdominal scars.

Endometriosis is a long-term (chronic) condition. Symptoms can vary significantly from person to person and some women have no symptoms at all. Yet, the most common symptoms include: painful periods or heavy periods which gets worse overtime; pain in the lower abdomen, pelvis or lower back, pain during and after sex, bleeding between periods, difficulty getting pregnant, painful bowel movements or pain when urinating during menstrual periods. Most women with endometriosis get pain in the area between their hips and the tops of their legs. Some women experience this pain all the time.

Other symptoms may include persistent exhaustion and tiredness, discomfort when defecating, bleeding from the back passage (rectum) or blood in feces, and coughing blood in rare cases when the endometriosis tissue is in the lung. How severe the symptoms are depends on where in the body the abnormal tissue is, rather than the amount of tissue present. A small amount could be more painful than a large amount. It is worthy of note that Endometriosis is rare in women who are in the menopause stage.

There is presently no cure for endometriosis. Endometriosis can be a difficult condition to deal with, both physically and emotionally but treatments are available for the symptoms and problems it causes. The symptoms of endometriosis can often be managed with painkillers and hormone medication, which help prevent the condition interfering with daily activities. Still, there is no known cure for endometriosis. For women who are not interested in getting pregnant, hormonal birth control is generally the first step in treatment. Patches of endometriosis tissue can sometimes be surgically removed to improve symptoms and fertility also. However, Surgery is usually chosen for severe symptoms, when hormones are not providing relief or if there are fertility problems.

Monday Health Burst is an initiative of CFHI to address issues of basic health concerns. Join us every Monday for more interesting episodes

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Female Genital Mutilation, Gender, Health, Health Communication, HIV/AIDS, Hygiene, Mental Health, Monday Health Burst, Stop FGM, Women's Rights / cfhinitiative

EFFECTS OF FEMALE GENITAL MUTILATION (FGM)

According to World Health Organization, more than 200 million girls and women alive today have undergone female genital mutilation (FGM) in 30 countries in Africa, mostly in the Middle East and Asia. All forms of FGM are associated with increased health risk in the short- and long-term. Below are some of the health risks.

Short-term health risks of FGM

Severe pain. Cutting the nerve ends and sensitive genital tissue causes extreme pain. The healing period is also painful.

Shock. Can be caused by pain, infection and/or haemorrhage.

Genital tissue swelling. Due to inflammatory response or local infection.

Infections. May spread after the use of contaminated instruments (e.g. use of same instruments in multiple genital mutilation operations), and during the healing period.

Excessive bleeding (haemorrhage). Can result if the clitoral artery or other blood vessel is cut.

Human immunodeficiency virus (HIV). The direct association between FGM and HIV remains unconfirmed, although the cutting of genital tissues with the same surgical instrument without sterilization could increase the risk for transmission of HIV between girls who undergo female genital mutilation together.

Urination problems. These may include urinary retention and pain passing urine. This may be due to tissue swelling, pain or injury to the urethra.

Impaired wound healing. Can lead to pain, infections and abnormal scarring.

Death. Death can result from infections, including tetanus, as well as haemorrhage that can lead to shock.

Mental health problems. The pain, shock and the use of physical force during the event, as well as a sense of betrayal when family members condone and/or organize the practice, are reasons why many women describe FGM as a traumatic event.

Long-term health risks of FGM

Infections:

Chronic genital infections. With consequent chronic pain, and vaginal discharge and itching. Cysts, abscesses and genital ulcers may also appear.
Chronic reproductive tract infections. May cause chronic back and pelvic pain.
Urinary tract infections. If not treated, such infections can ascend to the kidneys, potentially resulting in renal failure, septicaemia and death. An increased risk of repeated urinary tract infections is well documented in both girls and adult women who have undergone FGM.

Painful urination. Due to obstruction of the urethra and recurrent urinary tract infections.

Vaginal problems. Discharge, itching, bacterial vaginosis and other infections.

Menstrual problems. Obstruction of the vaginal opening may lead to painful menstruation (dysmenorrhea), irregular menses and difficulty in passing menstrual blood, particularly among women with Type III FGM.

Excessive scar tissue (keloids). Excessive scar tissue can form at the site of the cutting.

HIV (Human immunodeficiency virus). Given that the transmission of HIV is facilitated through trauma of the vaginal epithelium which allows the direct introduction of the virus, it is reasonable to presume that the risk of HIV transmission may be increased due to increased risk of bleeding during intercourse, because of FGM.

Sexual health problems. FGM damages anatomic structures that are directly involved in female sexual function and can therefore also influence women’s sexual health and well-being. Removal of, or damage to, highly sensitive genital tissue, especially the clitoris, may affect sexual sensitivity and lead to sexual problems, such as decreased sexual desire and pleasure, pain during sex, difficulty during penetration, decreased lubrication during intercourse, and reduced frequency or absence of orgasm (anorgasmia). Scar formation, pain and traumatic memories associated with the procedure can also lead to such problems.

Childbirth complications (obstetric complications). FGM is associated with an increased risk of caesarean section, postpartum haemorrhage, recourse to episiotomy, difficult labour, obstetric tears/lacerations, instrumental delivery, prolonged labour, and extended maternal hospital stay. The risks increase with the severity of FGM.

Obstetric fistula. A direct association between FGM and obstetric fistula has not been established. However, given the causal relationship between prolonged and obstructed labour and fistula, and the fact that FGM is also associated with prolonged and obstructed labour, it is reasonable to presume that both conditions could be linked in women living with FGM.

Perinatal risks. Obstetric complications can result in a higher incidence of infant resuscitation at delivery and intrapartum stillbirth and neonatal death.

Mental health problems. Studies have shown that girls and women who have undergone FGM are more likely to experience post-traumatic stress disorder (PTSD), anxiety disorders, depression and somatic (physical) complaints (e.g. aches and pains) with no organic cause.

Pain. Due to tissue damage and scarring that may result in trapped or unprotected nerve endings.

Though FGM may be normative and considered to be of cultural significance in some settings, the practice is always a violation of human rights, with the risk of causing trauma and leading to problems related to girls’ and women’s mental health and well-being. (WHO,2020)

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