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The literature has consistently shown that, like various forms of discrimination, the practice is rooted in systems of gender inequality. And yet, in the Global North, interventions remain primarily medical in nature, with clitoral reconstruction having emerged as a common means of dealing with related sexual issues. And although treatments can vary greatly depending on the hospitals and physicians involved, sexuality tends to be considered from a gynecological perspective, even when multidisciplinary care is offered.
By contrast, gender norms and other socio-cultural factors receive little attention. And although the term does not normally encompass procedures like labia minora reduction nymphoplasty , genital cosmetic surgery is being performed on growing numbers of young women, including minors Kalampalikis and Michala, Through their interactions with affected populations youth, migrants , social workers are regularly confronted with issues of sexuality and gender.
In this context, promoting egalitarian gender norms, raising awareness of sexual rights, and addressing sexual wellbeing including as a means of preventing sexual violence are all more or less central to the mission of social work. Meanwhile, bans introduced in many European and African countries have failed to adequately curtail the practice Boyle and Cotton Corl, Research shows that although legal restrictions have proven more effective in the Global North, the success of law enforcement efforts often depends on the presence of more informal social control mechanisms Boyle and Cotton Corl, In other words, in the absence of awareness campaigns, media coverage, family discussions, and other informal measures, so-called anti-FGM laws risk further harm to migrants from sub-Saharan Africa by reinforcing existing forms of discrimination or producing new ones O'Neill et al.
Anti-FGM awareness campaigns have also been accused of exposing women to increased stigma by adopting colonial attitudes toward the populations concerned Manderson, ; Njambi, ; Boddy, By comparison, a gender-based interpretation that emphasizes the fundamentally discriminatory dimension of the practice has been slow to take hold at the international level WHO, Tools have even been developed to help change attitudes and foster discussion Lennie and Tacchi, , especially using videos and other media Vogt et al.
