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RCOG World Congress 2025
June 23 - 25, 2025 | ExCeL London, UK
EP.0665
Developing a Patient Information Leaflet on Female Genital Cutting/ Mutilation in Malaysia
Poster Presenter
Authors
Hannah Nazri, Ashvinderjit Kaur Amarjit Singh, Syed Arief, Zafira Azih, Diyanah Rafiq, Rafeeq Ruslan, Firzana Redzuan, Abdul Rashid
Affiliations
University of Warwick, Malaysian Doctors for Women & Children, Midlands Medical Partnership, Mersey and West Lancashire Teaching Hospitals NHS Trust, Flitwick Surgery, Maidstone and Tunbridge wells hospital NHS trust, Monsters Among Us Malaysia (Child Protection Non-Profit), RCSI & UCD Malaysia Campus
Part of Topic
Global health/health policy
Developing a Patient Information Leaflet on Female Genital Cutting/ Mutilation in Malaysia
Introduction:
- 99.3% of Malaysian Malay Muslim women1 reported undergoing female genital cutting (FGC), primarily Type IV involving pricking or needling the clitoris.
- Increasingly medicalised, 20.5% of Malaysian Muslim doctors perform Type IV FGC2, with some even conducting Type I FGC, previously unheard of among traditional midwives.
- In response, Malaysian Doctors for Women & Children, alongside partners developed educational tools and a patient information leaflet to reduce FGC demand.
Designs and methods:
Open-dialogue discussions with civil society organisations, youth groups, healthcare professionals, and parents.
1. The content was adapted from "Empowering Healthcare Professionals: Unveiling the Harms of Female Circumcision in Malaysia"3 into a draft patient information leaflet in English and Malay.
2. The first draft was reviewed in an in-person group discussion with 17 participants, recruited via social media and email.
3. The second draft: The content refined and transformed into a visually designed lookbook with graphics, images, and layout.
4. The final draft: Formed from second online review with the participants from the first in-person group discussions.
Results:
Discussions highlighted three themes:
- Cultural sensitivity and compassionate approach.
- Accessible language.
- Storytelling approach.
Conclusion:
This approach emphasises the importance of understanding local practices, fostering open and respectful dialogue, and employing culturally appropriate communication to address FGC effectively.
References:
1. Rashid A, Iguchi Y. Female genital cutting in Malaysia: a mixed-methods study. BMJ Open. 2019;9(4):e025078. doi:10.1136/bmjopen-2018-025078
2. Rashid A, Iguchi Y, Afiqah SN. Medicalization of female genital cutting in Malaysia: A mixed methods study. PLoS Med. 2020;17(10):e1003303.
3. Nazri H, Deveraja J, Arief SH, Ruslan R, Azih Z. Empowering Healthcare Professionals: Unveiling the Harms of Female Circumcision in Malaysia - ARROW. 2023. Accessed January 29, 2025. https://arrow.org.my/publication/empowering-healthcare-professionals-unveiling-the-harms-of-female-circumcision-in-malaysia/