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In Africa, it is estimated that 27 million, 24 million, and 20 million girls and women have undergone FGM/C in Egypt, Ethiopia, and Nigeria, respectively, making them the countries with the highest absolute numbers of women and girls living with FGM/C in the continent. Despite the existence of laws, policies, and plans of action that should drive the health system’s response, the practice persists at a substantial level in Nigeria. The goal of the study, detailed in this working paper, was to contribute to a reduction in the prevalence and ultimately the abandonment of FGM/C through a diagnostic assessment of the health sector’s response to FGM/C management and prevention in Nigeria and the identification of possible solutions for strengthening the existing response. The study explored how the health system implements the national policy and plan of action for FGM/C, and how the health-care sector supports the prevention and management of FGM/C-related complications to identify possible solutions for system strengthening. Findings suggest that improving the health system response in the prevention and management of FGM/C complications requires government ownership at all tiers.






Evidence to End FGM/C: Research to Help Girls and Women Thrive