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Person-centred approach for FGM prevention and care

Module 2

Person-centred approach for FGM prevention and care


March 29, 2023 - Geneva

Assignment (Total 25 marks)

Question 1 (5 marks)

Answer the following questions related to the legal status of FGM in your country:

1.1 What is the legal status of FGM in your country? What laws are in place at national level?

1.2 When were these laws issued?

1.3 What penalties do HCPs or other person who practice FGM face?

1.4 Are health-care providers enforcers of the law?

Clue: Please refer to your country’s laws/penalty codes or consult people providing legal services in your country.

Question 2 (3 marks)

As a HCP, if you perform FGM, you are against two basic medical ethical principles. What are these principles? Briefly discuss them in relation to FGM medicalization.

Clue: Refer to pages 7-8 of the presentation on Value and ethics on FGM medicalization.

Question 3 (4 marks)

If a mother from your communities requests you to perform FGM for one of her daughters, describe how you would respond to resist doing FGM using the legal status of FGM in your country, your professional ethics and other reasons.

Clue: Refer to pages 15-16 of the presentation on Value and ethics on FGM medicalization.

Question 4 (8 marks)

Answer the following questions after reading the summary of clinical consultation provided in the box below (clinical interaction between a midwife and a pregnant woman who came to the health facility for a lower back pain).

A pregnant woman visited the health facility because she has had lower back pain for a few weeks.

The midwife calls her into the consultation room. When she enters, the midwife seems quite busy and neither greets her nor introduces herself to the patient. Without even asking the patient’s name, the midwife asks her straightaway what brings her to the health facility. The woman, who seems a little nervous, explains she has had pain but has difficulties in explaining what kind of pain it is and where she feels it. The midwife seems a little irritated that the woman cannot provide more details and decides to examine the patient without explaining what she will do.

During the examination, the patient, who feels very uncomfortable, tells the midwife that she is worried she may have kidney problems. The midwife dismisses the woman’s idea and tells her ‘not to worry so much about these things’. Without sharing the results of the physical examination, the midwife tells the patient that she will give her pain killers and that this should be enough for now. Without asking the woman if she has any questions, she tells her the consultation is over and asks her to call the next patient when she leaves.

4.1 In your opinion, is the above clinical interaction provider-centred or person-centred communication? Give four reasons for your opinion. (3 marks)

4.2 What could the midwife have done to make this dialogue (clinical consultation) person-centred? Mention four ways. (2 marks)

4.3 What are the benefits of person-centred communication (PCC) for the patient and for the HCP? Mention three benefits each. (3 marks)

Clue: Refer to pages 5-23 of the presentation on Characteristics and principles of person-centred communication.

Question 5 (5 marks)

Suppose you have completed PCC training for FGM prevention and you are working in a health center. A woman, who is from the community where FGM is prevalent, visits your clinic with her five-year-old daughter for a routine health follow up for the child. How do you approach the subject using the 5 steps of PCC for FGM prevention?

Clue: Refer to page 8 of the presentation on Person-centred communication for FGM prevention.