FGM-Data-Brochure-v13.4
FGM-Data-Brochure-v13.4
genital
mutilation
A global concern
2024 Update
COVER PHOTO:
© UNICEF/UNI77854/Holt
Around the world, over 230 million girls and permanent alteration to the genitalia – a largely available on the status of female genital
women have survived female genital mutilation, symbolic procedure sometimes performed in a mutilation. It narrates through numbers the
known as FGM, but live with its consequences. doctor’s office or hospital. Regardless of the type stories of million of girls and women who,
Beyond excruciating pain and severe bleeding, or consequences, FGM is a violation of universal unlike the three adolescents in Sierra Leone,
long-term physical and psychological damage human rights principles. survived the practice and the millions more
can result from the procedure, including who remain at risk.
infection, infertility and post-traumatic stress Several countries are making tremendous
disorder. Many girls and women who have strides in reducing the practice of female
The international community and member
been cut also face childbearing complications, genital mutilation. Still, the fragility of such
states of the United Nations have committed to
including postpartum haemorrhage, stillbirth progress cannot be overstated. Assaults on
creating a world in which no girl dies of female
and infant mortality. women’s and girls’ rights in countries around
genital mutilation, and no girl has to endure
the globe have meant that hard-won gains are
its consequences, by pledging to eliminate
The ages at which girls typically experience in danger of being lost. Advancements in some
genital mutilation extend from infancy to countries have stalled or even been reversed FGM by 2030 in the Sustainable Development
adolescence, and the types of cutting performed due to changing ideologies as well as the fallout Goals. Ending this harmful practice is possible,
also vary. In the most severe form, infibulation, from instability and conflict, which can disrupt as the following pages show. But it will take
the cut edges of the labia are sewn together, services to support those who have been cut and sustained and concerted engagement with
and must be reopened for sexual intercourse programmes aimed at preventing the practice. practising communities along with an in-depth
or childbirth. In contrast, the genitals can be understanding of the complex social and
pricked or nicked, drawing blood, but with no This publication provides the latest data cultural forces that fuel its continuation.
1
Fig. 1: Number of girls and women of all ages who have undergone female genital mutilation
2
Botege Sancha (left) supports
young girls in Silt’e, Ethiopia,
and intervened to prevent
Between 1-2 million Mekiya Mude from undergoing
female genital mutilation.
IN SMALL PRACTISING COMMUNITIES AND
DESTINATION COUNTRIES FOR MIGRATION IN
THE REST OF THE WORLD
© UNICEF/UN0410899/Ayene
3
The prevalence Fig. 2: Percentage of girls and women aged 15 to 49 years who have undergone female genital mutilation
Senegal 25
Central African Republic 22
Yemen 19
Nigeria 15
The opening section of this report Kenya 15
presents a global estimate of the Maldives 13
number of girls and women affected by Benin 9
female genital mutilation (see Figure 1). United Republic of Tanzania 8
The remaining pages focus on the 31 Iraq 7
countries that have collected nationally
Togo 3
representative and internationally
comparable data on the practice. Such Ghana 2
data allow for relevant analysis of the Niger 2
prevalence of female genital mutilation, Cameroon 1
the circumstances under which it is Uganda 0.3
carried out, and communities’ attitudes
towards the practice.
4
A social worker in Mali counsels a girl who
underwent female genital mutilation.
© UNICEF/UNI74726/Pirozzi
5
In some countries, Fig. 3: Percentage distribution of girls aged 10 to 14 years (or 15 to 19 years*) who have undergone female genital mutilation,
by age at cutting
female genital 0 to 4 years 5 to 9 years 10 to 14 years 15+ years Don’t know/ missing
mutilation is Yemen*
Mauritania
performed very Nigeria
Senegal
it occurs during
Niger*
Eritrea*
Burkina Faso
adolescence Côte d'Ivoire
Ethiopia
Iraq*
Every year, over 2 million girls
are subjected to female genital
mutilation before their fifth Djibouti
Most between
ages 5 and 9
Guinea
birthday. In many contexts, Sudan
the procedure is performed in Chad*
Somalia*
the first days or weeks of life,
leaving only a brief span of
time for possible intervention. United Republic of Tanzania*
Most in adolescence
Liberia*
Sierra Leone*
Central African Republic*
Kenya*
Benin*
Egypt*
0 20 40 60 80 100
6
The type of Fig. 4: Percentage distribution of girls aged 10 to 14 years (or 15 to 19 years*) who have undergone female genital mutilation, by type
Sudan*
Cut, flesh removed Cut, no flesh removed/ nicked Other type Type not determined/ don’t know/ missing
mutilation Somalia*
by country, Chad*
Guinea-Bissau
experience Gambia*
Côte d'Ivoire
cutting with Central African Republic*
Niger*
removal United Republic of Tanzania*
Nigeria
of flesh Djibouti
Benin*
Every year, over half a million Iraq*
girls experience the most Indonesia**
Yemen*
severe form of female genital 0 20 40 60 80 100
mutilation, in which the genital
Genital area sewn closed Not sewn closed Type not determined/ don’t know/ missing
area is sewn closed.
Mauritania
Guinea
Mali
Burkina Faso
Ethiopia
Senegal
0 20 40 60 80 100
Notes: For Indonesia (**), the reference population are all daughters of girls and women surveyed. The chart is shown in two sections, since those in the lower group of countries had limited data on the
type of cutting.
7
In all countries Fig. 5: Percentage distribution of girls aged 10 to 14 years (or 15 to 19 years*) who have undergone female genital mutilation,
by practitioner
except Sudan Doctor Nurse/ midwife/ other health worker Traditional circumciser Other traditional practitioner Others Don’t know/ missing
traditional Egypt*
Indonesia**
practitioners Guinea
Nigeria
perform Kenya*
0 20 40 60 80 100
Note: For Indonesia (**), the reference population are all daughters of girls and women surveyed.
8
Chekoi Margret is a former practitioner of female genital
mutilation who stopped after witnessing girls dying from
the procedure. She is now a vocal opponent of the practice
in her community in Nakapiripirit District, Uganda. © UNICEF/UNI424509/Tibaweswa
Fig. 6: Percentage of girls and women aged 15 to 49 years who have undergone female genital mutilation and think the practice should stop, and percentage of boys and men aged
15 to 49 years who live in a household with at least one person who has undergone female genital mutilation and think the practice should stop
91 92
89
Girls and women 87 88
86 85 85
83 82 83
Boys and men 80 81 80
79
74 75 74
71
65 65
61
58 57 57
54 54
51
49
44
40 39 38
32 33 33
31 31 31 30 30 31 29
24 23 22
19
13
Niger
Benin
Mali
Iraq
Guinea
Eritrea
Liberia
Togo
Chad
Ghana
Djibouti
Egypt
Kenya
Uganda
Nigeria
Sudan
Ethiopia
Gambia
Somalia
Senegal
Yemen
Cameroon
Mauritania
Maldives
Côte d'Ivoire
Sierra Leone
Guinea-Bissau
Burkina Faso
10
In practising communities,
a large share of both
women and men oppose
the continuation of
female genital mutilation
In total, 400 million people – two thirds of the
population – in practising countries in Africa
and the Middle East say they want the practice
to end.
0
30 years ago Today
12
COUNTRIES WITH SOME PROGRESS COUNTRIES WITH NO PROGRESS
100 Guinea 100 Somalia
Egypt
Djibouti
Eritrea
90 Sudan 90 Mali
80 80
Mauritania
Gambia
70 70
60 60
50 50
Guinea-Bissau
Côte d’Ivoire
40 Chad 40
30 30
Central African
Senegal
Republic
Yemen
20 20
10 10
0 0
30 years ago Today 30 years ago Today
Notes: The chart on the left includes countries in which prevalence has been halved and/or has dropped by 30 percentage points in the past 30 years. The chart in the middle includes countries with a significant decline in prevalence, but that do not meet the criteria for the first
category. The chart on the right includes countries without a significant decline in the practice. All three charts exclude countries with a national prevalence below 5 per cent.
13
In 2030, if current Fig. 8: Percentage of adolescent girls aged 15 to 19 years who have undergone female genital mutilation,
projected value in 2030
trends continue, 98
73
in many countries 64
70
Uganda
Maldives
Ghana
Benin
Togo
Niger
Iraq
NIgeria
Kenya
Liberia
Côte d’Ivoire
Yemen
Burkina Faso
Senegal
Chad
Ethiopia
Sierra Leone
Guinea-Bissau
Eritrea
Mauritania
Egypt
Djibouti
Gambia
Sudan
Mali
Guinea
Somalia
Notes: Projections are calculated on the basis of a continuation of observed progress in each country over the latest 10-year period with data. In cases where the change over this period is not statistically significant, these projections may overestimate the
amount of progress that can be expected by 2030.
14
Though the pace of Fig. 9: Percentage of adolescent girls aged 15 to 19 years who have undergone female genital mutilation in
countries making progress over the past 30 years, observed and projected
would need to be
27 times faster to 40
40
eliminating female 30
30
genital mutilation 27
by 2030
20
10
0
1990 1995 2000 2005 2010 2015 2020 2025 2030
15
Fig. 10: Classification of countries according to their progress towards reaching the target of eliminating female genital mutilation by 2030
At least 10 times faster At least 20 times faster At least 100 times faster No progress to date,
must overcome stagnation
16
Eliminating female A girl at her school in
Amudat District, Uganda,
The Somali community in Kenya Fig. 11: Percentage of adolescent girls aged 15 to 19 years who have undergone female genital mutilation, by province and
by ethnic group
continues to PRACTISE female genital
mutilation at near-universal levels, 100
of the country 60
40
Some countries have achieved tremendous progress in
reducing levels of female genital mutilation, while others
have advanced more slowly or stagnated (see Figure 8). The 20
same pattern is evident within many countries, with some
population groups moving towards abandonment of the 0 1 977 1 992 2007 2022
practice even as others continue on as before.
18
A group of young girls from Wajir County in
North Eastern Kenya attend an open dialogue session on
the abandonment of FGM in the Somali community.
© UNICEFKENYA/2017/SEREM
19
A CLOSER LOOK: CONFLICT AND FRAGILITY AS A CHALLENGE TO PROGRESS
Around 4 in 10 girls and Fig. 12: Percentage distribution of the number of girls and women of all ages (pie chart)
and percentage of girls and women aged 15 to 49 years (bar chart) who have undergone
women who have undergone female genital mutilation, according to fragility classification
Conflict 37
The prevalence of female genital Institutional and social fragility 44
mutilation is similar across these
country groupings: Other countries 39
20
A CLOSER LOOK: A GROWING AT-RISK POPULATION
Countries in which Fig. 13: Percentage change in the number of girls born annually, 2000-2050
125% increase
female genital mutilation
is concentrated are
projected to see a rapidly 83% increase
38% increase
countries affected by both Rest of the world Countries in which FGM is concentrated, by fragility classification
The number of girls who undergo female genital mutilation mutilation has grown, and now stands at over 230 million,
depends not only on how common it is, but also on the size of the 30 million more than the last estimate issued in 2016.
population at risk. Even in communities that are slowly shifting
away from the practice, the total number of girls cut can remain the Looking ahead, the number of girls born into affected countries is
same or even increase if the population is growing rapidly. projected to continue growing at a rapid pace, meaning that future
prevention efforts will need to address a larger at-risk population.
This phenomenon is foremost among the reasons why the total This trend underscores the urgent need to work towards the
number of girls and women worldwide affected by female genital elimination of the practice, removing the risk for girls in the future.
21
that has occurred relatively recently, as opposed to Caution is therefore warranted in interpreting the results
Technical notes data on female genital mutilation among older women, since apparent differences among groups may not be
which reflect cutting that occurred many decades ago. significant. All messages were developed in light of
The global number of girls and women alive today who
Alternatively, the age group 15 to 19 years is used for the confidence intervals, so where a difference among
have undergone female genital mutilation includes girls
some countries in cases where data on the preferred groups is mentioned in the text, it has been confirmed as
and women of all ages who have experienced any form
age group are not available or if a substantial proportion statistically significant.
of the practice. The estimate draws upon nationally
of cutting is performed after age 10. Such countries are
representative and internationally comparable data from
31 countries, representing 90 per cent of the population marked with an asterisk (*) in these charts. In all figures that show national-level data, the selection
of girls and women in the countries in Africa, Asia and the of countries includes all those that have collected
Middle East where female genital mutilation is known to In Figure 6, analysis is limited to girls and women who comparable data on the indicator and have a sufficient
be widely practised. The total also includes an estimate have undergone female genital mutilation, and boys number of cases to reliably perform the analysis.
of the affected numbers in countries with missing data, and men who live in a household with at least one
person who has undergone the procedure. By restricting
in smaller practising communities elsewhere in the world
the analysis in this way, these results are meant to
DATA SOURCES
where national-level data collection is not warranted,
and among migrant communities whose numbers are illustrate the situation within practising communities.
UNICEF global databases, 2024, based on Demographic
difficult to quantify. Across contexts, people who are not part of practising
and Health Surveys (DHS), Multiple Indicator Cluster
communities are exceedingly likely to oppose the
Surveys (MICS) and other nationally representative
To assess the prevalence of female genital mutilation, practice and very unlikely to have their daughters cut.
surveys that use comparable methodology, 2004–2022.
this analysis used Sustainable Development Goal (SDG)
For detailed source information by country, please see
indicator 5.3.2 – the proportion of girls and women aged Trends in the prevalence of female genital mutilation are
evaluated by comparing the level among adolescent girls <data.unicef.org>. Demographic data are from the United
15 to 49 years who have undergone the practice. An age
aged 15 to 19 at the time of the latest survey with the Nations, Department of Economic and Social Affairs,
disaggregate of this indicator is also used, referring to the
level among those aged 45 to 49 years – that is, women Population Division, World Population Prospects 2022,
prevalence among adolescent girls aged 15 to 19 years.
who were adolescents 30 years earlier. Online Edition.
While the standard SDG indicator captures how common
the experience of female genital mutilation is among all
girls and women of reproductive age, disaggregating for Projected values based on a continuation of observed ENDNOTES
the youngest group limits the analysis to the population progress, as shown in Figures 8 and 9, apply the average 1
Cappa, Claudia, Luk Van Baelen and Els Leye, ‘The Practice of Female Genital
exposed to the risk most recently, and thus represents a annual rate of reduction in the prevalence of female Mutilation across the World: Data availability and approaches to measurement’,
more current assessment of prevalence. genital mutilation over the past 10 years or past 30 years, Global Public Health, vol. 14, no. 8, 2019, pp. 1139–1152.
In Figures 3 to 5, data on the circumstances around genital mutilation is defined here as prevalence of less includes countries “affected by violent conflict, identified based on a threshold number
of conflict-related deaths relative to the population,” and countries with “high levels
female genital mutilation are presented for girls aged 10 than 1 per cent. of institutional and social fragility, identified based on indicators that measure the
quality of policy and institutions, and manifestations of fragility.” For more details, see:
to 14 years, where possible. This age cohort is preferred https://www.worldbank.org/en/topic/fragilityconflictviolence/brief/harmonized-list-
for analysis since it provides information on cutting Confidence intervals are not shown in this publication. of-fragile-situations
22
A girl looks on at an awareness-raising
campaign to end female genital mutilation
in Assaba District, Mauritania.
© UNICEF/UN05212/Dragaj
23
In Kankan, Guinea, three sisters pose
with a sign that reads ‘No to the
excision of girls,’ referring to a term for
female genital mutilation commonly
used in French-speaking countries.
Their mother is a community advocate
against the practice.
© UNICEF/UN0769633/Camara
© United Nations Children’s Fund (UNICEF),
Division of Data, Analytics, Planning and Monitoring,
March 2024
ACKNOWLEDGEMENTS
This data brief was prepared by Claudia Cappa and
Colleen Murray (Data & Analytics Section, UNICEF
Headquarters) with inputs from Munkhbadar Jugder (Data
& Analytics Section), Nankali Maksud (Child Protection
Programme Team, UNICEF Headquarters), and Isabel Jijon
(independent consultant).
SUGGESTED CITATION
United Nations Children’s Fund, Female Genital Mutilation:
A global concern. 2024 Update, UNICEF, New York, 2024.
Not everything we inherit is a gift to be passed on,
We gain more than we lose when we choose to move on
— Justina Kehinde, artist and activist