Mental Health Intervention Policy Recommendation for Pokot Girls and Women who have Undergone Female Genital Mutilation / Cutting Open Access

Murgor, Josephine (Spring 2019)

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Female Genital Mutilation or cutting is a global issue that is practiced by various communities around the world for cultural or religious purposes. The practice involves the partial or total removal of the female genitalia. Any damage done to a women’s genatalia can cause short or long term health consequences. The trauma and pain of the procedure can cause anxiety, depression and PTSD. In spite of FGM/C being criminalized in Kenya, communities like the Pokot continue to practice FGM/C as a way to transition a girl to womenhood. The high prevalence rate of over 73% in the Pokot community shows that girls and women will continue to be at risk. Few efforts have focused on supporting individuals who may be affected by the mental health impacts as a result of FGM/C. The policy recommended in this thesis will illustrate the importance of examining the mental health aftermath of FGM/C and propose CBT as a mental health intervention that will support Pokot girls and women who have encountered trauma like FGM/C. This intervention includes delivering CBT in the Pokot language and using appropriate terminology that is fit to the Pokot culture. 

Table of Contents

Chapter One: Introduction & Background. 1

Introduction and Significance of Problem.. 1

Overview of FGM/C in Africa. 1

FGM/C in Kenya. 1

Context of FGM/C in the Pokot Tribe. 2

Association of Mental Health and FGM/C.. 2

Framing the Issue. 4

Introduction of Policy Recommendation. 6

Objectives: 8

Definition of Terms. 9

Chapter Two: Review of Literature. 11

Introduction. 11

Overview of Kenya. 11

Overview of the Pokot 12

FGM/C Laws and Policies in Kenya. 12

Summary. 15

Different Types of FGM/C.. 15

Current Prevalence of FGM/C.. 18

FGM/C in the Pokot 18

Summary. 22

Chapter Three: Methods. 24

Introduction. 24

Defining a Policy Recommendation. 24

Steps to Writing a Policy Recommendation: 24

Why a Policy Recommendation. 26

Selection of Interventions. 26

Chapter Four: Results. 30

The Friendship Bench Training Manual 30

Group Interpersonal Psychotherapy for Depression in Rural Uganda. 32

Multi-sectoral Stakeholder TEAM Approach to Scale-Up Community Mental Health in Kenya. 33

Chapter Five: Policy Recommendation. 37

Policy Statement 37

Problem Statement 37

Selected Solution. 38

Chapter Six: Discussion, Recommendations and Conclusion. 42

Limitations. 42

Future Directions. 43

Conclusion. 44

References. 45

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