Children and COVID-19 Research Library

The effects of COVID-19 on harmful traditional practices such Female Genital Mutilation/Cutting (FGM/C) and Child or Forced Marriages (CFM) have not been well documented. We examined respondents’ perceptions on how the COVID-19 pandemic has affected FGM/C and CFM in Kenya, Uganda, Senegal, and Ethiopia. A cross-sectional study design with a mixed methods approach was used. Data collection on participants’ perceptions on the effects of COVID-19 on FGM/C and CFM took place between October-December 2020. Household surveys targeting women and men aged 15–49 years in Kenya (n = 312), Uganda (n = 278), Ethiopia (n = 251), and Senegal (n = 208) were conducted. Thirty-eight key informant interviews with programme implementers and policymakers were carried out in Kenya (n = 17), Uganda (n = 9), Ethiopia (n = 8), and Senegal (n = 4).

The impacts of the COVID-19 pandemic have gone far beyond the disease itself. In addition to the increasing number of COVID-19 deaths, the pandemic has deepened social and economic inequalities. These indirect impacts have been compounded by pervasive gender inequalities, with profound consequences, especially for women, girls, and people of diverse gender identities. There has been an escalation in gender-based violence within households, increasing numbers of child marriages and female genital mutilation, and an increased burden of unpaid care work, with impacts on mental health. Communities of people affected by HIV are, again, at the crossroads of injustice and targeted discrimination. Measures to control the pandemic have reduced access to essential health and social welfare services, including sexual and reproductive health services, reduced employment and labour force participation, and decimated many household incomes. Here again, women have borne the brunt of marginalisation, particularly those working in the informal sector. Intersectionality analyses have highlighted the inextricable effects of poverty, racial discrimination, harmful gender norms, and limited agency and opportunities for women, especially already marginalised women, even when they represent most of the front-line health workers. The diversion of funds from other health and development programmes into economic recovery means that the pandemic is further eroding health gains made over decades, stalling progress on tackling gender inequalities.

As the COVID-19 pandemic gained momentum in 2020, UNFPA implemented the third year of its Strategic Plan 2018–2021. The plan’s targets are three transformative results to be achieved by 2030: ending preventable maternal deaths, ending unmet need for family planning, and ending GBV and harmful practices, including female genital mutilation and child marriage. UNFPA adapted and responded quickly to the global emergency, focusing immediately on maintaining the provision of SRH information and services and on mitigating the impact of the pandemic on progress towards the three transformative results.

According to estimates by UNFPA, the COVID-19 pandemic may result in two million cases of female genital mutilation that would otherwise have been averted or a one third reduction in progress towards Sustainable Development Goal (SDG) target 5.3, the elimination of female genital mutilation by 2030. With limited research and documentation on the impact of humanitarian crises on female genital mutilation, the Joint Programme developed this brief to document lessons learned during the COVID-19 crisis. Drawing on rapid assessments and surveys, and consultations with country and regional offices, the brief presents Joint Programme strategies for adapting interventions to ensure business continuity in the face of the pandemic, and captures learning that will inform the programme’s future strategic planning. The brief is intended for staff, partners, and stakeholders working towards the elimination of female genital mutilation.

This technical note, developed by the UNFPA-UNICEF Joint Programme on the Elimination of Female Genital Mutilation, supports the development of preparedness and response plans for addressing the impact of the COVID-19 pandemic on girls and women at risk of and affected by female genital mutilation.

UNFPA aims to achieve three world-changing results by 2030, the deadline for achieving the Sustainable Development Goals. These are: Ending unmet need for family planning, ending gender-based violence including harmful practices such as female genital mutilation and child marriage, and ending all preventable maternal deaths. COVID-19 pandemic could critically undermine progress made towards achieving these goals.