Conversations about FGM in primary care: a realist review on how,why and under what circumstances FGM is discussed in general practice consultations (2021)
This study is a Descriptive research regarding All FGM/C with the following characteristics:
Author(s): Dixon S,Duddy C,Harrison G,et al.
FGM/C Type(s): All
Health area of focus: Gyenacologial.
Objective: Little is known about the management of female genital mutilation (FGM) in primary care. There have been significant recent statutory changes relevant to general practitioners (GPs) in England,including a mandatory reporting duty. This study was a realist synthesis undertook to explore what influences how and when GPs discuss FGM with their patients
Study Population: Not applicable
Findings: This realist review developed
programme theory,tested against existing evidence,on
what influences GPs actions and reactions to FGM in
primary care consultations and where,when and why
these influences are activated. 124 documents were included in the synthesis. The analysis showed that GPs need knowledge and training to help them support their patients with FGM,including who may be affected,their and how to talk sensitively about FGM. Access to specialist services and guidance may help them with this role. Reporting requirements may complicate these conversations.There is a pressing need to develop (and evaluate) training to help GPs meet FGM-affected communities’ health needs and to promote the accessibility of primary care. Education and resources should be developed in partnership with community members. The impact of the mandatory reporting requirement and the Enhanced Dataset on healthcare interactions in primary care warrants evaluation
Geographical coverage
Region(s):Northern Europe
Country(ies):United Kingdom