The rate of Female Genital Mutilation (FGM) is 95% in Samburu and Maasai Mara counties.

When girls undergo FGM they’re subsequently considered “women” and many are forced to marry men who are older and sometimes polygamous or infected with HIV/AIDS.

The girls then live lives of servitude – building huts, gathering fire wood, fetching water in crocodile infested rivers, washing, cooking and raising children. Girls secretly suffer but don’t openly display opposition to their lives of hardship because they simply aren’t listened to or respected by authoritative men in the highly patriarchal community.

Girls who have dreams of being nurses, doctors, social workers, teachers and so forth lose hope in ever fulfilling their aspirations.

It’s very sad. Girls with so much intelligence and hope drown in their drudgery. Some girls make colorful beaded jewelry and souvenirs for the tourist industry. But that’s hardly fulfilling when life offers so much more.

Ngeendwa has promised not to mutilate her daughter
This Samburu mom, Ngeendwa, has promised not to mutilate her precious daughter.

Pastoralist Child Foundation’s founders, directors and facilitators are dedicated to accelerating the abandonment of FGM and child marriage. They’re very well respected, educated professionals and pioneers in educating their communities at the grassroots level. They have seen, first-hand, the suffering girls and women endure as a result of undergoing FGM and being forced to marry without a choice.

Through mobilization and education, Pastoralist Child Foundation replaces these harmful practices with safe Alternative Rites of Passage.

Pastoralist Child Foundation holds educational camps for young girls in Samburu County, in the local language, to raise awareness about the harmful effects of FGM, as well as other issues such as child marriage, teen pregnancy, and HIV/AIDS. The workshops are held in April, August and December. These months are commonly called “cutting season.”

The workshop facilitators are local doctors, nurses and social workers who are life-long Samburu residents who care deeply about the status of girls and women in their communities. They also dedicate their time and expertise year-round as volunteers and mentors for the girls.
The impact of the educational camps are far-reaching.
Girls make the commitment to share what they learn with their peers, relatives, and teachers.

The workshops are interactive where facilitators encourage girls to speak openly and honestly about their beliefs and practices.
This is a new concept for many girls because they’re members of a patriarchal society where their voices and opinions aren’t heard or respected.

On the last day of each camp we hold a celebratory graduation ceremony complete with songs, dance, theater and delicious food! Every girl receives a graduation certificate and a gift such as a Pastoralist Child Foundation T-shirt.
Guests include family and friends, local dignitaries, law enforcement representatives, teachers, and religious leaders.
In this way, the whole community is involved.

To date, PCF has directly saved 540 girls from FGM through our workshops – and many more who have been reached out to by the girls who attended the workshop. The girls return to their villages and share their notes with their peers, families, teachers, elders and anyone who is willing to learn. In December, 2015 Namayiana Village residents publicly declared their abandonment of FGM and stated that the decision was made after several girls attended PCF workshops.

We believe collective responsibility from all communities and stakeholders helps to decrease and, ultimately, end FGM. We educate the community at the grassroots level and see positive results following community discussions, door-to-door dialogues, and inter-generational dialogues that include youth, women, men, morans (Maasai), elders and circumcisers.

About FGM

Key facts

Female genital mutilation (FGM) includes procedures that intentionally alter or cause injury to the female genital organs for non-medical reasons. The procedure has no health benefits for girls and women. Procedures can cause severe bleeding and problems urinating, and later cysts, infections, infertility as well as complications in childbirth increased risk of newborn deaths. About 200 million girls and women worldwide are currently living with the consequences of FGM.

FGM is mostly carried out on young girls sometime between infancy and age 15. In Africa an estimated 92 million girls 10 years old and above have undergone FGM. FGM is a violation of the human rights of girls and women.

Female genital mutilation (FGM) comprises all procedures that involve partial or total removal of the external female genitalia, or other injury to the female genital organs for non-medical reasons.

The practice is mostly carried out by traditional circumcisers, who often play other central roles in communities, such as attending childbirths. However, more than 18% of all FGM is performed by health care providers. This trend is increasing and alarming.

FGM is recognized internationally as a violation of the human rights of girls and women. It reflects deep-rooted inequality between the sexes, and constitutes an extreme form of discrimination against women. It is nearly always carried out on minors and is a violation of the rights of children. The practice also violates a person’s rights to health, security and physical integrity, the right to be free from torture and cruel, inhuman or degrading treatment, and the right to life when the procedure results in death.


Female genital mutilation is classified into four major types:

  1. Clitoridectomy: partial or total removal of the clitoris (a small, sensitive and erectile part of the female genitals) and, in very rare cases, only the prepuce (the fold of skin surrounding the clitoris).
  2. Excision: partial or total removal of the clitoris and the labia minora, with or without excision of the labia majora (the labia are “the lips” that surround the vagina).
  3. Infibulation: narrowing of the vaginal opening through the creation of a covering seal. The seal is formed by cutting and repositioning the inner, or outer, labia, with or without removal of the clitoris.
  4. Other: all other harmful procedures to the female genitalia for non-medical purposes, e.g. pricking, piercing, incising, scraping and cauterizing the genital area.

No health benefits, only harm!

FGM has no health benefits, and it harms girls and women in many ways. It involves removing and damaging healthy and normal female genital tissue, and interferes with the natural functions of girls’ and women’s bodies.

Immediate complications can include severe pain, shock, haemorrhage (bleeding), tetanus or sepsis (bacterial infection), urine retention, open sores in the genital region and injury to nearby genital tissue.

Long-term consequences can include:

  • recurrent bladder and urinary tract infections
  • cysts
  • infertility
  • an increased risk of childbirth complications and newborn deaths
  • the need for later surgeries

The FGM procedure that seals or narrows a vaginal opening (type 3 above) requires that the opening be cut open later to allow for sexual intercourse and childbirth. Sometimes it is stitched again several times, even after childbirth, forcing the girl or woman to go through repeated opening and closing procedures.

Who is at risk?

Procedures are mostly carried out on young girls sometime between infancy and age 15, and occasionally on adult women. In Africa, about three million girls are at risk for FGM annually.

About 200 MILLION girls and women worldwide are living with the consequences of FGM. In Africa, about 92 million girls age 10 years and above are estimated to have undergone FGM.

The practice is most common in the western, eastern, and north-eastern regions of Africa, in some countries in Asia and the Middle East, and among migrants from these areas. FGM has seen an increase in western countries like England, and even the USA where immigrant populations practice this horrific procedure in secret.

Cultural, religious and social causes

The causes of female genital mutilation include a mix of cultural, religious and social factors within families and communities. Where FGM is a social convention, the social pressure to conform to what others do and have been doing is a strong motivation to perpetuate the practice. FGM is often considered a necessary part of raising a girl properly, and a way to prepare her for adulthood and marriage.

FGM is often motivated by beliefs about what is considered proper sexual behavior, linking procedures to premarital virginity and marital fidelity. FGM is in many communities believed to reduce a woman’s libido and therefore believed to help her resist “illicit” sexual acts. When a vaginal opening is covered or narrowed (type 3 above), the fear of the pain of opening it, and the fear that this will be found out, is expected to further discourage “illicit” sexual intercourse among women with this type of FGM.

FGM is associated with cultural ideals of femininity and modesty, which include the notion that girls are “clean” and “beautiful” after removal of body parts that are considered “male” or “unclean”.

Though no religious scripts prescribe the practice, practitioners often believe the practice has religious support. Religious leaders take varying positions with regard to FGM: some promote it, some consider it irrelevant to religion, and others contribute to its elimination.

Local structures of power and authority, such as community leaders, religious leaders, circumcisers, and even some medical personnel can contribute to upholding the practice. In most societies, FGM is considered a cultural tradition, which is often used as an argument for its continuation. In some societies, recent adoption of the practice is linked to copying the traditions of neighbouring groups. Sometimes it has started as part of a wider religious or traditional revival movement. In some societies, FGM is practised by new groups when they move into areas where the local population practice FGM.

International response

In 1997, WHO issued a joint statement with the United Nations Children’s Fund (UNICEF) and the United Nations Population Fund (UNFPA) against the practice of FGM. A new statement, with wider United Nations support, was then issued in February 2008 to support increased advocacy for the abandonment of FGM.

The 2008 statement documents evidence collected over the past decade about the practice. It highlights the increased recognition of the human rights and legal dimensions of the problem and provides data on the frequency and scope of FGM. It also summarizes research about why FGM continues, how to stop it, and its damaging effects on the health of women, girls and newborn babies.

In 2010 WHO published a “Global strategy to stop health care providers from performing female genital mutilation” in collaboration with other key UN agencies and international organizations.

Since 1997, great efforts have been made to counteract FGM, through research, work within communities, and changes in public policy. Progress at both international and local levels includes:

Wider international involvement to stop FGM; the development of international monitoring bodies and resolutions that condemn the practice; revised legal frameworks and growing political support to end FGM (this includes a law against FGM in 22 African countries, and in several states in two other countries, as well as 12 industrialized countries with migrant populations from FGM practicing countries); in most countries, the prevalence of FGM has decreased, and an increasing number of women and men in practising communities support ending its practice.

WHO response

In 2008, the World Health Assembly passed a resolution (WHA61.16) on the elimination of FGM, emphasizing the need for concerted action in all sectors – health, education, finance, justice and women’s affairs.

WHO efforts to eliminate female genital mutilation focus on:

Advocacy: developing publications and advocacy tools for international, regional and local efforts to end FGM within a generation; research: generating knowledge about the causes and consequences of the practice, how to eliminate it, and how to care for those who have experienced FGM; guidance for health systems: developing training materials and guidelines for health professionals to help them treat and counsel women who have undergone procedures.

WHO is particularly concerned about the increasing trend for medically trained personnel to perform FGM. WHO strongly urges health professionals not to perform such procedures.

Research shows that, if practicing communities themselves decide to abandon FGM, the practice can be eliminated very rapidly.

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