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I posted this comment on the subject on another related post, but want to add it here as well:
According to some documentaries on the subject, and one made by a victim of this in an African country, it seems the two main barriers to change are education and economics. Education in terms of understanding the detrimental health effects on the recipients, as well as the general academic education of women in these locations. Economics in regard to the fact that the women that perform the circumcisions mainly do it for money, to support themselves and their families. They have such limited opportunities that this act is used as a means to survival.
These communities must support advancement of women and provide them with an education and alternative work opportunities.
Kathleen
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[Thank you and welcome to Ana Lita, one of our new guest bloggers! Ana, who holds a Ph.D. in Applied Ethics and Social Philosophy and an M.A. in Sociology and speaks five languages, is Director of the IHEU-Appignani Humanist Center for Bioethics at the United Nations in New York City. ]