FGM and asylum in Europe - Forced Migration Review mini-feature

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May 2015

Forced Migration Review mini-feature

FGM and asylum in Europe
The five articles in this FMR mini-feature address some of the issues relating to the practice of
FGM in respect of asylum. The focus is on asylum in Europe in particular, and this mini-feature
has been produced in collaboration with UNHCR’s Bureau for Europe who are also generously
funding the printing costs.
The mini-feature is online at www.fmreview.org/climatechange-disasters/FGM.pdf. Please
feel free to circulate it, print it out, link to it, etc. To access it in French, Spanish and Arabic,
or to access the individual articles in HTML, PDF and (for English) audio format, visit
www.fmreview.org/climatechange-disasters. To request print copies, email fmr@qeh.ox.ac.uk.

Female genital mutilation: a case                  Female Genital Mutilation (FGM) comprises all procedures
for asylum in Europe                               involving partial or total removal of the external female
Fadela Novak-Irons (UNHCR)                         genitalia, or other injury to the female genital organs, carried
                                                   out for traditional, cultural or religious reasons. In other words,
FGM: challenges for asylum                         the procedure is for non-medical reasons.
applicants and officials                           All forms of FGM are considered harmful, although the
Christine Flamand (INTACT)                         consequences tend to be more severe the more extensive the
                                                   procedure. Other factors, such as age and social situation, may
The medicalisation of female genital               also have an impact on the gravity of the consequences. FGM is
mutilation                                         mostly carried out on girls under the age of 15 years, although
                                                   it is occasionally also performed on adult and married women.
Pierre Foldes and Frédérique Martz
                                                   The procedure is often performed with rudimentary tools and
(Institut en Santé Génésique)                      without anaesthesia while the girl or woman is held down.
                                                   Almost all those who are subjected to FGM experience extreme
The Istanbul Convention: new treaty,               pain and bleeding. Other health complications include shock,
new tool                                           psychological trauma, infections, urine retention, damage to
Elise Petitpas (End FGM European Network)          the urethra and anus, and even death. The ‘medicalisation’ of
and Johanna Nelles (Council of Europe)             FGM, whereby the procedure is performed by trained health
                                                   professionals rather than traditional practitioners, does not
                                                   necessarily make it less severe.
Changing attitudes in Finland
towards FGM                                        Taken from UNHCR (May 2009) Guidance Note on Refugee
Saido Mohamed and Solomie Teshome                  Claims relating to Female Genital Mutilation
(Finnish League for Human Rights)                  www.refworld.org/docid/4a0c28492.html

FGM terminology
Initially the procedure was generally referred to as       the negative connotations of ‘mutilation’ for survivors
‘female circumcision’ but the expression ‘female           and partly because there is some evidence that the use
genital mutilation’ (FGM) gained support from the late     of the term ‘mutilation’ may alienate communities that
1970s in order to establish a clear distinction from       practise FGM and thereby perhaps hinder the process
male circumcision and to emphasise the gravity and         of social change.
harm of the procedure.
                                                           Abstracted from World Health Organization (2008)
From the late 1990s, the terms ‘female genital cutting’    Eliminating Female genital mutilation: An interagency
(FGC) and ‘female genital mutilation/cutting’ (FGM/C)      statement, p22. www.who.int/reproductivehealth/
have also been used, partly due to dissatisfaction with    publications/fgm/9789241596442/en/
FMR 49
2                                  FGM and asylum in Europe
                                                                                              May 2015

    Female genital mutilation: a case for asylum in Europe
    Fadela Novak-Irons

    With some 71% of female EU asylum applicants from FGM-practising countries estimated to
    be survivors of this harmful traditional practice, it is time to accept that this subject demands
    greater scrutiny and a more dedicated response.

    UNHCR has estimated that 18,500 of the             they could avail themselves, the specific
    25,855 women and girls from FGM-practising         interventions they may need during the
    countries seeking asylum in the EU in the          asylum procedure (and later when/if settling
    first three quarters of 2014 may have been         in Europe), and the prevention of the practice
    survivors of female genital mutilation (FGM),      by the communities in exile in Europe.
    translating into an estimated 71% prevalence
    rate of FGM in EU asylum systems. The main         Complex asylum claims
    countries of origin for these women and girls      For the first three quarters of 2014, the
    include Eritrea, Nigeria, Somalia, Guinea and      main countries of asylum for women and
    Ethiopia, most of which have persistently          girls from FGM-practising countries were
    high prevalence rates for FGM.1 These              Germany, Sweden, France, Switzerland, UK,
    numbers debunk the still all too common            the Netherlands, Italy, Belgium, Norway
    view that the practice is so insignificant in      and – a new entrant into the list – Denmark.
    the asylum system as not to merit dedicated
    attention and specific responses.                The fact that only a handful of states collect
                                                     data on the grounds on which applications
    There are a number of misconceptions             are made and decided limits our ability
    relating to FGM that may create obstacles to     to better understand the extent of this
    meeting the specific protection needs and        phenomenon. Gathering better statistical
    vulnerabilities of these women and girls. Many data on FGM in European asylum systems
    workers in the European asylum systems are       should be a priority; data should include
    not familiar with the practice and it is not     the number of FGM survivors assisted in
    uncommon to hear or read opinions that FGM European asylum centres as well as the
    is not a problem for these women because it      number of asylum claims involving FGM
    is part of their culture; that educated parents  issues. It is estimated, however, that asylum
    should be able to protect their daughters from systems in the EU receive a few thousand
    it; that ‘intact’ teenage girls and young women applications every year relating directly to
    are too old to be at risk; that the increasingly FGM, pointing again to the fact that this is not
    medicalised practice of FGM is a minor           a negligible ground for asylum. In addition,
    procedure with no ill effects2; or that women    these asylum claims are particularly complex
    should simply refuse to become ‘cutters’ and     and involve a variety of risk profiles.
    carry out this practice like their mothers.
                                                     “I fled my country because of the persecution I had
    Many of these misconceptions stem from a         been subjected to because of my activism against
    lack of awareness of the gender dimension in     excision3 and my political engagement to promote
    general and its role in this harmful traditional the rights of women.” (Halimatou Barry4)
    practice in particular, and from limited (or
    lack of) knowledge of the practice, its regional In addition to the women and men
    variations and its life-long consequences.       activists persecuted for their opinions and
    This often leads to incorrect assumptions        commitment to end FGM in their countries
    about the forms of persecution these women       of origin and/or their perceived threat to
    and girls may fear, the risks they may           religious beliefs, European Member States
    face if returned, the protection of which        have also been receiving claims from:
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         May 2015

         ■■women and (unaccompanied and separated) social norms of practising communities, the
            girls who seek protection from being           participation of the communities, and the
            subjected to FGM whether they come             empowerment of women and girls but also of
            directly from FGM-practising countries or      men, young and old, to urge their respective
            have lived most of their lives in Europe and   communities to abandon the practice.
            may be at risk of being cut upon return
                                                           “It is horrible; it is painful, mentally, emotionally
                                                           and physically; and I wished it had not happened
         ■■women and girls who have already been
                                                           to me. Whatever happened to me can never
            subjected to FGM and seek protection from
                                                           be turned back; it cannot disappear. The pain
            re-excision, defibulation or reinfibulation5
                                                           will remain forever.” (Ifrah Ahmed7)
            upon marriage (including child marriage6)
            or at childbirth                          Fadela Novak-Irons novakfa@unhcr.org is Senior
                                                      Staff Development Officer (Protection) at the
         ■■parents who claim international protection UNHCR Global Learning Centre, Budapest.
           to protect their daughters from FGM        www.unhcr.org With thanks to Zoe Campiglia
                                                      and Jessica Davila, interns at the UNHCR Bureau
         ■■women who are under pressure from their    for Europe, for their assistance in the compilation
           family and community but refuse to become of the data for 2014. The views expressed in this
           ‘cutters’ in countries of origin           article are not necessarily those of UNHCR.
                                                           1. See UNHCR (2014) Too Much Pain: Female Genital Mutilation
         ■■women who had been subjected to FGM,            & Asylum in the European Union - A Statistical Update
                                                           www.refworld.org/pdfid/5316e6db4.pdf
            have accessed reconstructive surgery (often    See also www.unhcr.org/pages/5315def56.html
            while in Europe) and who fear being cut        2. See Foldes article pp6-7.
            again upon return                              3. Excision: a form of FGM (in French, used to denote FGM in
                                                           general).
         When members of communities flee, they bring      4. In UNHCR (2014) Too Much Pain – the Voices of Refugee Women
                                                           www.youtube.com/watch?v=pW3TFcLIXiw
         with them their customs and traditions, which
                                                           5. Infibulation: surgical removal of the external female genitalia
         may include harmful traditional practices         and the suturing of the vulva. Defibulation: reconstructive surgery
         such as FGM. Beyond the asylum system, we         of the infibulated scar.
         need to learn how to work with the FGM-           6. Child marriage is poorly understood in the asylum system,
         practising communities in exile in Europe         too often conflated with ‘arranged’ marriage (i.e. culturally
                                                           acceptable), rather than a way of subjugating girls to a submissive
         to prevent the practice of FGM in Europe.         gender role. In this sense, its purpose is closely allied to that of
         Lessons can be learned from the progress          FGM. The practices of FGM and child marriage are generally
         achieved in countries of origin, in particular    prevalent in the same countries.

         how ending FGM has involved changing the          7. Anti-FGM activist, in UNHCR (2014) Too Much Pain – the Voices
                                                           of Refugee Women

         FGM: challenges for asylum applicants and officials
         Christine Flamand

         Asylum authorities in the European Union need to establish better procedures to help address
         the specific vulnerabilities and protection needs of women and girls who have undergone or
         are at risk of female genital mutilation.

         The asylum process examines whether               a number of grounds on which female genital
         an applicant has a well-founded fear of           mutilation (FGM) can support a claim for
         persecution based on one or more of the           asylum. It is a form of gender-based violence
         grounds in the 1951 Convention relating to        and a child-specific form of persecution. It also
         the Status of Refugees or faces an actual risk    violates the principle of non-discrimination (as
         of being subjected to serious harm. There are     it only affects women and girls) and the right
FMR 49
4                                   FGM and asylum in Europe
                                                                                              May 2015

    of the girlchild to be protected against practices   process is new to most of them and highly
    that are harmful for her health. FGM has             complex. They also need to be informed about
    short- and long-term health consequences and         specific aspects related to FGM, in particular
    is therefore considered as a continuous form         its prohibition in the receiving country and
    of persecution and also as a form of torture.1       the consequences of FGM on health. This can
                                                         help women understand that they have been
    FGM constitutes a form of gender-related             victims of violence that may give rise to a
    persecution under the 1951 Refugee                   ground for asylum. It can also help prevent
    Convention that can be related to the grounds        FGM for other family members. Understanding
    of political opinion, membership of a particular     the asylum procedure will prepare them
    social group or religious beliefs. FGM is            for having to tell their story and to talk
    mentioned as an example of persecution               about the violence they have undergone.
    based on membership of a particular social
    group in the EU Qualification Directive,2 and        Establishing the facts and assessing credibility
    also constitutes ‘serious harm’ in the context       The asylum authority will interview the
    of the qualification for subsidiary protection       asylum seeker to gather the relevant facts
    under Article 15 of the EU Qualification             related to their testimony and assess the
    Directive.3 However, FGM survivors (or               credibility of their claim but asylum seekers
    persons at risk) experience various procedural       often lack knowledge about the aim of
    challenges in establishing the facts of              the interview. FGM survivors may face
    their account and securing protection.4              additional barriers to communication such
                                                         as discomfort in discussing the subject and
    Reception and information                            disclosing traumatic experience, the desire
    EU Member States are required to identify            to hide shameful experiences and mistrust
    vulnerable asylum seekers at an early stage          in authority figures. Trauma and/or lack
    but some vulnerabilities can be hard to              of education can also hinder disclosure of
    identify. FGM is usually a taboo subject             information. Communicating with an applicant
    which many survivors do not want to                  is done through the filter of language and
    speak about; in addition, sometimes they             culture, and often through interpreters whose
    do not realise that it is a form of violence         presence may further impede disclosure.
    against women nor realise the impact of
    FGM on their mental and physical health.             Gathering evidence is not required if the
                                                         testimony is generally coherent and consistent.
    It is standard practice in many EU member            However, many asylum authorities require
    states that asylum seekers undergo a medical         material evidence and will cite a lack of
    examination; this could be an opportunity            cooperation if the asylum seeker is not able
    to ask women coming from countries where             to substantiate his or her testimony.
    the practice is prevalent specific FGM-
    related questions. However, this requires            In general, victims of gender-related
    reception centre professionals to be trained         persecution face major difficulty in providing
    on the issue and to be well informed about           evidence of past persecution. A medical
    asylum seekers’ country of origin and ethnic         examination or a psychological report can
    background.5 Some countries use special              be useful to prove sexual violence or trauma
    tools to detect indicators of vulnerability,         but this evidence should not be a condition
    such as the Protect Questionnaire which is           of qualifying as a refugee. The burden of
    currently used by some Member States such            proof is lighter if the asylum seeker has been
    as France, Bulgaria and the Netherlands.6            a victim of past persecution and if he or she
                                                         is considered as belonging to a vulnerable
    It is essential to provide asylum seekers with       group. However, for women and girls who are
    information about the asylum process in a            survivors or at risk of FGM, the principle of the
    language that they can understand, as the            benefit of the doubt should be applied liberally.
FMR 49                                    FGM and asylum in Europe                                                                 5

         May 2015

         In assessing credibility, the decision maker        to determine whether such an alternative is
         must look into the individual and contextual        both safe, relevant, accessible and reasonable.7
         circumstances of the asylum seeker. An
                                                             Child-specific persecution and
         asylum officer may conclude that a woman
                                                             family unity
         claimant should be able to protect her child
                                                             As previously mentioned, FGM is a
         from FGM in the event of return but this
                                                             child-specific form of persecution. If an
         overlooks the fact that the girl belongs to
                                                             unaccompanied child applies for asylum
         the community and that her mother is not
                                                             on this ground, the asylum authorities
         necessarily in a position to protect her child
                                                             need to ensure that the procedure, the
         from such harmful traditional practices.
                                                             interviewing techniques and the credibility
                                                             assessment are appropriate for a child.
         Country of Origin Information
         The individual situation of the asylum              In some countries (such as France), when a
         seeker needs to be assessed against objective       family applies for international protection
         information about the country of origin.            due to fear of FGM being performed on a
         The prevalence rate of FGM in the asylum            child, protection is only granted to the girl. In
         seeker’s home country is a very important           these cases, asylum authorities consider that
         indicator; Country of Origin Information            the parents do not have legitimate reasons
         (COI) also includes information on access           for claiming asylum for themselves, because
         to state protection for women who fear that         their opposition to the practice will not lead
         their daughter will be subjected to FGM. If         to persecution or serious harm for them.
         a law prohibits the practice of FGM in the          However, family unity and the best interests
         home country, the implementation of the             of the child are fundamental principles in
         law in practice needs to be assessed. Is it         international and regional human rights
         possible to file a complaint for a survivor         and refugee law, and should be prioritised
         of FGM? Will the police react diligently if a       in asylum claims related to FGM where the
         woman asks for protection for her daughter?         overarching objective is to protect women
                                                             and girls from persecution or serious harm.
         COI should be gathered from different
         sources (both governmental and non-                 Christine Flamand christine.flamand@intact-
         governmental), be child-specific and include        association.org is Legal Advisor and Director of
         a gender dimension; the European Asylum             INTACT.8 www.intact-association.org
         Support Office has committed to improving           1. Manfred Nowak (15 January 2008) Report of the Special Rapporteur
         these aspects and is also developing a              on torture and other cruel, inhuman or degrading treatment or
         training module on gender and interviewing          punishment www.refworld.org/pdfid/47c2c5452.pdf

         techniques for vulnerable groups.                   2. Consideration no. 30
                                                             http://tinyurl.com/EU-QualificationDirective
                                                             3. A complementary form of protection against torture and
         However, if no corroboration of facts is            inhuman and degrading treatment that is not linked to the five
         found in COI, this cannot in itself challenge       persecution grounds of the 1951 Refugee Convention.
         the claimant’s overall credibility. This is         4. A 2012 report of a comparative analysis of gender-related
                                                             asylum claims in nine EU Member States includes a range of
         particularly relevant regarding the issue of        examples of good (and bad) practice. See
         re-excision (re-cutting at a later date); as this   http://tinyurl.com/EU-Gender-asylum-claims-2012
         is an even more taboo subject than the initial      5. See, for example, the e-Learning course ‘United to END FGM/C’:
         FGM, no corroboration of the practice is            www.uefgm.org/

         found in COI – but the absence of supporting        6. http://protect-able.eu/resources/

         facts does not mean it is not a reality.            7. See UNHCR (May 2009) Guidance Note on Refugee Claims relating
                                                             to Female Genital Mutilation, section C.
                                                             www.refworld.org/docid/4a0c28492.html
         Some asylum authorities consider whether            8. INTACT is a legal expertise centre in Belgium, working on the
         applicants could relocate to another part of        issues of FGM, forced marriage and honour-related crime.
         their country, where the practice of FGM is
         less widespread. In those cases, it is necessary
FMR 49
6                                 FGM and asylum in Europe
                                                                                          May 2015

    The medicalisation of female genital mutilation
    Pierre Foldes and Frédérique Martz

    The ‘medicalisation’ of female genital mutilation should be denounced on two counts. Firstly,
    it is usually anatomically more damaging and, secondly, it goes against the ethical basis of
    the medical profession.

    The ‘medicalisation’ of female genital          so-called medicalised practices with cutting
    mutilation/cutting (FGM/C) refers to the act    carried out by traditional practitioners.1 The
    being performed by doctors or other members     immediate and inevitable conclusion is that
    of the health profession. The phenomenon is     in the vast majority of cases, medicalisation is
    neither new nor unknown. The medical and        clearly an aggravating factor in mutilation.
    paramedical professions have traditionally
    practised acts of mutilation in numerous        Ritual cutting consists of cutting off a larger
    countries in East Africa, primarily Egypt,      or smaller portion of the clitoral glans by a
    Sudan, Eritrea and Somalia. It is a more        more or less clean cut that extends more or
    recent, emerging phenomenon in West Africa      less towards the apex of the clitoral shaft.
    where an increasing number of members           Traditional cutters are very well aware of
    of the nursing profession, midwives and         how far they can go, particularly in terms
    matrones (traditional midwives) – and also      of bleeding, and they understand that the
    doctors or surgeons – in Côte d’Ivoire,         death of young girls will neither serve their
    Mali and the rest of the sub-region are         reputation nor help with recruiting new
    involved. Clinics that practise FGM/C have      clients. As a result, the main nerve trunks
    been identified in Kenya and Guinea.            are – paradoxically – avoided and thereby
                                                    protected, as injuring them would also involve
    Such acts of FGM/C are usually paid for,        opening up blood vessels, resulting in an
    sometimes at a high price, on the pretext       uncontrollable haemorrhage. The same applies
    of ‘better quality’ or for safety reasons.      to the labia minora and vulvar tissue, which are
    Even in Europe, a few practitioners have        difficult to access on a terrified young girl.
    offered ‘safe’ forms of FGM/C and even
    ‘minimal’ cutting to comply with tradition.     However, the use of anaesthesia – whether
                                                    local, locoregional or general – makes it
    This practice is of growing relevance in        possible to cut, unhindered, a body that is
    asylum procedures where medicalisation          open and at rest. Worse, a doctor, surgeon
    tends to be viewed by non-medical experts       or health-care professional knows how to
    (such as asylum officials) as a minor           prevent haemorrhage and is therefore much
    procedure and therefore not to be considered    less constrained by the presence of major
    as persecution (unlike ‘more severe’,           blood vessels – and can cut much more
    traditionally performed FGM/C). However,        extensively, as we have observed. Moreover,
    our experience over 25 years of treating and    the fact of being a surgeon or gynaecologist
    managing female genital mutilation and          increases their ability to cut more, without
    carrying out surgical repairs has given us      risk, because of their greater knowledge
    a detailed understanding of the reality and     of this part of the body. Medicalised cases
    impact of ‘medicalisation’, and we have no      performed by specialists have often been
    hesitation in denouncing these practices.       the ones that were most difficult to repair.

    Anatomically more damaging                      A breach of ethics
    We have carried out reconstructive surgery      Medicine must not be used for harmful
    on women who have been subjected to FGM/C       practices; furthermore, carrying out acts
    and been able to compare the consequences of    without a person’s consent or against their
FMR 49                                     FGM and asylum in Europe                                                             7

         May 2015

         wishes is a crime. The medicalisation of           or carer who carries out an act of mutilation
         FGM/C is an absolute breach of ethics that         commits a crime against the women who
         affects and tarnishes the entire health-care       trust them, against the spirit and ethics
         community. Historically, any other attitude        of medicine, and against society.
         has led to appalling practice, such as the
                                                            Pierre Foldes pifoldes@gmail.com and
         experiments conducted during the Holocaust
                                                            Frédérique Martz frederique.martz@gmail.com
         or assistance in prolonging torture sessions.
                                                            work at the Institut en Santé Génésique, Saint-
         The same applies to medical support for
                                                            Germain-en-Laye, France.
         harmful practices such as FGM/C.
                                                            www.institutensantegenesique.org
         For the last 25 years, medicine has helped         1. We have data from over 250 cases of medicalised FGM/C (some
                                                            carried out in France). In addition, interviews with traditional
         us understand the reality of FGM/C and             female cutters have enabled us to gain a clearer understanding
         its consequences. This new understanding           of their practices, while surgery on 4,500 cases (of all forms of
                                                            FGM/C) has allowed us to understand the physiopathology of
         must serve the needs of women. A doctor            mutilation.

         The Istanbul Convention: new treaty, new tool
         Elise Petitpas and Johanna Nelles

         The new Istanbul Convention provides a powerful tool for more effectively guaranteeing
         the protection of asylum seekers at risk of gender-based persecution and at risk of FGM
         in particular.

         The Council of Europe Convention on                In Europe, when a child falls and breaks her
         preventing and combating violence                  arm in the playground, everyone comes to help.
         against women and domestic violence, also          I want to see the same reaction when we speak
         known as the Istanbul Convention, is the           of a little girl at risk of FGM.” (FGM survivor
         first European treaty specifically devoted         Aissatou Diallo who fled Guinea to protect
         to addressing violence against women,              her two daughters from the practice and
         including female genital mutilation. FGM           is now an anti-FGM activist in Belgium)
         is a threat to women and girls around the
         globe, including in Europe – a fact that has       International protection under
         remained unacknowledged for too long.              the Istanbul Convention
                                                            Building on existing international human
         With its entry into force in 2014, the Istanbul    rights law obligations, the Istanbul
         Convention legally obliges States Parties to       Convention clearly acknowledges that women
         accelerate preventive measures to protect          and girls who suffer from gender-based
         and support FGM-affected women and                 violence can seek protection in another state
         girls, or those at risk, and to ensure effective   when their own fails to prevent persecution
         and child-sensitive investigations and             or to offer adequate protection and effective
         prosecution. These obligations include             remedies. The Istanbul Convention calls
         improvements in the area of refugee                for more gender sensitivity in refugee
         determination procedures for asylum seekers.       determination procedures and obliges States
                                                            Parties to take the necessary legislative
         “What I remember from the interview is that        and other measures to ensure that gender-
         the person who received me did not seem to         based violence against women is recognised
         believe me. It is true that some people leave      as a valid ground for claiming asylum.
         their countries for economic reasons. But when
         you tell someone “I do not want my girls to be     The extent to which European states currently
         cut”, I want that this person’s vision changes.    recognise refugee status for women and
FMR 49
8                                  FGM and asylum in Europe
                                                                                            May 2015

    girls at risk of gender-based persecution         FGM, particularly if it was performed at an
    varies significantly. Possible reasons for such   early age and if their reason for fleeing their
    variations include the lack of explicit laws      country of origin is unrelated to FGM. Women
    and guidance nationally, and inadequate           may come to health professionals with long-
    provision of legal support and other services.    term complications resulting from FGM
    In addition, some states regard gender-           but may not know that these complications
    based violence as a ‘private’ matter; when        are associated with it. There is also a need
    occurring in the private sphere, gender-          to address its psychological consequences
    based violence may be more difficult to           which may include fear of sexual
    prove, creating credibility issues for asylum     intercourse, post-traumatic stress disorder,
    seekers with gender-related claims.1              anxiety, depression and memory loss.3

    The Convention provides a set of obligations      Develop gender-sensitive procedures
    for States Parties to better guarantee the        for asylum seekers (Article 60, paragraph
    protection of asylum seekers at risk of gender-   3): According to the Istanbul Convention,
    based persecution and at risk of FGM in           States Parties will need to put in place
    particular.2 States Parties are required to:      a refugee determination process that is
                                                      respectful of cultural sensitivities, ensures
    Ensure a gender-sensitive interpretation          that women and girls do not face further
    of each of the 1951 Refugee Convention            stigmatisation upon arrival in destination
    grounds (Article 60, paragraph 2): As is often    countries, and guarantees a supportive
    the case in gender-based persecution, there       environment allowing women to disclose
    is a trend to consider FGM as falling within      relevant information. In particular, gender-
    the grounds of membership of a particular         sensitive procedures should include:
    social group and to overlook other grounds.
    Parents who oppose FGM for their daughters ■■      the provision of information on gender-
    may come under the grounds of political            specific aspects of the asylum procedure
    opinion. Similarly, where it is considered a
    religious practice, if a woman or a girl does not ■■
                                                       the opportunity to have a personal
    behave in accordance with the interpretation       interview separately from their husband/
    of her religion, such as by refusing to            partner and without the presence of family
    undergo FGM or to have it performed on her         members (especially children)
    children, she may have a well-founded fear
    of being persecuted for reasons of religion.       the opportunity for women to mention
                                                      ■■
                                                       independent needs for protection and
    Develop gender-sensitive reception                 gender-specific grounds leading to a
    conditions and support services for asylum         separate application for international
    seekers (Article 60, paragraph 3): The             protection
    identification of and response to the gender-
    sensitive reception needs of women affected        gender-sensitive and child-sensitive
                                                      ■■
    by FGM require measures to address legal           interviews led by a trained interviewer,
    and social barriers that may prevent women         and assisted by a trained interpreter when
    and girls from accessing vital health or other     necessary
    services. Restrictions on freedom of movement
    in detention can hinder women from accessing ■■    the possibility for the applicant to express
    specialist health-care or counselling services.    a preference for the sex of their interviewer
    Barriers may include language, a lack of           and interpreter
    competent or non-judgmental interpreters, and
    different ways of understanding and viewing ■■     the development of gender guidelines on
    health issues. Some women asylum seekers           the adjudication of asylum claims, and
    may not be aware that they have undergone          training to ensure their implementation.
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         May 2015

         Respect the principle of non-refoulement                 Parties will support women like Aissatou
         (Article 61): The Convention creates the                 in realising their dream of being part of
         obligation to protect female victims of                  the last generation to have undergone the
         violence, regardless of their residence status.          practice of female genital mutilation.
         In this respect, states should guarantee
         that women in need of protection are not                 Elise Petitpas info@endfgm.eu was until recently
         returned to any country where their life                 Network and Advocacy Manager with the End
         would be at risk or where they may be                    FGM European Network.4 www.endfgm.eu
         subjected to torture or inhumane or degrading            Johanna Nelles johanna.nelles@coe.int is Head
         treatment or punishment. Such obligation                 of the Violence Against Women Unit in the
         should extend to abuses by individuals                   Directorate General of Democracy at the Council
         who perpetrate FGM when the authorities                  of Europe. www.coe.int/conventionviolence
         in the country concerned are complicit, fail
         to exercise due diligence or are negligent               The opinions expressed in this article are the
         in preventing or redressing the abuse.                   responsibility of the authors and do not
                                                                  necessarily reflect the official policy of the
         Conclusion                                               Council of Europe.
         The Istanbul Convention gives hope for                   1. Asylum Aid (UK) et al (2012) Gender related asylum claims in
         real change in how women and girls are                   Europe: A comparative analysis of law, policies and practice focusing on
         protected from gender-based violence. Official           women in nine EU Member States, p41.
                                                                  http://tinyurl.com/EU-Gender-asylum-claims-2012
         monitoring and evaluation of these new
                                                                  2. For detailed guidance on what the obligations of the Istanbul
         obligations by governments ratifying the                 Convention in relation to FGM mean in practice, and how they
         treaty will help shed more light on what is              can be put into practice, see Council of Europe and Amnesty
                                                                  International (2014) The Council of Europe Convention on preventing
         being done to prevent and combat FGM, and                and combating violence against women. A tool to end female genital
         will thus be an important element in ensuring            mutilation, Strasbourg. See box below re ‘Promising practice’.
         that states live up to their responsibility              http://tinyurl.com/CoE-AI-2014-Istanbul-Conv-tool

         to guarantee the physical, psychological                 3. Irish Family Planning Association (2011) Sexual health and asylum.
                                                                  Handbook for people working with women seeking asylum in Ireland.
         and sexual integrity of all women.                       http://tinyurl.com/IFPA-2011-Asylum-handbook
                                                                  4. The End FGM European Network (END FGM) is a European
         The Istanbul Convention provides States                  umbrella organisation set up by eleven national non-governmental
                                                                  organisations to ensure sustainable, coordinated and
         Parties with a unique opportunity to lift                comprehensive action by European decision-makers to end FGM
         the silence surrounding FGM in Europe.                   and other forms of violence against women and girls. Its vision is
         It is hoped that under the watchful eyes                 of a world where women and girls are empowered and free from
                                                                  all forms of gender-based violence, in particular female genital
         of civil society and national parliaments                mutilation, where their voices are heard, and where they can enjoy
         (both of which are allowed to contribute to              their rights and make informed choices about their lives. The
         the monitoring of the Convention), States                principles of respect and promotion of human rights and gender
                                                                  equality are at the core of this work.

          Promising practice
          The Netherlands: In 2011, the Dutch government            support in 15 languages, around the clock, 365 days
          developed an official document – Statement                a year. www.hilfetelefon.de/en/about-us.html
          opposing female circumcision – to help parents
          withstand pressure when visiting their families in        United Kingdom: In 2008, London’s Metropolitan
          their country of origin. This document outlines the       Police issued standard operating procedures on
          health consequences of FGM and explains relevant          FGM which provide police with an overview of FGM
          Dutch legislation. Parents are given a copy by            and describe the procedures to be adopted when
          children’s health-care centres and school doctors.        a girl is at risk of FGM or a girl or an adult woman
          www.pharos.nl/documents/doc/pp5056-verklaring-            has already been subjected to the practice. The
          uk-2011_definitief.pdf                                    objective is to ensure that those at risk are protected
                                                                    and supported, and to achieve best evidence for
          Germany: In 2013, the German government set               prosecution and protection orders.
          up a national, free telephone helpline 08000 116          www.londonscb.gov.uk/fgm/
          016 offering victims of all forms of violence against
          women – including FGM – advice on demand;                 For more examples, see http://tinyurl.com/CoE-AI-
          around 60 trained counsellors provide confidential        2014-Istanbul-Conv-tool
FMR 49
10                                  FGM and asylum in Europe
                                                                                               May 2015

     Changing attitudes in Finland towards FGM
     Saido Mohamed and Solomie Teshome

     Former refugee women are now working as professional educators among immigrant and
     refugee communities in Finland to tackle ignorance of the impact and extent of female genital
     mutilation/cutting.

     The objective of the Finnish League for          gave me new tools to approach the issue and
     Human Rights’ Whole Woman Project1 is that       I began volunteering in my own community,
     no girl living in Finland be cut in Finland or   spreading information about FGM/C.
     taken abroad to be cut. Talking about female
     genital mutilation/cutting (FGM/C) from          In the early 2000s, talking about FGM/C
     the perspective of human rights, equality        was still very difficult in the Finnish Somali
     and health, we concentrate on changing           community but there has been a tremendous
     attitudes in the affected communities            change in attitudes since then. Today men and
     and on educating immigrants as well as           women are willing to discuss FGM/C openly
     professionals and students in areas such as      and most of them are strongly against it. They
     health care, child welfare and daycare.          do not want their daughters to go through the
                                                      practice, and young men are willing to marry
     Nowadays FGM/C is globally recognised as         uncut women. A male participant in one of
     a practice that violates human rights and,       our seminars said that FGM/C violates not
     like other forms of violence, is an attack on    only women’s rights but men’s rights as well.
     the dignity, equality and integrity of girls
     and women. In addition to violating many         Those girls and women who have themselves
     international human rights conventions,          undergone FGM/C find themselves in a
     the practice has been criminalised in many       completely new situation when they move to
     countries. We achieved one of our earlier        Finland or elsewhere in Europe, where it is not
     objectives in 2012 when Finland published        practised. What had been culturally normal
     a National Action Plan on the Prevention         in their country of origin suddenly becomes
     of Circumcision of Women and Girls 2012-         abnormal; encounters with professionals
     2016; we were involved in preparing the          such as Finnish health-care workers may
     contents of the Action Plan and today we         not only cause stress and fear but also
     monitor its implementation and lobby the         humiliation. Many cut women try to avoid
     authorities to meet their responsibilities.      gynaecological examinations. One woman
                                                      who had experienced the most severe form
     Two of our advisors were themselves              of FGM/C2 told the following story when
     refugees – from Somalia and Ethiopia –           asked about gynaecological examinations:
     and are now professional educators.
                                                      ”It was the worst experience I’ve ever had. The
     Saido                                            doctor asked, horrified, what the hell has happened
     My name is Saido Mohamed. I came to              to you? That was my first and last visit to a
     Finland as an asylum seeker from Somalia         gynaecologist!”
     in 1992. In 2001 while working as a nurse,
     I attended a training-of-trainers course for     Solomie
     immigrant women and men organised by the         My name is Solomie Teshome. I came to
     Whole Woman project. The topic of training       Finland as a refugee in 1995. Unaware of the
     was FGM/C – more precisely, its consequences     prevalence of FGM/C in my own country,
     for health and its relation to women’s rights    Ethiopia, I was shocked and saddened when
     and human rights. Despite the fact that I was    I saw a documentary about it on Finnish TV.
     not unaware of the phenomenon, the course        I had known about its existence but I hadn’t
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         May 2015

         known how many girls and women were                      wife and daughters were still in Ethiopia.
         dying because of it. During my next visit                When he learned that the procedure was
         home, I decided to investigate and discovered            still routinely practised in urban settings in
         not only that it had always been considered as           Ethiopia, he talked to his wife who told him
         a normal practice and was part of Ethiopian              that her mother was planning to perform
         culture but also that the phenomenon was                 FGM/C on their youngest daughter. The
         closer than I had realised – my neighbours,              man shared his new-found knowledge of
         relatives and friends were also victims of it.           FGM/C with his wife, who then convinced
         The truth changed my life and since then                 her mother to give up the idea of cutting the
         I have been working against FGM/C.                       girl. Nowadays the whole family lives in
                                                                  Finland and the daughter has not been cut.
         Since working at the Whole Woman
         project I have come to realise that:               Conclusion
                                                            As professionals with long experience in
         ■■  people who have suffered the procedure or working against FGM/C and as women with
             have themselves performed the procedure        first-hand experience in forced migration,
             are victims of a harmful tradition and their we strongly believe that systematic training
             awareness of the topic may be minimal          on the disadvantages of FGM/C as well as on
                                                            related rights should be offered to all refugees
         ■■  FGM/C is a traumatic personal experience       waiting to be relocated. Some people who have
             which needs handling with utmost care and come to Finland as refugees told us that they
             confidentiality                                deliberately had their daughters cut in the
                                                            refugee camps because they were aware that
         ■■  establishing personal trust with individuals the practice would not be accepted in their
             and groups is the first step to getting rid of new home country. This can and should be
             the practice                                   prevented. Furthermore, training should also
                                                            take place in the receiving country, soon after
         ■■  each case needs to be approached               arriving, in the newcomers’ own languages.
             individually, bearing in mind, for
             example, people’s cultural and educational In both situations, there should be discussion
             backgrounds                                    groups for refugees, and programmes to
                                                            change attitudes at the grassroots, as well
         ■■  the role of ‘key persons’ is essential –       as one-to-one counselling. By receiving
             individuals who participate in our             information and having the opportunity
             groups and then commit to talking about        to reflect on their experiences in a peer
             the negative impacts of FGM/C in their         group, people become empowered, even
             communities and family networks.               in difficult circumstances. And when
                                                            empowered, they will continue to make
         In groups one can see and measure changes          a change in their own communities.
         in attitudes towards FGM/C. After a series
         of individual discussions to build trust, we       Saido Mohamed and Solomie Teshome are
         organise separate groups for women and men. Advisers with the Finnish League for Human
         Then when we feel that the participants are        Rights.
         ready, we bring women and men of the same          saido.mohamed@ihmisoikeusliitto.fi
         origin together; we also organise groups with solomie.teshome@ihmisoikeusliitto.fi
         people from different ethnic, cultural and         www.ihmisoikeusliitto.fi/english
         religious backgrounds. Our aim is to change        1. The Whole Woman project was chosen as an example of good
         attitudes through discussion, step by step.        participatory practice by UNHCR. See UNHCR (2014) Speaking for
                                                                  Ourselves. Hearing Refugee Voices - a Journey towards Empowerment
                                                                  www.refworld.org/docid/537afd9e4.html
         Through one of our ‘key persons’, I met a
                                                                  2. Type III, also known as infibulation or pharaonic FGM/C.
         recently arrived Ethiopian refugee whose
Photo by Lorenzo Colantoni, property of End FGM European Network

                                                                   Refugee Studies Centre
                                                                   University of Oxford
                                                                   fmr@qeh.ox.ac.uk • www.fmreview.org
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