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STS489 Chibuzor C. N. et al.
                  Figure 3: Effects of mother’s age on the observed FGM/C prevalence among 0-14 years
                  old girls in Kenya, Nigeria and Senegal, with the corresponding time trends.


























                  4.  Discussion and Conclusion
                     In this paper, we have used advanced statistical approaches to model and
                  map the prevalence of female genital mutilation/cutting (FGM/C) among 0-14
                  years old girls in Kenya, Nigeria and Senegal using household-based data from
                  demographic and health survey (DHS) and multiple indicators cluster survey
                  (MICS) . The approach allowed us to simultaneously account for the individual-
                  and community-level factors that are key to the observed FGM/C prevalence
                  in  the  selected  countries.  For  each  country,  we  analysed  a  single  dataset
                  obtained  by  pooling  together  all  the  available  data  from  DHS  and  MICS
                  surveys in order to investigate trend and identify patterns. Significantly higher
                  likelihood of FGM/C associated with a girl who lived in urban region (Kenya);
                  who lived in rural areas (Nigeria and Senegal); who professed Muslim faith
                  (Kenya); whose mother was poorly educated; whose mother was circumcised
                  or  supported  FGM/C  continuation;  and  a  girl  who  comes  from  the  lowest
                  wealth quintile household (Nigeria).
                     Finally, we found that rapid change to wards abandonment of the practice
                  has  taken  place  in  Kenya  followed  by  Nigeria.  However,  we  found  no
                  significant decline in the practice in Senegal across the survey years.
                     The findings in this study, were able to suggest at least to an extent, where
                  and  when  changes  are  taking  place  in  Kenya,  Nigeria  and  Senegal.  The
                  characteristics of the identified hotspots may be exploited by policymakers
                  and  programme  implementers  in  the  design  and  evaluation  of  bespoke
                  programmatic  interventions  aimed  at  achieving  a  sustainable  stable
                  abandonment.


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