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The problem
Intervention: This is an observational study examining the relationship between FGM status and sexual risk behaviors; no intervention was tested
Who it was tested with: 5,524 adolescent girls and young women aged 15-24 years in Sierra Leone.
Experience from people who deliver programmes: stories, case studies and lessons learned. Valuable for understanding how and why, and for spotting what to test next, but not a measure of effect.
"a generalized estimation equation technique was employed, while controlling for socio-demographic characteristics" - This observational study design with statistical controls can demonstrate associations but cannot prove causal effects of FGM on sexual behaviors, making the evidence inconclusive about intervention effectiveness.
Cross-sectional design cannot establish causation. The study cannot determine whether FGM directly causes these behaviors or whether other factors associated with FGM prevalence explain the associations observed.
Across countries and designs
18 studies · 17 countries
