Bulletin of the World Health Organization

Estimating the obstetric costs of female genital mutilation in six African countries

Taghreed Adam, Heli Bathija, David Bishai, Yung-Ting Bonnenfant, Manal Darwish, Dale Huntington, Elise Johansen & for the FGM Cost Study Group of the World Health Organization

Volume 88, Number 4, April 2010, 281-288

Table 3. Prevalence-based estimates of costs per prevalent case of female genital mutilation, by type, in a modelled cohort of women of reproductive age in six African countries

Country FGM type No. of cases Annual FGM-related cost
Per FGM case (I$) Total (I$) As per cent of public health spending on women aged 15–45 yearsa
Burkina Faso 0 547 558 Reference Reference
1 640 374 0.02 13 458
2 1 267 906 0.15 193 622
3 355 504 0.20 71 348
All 2 811 343 278 428 0.309
Ghana 0 3 133 331 Reference Reference
1 598 854 0.02 12 022
2 1 470 841 0.11 163 334
3 55 984 0.22 12 348
All 5 259 009 187 704 0.115
Kenya 0 3 299 611 Reference Reference
1 1 697 896 0.03 57 125
2 2 357 426 0.16 380 133
3 824 412 0.40 329 557
All 8 179 346 766 815 0.375
Nigeria 0 3 418 855 Reference Reference
1 17 829 912 0.00 15 732
2 6 932 973 0.12 851 480
3 216 986 0.21 46 173
All 28 398 726 913 385 0.247
Senegal 0 604 892 Reference Reference
1 690 716 0.02 12 518
2 1 526 673 0.13 193 066
3 23 932 0.21 5 045
All 2 846 213 210 629 0.308
Sudan 0 1 065 508 Reference Reference
1 267 977 0.02 6 688
2 296 774 0.13 38 540
3 4 370 024 0.30 1 307 444
All 6 000 284 1 352 672 0.980
Total 53 494 921 3 709 632

FGM, female genital mutilation; I$, international (purchasing power parity) dollars.
a Based on annual per capita government health spending as of 2003 in I$ from The world health report 2006 – working together for health.

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