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GMJ News > GMJ Briefs > Hidden Crisis Revealed: Clinical Data Exposes Massive FGM Under-Reporting Gap in Tanzania

Hidden Crisis Revealed: Clinical Data Exposes Massive FGM Under-Reporting Gap in Tanzania

GMJ
Last updated: 21/07/2026 21:06
By
Prof. Giorgi Pkhakadze
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Educational materials and community health workers in Tanzania conducting FGM awareness intervention
A community education program in Tanzania's Dodoma Region increased FGM awareness scores by 15 percentage points among young adults. Nearly 96% of participants believed FGM is harmful after the intervention, though under-reporting suggests the practice continues clandestinely. — Photo by Binti Malu on Pexels (Pexels License)
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1 min read|137 words

A critical discrepancy has emerged in FGM prevalence documentation in Tanzania’s Dodoma Region, with clinical observations revealing a troubling gap between reported and actual cases. While only 7.3% of women self-reported FGM status, clinical assessments of delivering mothers identified actual prevalence at 16.6%—more than double the self-reported figure.

This significant under-reporting gap highlights systemic challenges in FGM surveillance and suggests many affected women remain unidentified within health systems. The disparity likely reflects cultural stigma, fear of legal consequences, or limited health literacy regarding complications.

Despite these challenges, the accompanying educational intervention yielded encouraging results, with awareness scores increasing by 15 percentage points among young adults. The findings underscore the urgent need for both improved data collection methods and sustained community education programs to accurately track FGM prevalence while building momentum for abandonment.

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ByProf. Giorgi Pkhakadze
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Prof. Giorgi Pkhakadze, MD, MPH, PhD, is Editor-in-Chief of the Georgian Medical Journal and Chair of the Public Health Institute of Georgia (PHIG). He is Professor and Head of the Department of Social and Behavioural Sciences at David Tvildiani Medical University, and Secretary/Treasurer of the UEMS Section of Public Health. ORCID: 0000-0001-7609-4515.

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