1. The state of FGM in Sweden today How is the work against FGM organised? What happens in Sweden today with FGM? What kind of research is going on? Challenges for FGM in Sweden today Owolabi Bjälkander Utredare Individ- och Familjeenheten Owolabi.bjalkander@socialstyrelsen.se Arbete: 075 247 3727 Mobil: 0732 00 75 34

2. My background Owolabi Bjälkander, Sierra Leone, West Africa Swedish National Action Plan against FGM (2003 – 2005) Follow Up Activity – June 2008 – Sept 2009 Technical Consultant for EURONET PhD Candidate at Karolinska Institutet

3. Overview of FGM in Sweden Law ( 1928; 1999) Government implementation by Socialstyrelsen Prosecutions and jail sentences: 1 father, 1 mother RISK – state recognised FGM NGO Prevalence 16,000 (2002); ≈ 20,000 (2008) Follow Up Activity by Socialstyrelsen

4. FGM work in Sweden pre National Action Plan (NAP) (Somali) Immigrants in Sweden 1990s – Type III 1993 – 1996 - Göteborg’s Immigration Section Socialstyrelsen sponsored Project “Health care and support measures for women and children – the prevention of FGM” Goal of project – to prevent FGM and provide care

5. Pre NAP Activities 1998 – 2001 Government Assignment to Socialstyrelsen Goals of the project were to –use methods from Göteborg project to prevent FGM Other players - kommuner, länsstyrelser, Folkhälsoinstitutet & Integrationsverket

6. 1998 – 2001 Project Outcomes FGM justified by community using religious reasons (Lack of clear statements from (affected African) religious leaders against practice) Need to inform influential, recognised community leaders about FGM Need for educational and information material on FGM 2002 - National Conference on Prevention (Minister for Children and the Family from Norway attended amongst others )

7. IDIL Project Implemented by RISK Trained women from Somalia, Ethiopia & Eritrea on FGM legislation, care & support Women talk about FGM in own language to own people Project funded by Socialstyrelsen

8. National Action Plan against FGM 2003 – 2005 Goal - eliminate FGM in Sweden Disseminate information and knowledge Increase skills & develop competence Booklet “FGM of Women” in Arabic, English, Amharic, Somali, Tigranya, Swedish Material developed for Police & Prosecution Service Personnel in schools, social services, health care Implemented by Socialstyrelsen

9. Other NAP Activities Knowledge Bank of Best Practices Regional Conferences Work with Religious Leaders Trip to the Horn of Africa

10. FGM in Sweden today Local national action plans (3) Frustration by activists – less interest in FGM State authorities’ role in preventive work (Migrationsverket, Skolverket, Familjecentralen) Care - one clinic in all of Sweden Prevention - children and young people – not happening yet

11. FGM in Sweden today Asylum on FGM grounds – Dec 2008 Certificate of FGM status by health care services Expectations of FGM community on Socialstyrelsen FGM in Kurdish communities in Sweden Socialstyrelsen’s follow up activity of National Action Plan

12. Follow Up Activities of the National Action Plan Updating the Knowledge Bank Religious Leaders – Declaration International developments on FGM and Sweden European level work – Nordic countries initiative Swedish National Network against FGM

13. Research on FGM in Sweden Urinary leakage and complications of FGM amongst Somali Girls – Nina Ismail (1999) Sexuality and FGM in Sweden – Sara Johnsdotter (http://www.mah.se/templates/Page____15522.aspx)http://www.mah.se/templates/Page____15522.aspx Female genital mutilation among antenatal care and contraceptive advice attendees in Sweden – Lars Almroth, Martina Francke, Helena Litorp (2008) The politics of genital modifications – Sara Johnsdotter, Birgitta Essen (2009 – 2011) Being Pregnant in Sweden – Circumcised African Women’s Meeting with the Swedish Maternity Care – Liselott Dellenborg (2009) ( http://www.globalstudies.gu.se/anthropology/om_oss/personal/dellenborg/) http://www.globalstudies.gu.se/anthropology/om_oss/personal/dellenborg/

14. Challenges facing FGM in Sweden today Work to prevent FGM Engagement with practising communities for prevention Continual training for key professional groups Integrating FGM - into VAW and children Reaching young people – inform and empower girls to refuse