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10 Mojatu in Parliament mojatu .com Why focus on mental health service provision and legal protection of those at risk?- by Valentine Nkoyo Following our work and support for FGM survivors and affected communities in Nottingham and beyond, we have continued to come across the complex issues affecting survivors. Even though each survivor’s story is different and are affected differently, there are key issues that continue to be reported. Key issues include, difficulty accessing appropriate services that respond to their specific needs, fear for the safety of their children, stress/ depression and other forms of mental health issues and access to further studies or training opportunities among others. Following one to one meetings and discussions with survivors and members of the Community FGM Steering Group, two key issues were chosen to be addressed today- mental health service provision and legal protection for girls and women at risk. I will now share some of the accounts shared by survivors and their concerns. No real names will be used to protect the identity of the survivors. Survivor A. “I was cut at the age of 9, this is the worst thing that could ever happen to a child like me and I still remember everything that happened that morning. After healing, part of me thought that was the end of it. When I became pregnant, that was the start of a painful journey. I did not know where to go for help. When I was taken in to deliver, I was in pain for more than three days and nights as the baby could not come out easily and the nurses did not know much on how to deal with the issue. This led to other complications with back pain and stomach pains that I still experience. Survivor B. “As a survivor myself, I do understand fully how survivors are affected both physically, emotionally and psychologically……think of the painful memories of what happened. This is the fear of any mother with female children wanting to protect them. If the trauma is not handled well and appropriate support offered, this leads to serious mental illness. Based on my own experience, I believe survivors need adequate and culturally sensitive support, reassurance, motivation and encouragement to overcome the traumatic impact of FGM. I believe this will go a long way to reassure us as survivors and give us the confidence to think of the brighter side of life” Survivor C. “As a survivor, I believe every child matters and it is everybody’s responsibility to protect them from FGM. Legal protection should be given to children and women at risk irrespective of their colour, believe, background or immigration status. I do not understand why people say they fear to offend another culture- FGM is a form of child abuse and is a serious safeguarding issue. Our children should be protected”. Survivor D. “I worry every day about my daughter, sometimes I feel so hopeless and lost. I may protect my daughter myself, but I don’t know what could happen to her if we ever get send back home as this could still be done to her. I have done everything I could to prove I am a survivor and that my daughters are at risk. But, every time I find a letter at home, I fear for the worst that it could be telling me it’s time to go back to my country of origin. The stress that this brings to me is too much to cope with” Survivor E. “The problem is, we still find it hard to talk about FGM even with our men and family members as it is seen as a taboo. Many of us suffer in silence because of the stigma and also lack of understanding from those we think could help. I have had bad experiences accessing services where I was asked questions in a very insensitive way… …“why did you do this to yourself”. This made me very upset and I felt I was being judged even before any support was offered. I hated going back to access the same services for a long time as it made me feel angry that someone supposed to support me would think I did this to myself. Knowing what I know now, I must insist on how important it is for professionals working with FGM survivors to be culturally competent and have a strong understanding of FGM and the way that various identities can affect how women understand and relate to their experiences of FGM” Following the Tackling FGM Initiative (TFGMI): 2010- 2016 funded by Rosa, the UK Fund for Women and Girls; the Esmée Fairbairn Foundation; Trust for London; Comic Relief; and Kering Corporate Foundation, a final report was compiled. The report gave a detailed analysis of tackling FGM by working closely with survivors and affected communities. The report also acknowledges the complex mental health needs of survivors and provides best practice for mental health service providers. Mojatu Foundation is a member of the Tackling FGM Initiative.