FGMS BLURRED LINES: WHERE THE RIGHT TO CULTURAL INTEGRITY ENDS
AND WHERE THE RIGHT TO HEALTH BEGINS Female Genital Mutilation (FGM) is a prevalent practice among ethnic communities in certain areas of the Philippines, particularly in the region of Mindanao. Among the cultural communities that practice it are the Yakans, Tausugs, Samals, Maranaos, and Badjaos. The practice of FGM is deeply rooted in tradition and is supported by a wide range of deeply inculcated beliefs among such ethnic communities. Among others, it is thought of as a means to maintain social cohesion, to preserve familial honor, to increase a womans marriageability, and to keep a womans chastity. As part and parcel of their culture and tradition, it is these ethnic communities right to practice such act. After all, no less than the 1987 Constitution is replete with provisions that guarantee respect for cultural integrity of ethnic groups and encourage cultural diversity within the framework of national unity and development. Moreover, various international instruments to which Philippines is a State-Party ensure the right of individuals to take part in cultural life. However, medical research shows that FGM causes permanent risk/s to health. Among others, it is established that FGM can cause difficulties in sexual intercourse, menstrual problems, chronic infections of the uterus and vagina, infertility, incontinence, prolapses, chronic vulval abscesses, difficulty in using contraceptive methods, and sexual dysfunction. Following these harmful findings, the governments obligation to protect and promote the health of its citizens, pursuant to Article II, Section 15 of the 1987 Constitution, comes in. In such a situation, there arises a conflict. This is between the ethnic communities right to cultural integrity on the one hand and the obligation of the State to protect and promote its citizens rights to health on the other. Which right has more weight? Shall one right prevail or may the rights be reconciled? Without favoring either right, this Study will attempt to strike a balance between the two seemingly conflicting rights by positing that (1) the depth of inseparability and interdependence between the practice of FGM and the way of life of ethnic communities should serve as a standard or guideline in determining whether the State may curtail the practice of FGM and (2) the female members of such ethnic communities should be able and empowered to exercise control over their body, hence, their right to give consent as regards the infliction of FGM upon them should be respected.
Social, Economic and Cultural Factors That Influence Access and Utilization of Sexual and Reproductive Health Services Under Decentralization in Kampala, Uganda