Samsunear Ali Deputy Chief Executive

1. Samsunear Ali Deputy Chief Executive

2. Who We Are Established in 1995 BAWSO is an all Wales Organisation providing specialist Services to BME women & children who have been made or about to be made homeless through domestic violence including other forms of Violence Against Women

3. Core Services • 8 DV/Trafficking Refuges capacity 42 units • 131 Floating Support Units • Outreach Projects • IDVA Projects • Childcare Projects • Men’s Project • Older Peoples Project • Mental Health Awareness Project • Volunteering Project • Language Support Project • Training and Development Projects

4. Specialist Services • Forced Marriage • Training and Awareness Raising Project • Female Genital Mutilation • Health and Safe Guarding Project • Trafficking • Diogel Project • No Recourse to public Funds • DDV Project

5. Arranged Marriages • The families of both spouses are involved • They take a leading role in the arrangements • Choice is given to young people

6. What is Forced Marriage? • Marriage conducted without the valid consent of both parties where duress is a variably a factor of forced marriage • It may involve intense family pressure, physical abuse, abduction, imprisonment, detention and murder

7. Extent of Forced Marriage • 5,000 cases of forced marriages are reported to forced marriage unit each year & they deal with 300 cases every year • The majority of forced marriage cases are arranged in the U.K. to be married in countries such as South Asia, South East Asia, Middle East, Europe, Africa

8. Forced Marriage Statistics • 1/3 of the victims are under 18’s • 15% of the victims are men • Whilst most cases are from Pakistan 65% and Bangladesh 15%, FMU deals with cases in locations like Norway & Ireland • FMU can also help people in UK • If someone is a victim of forced marriage FMU can try and stop the spouse getting a visa to come to the UK

9. Motives behind Forced Marriage • Attempt to strengthen the family links • To ensure family wealth, land or property remains within the family • Fulfilling long standing family commitments & promises • Assisting claims for citizenship & residence in UK

10. Forced marriage & Disabilities • Disability is seen as stigma/shame within the BME communities • 1 in 5 forced marriages reported to the Government involve disabled people • Forced marriage is used as a way to ensure that disabled children are cared for • A person with learning disabilities can be seen as biddable by spouses/families in search of visa

11. IZZAT shame and honour Izzat consists of a learnt complex set of rules that one has to follow in order to protect the family ‘name’ and maintain family position within the community

12. FGM Definition • The term “Female Genital Mutilation” [also called “female genital cutting”] comprises all procedures that involve partial or total removal of the external female genitalia, or other injury to the female genital organs for non medical reasons (World Health Organisation, 2008)

13. Classifications of FGM • There are 4 classifications of FGM (female cutting) • Clitoridectomy • Excision • Infibulation • Unclassified

14. Comparison between male & female circumcision • While some argue that both practices are a violation of a child’s right to physical integrity, in important ways both practices are very different • Male circumcision is the cutting of the foreskin of the penis without damaging the organ itself • The degree of cutting in female circumcision is more extensive

15. Origins of FGM • It is not entirely clear where or when the practice of FGM originated. It is believed that the practice: • Pre dates any religion( Islam or Christianity) • Dates back to 2000 years ago in Ancient Egypt • An old African rite that came to Egypt by diffusion • A form of FGM was preformed in England until 19th century

16. FGM in Africa

17. Location of FGM in England and Wales

18. Why FGM is an Issue? • FGM is a Human Right violation • It denies women and children: - security and personal liberty - privacy and bodily integrity - freedom of conscience - a right to health • It causes women and children physical and psychological harm

19. Statistical information on FGM • It is estimated that approximately 138 million African women have undergone FGM world wide with a further 2 million at risk annually (WHO) • Up to 80% have undergone type I or II of FGM • Approximately over 20,000 girls under the age of 15 are at risk of FGM in England & Wales

20. Women & FGM • For many women FGM is a fact of life, a pain that must be borne because they must conform to social expectations in order to survive. • It is a centuries – old traditional practice present with a number of physical, psychological and cultural challenges

21. Women’s views on FGM • FGM represents a massacre of the perfection that God has made.’ • ‘It goes against God’s law to hurt any human being like that.’ • If you don’t choose to be circumcised you can not become a woman in the whole sense. And we don’t know any different.’ • ‘Affects your self esteem as a woman; sexuality is very important. I could compare myself with someone who has breast cancer. • I don’t feel a full woman and what is the point of me looking for a man now?’

22. Men’s Views • It is an offering to the gods that foreigners shouldn’t interfere with; otherwise the gods will be upset.’ • Really, when it comes to family and honour, it’s the mother who has to accept the daughter-in-law…and really it’s them who run society. We are peripheral! • My daughter is not circumcised but friends and people from my community ask me why I am against it. If it is our very own cultural practice I should agree with it.’ • I think it’s to prevent Somali girls from having sex’

23. Short Term Implications • Hemorrhage • Shock • Acute urinary retention can lead to kidney failure • Fracture or dislocation of pelvis bones • Damage to other organs • Infection • Failure to heal • 10% mortality from immediate complications

24. Short Term Implications Cont’d • Fluid retention • Swelling, inflammation • Abscesses- if untreated can lead to septicaemia and can be fatal • Excessive bleeding can lead to haemorrhaging- if it persists it can cause death • Increase risk of sexually transmitted diseases (STDs, Hepatitis, HIV/AIDS due to using dirty & un-sterilised instruments • Multiple usage of the same instruments can cause Gangrene, Tetanus & blood poisoning & Septicaemia

25. Long Term Implications • Reduced sexual fulfilment due to partial or total destruction of vulva nerve endings • Infertility • Obstructed labour increasing the risk of death to mother or child • Obstructed fistula (unnatural opening between vagina &rectum or vagina & bladder

26. Long term implications Cont.. • Post-traumatic stress disorder • Low self esteem • Severe depression & anxiety • Psychosomatic illness

27. Antenatal problems • IUGR (intrauterine growth) as women decrease intake to have smaller baby • Retention of foetus/products at miscarriage • Psychological scarring gives increase in depression, anxiety and psychosis • Obstructed labour, resulting in fistulae

28. FGM & Violation of Human Rights • FGM is a clear violation of the human rights of the women. It is discriminatory and violates the rights to equal opportunities, freedom from violence, health, injury, abuse, torture and cruel or inhuman and undignified treatment. These rights are protected in international law. • FGM is prohibited by many international and regional human rights conventions that protect women and children from cruelty and violence and ensure them "bodily integrity" and access to health care, education, self-realization and protection from harmful traditional practices.

29. Alerting Factors • Mother has undergone FGM • Older siblings undergone FGM • Origins of family • Allegation / Disclosure • Intention to take female child out of UK • Displaying possible symptoms of having undergone FGM

30. Prevention and Intervention • Be familiar with communities that practice FGM • A child talks about or has been on ‘HOLIDAY’ • If the mother is circumcised it is most likely that female children are at risk • Prevention requires sensitive community education and intervention

31. Prevention and Intervention • Well informed and trained interpreters • Find out what the interpreters’ views on FGM • Give yourself time to get to know parents or the community – gain their trust • Find out if there are responsible community leaders who speak out against the practice • Contact other agencies for support and help

32. What do I do? • You must inform your designated child protection Advisor • They must make a referral to the Local Authority Children’s Social Care • Report any concerns. Child protection is everyone’s responsibility • FGM is a serious crime and can be fatal

33. Female Genital Mutilation Act 2003 • Offence to commit FGM • Offence to aid, abet, counsel or procure a girl to commit FGM • Offence for someone in the UK to aid, abet, counsel or procure FGM outside of UK that is carried out by a person who isn’t a UK national or resident • Any act done outside UK by UK National or resident

34. FGM and Child ProtectionLaw and Legislation • Working Together to Safeguard Children. A guide to inter-agency working to safeguard and promote the welfare of children. • The Children Act 1989 • May exercise its powers under Section 47 of the Children Act 1989 • A prohibited steps order can be put in place.

35. Children’s Care Department 1st Strategy meeting (within 2 Days of referral) if • Girl at risk of FGM • Girl at risk of being sent abroad for FGM 3. Girl has already gone under FGM No further action Concern recorded on files Girl identified at risk Discuss concerns with the Agency's child protection Adviser/manager If there are still concerns 2nd strategy meeting (within 10 days of referral • Evaluate information collected • Recommend if a child protection Conference is necessary if girl has already had FGM and there are no other concerns she should be considered as a Child in need and offered Counselling and medical help Younger sisters and unborn baby Girls need to be considered and protected Referral to LA Children's Social Care Department Follow up referral in writing within 48 hours Child protection conference • To determine allocation of Social Worker, management support and Resources 2. To discuss and agree roles to implement the Protection plan 3. To make girl subject to a Child protection plan A girl at risk may be made Subject to a child protection Plan if she is considered to be at risk of physical abuse Complete records and inform Relevant people e.g. GP Voluntary engagement Girl/s stay at home If not: social worker to initiate Legal steps under children Act 1989 1.Prohibited Steps Order 2.Prohibited Steps Order + Supervision Order 3. Reception into ‘looked after System’ Voluntary engagement Girl/s at home Therapeutic approach Implementation of child Protection plan to ensure safety and support for girls

36. BAWSO • Child Protection Register 88 • Children in Need 43

37. BAWSO RESEARCH • Protecting BME Children – An Investigation of Child Protection Interventions • Overcoming the Barriers and Healing the Scars of Human Trafficking

38. Thank yousamsunear@bawso.org.ukwww.bawso.org.uk9 Cathedral Road, Cardiff, CF11 9HATel:02920 644 6331st & 2nd Floor112-113 Lower Dock Street, Newport, NP20 2AFTel: 01633 21321363 Mansel Street, Swansea, SA1 5TNTel: 01792642003 33 Grosvenor Road, Wrexham, LL11 1BTTel: 01978 355818