Tuesday, 15 March 2022

COMMITTEES ( a collection of papers)

 


COMMITTEES

Effective Committees: The Basics

What makes great committees?
In a sense, if a committee reflects the first five indicators of effectiveness -- a clear description of its work, a chair that knows how to lead, a solid match between the interests, skills and experience of individual members on the one hand, and the needs and requirements of the committee on the other, a good mix of  all





Why Committees & Appointed Groups Don’t Work

Typically committees don't work well for many of the same reasons boards don't function effectively: the lack of long-term agendas, reliance on poor or incomplete information, and the failure to distinguish between board level and operational issues.  Therefore committees can benefit from many of the same approaches that make board meetings more effective: an overview by the committee chair at the beginning of each meeting, a strategic focus for discussions, prioritized agendas, annual calendar of committee meetings and major decisions, consent agendas, and evaluation of committee meetings.

Elements Of Group Effectiveness

There are at least six elements of committee effectiveness:

•  Written Committee Description. First, there should be a written description of what is expected of each committee to guide the chair and members. The description should summarize the purpose of the committee, its composition and selection procedure, and the specific duties of the committee. There are several sample committee descriptions in the Tool Section of this chapter.

•  An effective chair. The next element is an effective chairperson. In seeking an effective chair, we're looking for two things: content knowledge and experience relevant to the work of the group as well as proven leadership and people skills that will be essential if the group is to work effectively. Of the two, the most important is leadership and people skills.   Additional content knowledge is more easily acquired by a chair than the ability to lead others. Read YALSA's Job Description for Chairs to learn more.

You want a good leader of people and process, someone who feels confident in guiding group members to accomplish the task in a timely manner.  The role of chair requires extra work, time for communication with group members and staff, a willingness to resolve conflicts among members, and a commitment to keep the board liaison informed at all times .

There are also some personal characteristics of the effective chair that also need to be considered:

  • Has confidence in other committee members;
  • Wants to release the potential energy of the group;
  • Is willing to relinquish some of the chair’s formal authority if the job requires it;
  • Is more interested in the committee's success than in his or her own feeling of personal importance; and
  • Is committed to creating a welcoming, inclusive environment for all and to uphold YALSA's commitment to equity, diversity and inclusion.

The good chair is one who can work with people, who can stimulate them rather than brow beat them and can help the group use all the abilities and experiences its members possess and new skills that they develop as they work together.

The chair will be responsible for preparing agendas for the meetings, assigning responsibilities to group members and doing some of the follow-up to make sure assigned work is being done by members.

•  Members thoughtfully appointed. The next element of committee effectiveness is members who have been thoughtfully appointed.  Each standing committee is generally composed of a core of five to eight members. They should be recruited with the following question in mind: What tasks are the committee responsible for and who among our members possess the skills and experience needed to complete those tasks? As is the case with other forms of volunteer recruitment, every effort should be made to match the needs and requirements of the committee and the skills, knowledge and interests of prospective committee members.

•  Accountability to the board.  The next element of committee effectiveness is clear accountability to the board of directors.  This begins with the written committee function that describes what the board expects from the committee.  There should also be an effort to link the committee description with relevant strategic plan language.  Using a fundraising committee as an example, the committee description would reflect a major goal and supporting strategies that address the issue of association funding.  Under the umbrella of the funding goal and strategies, committee leadership would develop an annual fund-raising strategy and supporting work plan in line with the funding strategic goal.  This work plan would contain objectives incorporating measurable outcomes, and these measurable outcomes would be the basis for regular reporting of the committee to the board is a whole.

•  Well-run meetings. The last element of committee effectiveness is well run meetings. In a sense, if a committee reflects the first five indicators of effectiveness -- a clear description of its work, a chair that knows how to lead, a solid match between the interests, skills and experience of individual members on the one hand, and the needs and requirements of the committee on the other, a good mix of members, and direct accountability to the board --we will have the makings of excellent committee meetings.  It will still be important to provide for meeting space that matches the needs of the group, a written meeting agenda and any necessary information mailed out to members in advance of the meeting.

Additional Practices to Enhance Group Effectiveness

Evaluating Group Meetings

At the end of each committee meeting, the chair can ask for written or oral comments about the session.  In some organizations, this is a feature of every meeting and is referred to as the "check out.” A relatively small investment of time can produce continuous improvements in the work of the committees. Immediate feedback from members can be solicited on how well the meeting achieved its purposes, if members stayed on task, and if there is anything that can be done to improve effectiveness of future committee meetings. 

Annual  Calendar Of Major Decisions And Meetings

An annual committee calendar of major decisions and meetings is suggested.  The committee calendar should also be tied into the overall annual board calendar so that efforts are unified and coordinated for maximum impact. Scheduling regular meetings of the committee in advance will also help busy people plan far enough in advance to assure good attendance.

Additional Suggestions

Committee effectiveness can also be enhanced through the following practices:

• Provide an orientation for new committee members.
• Make sure that committee members receive an agenda in advance of meetings and have all of the information they will need to complete their work.
• Provide regular and appropriate recognition to active committee members. The chair should also seek out unproductive committee members to find out what is getting in a way of performance and then devising strategies to overcome those barriers.
• Involve committee members in developing an annual committee plan of work and make sure that the committee plans are in alignment with the overall strategic plan of the association.
 

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Governance

Key elements of an effective committee



An effective committee is not a matter of chance. It is the result of good practice in each one of the key elements which contribute to the committee's operations.

An effective committee is an interdependent team, comprising chair, members and executive officer, which has a clear role and keeps a critical eye on its own performance.

  1. Clear constitution / Terms of reference
  2. The effective chair
  3. The effective committee member
  4. The effective executive officer
  5. Regular rerview

Clear constitution / Terms of reference

Principle 8 requires that "each committee has a constitution which sets out function, reporting lines, membership, Chair, quorum and frequency of meetings." The principle recognises, among other things, that effective committees know precisely what they are expected, and authorised, to do. Their constitutions or terms of reference clarify and precisely delineate their roles.

The constitution or the terms of reference of a committee is/are the foundation for its activities. Whenever a committee is established or reviewed, very careful thought should be given to what the role of the committee will be/is, and what membership would best meet the needs of that role. Established committees may need to revise their role or membership from time to time to take account of changes in the environment in which they operate.

The effective chair

The Introduction to the Guide makes clear the continued importance of the committee system in University decision-making as well as the increasing complexity of the issues about which decisions must be made. In these circumstances, it is vital that University committees are effectively chaired.

The Chair's skills and commitment are critically important factors in determining whether or not a meeting serves a useful purpose.

The effective committee member

We have already seen that membership of committees at UWA is a key means of maintaining a participative culture which draws on the views of a wide range of staff. In these circumstances, it is very important that those staff involved in committee work contribute effectively to their committees.

Committee members who take the time to understand the issues, and who are prepared to make considered contributions to debate can have a significant impact within the University.

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The effective executive officer

The Executive Officer is a key member of the team which makes a committee effective.

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Regular review

Principle 7 requires that "the Senate/Academic Board/Schools monitor and regularly review their own performance and that of their committee and committee structure." While formal review of committee performance is a requirement only for these committees, regular review of some kind is an excellent idea for all standing or permanent committees (such as staff meetings).

At the very least, every standing committee should consider having an item at its last meeting each year in which the Chair invites members to identify any impediments to the committee's effectivenss and to offer/discuss any suggestions for improvement.

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Friday, 15 October 2021

An Overview of Female Genital Mutilation in Nigeria

An Overview of Female Genital Mutilation in Nigeria

TC Okeke, USB Anyaehie, and CCK Ezenyeaku

Additional article information

Abstract

Nigeria, due to its large population, has the highest absolute number of female genital mutilation (FGM) worldwide, accounting for about one-quarter of the estimated 115–130 million circumcised women in the world. The objective of this review is to ascertain the current status of FGM in Nigeria. Pertinent literature on FGM retrieved from internet services [Google search on FGM in Nigeria, www.online Nigeria, PubMed of the national library of medicine www.medconsumer. Info/tropics/fgm.htm, Biomedcentral and African Journal Online (AJOL) (FGM)] and textbooks, journals, and selected references for proper understanding of the topic was included in this review. The national prevalence rate of FGM is 41% among adult women. Evidence abound that the prevalence of FGM is declining. The ongoing drive to eradicate FGM is tackled by World Health Organization, United Nations International Children Emergency Fund, Federation of International Obstetrics and Gynecology (FIGO), African Union, The economic commission for Africa, and many women organizations. However, there is no federal law banning FGM in Nigeria. There is need to eradicate FGM in Nigeria. Education of the general public at all levels with emphasis on the dangers and undesirability of FGM is paramount.

Keywords: Female genital cutting, Female genital mutilation, Harmful traditional practice, Nigeria

Introduction

Female genital mutilation (FGM) is defined by the World Health Organization (WHO) as all procedures which involve partial or total removal of the external female genitalia and/or injury to the female genital organs, whether for cultural or any other non-therapeutic reasons.[1] In Nigeria, subjection of girls and women to obscure traditional practices is legendary.[2] FGM is an unhealthy traditional practice inflicted on girls and women worldwide. FGM is widely recognized as a violation of human rights, which is deeply rooted in cultural beliefs and perceptions over decades and generations with no easy task for change.

Though FGM is practiced in more than 28 countries in Africa and a few scattered communities worldwide, its burden is seen in Nigeria, Egypt, Mali, Eritrea, Sudan, Central African Republic, and northern part of Ghana where it has been an old traditional and cultural practice of various ethnic groups.[2,3] The highest prevalence rates are found in Somalia and Djibouti where FGM is virtually universal.[2]

FGM is widely practiced in Nigeria, and with its large population, Nigeria has the highest absolute number of cases of FGM in the world, accounting for about one-quarter of the estimated 115–130 million circumcised women worldwide.[2] In Nigeria, FGM has the highest prevalence in the south-south (77%) (among adult women), followed by the south east (68%) and south west (65%), but practiced on a smaller scale in the north, paradoxically tending to in a more extreme form.[2,4] Nigeria has a population of 150 million people with the women population forming 52%.[4] The national prevalence rate of FGM is 41% among adult women. Prevalence rates progressively decline in the young age groups and 37% of circumcised women do not want FGM to continue.[2] 61% of women who do not want FGM said it was a bad harmful tradition and 22% said it was against religion. Other reasons cited were medical complications (22%), painful personal experience (10%), and the view that FGM is against the dignity of women (10%).[2] However, there is still considerable support for the practice in areas where it is deeply rooted in local tradition.[2] The aim of this review was to ascertain the current status of FGM in Nigeria.

Materials and Methods

Pertinent literature on FGM was retrieved from internet services [Google search on FGM in Nigeria, www.online Nigeria, PubMed of the National Library of Medicine www.medconsumer. Info/tropics/fgm.htm, Biomedcentral and African Journal Online (AJOL) (FGM)] and textbooks, journals, and selected references for proper understanding of the topic was included in this review.

Origin and significance

FGM is a practice whose origin and significance is shrouded in secrecy, uncertainty, and confusion.[3] The origin of FGM is fraught with controversy either as an initiation ceremony of young girls into womanhood or to ensure virginity and curb promiscuity, or to protect female modesty and chastity.[5] The ritual has been so widespread that it could not have risen from a single origin.[3,6,7]

Types/variation of FGM in Nigeria

FGM practiced in Nigeria is classified into four types[8] as follows. Clitoridectomy or Type I (the least severe form of the practice): It involves the removal of the prepuce or the hood of the clitoris and all or part of the clitoris. In Nigeria, this usually involves excision of only a part of the clitoris. Type II or “sunna” is a more severe practice that involves the removal of the clitoris along with partial or total excision of the labia minora. Type I and Type II are more widespread but less harmful compared to Type III. Type III (infibulation) is the most severe form of FGM. It involves the removal of the clitoris, the labia minora and adjacent medial part of the labia majora and the stitching of the vaginal orifice, leaving an opening of the size of a pin head to allow for menstrual flow or urine. Type IV or other unclassified types recognized by include introcision and gishiri cuts, pricking, piercing, or incision of the clitoris and/or labia, scraping and/or cutting of the vagina (angrya cuts), stretching the clitoris and/or labia, cauterization, the introduction of corrosive substances and herbs in the vagina, and other forms.

In Nigeria, of the six largest ethnic groups, the Yoruba, Hausa, Fulani, Ibo, Ijaw, and Kanuri, only the Fulani do not practice any form.[9]

FGM varies from country to country, tribes, religion, and from one state and cultural setting to another, and no continent in the world has been exempted.[3] In most parts of Nigeria, it is carried out at a very young age (minors) and there is no possibility of the individual's consent.[6] Type I and Type II are more widespread and less harmful compared to Type III and Type IV. In Nigeria, there is greater prevalence of Type I excision in the south, with extreme forms of FGM prevalent in the North. Practice of FGM has no relationship with religion. Muslims and Christians practice it, but it is more widely spread in Christian predominated parts of Nigeria.[2]

FGM and women's rights

FGM is recognized worldwide as a fundamental violation of the human rights of girls and women. It reflects deep-rooted inequality between the sexes and constitutes an extreme form of discrimination against women. It involves violation of rights of the children and violation of a person's right to health, security, and physical integrity, the right to be free from torture and cruel, inhuman, or degrading treatment, and the right to life when the procedure results in death. Furthermore, girls usually undergo the practice without their informed consent, depriving them of the opportunity to make independent decision about their bodies.

Reasons to justify FGM

The respondents gave reasons for FGM. They regarded FGM as a tribal traditional practice (our custom is a good tradition and has to be protected), as a superstitious belief practiced for preservation of chastity and purification,[10] family honor, hygiene, esthetic reasons, protection of virginity and prevention of promiscuity, modification of sociosexual attitudes (countering failure of a woman to attain orgasm), increasing sexual pleasure of husband, enhancing fertility and increasing matrimonial opportunities. Other reasons are to prevent mother and child from dying during childbirth and for legal reasons (one cannot inherit property if not circumcised).[11] In some parts of Nigeria, the cut edges of the external genitalia are smeared with secretions from a snail footpad with the belief that the snail being a slow animal would influence the circumcised girl to “go slow” with sexual activities in future.[12] However, FGM is often routinely performed as an integral part of social conformity and in line with community identity.[3]

Health consequences of FGM

An estimated 100–140 million girls and women worldwide are currently living with the consequences of FGM.[13] In Africa, about 3 million girls are at risk for FGM annually.[13] Despite the increased international and little national attention, the prevalence of FGM overall has declined very little.[14] The procedure has no health benefits for girls and women. Adverse consequences of FGM are shock from pain and hemorrhage,[10] infection, acute urinary retention following such trauma, damage to the urethra or anus in the struggle of the victim during the procedure making the extent of the operation dictated in many cases by chance,[6] chronic pelvic infection, acquired gynatresia resulting in hematocolpos, vulval adhesions, dysmenorrhea, retention cysts, and sexual difficulties with anorgasmia. Other complications are implantation dermoid cysts and keloids,[12] and sexual dysfunction.[6,10]

Obstetric complications include perineal lacerations and inevitable need for episiotomy in infibulated paturients. Others are defibulation with bleeding, injury to urethra and bladder,[10] injury to rectum, and purperial sepsis. Prolonged labor, delayed 2nd stage and obstructed labor leading to fistulae formation, and increased perinatal morbidity and mortality have been associated with FGM.[10] The mental and psychological agony attached with FGM is deemed the most serious complication because the problem does not manifest outwardly for help to be offered. The young girl is in constant fear of the procedure and after the ritual she dreads sex because of anticipated pain and dreads childbirth because of complications caused by FGM. Such girls may not complain but end up becoming frigid and withdrawn resulting in marital disharmony.[3]

Current situation of FGM in Nigeria

FGM is widespread in Nigeria. Some sociocultural determinants have been identified as supporting this avoidable practice. FGM is still deeply entrenched in the Nigerian society where critical decision makers are grandmothers, mothers, women, opinion leaders, men and age groups.[15] FGM is an extreme example of discrimination based on sex. Often used as a way to control women's sexuality, the practice is closely associated with girls’ marriageability.[16] Mothers chose to subject their daughters to the practice to protect them from being ostracized, beaten, shunned, or disgraced.[14,17] FGM was traditionally the specialization of traditional leaders’ traditional birth attendants or members of the community known for the trade. There is, however, the phenomenon of “medicalization” which has introduced modern health practitioners and community health workers into the trade.[15] The WHO is strongly against this medicalization and has advised that neither FGM must be institutionalized nor should any form of FGM be performed by any health professional in any setting, including hospitals or in the home setting.[15]

Efforts to eliminate FGM in Nigeria

It is true that tradition and culture are important aspects of any society in helping to mold the views and behavioral patterns of the society; some traditions and cultural beliefs and practices like FGM are harmful and must be abolished. A multidisciplinary approach is needed to tackle this deep-rooted legendary practice of FGM. There is a need for legislation in Nigeria with health education and female emancipation in the society. The process of social change in the community with a collective, coordinated agreement to abandon the practice “community-led action” is therefore essential.[18] With improvement in education and social status of women and increased awareness of complications of FGM, most women who underwent FGM disapprove of the practice and only very few are prepared to subject their daughters to such harmful procedures.[3] The more educated, more informed, and more active socially and economically a woman is, the more she is able to appreciate and understand the hazards of harmful practices like FGM and sees it as unnecessary procedure and refuses to accept such harmful practice and refuses to subject her daughter to such an operation.

In 1994, Nigeria joined other members of the 47th World Health Assembly to resolve to eliminate FGM. Steps taken so far to achieve this include establishment of a multisectorial technical working group on harmful traditional practices (HTPs), conduct of various studies and national surveys on HTPs, launching of a regional plan of action, and formulation of a national policy and plan of action, which was approved by the Federal Executive Council for the elimination of FGM in Nigeria.

In Nigeria, FGM is being tackled by WHO, United Nations International Children Emergency Fund (UNICEF), Federation of International Obstetrics and Gynecology (FIGO), African Union, the Economic Commission for Africa (ECA), and many women organizations. Intensification of education of the general public at all levels has been done with emphasis on the dangers and undesirability of FGM. In 1995, Platform of Action adopted by the Beijing conference called for the eradication of FGM through the enactment and enforcement of legislation against its perpetrator.[19] However, there is no federal law prohibiting the practice of FGM in Nigeria. This is the main reason for the slow progress on declining the prevalence of FGM. Despite the increased international and little national attention, the prevalence of FGM overall has declined very little.[14] The prevalence depends on the level of education and the geographic location.[20]

At the grassroots, efforts should be taken to join in the crusade to say “NO” to FGM anywhere it is practiced among our people. It is crude, dangerous, wicked and unhealthy. FGM is not required by any religion and there is no scientific evidence that women who have been mutilated are more faithful or better wives than those who have not undergone the procedure.[15] It is very clear that there is no single benefit derived from FGM.

  • Join the crusade to say “NO” to save the future generations of women.

  • Enquire about the practice in your locality and give clear information and education to other people on the health effects of FGM.

  • Work with other people to stop the practice in your area. Contact health or other influential authorities in your area to notify them about the problem.

  • Discuss with your law makers or local representatives on making laws against FGM.

Support families and communities in their efforts to abandon the practice and to improve care for those who have undergone FGM.[15]

Conclusion

There is need for abolition of this unhealthy practice. A multidisciplinary approach involving legislation, health care professional organizations, empowerment of the women in the society, and education of the general public at all levels with emphasis on dangers and undesirability of FGM is paramount.

Footnotes

Source of Support: Nil.

Conflict of Interest: None declared.

Article information

Ann Med Health Sci Res. 2012 Jan-Jun; 2(1): 70–73.
PMCID: PMC3507121
PMID: 23209995
Department of Obstetrics and Gynecology, University of Nigeria Teaching Hospital, Enugu, Nigeria
1Department of Physiology, College of Medicine University of Nigeria, Enugu Campus, Nigeria
Address for correspondence: Dr. Tochukwu Christopher Okeke, Department of Obstetrics and Gynecology, University of Nigeria Teaching Hospital, Enugu, Nigeria. E-mail: moc.oohay@uwkuhcotekibabu
This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Articles from Annals of Medical and Health Sciences Research are provided here courtesy of Wolters Kluwer -- Medknow Publications

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