October 05, 2015
Indonesia Must Ban the Harmful Practice of Female Genital Cutting

Female genital cutting, one of Indonesia's shameful secrets, is dangerous to women's health and perpetuates harmful gender stereotypes. The government must ban this practice.

by Kate Walton
Issues // Gender and Sexuality
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A friend of mine recently messaged me in shock: "I just read a UNICEF brief that says millions of women in Indonesia have undergone female circumcision. I had no idea."
 
"Really?" I asked her. I was a little surprised – she'd been living in Indonesia for 18 months, first in East Nusa Tenggara, and now in Jakarta, Indonesia's sprawling mega-city of 25 million people.
 
"I didn't even know it happened here until about a month ago," she replied.
 
My friend has a good point – female circumcision, also called female genital cutting (FGC) or mutilation (FGM), is rarely discussed openly in Indonesia. It's no surprise that Western expatriates have no idea it goes on here, when even the locals don't talk about it. And yet tens of millions of Indonesian girls and women are believed to have undergone some form of FGC. So how is it possible that we don't talk about it?
Called either “khitan perempuan” or “sunat perempuan” in the Indonesian language, FGC isn't advertised on the streets like male circumcision is. There are no giant billboards advertising “quick and painless” female circumcision like there are for male circumcision. Girls' circumcisions are usually quiet events; boys' circumcisions, on the other hand, are often big parties to which the whole neighborhood is invited. Young boys often talk about whether they have or haven't been circumcised yet; I'm yet to hear young girls do the same. According to a 1998 article by Andree Feillard and Lies Marcoes, conducting female circumcision "in secret" has been the practice since as far back as the 17th century.
 
FGC in Indonesia is largely symbolic and falls under what the WHO classifies as "Type IV – Unclassified". This type of FGC includes incision, rubbing, scraping, stretching, and pricking and piercing the clitoris or clitoral hood. Research conducted by the US Population Council in 2003 suggests that a minority of cases involve excision of the clitoris or clitoral hood – approximately 20 percent across the archipelago but as high as 50 percent in some regions such as Padang, West Sumatra. The same study – conducted in West Sumatra, Banten, East Java, East Kalimantan, North Sulawesi, and South Sulawesi – found that 97 percent of the 2,660 girls aged 15-18 who were surveyed had undergone some form of FGC.




 
There are two main reasons parents have their daughters undergo FGC in Indonesia: the first is religious, as many Muslims here believe that female circumcision is an Islamic requirement, or at the very least, is highly recommended in Islam. This is despite the fact that no formal links between Islam and FGC exist, and that no Islamic laws or Quranic verses speak of FGC, let alone make it a requirement. Even Fatayat NU, the women's division of Nahdlatul Ulama, Indonesia's largest Islamic organisation, have acknowledged that FGC is not mentioned in the Quran and is simply a cultural product, with their former chairwoman, Maria Ulfah Anshor, going so far as to angrily allege that FGC is done to "make men more excited in bed ... [while the] women themselves ... don't get any excitement at all".
 
Nevertheless, some Islamic bodies in Indonesia openly support female genital cutting, including the National Council of Ulama (Majelis Ulama Indonesia/MUI), Indonesia’s peak Islamic council. A 2008 fatwa issued by MUI describes FGC as makrumah or venerated, and that it should be "perform[ed because] that circumcision is considered as a recommended obedience". The fatwa goes on further to state that the "prohibition of female circumcision is thoroughly against syariah (Islamic law) because circumcision either for male or female is fitrah (human nature)".
 
MUI's fatwa was put forward to the Ministry of Health as a guidance tool to assist with the development of decrees concerning female circumcision. However, other organisations such as Aisyiyah, the women's wing of Muhammadiyah, are more delicate on the issue of FGC's relation to Islam, saying that cutting is not required by Islam but that “cleaning” is acceptable.
 
“Good” women
 
The second reason FGC is popular in Indonesia is because it is believed to reduce women's sexual desire and libido.
 
"If I hadn't undergone khitan," a female Muslim colleague told me in 2013, "I wouldn't be like I am now. It helps women control their sexual desires and stops them from becoming promiscuous."
 
Despite my attempts at debating the issue with her, she wouldn't budge – she was absolutely convinced that FGC was the reason she was a “good”, responsible woman with strong morals and no interest in seks bebas (premarital or extramarital sex).

Medical professionals use proper medical tools, such as knives and scissors, and because there is no established medical procedure for FGC, tend to follow what they know about male circumcision…putting the girl at high risk of infection and life-long discomfort, sexual dysfunction and a reduction in sexual pleasure.


This belief is widely held. All parents obviously want their children to live the best lives possible, and for most Indonesian parents, this includes no sex before marriage. In today's hyper-sexualized world, Indonesian parents would do all they could to ensure their children are safe from the risks of “seks bebas”'. Female genital cutting is believed by some to be one way of achieving this. Without it, it is thought, girls will become sexually aggressive and will actively pursue “undesirable” sexual relationships.
 
In 2011, Amnesty International described Indonesian parents' reasons for performing FGC on their daughters as being a combination of both religious and sexual:
 
The women said they had asked that their baby girl have female genital mutilation performed for religious reasons. Other reasons women cited ranged from wanting to ensure the girl’s “cleanliness” (the external female genitalia are considered dirty) and avoiding diseases; to perpetuating cultural or local practices; or seeking to regulate or suppress the girls’ urge towards “sexual activity” during adulthood.
 
In the survey referenced earlier, the US Population Council found that 92 percent of almost 1,700 Indonesian mothers with daughters under the age of 19 supported FGC. Some 69 percent believed that it had a beneficial impact, and hoped it would continue in the future, including to be carried out on any female grandchildren they may have. This demand ensures that FGC will still take place even if laws forbidding it were to be developed and enforced. Yet the vast majority of Indonesians also report not properly understanding what goes on during the procedure – women interviewed for an unpublished study by Islamic Relief in 2013 had a limited knowledge of the female body, and most disagreed on whether FGC involved cutting or just “cleaning”.
 
Medicalizing a decades-old practice
 
As Indonesia's middle class becomes increasingly more economically secure, more Muslim parents are looking for medical professionals to perform FGC on their daughters. Some private midwives, doctors and hospitals even offer cutting as part of their childbirth packages as an added bonus to attract more customers. This has been documented by Feillard and Marcoes as having occurred since at least the mid-1990s, who state that even Christian clinics were at the time making FGC available to their Muslim clients. FGC conducted by health workers is supported by the Indonesian government, as it is assumed that if FGC is performed in a medical setting, the procedure will be more hygienic, more sterile, and safer.
 
But the medicalization of FGM in Indonesia is actually a concerning trend. Traditional performers of FGM, such as traditional birth attendants, generally perform only “symbolic” cutting – a flick of the clitoris with a penknife, for example, or a swipe of the genitals with a piece of fresh turmeric. Medical professionals, however, reportedly use proper medical tools, such as knives and scissors, and because there is no established medical procedure for FGC, tend to follow what they know about male circumcision. This means that they focus on cutting the clitoris, often removing the clitoral hood or even the tip of the clitoris itself, putting the girl at high risk of infection and life-long discomfort, not to mention sexual dysfunction and a reduction in sexual pleasure. According to a 2010 study by Yarsi University, 44 percent of health institutions that perform FGC "cut off certain parts of the genitalia".

FGC perpetuates harmful gender stereotypes and perceptions of women and women's bodies. Not only are women's sexual desires seen as something that must be controlled, their own bodies – even as babies – are identified as “dirty” and in need of “cleaning”.

 
The World Health Organization (WHO) has been advocating against FGC since the 1980s. They argue that the procedure has no health benefits whatsoever. The Lancet, the world's oldest medical journal, stated in February 2015 that "FGM is internationally recognised as a violation of the human rights of girls and women"; they agree with the WHO that "[t]he procedure has no health benefits", and causes pain, shock, hemorrhage, and infection. Although these negative health impacts are less likely to occur in Indonesia, due to the symbolic type of FGC generally practiced there, FGC still represents a violation of women's rights, as it aims to control and regulate female sexuality. Male circumcision, on the other hand, does not aim to do so, and is performed for only religious and medical reasons.
 
The Indonesian government has no plans to alter the current regulation on FGC, which permits “the act of scratching the skin covering the front of the clitoris, without hurting the clitoris” as long as no cutting takes place and the health and safety of the girl is taken into account. This is harmful, as it implies that FGC is a permissible and acceptable procedure. There also appears to be next to no monitoring of the implementation of this law, with no one ensuring that "the act of scratching" is all that is performed. The increasing medicalization of FGC has not been dealt with, either, and does not seem to be on the agenda, despite a concerted effort by a number of Indonesian women’s and human rights organisations.
 
A health issue or a gender issue?
 
In discussing FGC in Indonesia, the argument that “the type of FGC performed there isn't harmful” is often put forward. While this is factually correct and indeed worth acknowledging, this does not mean that FGC does not constitute a violation of human rights. FGC perpetuates harmful gender stereotypes and perceptions of women and women's bodies. Not only are women's sexual desires seen as something that must be controlled, their own bodies – even as babies – are identified as “dirty” and in need of “cleaning”. Although the issue of cleanliness is also used to support male circumcision in Islam, the overall aim is different – Muslim boys are circumcised to ensure that no urine is trapped under the foreskin of the penis, as this would mean they cannot be truly clean when praying, which is essential for Muslims.
 
For girls and women, the argument of cleanliness is scientifically inaccurate. Claims that urine and genital secretions accumulate and fester in the vulva, vagina or urethra have no medical backing. FGC does not reduce chances of urinary tract infections or infections of the reproductive system. As for needing to be truly clean for the performance of prayers, the scraping, pricking or cutting of the clitoris or clitoral hood would make no difference to a woman's cleanliness.
 
So why is FGC still practiced in Indonesia if it has no health or cleanliness benefits? It is hardly a secret that one of the real “benefits” of FGC is that it supposedly reduces women's sexual desire. A simple Internet search reveals hundreds of Islamic scholars and figures advocating for FGC for this same reason.
 
IslamQA.info, for example, states that FGC "takes away excessive libido from women", EraMuslim.com argues that FGC "is like a brake that women can use to control their sexual desire", and Malaysian ustadz Azhar Idrus claims in a 35-minute lecture on YouTube that "women who aren't circumcised have evil lust". The wife of a former Nahdlatul Ulama president, interviewed by Feillard and Marcoes in the 1990s, said FGC prevented sexual "aggressiveness" in young women, while a man knowledgeable in Sundanese traditions said that "if not removed, the upper part of the clitoris would make the girl unable to control her sexuality".
 
A fascinating study conducted by Yarsi University in 2010, published as a book called Female Circumcision, sheds further light on some of the reasons parents, medical professionals, and Islamic scholars use to justify FGC. They included:

  • "To preserve a woman's maidenhood."
  • "To prevent women from making aggressive advances on men."
  • "To purify a woman."
  • "Cutting off the clitoris will cure the woman from hysteria and excessive masturbation."
  • "To avert promiscuous behaviour."

 
It is clear that more than just religion and health is at play regarding FGC in Indonesia.
 
FGC not compatible with Jokowi’s vision of modern Indonesia
 
Indonesia and its reformist President Joko Widodo, needs to take a double-pronged approach if FGC is to be eliminated. First, it needs to overturn all legislation that permits the procedure, and must ban both medical professionals and traditional birth attendants from performing any form of cutting on girls and women.
 
Second, Indonesia must carry out a mass education program, so that parents and children alike will understand that female circumcision is not an Islamic requirement, has no health benefits, increases the risk of reproductive and sexual problems, and has no impact on a woman's sexual desire. The government should work together with religious and non-religious bodies alike, but particularly should get senior Islamic figures on board, as in Egypt, where the two most senior clerics called for FGC to be banned in 2006 – the following year, Egyptian medical professionals were banned from performing FGC, and it appears that FGC prevalence has begun to fall.
 
It is in Indonesia's best interests to stop ignoring FGC, and recognise it as the women's rights violation it is. By aiming to alter a woman's sexual drive or make her 'clean', FGC is a discriminatory practice, and is ultimately just one more way that female sexuality is controlled and regulated in Indonesia.
 
For allowing the practice of FGC, Indonesia is in violation of both the UN Convention on the Elimination of All Forms of Discrimination against Women (CEDAW) and the Convention on the Rights of the Child, as girl children cannot give informed consent to undergo FGC. The CEDAW Committee's Concluding Observations from 2012 specifically request the Indonesian government to withdraw the 2010 regulation on FGC, to raise awareness that FGC is a violation of human rights, and to improve religious leaders' knowledge on the harmful effects of FGC.
 
The Indonesian government must take a stand and recognise that although the type of FGC practiced in Indonesia is one of the least physically harmful types, it nonetheless is a form of violence against women and contributes to the perpetuation of discriminatory gender roles and stereotypes.
 
Kate Walton is a queer feminist activist, writer, and photographer. She works in maternal health and is passionate about women's rights. Outside of work, she loves cooking Indian food, drinking tea, and trying to read more books than she did last year.