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International African Institute, Cambridge University Press are collaborating with JSTOR to
digitize, preserve and extend access to Africa: Journal of the International African Institute
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Africa 65 (4), 1995
Melissa Parker
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CIRCUMCISION IN THE SUDAN 507
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508 CIRCUMCISION IN THE SUDAN
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CIRCUMCISION IN THE SUDAN 509
placed her on this cushion and, with her arms around her waist, held her ti
other women held her legs - straddled open above the hole. The blade was t
its sharpness, and while we all looked on the old woman began to cut. Slow
surely, she took the girl's clitoris and all other loose flesh.
The blood flowed and the girl screamed. And as she screamed, she tried
herself free. But the women held her tight though anxious at any further
she might do, they called on others to hold her to the ground.
The job was not yet done. More blood flowed. The woman cut, and cut
she cut, young children - largely girls, but some boys - beat drums, s
danced outside. Inside, the women looked anxiously on. Had she removed
enough? Was there anything left? And then it was announced 'Aiewa, maa fii
eeyi shi ...' Yes, there's nothing left.
They flushed the wound with [hot] water, bound and strapped her legs with
cotton cloth and lifted her from the ground to a low-lying 'angarib (a low-lying
wooden bed strung with cattle hide). Her mother held her head, comforting her
as best she could. 'Don't cry, don't cry,' she said. But the girl wept and wept, for
an hour or more. The flesh had since been buried and dampness on the ground
was the only sign of the blood which had flowed so freely.
Tea and later coffee were brought for the women gathered. We drank - partly
in celebration and partly to seal the event. The girl, Nijat, was given a glass of
sugared water - a treat, for the harshness of the pain endured.
The conversation turned my way. ... keef El Arab? As if to say: 'How is the
Arab life with you?' Harr, I said. But I could not look them in the face, and
mumbled the words to the ground. Harr carries a multitude of meanings, but
for the moment it seemed sufficient: hard, hot, severe in every sense. They all
agreed. Yes, it is hard, very hard.
At this point, the old woman relaxed and lay outstretched on an 'angarib
opposite. She smoked a (manufactured) cigarette and the conversation wended
its way to a discussion of past circumcisions. Everyone agreed that bit Ali Ali's
daughter, had been done well. Samha khalaas ... but there were problems with
Sakeina's. The midwife had come from another village, and she had not taken
enough. Perhaps it should be done again. But Allaweeya, the midwife, insisted
that she would charge an additional ?S 5.00 (?1.00) if she had to do it again.
When a girl is pharaonically circumcised in a village such as this, there is no
anaesthetic, no sterilisation of the knife and no use of antiseptic to help heal
the wound. Simply, the cut is made and the girl's legs are strapped together so
that she can do no more than lie or sit with her legs outstretched for fifteen
days - waiting and hoping for the wound to heal. Many, of course, run the
risk of contracting tetanus and other infections. In fact Ziyarra, knowing full
well the dangers at hand, came up to me a little later to ask for Dettol. This I gave
her, and she was glad - greeting me with the word mushkoora (kind) when I brought
a small bottle to her house later that day. For Dettol, like other disinfectants, is not
available in the markets and is well beyond their means.
Several hours later, with time to sit and think about all that happened - I am
struck by how little was actually said. One woman, who came a little late, greeted
us all and congratulated Ziyarra with the words mabrouk 'alek - meaning 'congra-
tulations to you' - no more, no less. Others simply greeted the women gathered as if
it was any other occasion: salaam 'alekum (peace be upon you), etc., drank coffee
and sat down to chat. So apart from the moment when the old woman cut, and
the women gathered grimaced at the pain, there was a sort of calmness about it
all. I cannot put my finger on it, but it somehow didn't seem wrong.
People clearly sympathised with the girl's pain - for they themselves had all been
pharaonically circumcised - and everyone was gentle with her. In fact Ziyarra never
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510 CIRCUMCISION IN THE SUDAN
left her daughter for the two hours or so that I was there. Mat guum
'Don't leave, don't leave', the girl kept saying, hanging her arms a
mother's neck. And she held her tight, gently assuring her that she wo
Yes, she seemed calm and at ease with all that was going on.
If there was panic, fear and anxiety, then it was vivid and clear among t
dren who had sung outside the house and drowned the girl's cries. Man
boys and girls (aged between 3 and 5 years) continued to cry intermittent
eral hours afterwards. Incidentally, no men were in sight. They were all o
in the fields and when they returned they did not come to the house.
A little later I was pressed further about my thoughts on circumcision. Bu
say was that it was not something familiar to my own culture and that I w
had understood what had happened. But just as I struggle to understan
necessary to remove a young girl's genitalia, so they appear mystified and
that the operation is not performed on girls in England ... How can a girl
band and achieve the transition to womanhood if she has not been circumcised?
How these women look on me now I do not know. I hope it hasn't made much
difference and that what matters is the things I do and the way I behave. And I ...
do I see them differently? I'm not sure. I think I'm in too much of a state of
shock to really think straight and I'm struggling to adjust to the normalness of events.
For just now I'm in Mohamed al-Tyib's house. It's 3.00 p.m. and nearly lunch-
time. A group of men sit outside the house discussing the price of grain in the mar-
ket. Amna is washing clothes and Khadiga - still in her state of seclusion after
giving birth to her second child - is cleaning some pots and pans. And me? I'm sit-
ting in Seinab's shop, scribbling away. Yes - everything is as normal, but I don't feel
at all 'normal'. And I don't feel able to discuss this morning's events with the
women around me. That said, I am sure of one thing: there is an awful lot more
to say about female circumcision than to state that it involves physical mutilation.
A month has passed and I have attended several other circumcision ceremonies in
the village. A couple of times I did not respond in the expected way, as I did not
congratulate the mother and remained fairly quiet. I was struck by how astonished
the women seemed to be. Bakhritta, sensing that my interpretation of events was
not hers, could not believe it. 'Don't you believe it's a good thing to do, Melissa?'
And she said this with amazement rather than aggression. Similarly, Khadiga said,
'don't you think its fine and lovely?' genuinely surprised that there could be any
other interpretation.
Hannan, describing how a knife had been used to tear her vagina open before she
had given birth (to deinfibulate her), also used the work 'good' to described the
practice. In common with other women, she had been reinfibulated after she had
given birth. While she did not deny the pain or any of the other problems which
are frequently associated with circumcision, there was no question of it being any-
thing other than kwaiys (good), tahir (pure), nazif(clean) and smooth (na'im). And
I felt humbled. My questions were so useless, so utterly irrelevant to that which was
seen as being important. Of course women do not circumcise their daughters to create
problems for them later on. They do so to protect them. An uncircumcised girl is
unmarriageable and would bring undying shame to her and her family. People would
call her kaaba (bad), waskhan (dirty) and nigsa (unclean). Her life would be intoler-
able, as she would be taunted by friends and relatives wherever she went. In brief,
the practice of circumcision is bound up with beliefs of honour, shame, purity and
cleanliness. It is these beliefs which need to be examined and interrogated if any
headway is to be made in bringing an end to such a custom. It seems almost comical
that Western and Sudanese feminists have spent so much time tackling it simply at the
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CIRCUMCISION IN THE SUDAN 511
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512 CIRCUMCISION IN THE SUDAN
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CIRCUMCISION IN THE SUDAN 513
Clinical research
A number of gynaecologists have published case material (e.g. Abu Shama et
al., 1949; Huddleston, 1944; Dewhurst and Michelson, 1964; Verzin, 1975)
and results from hospital-based surveys (e.g. Shandall, 1967; Aziz, 1980).
These clinical data have revealed a number of problems associated with
female circumcision. With reference to pharaonic circumcision, the
immediate problems include shock, haemorrhage, injury to adjacent
organs, retention of urine and infections (such as septicaemia, tetanus,
abscesses, urethritis, cystitis), and some of the longer-term problems include
scarring and keloid formation, recurrent urinary infection, retention of
menses at menarche, vulval cysts and abscesses, and pelvic inflammatory
disease (infection of the uterus and fallopian tubes).
Child-bearing can also be hazardous. Accumulated scarring, for example,
may contribute to a protracted and painful labour and haemorrhage may
result from tearing through scar tissue or through the cervix or perineum.
Moreover, women have to be disinfibulated to enable the newborn to pass
out and there is an increased risk that the infant in fact will be brain-damaged
or suffer malformations.
All these findings are grounds for concern but data collected in clinical set-
tings do not, of course, convey any information about the proportion of
females in northern Sudan who experience gynaecological problems from
pharaonic or any other type of circumcision. Epidemiological research is
crucial if we are to acquire a detailed understanding of the overall effects
of female circumcision for female morbidity and mortality.
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514 CIRCUMCISION IN THE SUDAN
Epidemiological research
The first and most important piece of epidemiological research to e
consequences of different types of female circumcision on the phy
of girls and women in northern Sudan was undertaking by El Daree
between 1977 and 1981. A total of 3,210 women and 1,545 men w
viewed from five provinces in northern Sudan. The response rat
(95 per cent) and some of the most important findings include the
First, over 98 per cent of women participating in the study had be
cised (2-5 per cent with sunna procedure, 12-17 per cent intermedi
per cent pharaonic). Second, 75 per cent of pharaonically circum
had parents who had not received any school education (and t
and intermediate types were more likely to be undertaken in h
where the women had received at least some education). Third,
90 per cent of operations were performed by midwives who had no
any biomedical training. Fourth, few women related the complicati
cumcision to the operation, since it was generally believed to be ha
Dareer points out, however, that only twelve women agreed to
physical examination and it was not possible to corroborate a lot of
mation elicited from the interviews.
El Dareer's research is a substantial and useful piece of work but it is
interesting, nonetheless, that investigators have not subjected her work to
the usual interrogation of the design, methods and interpretation of the
results. Indeed, it would be fair to say that there has been a blanket accep-
tance of her findings, which have been quoted and requoted in a variety of bio-
medical and anthropological books and journals (e.g. Sami, 1986; Gruenbaum,
1988; Gordon, 1991). This raises two questions. How accurate is El Dareer's
research? Why have research workers accepted her findings uncritically? These
questions are answered below.
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CIRCUMCISION IN THE SUDAN 515
The naked girl is laid across a bed, being securely held by the arms and ankles, while
the midwife, with a deft sweep of the razor, removes the anterior two-thirds of one
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516 CIRCUMCISION IN THE SUDAN
of the labia, together with the clitoris. The unfortunate girl's shrieks a
by loud shouts of 'That's nothing to make a fuss about' - and the midw
to remove the other labium in the same way. There is always a sadis
delight upon the face of the operator, and the whole business is thoroug
by the privileged spectators. [1964: 687]
Worsley goes on to say 'One hopes that, with the passing of the old
tion, this evil may cease to be the curse of a splendid and lovable r
690).
It is, of course, unusual for a biomedic to wander so freely from his remit,
and it is not at all clear whether the attitudes expressed in the article reflect
an outlook that is held by obstetricians nowadays. It is likely, however,
that there is some overlap. A general statement by the Royal College of
Obstetricians in 1982, for example, referred to female circumcision as 'barbaric,
futile and illogical' (Kouba and Muasher, 1985: 101).
There are, no doubt, a variety of reasons which lie behind the ferocity of
feeling. They may include anger and hatred for the needless damage to the
health, frustration at failing to appreciate the rationale for the practice, racism
and paternalism. Whatever the reasons, they should be seen in the context of a
second, more common, attitude to the study of female circumcision - namely,
concern and horror, resulting in an apparent inability to apply one's critical
faculties to clinical and epidemiological data. This attitude probably accounts
for the uncritical acceptance of El Dareer's research. The links between
researchers who have explicitly allowed their thoughts and feelings to influence
their writing and researchers who have failed to draw upon their skills and
training to critique the limited work which has been done are discussed in
the fourth part of this article.
Anthropological research
The anthropological literature draws attention to different but equally
interesting issues affecting the study of female circumcision. Several
research workers from the Middle East have commented on the social
and cultural aspects of female circumcision (e.g. El Saadawi, 1980; Toub
1988) but this part of the article confines its attention to the work
anthropologists in the Western world (such as Barclay, 1964; Haye
1975; Constantinides, 1985; Gruenbaum, 1982, 1988; Boddy, 1982, 1989
Kenyon, 1991).4 Their research has been informed and influenced by so
movements in England, the U.S.A. and Canada and not surprisingly th
has affected their findings.
In the 1970s, for example, the women's movement had a profound impact
on anthropological writing. Feminists frequently emphasised the fact th
female circumcision denied women the right to a full and satisfying sexual
life, and several popular academic writers drew attention to the asymmetri
power relations between men and women (Daly, 1978; Hosken, 198
Daly's article encapsulates attitudes which had a currency among radical fem
inists in the United States and Europe. The following passage is particularly
illuminating:
I have chosen to name these practices for what they are: barbaric rituals/atrociti
Critics from Western countries are constantly being intimidated by accusations
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CIRCUMCISION IN THE SUDAN 517
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518 CIRCUMCISION IN THE SUDAN
PRESENT REFLECTIONS
Readers will recall, for instance, that a few hours after attending Nijat's
circumcision I walked across the village, without a female chaperon, to
give the young girl's mother some Dettol. Nijat had been cut with a blunt,
contaminated razor blade, and I 'knew' the consequences could be fatal.
Several years later, however, it dawned on me that the bluntness and con-
tamination had been a fiction of my own making. I had seen the razor blade
only at a distance and I could not, therefore, have had any way of knowing
whether it was in fact rusty and blunt. This simple 'error' draws attention to
the powerful associations I had made between pharaonic circumcision, the
death of the young girl's sexual life and the denial of pleasure integral to
her future well-being. Indeed, the distress and anger aroused by the event
had been so powerful that I had, unwittingly, exaggerated the risk to her life.
It is likely that frequent, but undocumented, references by Western jour-
nalists and academics to mortality from circumcision also convey an associa-
tion between circumcision, sexual death and the denial of self, rather than death
itself. An article about female circumcision in the Guardian (16 February 1993),
for example, says 'death from blood loss or shock is not uncommon'. The
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CIRCUMCISION IN THE SUDAN 519
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520 CIRCUMCISION IN THE SUDAN
NOTES
Inevitably, my presence and work challenged some of their expectations and this gave ris
number of problems during my fieldwork. Five weeks after arriving in Omdurman aj Jadi
example, I expressed a desire to travel to Khartoum to collect my letters. It is inconceiv
an unmarried woman should travel alone, and several senior men in the village (includin
the Sheikh's) forbade me to leave until permission had been granted by officials working f
Ministry of Health in Khartoum or El Gorashi (the administrative centre of the Managil
I had been introduced to the people of Omdurman aj Jadida by some of these officials but t
renowned for the irregularity of their visits to such villages. I thus negotiated a situation that a
male of the village should accompany me to the Ministry of Health's nearest offices in El G
Permission was granted and several days later I travelled to Khartoum. It was possible to tr
Khartoum at regular intervals thereafter but I continued to seek female company before I
across the village to visit other women. Needless to say, there were many other occasion
behaved in a confusing or conflicting way, but, generally speaking, it was unavoidable. Never
it was possible to establish friendships with a number of villagers over time.
2The term 'female circumcision' describes 'all operations involving mutilation of the
genitalia' (Verzin, 1975: 163). There are several kinds of circumcision, and investiga
not always draw the same distinctions in their research. Nevertheless the following thr
of circumcision identified by Shandall (1967) are increasingly referred to by research
in northern Sudan: sunna, intermediate and pharaonic (also known as infibulation). The
type involves the removal of the prepuce or head of the clitoris; the intermediate type invol
removal of the prepuce and glans of the clitoris with all or part of the labia minora; ph
circumcision involves the removal of the clitoris, the whole of the labia minora and mos
labia majora. the two sides of the vulva are then brought together with acacia thorns and
place with catgut or sewing thread. Alternatively the vulva is scraped raw, but, either w
girl's legs are tied together for fifteen to forty days until the wound heals and there is only
hole usually the size of a matchstick) to allow for the passing of urine and menstrual b
3The names in the text have been altered to preserve anonymity.
4The work of El Saadawi (1980) and Toubia (1988) is not discussed, as one of the pr
concerns of this article is to explore the different ways in which responses to female circu
by western investigators have been influenced by their own attitudes to sex and sexuality a
extent to which these have hindered and distorted understanding of female circumcision. It
also be argued that their work tells us more about their relationship with western fem
thought than about female circumcision. Leila Ahmad, for instance, criticises Saadawi's
for being 'grounded in "modern" or "Western" medical and feminist thought' (1989: 41
5The tendency to exaggerate, twist and distort, however unconsciously, may also be
with the researcher perceiving female circumcision as an attack on their own complex
tions between sexuality, femininity and reproduction. Whatever the reasons, judgement
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CIRCUMCISION IN THE SUDAN 521
impaired. Hayes, for example, suggested that attempts to prohibit female circum
alter the rate of population growth. To quote: 'an analysis of the available literatu
ject, combined with the data I collected in 1970, shows that infibulation has funct
several factors slowing population growth in the Sudan. Its sharp curtailment cou
demographic consequences unless other practices are introduced to suppress f
619). It is not clear what 'available literature' Hayes is referring to. In 1992, let al
were references to a possible link between circumcision and infertility in a number
journals but none of the authors refers to case material, and an association betwe
cumcision, pelvic inflammatory infections and infertility is simply assumed.
REFERENCES
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522 CIRCUMCISION IN THE SUDAN
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CIRCUMCISION IN THE SUDAN 523
ACKNOWLEDGEMENTS
ABSTRACT
RESUME
La circoncision feminine est pratiquee dans plus de vingt pays africains ainsi que d
un certain nombre de pays du Moyen Orient, et il a ete estime qu'au moins 100 mill
de femmes ont ete circonsisees dans le monde. I1 est frappant, cependant, que bea
coup plus de preoccupations aient ete exprimees au sujet de la circoncision feminin
qu'a propos de la sante reproductrice des femmes. Dans le milieu intellectuel, il
aussi interessant de voir que les gynecologues, les epidemiologues et les antropolog
ont eu tendance a se concentrer sur un nombre de questions assez limitees, et enco
celles-ci ont ete rarement examinees en profondeur.
Cet article examine le travail des chercheurs en Europe et en Amerique du Nord a
de montrer que des emotions intenses soulignent cet interet et ces preoccupations.
milieu de l'int6ret grandissant porte a l'antropologie des emotions, il est sugg
qu'une plus grande attention devrait etre pretee a essayer de comprendre la sou
de ces emotions et la maniere dont celles-ci influencent l'enquete de terrain et l'ana
des donnees. Jusqu'a ce que cela se produise, notre comprehension de la circoncis
feminine restera seulement partielle comme les donnees continuent a etre rassemb
et analysees de fa9on inadequate.
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