Ending Female Genital Mutilation

    More than 230 million girls and women alive today have undergone female genital mutilation, and although the share of adolescent girls affected fell from about 46% to 31% over three decades in the countries with data, the decline would need to be 27 times faster to end the practice by 2030.

    Updated 9 min read6 sources

    Written from the sources listed below, not independently peer-reviewed.

    Take a guess first

    In the 31 countries with national data on female genital mutilation, how many out of every 100 girls aged 15 to 19 had undergone it in 2023?

    230 million+

    Girls and women alive who have undergone FGM

    About 144 million in Africa, 80 million in Asia and 6 million in the Middle East, plus an estimated 1 to 2 million in small communities and diaspora groups elsewhere. 30 million more than the estimate published eight years earlier.

    Data year 2024. Source: UNICEF, 2024

    4.5 million

    Girls at risk in 2026

    UN projection of the number of girls at risk of being cut during 2026, many of them under age five.

    Data year 2026. Source: UNFPA, UNICEF, OHCHR, UN Women, WHO and UNESCO, 2026

    52 million

    Cut by health workers

    About 1 in 4 girls and women who have undergone FGM were cut by health personnel, according to estimates for 2020. WHO calls this medicalisation a growing concern.

    Data year 2020. Source: World Health Organization, 2025

    The numbers

    Girls aged 15 to 19 who have undergone FGM, sub-Saharan Africa
    0%10%20%30%40%34.8%200432.9%200930%201426%201921.8%2024

    UNICEF modelled estimates as published in the UN SDG Global Database, based on household surveys from 2004 to 2024 in 25 countries covering 69% of the region's girls aged 15 to 19, with adjustments for countries without data. No world series is published because only about 31 countries collect the data. 2024 is the latest estimate, not a projection.

    Far off track for 2030

    SDG target 5.3 aims to eliminate female genital mutilation by 2030. The UN estimates that the decline would need to be 27 times faster than in the past decade to reach that goal; in 2020 the estimate was at least 10 times faster. UNICEF calculates that more than 1 million cases a year could be prevented if every country matched the pace of its best-performing peer.

    Who is affected most

    • About 4 in 10 girls and women who have undergone FGM live in fragile or conflict-affected countries, with the largest numbers in Ethiopia, Nigeria and Sudan.

      Source: United Nations General Assembly, 2024
    • Progress varies widely between countries. Among girls aged 15 to 19, prevalence in Burkina Faso fell from 83% to 32% over three decades, while in the Gambia it barely moved, from 74% to 73%, and in Somalia the practice remains almost universal.

      Source: United Nations General Assembly, 2024
    • Girls are being cut at younger ages, many before their fifth birthday, which leaves them no chance to take part in the decision.

      Source: UNICEF, 2024
    • Africa is home to about 63% of the world's girls and women who have undergone FGM and Asia to about 35%, but in Asia, recognition of the problem and the evidence base remain limited.

      Source: UNFPA and UNICEF, 2026

    Where it hits hardest

    Each country is shaded by its latest available value, so you can see where the gap is widest. Hover or tap a country, search for one, or open the full table.

    Girls and women who have undergone female genital mutilation

    Loading country values…

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    Values in % of women aged 15–49.

    Share of girls and women aged 15 to 49 who have undergone FGM, from household surveys (SDG indicator 5.3.2). Only about 30 countries collect these data, so most of the map is blank even though the practice is also reported in other countries, including Indonesia (whose 2021 survey is not in this dataset), other parts of Asia and countries of migration. Values are the latest survey per country, so years differ (2010 to 2023); the national average says nothing about individual communities, and some surveys could not reach insecure areas.

    Source: UNICEF, DHS and MICS, via World Bank Open Data. Latest year available per country; years differ.

    Values load from World Bank Open Data. Simplified Natural Earth borders; they imply no position on disputed territories.

    Are we making progress?

    Instead of one “percent solved” score, DO GOOD rates three separate dimensions. A problem can have mature solutions that still reach too few people. These ratings are an editorial reading of the sources on this page, not a measured index.

    Outcome progress

    Has the situation improved in the real world?

    Moderate

    In the 31 countries with data, the share of girls aged 15 to 19 who had undergone FGM fell from just over 46% in 1993 to just over 31% in 2023. Because populations are growing, the total number of girls and women affected still rose to over 230 million.

    Solution maturity

    How mature and validated are the available solutions?

    Moderate

    Community-led programmes, laws and health-sector guidance are well established, and WHO issued an updated guideline in 2025. But the UN notes that a ban alone is not enough, and much programme reporting counts people reached rather than measured changes in the practice.

    Implementation reach

    How widely are effective solutions actually used?

    Low

    The main UN programme works in 18 countries and provided prevention or protection services to about 2.2 million girls and women in 2025, a small share of those at risk. Its funding fell by 45% that year, and it estimates that funding for ending FGM would need to rise fivefold.

    Confidence in the data

    Moderate

    Large household surveys give solid estimates for about 31 countries, but the practice is reported in 92, and many of those, including countries of migration, have no national data. Some surveys could not reach insecure areas, and Somalia's figure refers only to women who have heard of FGM.

    Current trajectory

    Mixed

    Half of the progress over 30 years came in the past decade, and several countries have made rapid gains. At the same time, funding for the main UN programme fell by 45% in 2025, legal bans face organised challenges, and medicalisation is rising.

    Why this matters

    Female genital mutilation (FGM) covers all procedures that remove or injure parts of the female genitalia for non-medical reasons. WHO describes it as a severe violation of girls' rights, and it causes harm no matter who performs it, with short- and long-term health problems that can include risks in childbirth and a need for mental health care. UNICEF estimated in 2024 that more than 230 million girls and women alive had undergone it, 30 million more (a 15% increase) than in the estimate released eight years earlier. The rise reflects the fact that the number of girls born in countries where the practice is common is growing faster than the practice is declining. The UN projected that about 4.5 million girls would be at risk in 2026 alone.

    The practice is concentrated in about 30 countries in Africa, the Middle East and Asia, but it also occurs in smaller communities and among diaspora populations elsewhere. It is usually carried out on young girls before puberty, and UNICEF reports that more girls are now cut at younger ages, many before their fifth birthday. About 4 in 10 girls and women who have undergone FGM live in fragile or conflict-affected settings, where services are hardest to deliver. Progress has been uneven: some countries have more than halved the share of adolescent girls affected, while in others the practice remains almost universal. A growing share is carried out by health workers, which can give it a false appearance of safety.

    How female genital mutilation is defined and measured

    SDG target 5.3 calls for the elimination of all harmful practices, including female genital mutilation, by 2030. UNICEF tracks the official indicator using household surveys. Four elements shape the figures:

    • Non-medical procedures

      FGM includes any procedure that removes or injures parts of the female genitalia for non-medical reasons. It counts as FGM whoever carries it out, including when a doctor, nurse or midwife performs it.

    • Measured among women aged 15 to 49

      SDG indicator 5.3.2 is the share of girls and women aged 15 to 49 who have undergone FGM. Because most girls are cut in childhood, the figure for girls aged 15 to 19 is used to track recent change.

    • Only about 31 countries have national data

      Nationally representative survey data, mostly from DHS and MICS, exist for about 31 countries. The practice is reported in 92 countries, so in many places, including countries of migration, there are no reliable prevalence figures.

    • Survey limits

      The latest survey dates from a different year in each country. In several countries, such as Mali, Burkina Faso, Kenya and Nigeria, insecure areas could not be visited, and regional estimates include adjustments for countries without data.

    What already works, and its limits

    Community-led abandonment

    What works

    Programmes that support communities to discuss the practice openly, often ending in a public declaration that they will no longer cut their daughters, aim to change the shared expectation that sustains it. The UN programme counts 43,344 communities that made such declarations between 2008 and 2025, and an evaluation of a community education programme by Tostan found that FGM and child marriage fell substantially in all participating communities.

    Limits

    A declaration is not proof that cutting has stopped, and declarations are not systematically verified. The cumulative total is about 20% of the UN programme's 2030 target, and approaches need to be adapted to each setting.

    National laws and their enforcement

    What works

    A clear legal ban sets a standard and gives authorities and communities a basis to act. In 2024 the Gambian National Assembly rejected a bill to repeal the country's ban, and in 2025 Guinea's new constitution explicitly prohibited FGM. Where the UN programme trained police and justice staff, arrests and court cases rose.

    Limits

    Only 51 of the 92 countries where the practice is reported have a national law that explicitly prohibits it, and penalties vary widely. The UN stresses that criminalisation alone is not enough without political will, awareness and local enforcement.

    Health workers as advocates, not providers

    What works

    WHO's 2025 guideline recommends professional codes of conduct that explicitly bar health workers from performing FGM, and training to help them decline requests and explain the risks. In 2025, 415 medical and paramedical training institutions in the UN programme included FGM in their courses.

    Limits

    About 52 million girls and women have been cut by health workers. The UN programme notes that the quality of training and whether it changes practice still need to be assessed.

    Engaging men, boys and religious leaders

    What works

    Where the practice is common, men are as likely as women to oppose it, and about 200 million boys and men in practising countries in Africa and the Middle East think it should stop. In Somaliland, the share of religious leaders who recognised its harms rose from 52% to 96%.

    Limits

    Nearly two-thirds of people in countries where FGM is prevalent support ending it, yet millions of girls are still cut each year, so changed attitudes do not on their own end the practice.

    Care for survivors

    What works

    WHO recommends health care for survivors at every stage of life, including mental health care, management of risks in pregnancy and childbirth and, where appropriate, surgical repair. In 2025 the UN programme helped about 561,000 girls and young women receive FGM-related health services or counselling.

    Limits

    Treating complications costs health systems an estimated $1.4 billion a year, and services reach only a small fraction of the more than 230 million girls and women affected.

    Innovations to watch

    Promising, but not proven at scale. The stage shows how far each approach has come; it is not a recommendation.

    Early deployment

    Regulations that require health providers to refuse

    Some governments are turning the WHO position into binding rules. In 2025 Indonesia's Ministry of Health issued regulations requiring providers to refuse all requests for FGM, and health professional bodies issued a joint statement calling on members to uphold codes of conduct. Their effect on medicalisation has not yet been measured.

    Early deployment

    Community surveillance of girls at risk

    Community-level systems identify girls aged 0 to 14 at risk and follow up with families. The UN programme counted 286,770 girls protected this way in 2025, but the figures swing widely between years and countries, and partners use different definitions, so they cannot yet be read as a measured fall in cutting.

    Pilots

    Regional laws against cross-border cutting

    Girls are sometimes taken across a border to be cut where the law is weaker. A Prohibition of FGM Bill for the East African Community was tabled for a first reading, and the Gambia, Guinea-Bissau and Senegal planned joint action. Regional law is not yet in force.

    Scaling

    Media and digital campaigns

    Mass media and digital messaging on FGM and girls' rights reached about 316 million people in 2025 through the UN programme, more than three times the 2024 figure. Reach is not the same as changed behaviour, and the programme describes digital spaces as increasingly contested.

    What is holding progress back

    Implementation gap:
    Solutions work but reach too few people. Needs infrastructure, funding and organisation.
    Coordination gap:
    Actors are not aligned. Needs standards, partnerships and better incentives.
    Knowledge gap:
    Cause or mechanism not understood. Needs basic research.
    • Implementation gap

      Funding cuts

      Funds received by the UNFPA-UNICEF Joint Programme fell by 45%, from $29.6 million in 2024 to $16.3 million in 2025. An estimated $2.8 billion is needed to end FGM in 31 countries by 2030, and the programme estimates current funding would need to rise fivefold.

    • Implementation gap

      Medicalisation

      About 1 in 4 girls and women who have undergone FGM were cut by a health worker. WHO warns that this is no safer, may cause more severe injury and risks lending the practice legitimacy.

    • Implementation gap

      Organised challenges to legal bans

      In 2024 a bill to repeal the Gambia's 2015 ban reached the National Assembly before being rejected in July, and a constitutional challenge to the ban is before the country's Supreme Court. The UN programme reports organised countermovements in several countries.

    • Coordination gap

      Cross-border and diaspora cutting

      Girls are taken to neighbouring countries or countries of origin where the practice is not banned or laws are not enforced. Many states criminalise only cutting on their own territory or by their own citizens, and regional monitoring is weak.

    • Coordination gap

      Conflict and crises

      About 40% of girls and women who have undergone FGM live in fragile or conflict-affected countries. Crises divert resources and disrupt programmes, and political instability in Sudan and Yemen reduced community-level work in 2025.

    • Knowledge gap

      Missing data

      National survey data exist for about 31 countries, while the practice is reported in 92. Programme partners use different indicators and tools, and there is no central data repository, which makes it hard to know what works.

    Questions nobody has answered yet

    Unresolved questions, not vetted breakthroughs. Answering any of them would change what is possible.

    What makes abandonment last?

    Which elements of community-led programmes lead to lasting declines in cutting rather than public declarations alone, and how can those changes be verified at reasonable cost?

    Stopping medicalisation

    Do codes of conduct, regulations and training actually reduce the number of girls cut by health workers, and how can the shift from traditional practitioners to health workers be reversed without driving the practice into hiding?

    Measuring the practice where surveys are absent

    How can reliable estimates be produced for the many countries, including countries of migration and parts of Asia, where FGM is reported but no national survey data exist?

    Protecting gains in crises

    How do conflict, displacement and funding cuts affect the practice, and which approaches keep prevention and survivor services running in fragile settings?

    What you can do

    • Support community-led organisations

      Consider giving to organisations, including those led by women and survivors from affected communities, that work to end FGM and publish information on their results.

    • Ask your government to protect funding

      Ask your elected representatives to protect aid and national budgets for programmes that prevent FGM and support survivors, which have been cut sharply.

    • If you work in health care, know the guidance

      Health workers can learn their professional body's position and the WHO guidance on refusing requests and caring for survivors, and how to refer girls and women for support.

    • Know where to turn

      If you think a girl near you is at risk, contact local child protection services or a national child helpline. If she is in immediate danger, call the emergency services.

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    Sources

    1. [1]Over 230 million girls and women alive today have been subjected to female genital mutilation

      UNICEF (press release, 8 March 2024), published 2024

      UNICEF's latest global estimate (Female Genital Mutilation: A global concern, 2024): over 230 million girls and women alive, the 15% rise since the previous estimate, the regional split, younger ages at cutting, 4 in 10 in fragile settings and the 27-times-faster finding.

    2. [2]Intensifying global efforts for the elimination of female genital mutilation: Report of the Secretary-General (A/79/514)

      United Nations General Assembly, published 2024

      The UN's latest biennial review: trends among girls aged 15 to 19 in 31 countries, country progress, laws in practising countries, the Gambia repeal attempt, cross-border cutting, attitudes of men and religious leaders, crisis settings and funding needs.

    3. [3]SDG Global Database, indicator 5.3.2: Proportion of girls and women aged 15–49 years who have undergone female genital mutilation

      UN Statistics Division (data from UNICEF), published 2026

      UNICEF modelled estimates for girls aged 15 to 19 in sub-Saharan Africa, 2004–2024, and national survey values with notes on coverage and areas that could not be surveyed.

    4. [4]WHO issues new recommendations to end the rise in medicalized female genital mutilation and support survivors

      World Health Organization (news release, 28 April 2025), published 2025

      Launch of the WHO guideline on prevention and clinical management of FGM: definition, the 52 million girls and women cut by health workers, why medicalisation is not safer, and recommendations on codes of conduct, training and survivor care.

    5. [5]2025 Annual Report: UNFPA-UNICEF Joint Programme on the Elimination of Female Genital Mutilation

      UNFPA and UNICEF, published 2026

      Results of the main UN programme in 18 countries in 2025 (community declarations, services, health-sector training, arrests and court cases), its 45% funding fall, cost estimates, legal developments and data weaknesses.

    6. [6]Over four million girls still at risk of female genital mutilation: UN leaders call for sustained commitment and investment to end FGM

      UNFPA, UNICEF, OHCHR, UN Women, WHO and UNESCO (joint statement, 6 February 2026), published 2026

      Joint statement for the International Day of Zero Tolerance for FGM 2026: 4.5 million girls at risk in 2026, nearly two-thirds of people in prevalent countries supporting an end to the practice, and the $1.4 billion yearly cost of treating complications.

    Cite this page

    DO GOOD International (2026). Ending Female Genital Mutilation. Global Challenges. Updated October 15, 2026. https://www.dogood.world/challenges/female-genital-mutilation

    For figures, please cite the original sources listed above.

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