Anionwu ENLondon: Royal College of Nursing; 2006

Armstrong SBMJ: Health and Technology; 2015

Buijink AWG, Visser BJ, Marshall L Medical apps for smartphones: lack of evidence undermines quality and safety. Evidence-Based Medicine. 2013; 18:(3)90-92

Department of Health and Social Care. The future of healthcare: our vision for digital, data and technology in health and care. 2018. (accessed 22 November 2020)

Supporting patients with female genital mutilation in primary care: a qualitative study exploring the perspectives of GP's working in England. 2020.

Seeking culturally safe care: a qualitative systematic review of the healthcare experiences of women and girls who have undergone female genital mutilation/cutting. 2018.

Gabrasadig R, Asamoah F, Wilson N Female genital mutilation: knowledge, training and experience of healthcare professionals at a London hospital. Archives of Disease in Childhood. 2015; 100:A23-A24

Health Education England. Health Education England Strategic Framework 15: 2014-2029. 2017. (accessed 22 November 2020)

Huckvale K, Prieto JT, Tilney M, Benghozi PJ, Car J Unaddressed privacy risks in accredited health and wellness apps: a cross-sectional systematic assessment. BMC Medicine. 2015; 13:(1)

Husain I, Spence D Head to head: can healthy people benefit from health apps?. BMJ. 2015; 350

Lee H, Sullivan SJ, Schneiders AG, Ahmed OH, Balasundaram AP, Williams D, Meeuwisse WH, McCrory P Smartphone and tablet apps for concussion road warriors (team clinicians): a systematic review for practical users. British Journal of Sports Medicine. 2015; 49:(8)499-505

McEwan J, Bedford H Leading by example. Journal of Community Practice. 2017; 90:(4)20-21

MacFarlane A, Dorkenoo ELondon: City of London University; 2015

MacMillan B, Hickey E, Mitchell C, Patel M The need for quality assurance of health apps, BMJ. Letters. 2015; 351

London: Crown Copyright; 2016

2020. The digital revolution: eight technologies that will change health and care. (accessed 22 November 2020)

Leeds: National Information Board; 2014

National Institute for Health and Care Excellence. Evidence framework standards for digital health technologies. 2019. (accessed 22 November 2020)

NHS England. We are the NHS: People Plan 2020/21 - action for us all. 2020. (accessed 22 November 2020)

NHS England Improvement. Digital Nurse Network: supporting nurses across the NHS to use and promote digital services. 2020. (accessed 22 November 2020)

NHS Innovations South East. App development: an NHS guide for developing mobile healthcare applications The Queens Nursing Institute. 2014. (accessed 8 April 2021)

Female genital mutilation: the role of health professionals in prevention, assessment, and management. 2012. (accessed 22 November 2020)

Research 2 Guidance. mhealth app economics 2017: current status and future trends in mobile health. 2017. (accessed 22 November 2020)

Royal College of Nursing. Female genital mutilation: an RCN resource for nursing and midwifery practice. 2019. (accessed 22 November 2020)

Simpson J, Robinson K, Creighton SM, Hodes D Female genital mutilation: the role of health professionals in prevention, assessment and management. BMJ. 2012; 344

Statistica. Number of mHealth app downloads worldwide 2013-2017 (in billions). 2019. (accessed 22 November 2020)

New York: UNICEF; 2016

Unite Live. Honouring Mary Seacole. 2018. (accessed 13 January 2019)

‘It's on my iPhone’: attitudes to the use of mobile computing devices in medical education, a mixed-methods study. 2012.

Wikipedia. Testflight. 2016. (accessed 22 November 2020)

World Health Organization. Eliminating female genital mutilation. 2008.;jsessionid=14E45C35D273F9F9086AB5F59E0B8A52?sequence=1 (accessed 22 November 2020)

Zaidi N, Khalil A, Roberts C, Browne M Knowledge of female genital mutilation among healthcare professionals. Journal of Obstetric Gynaecology. 2007; 27:(2)161-164

Digital health innovation to support sensitive enquiry about female genital mutilation

02 May 2021
16 min read
Volume 29 · Issue 5


Health professionals working in community settings are increasingly using mobile technologies to access information and support clients. A Mary Seacole Leadership Award enabled the production of an app, ‘Let's talk FGM’ (later becoming the web app, to assist health professionals to make sensitive inquiry about female genital mutilation (FGM). This article outlines the rationale for the project and the steps needed for successful app development. 

Female genital mutilation (FGM) is a sensitive subject to discuss (Royal College of Nursing [RCN], 2019). For many health professionals working in community and primary care, instantaneous access to information is crucial to initiate and develop such conversations, keeping in mind the safeguarding, legal and therapeutic aspects of care for those affected by FGM (RCN, 2019). To lead such discussions, health professionals require knowledge and confidence around the issue of FGM. In community settings, access to high quality, contemporary sources to support such discussions is key. This project therefore addressed this need by harnessing digital technologies.

A Mary Seacole Award (MSA) in Leadership was granted to author one to produce the ‘Let's talk FGM’ app, to assist health professionals to make sensitive inquiry about FGM, identify girls at risk, and direct survivors towards care and support. MSAs are awarded following a competitive application process to nurses, midwives and health visitors working in England seeking to undertake a project that will positively impact the lives of people from groups. The MSAs incorporate academic (provided by author two) and professional mentorship, and funding for project planning, implementation and conclusion-all within one calendar year. The awards take inspiration from the pioneering 19th century Jamaican/British nurse, Mary Seacole (Anionwu, 2006) and aim to build on her legacy.

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