ViiV Healthcare #EndFGM Challenge 2018


Grant Engagement Creative Ideas

Location (s):

  • Online
  • Worldwide


This challenge is looking for innovative interventions to bring about a sustained change in attitudes and social norms towards ending FGM/C



The WHO defines female genital mutilation/cutting (FGM/C) as all procedures that involve partial or total removal of the external female genitalia or other injury to the female genital organs for non-medical reasons (WHO, 2008).

The UN estimates that globally at least 200 million girls and women alive today have undergone some form of FGM/C. FGM/C is mostly carried out on young girls sometime between infancy and age 15. Different communities carry out FGM/C for a variety of reasons ranging from supposed hygiene or aesthetics benefits to a sense of religious, cultural or familial obligation (UNFPA, 2017).

FGM/C reflects entrenched gender inequality, and constitutes an extreme form of discrimination against girls and women. It is recognised internationally as a violation of the human rights of girls and women including their rights to health, security and physical integrity and their right to be free from torture and cruel, inhuman or degrading treatment (UNFPA and UNICEF, 2017).

Health risks can include cysts, tetanus or sepsis (bacterial infection), recurrent bladder and urinary tract infections; infertility as well as complications in childbirth increased risk of new-born deaths. It is also thought that FGM/C may be linked to HIV, through two routes: often many girls are cut with the same razor, and FGM/C can increase reproductive tract and lower pelvic infections that increase a woman’s vulnerability to HIV (UNFPA 2017).

The Sustainable Development Goals include a specific target to eliminate all harmful practices, such as child, early and forced marriage and FGM/C, by the year 2030.

Many countries have now passed legislation to ban the practice, which is an important step, but legislation in itself is not sufficient to transform the practice due to its deep cultural roots in the societies where it is practised. The introduction of legal bans can present additional challenges by driving it underground and result in it being done to girls at an even younger age. Additionally, fear of being prosecuted can lead to the resulting health problems being kept secret and those subjected to it having to suffer in silence without proper medical help (Deutsche Gesellschaft für Internationale Zusammenarbeit 2011).

These challenges underline the importance of promoting awareness and transforming discriminatory social norms that drive the practice in communities. The UNFPA-UNICEF Joint Programme to Eliminate Female Genital Mutilation estimates that as many as 30 million girls are at risk of being cut over the next decade if current trends continue. For FGM/C to stop, attitudes towards it and social norms in practising communities must be changed.


We are looking for interventions that can demonstrate they have effected a sustained change in attitudes and social norms at community level towards ending the practice of female genital mutilation/cutting. This includes the attitudes of practitioners, boys and men, families, community leaders and the broader community.

Indicators of success include reported change in attitude, reduction in cutting, practitioners taking on a new role in the community and uncut girls not experiencing social or economic disadvantages or discrimination as a result of not being subject to the practice.

Additionally, young parents not allowing their daughters to be cut, young men expressing their interest in marrying uncut women and influential community figures declaring their support for total abandonment are meaningful indicators.

Challenge Close: 20th March

Opportunity is About:


Candidates should be from:

Description of Ideal Candidate:

Positive Action Challenges are open to any applicant (individuals under 18 are eligible to participate in any Challenge unless prohibited by applicable law) ; or (b) a group of individuals  ; or (c) one or more public or private entities, including, without limitation, universities, academic institutions, not-for-profit entities and private sector organisations. Unless otherwise restricted by the Challenge, the Applicant may be from any geographic area


In addition to the below criteria, solutions must demonstrate how the challenge statement is met in the context of resource-limited settings without contradicting national breastfeeding guidelines for women living with HIV in the resource-limited settings targeted.

  • People Centred: Entries may focus on a process, technology or other method but the ultimate benefit must be measurable in terms of impact on people’s lives. Must ensure privacy, demonstrate an ability to not perpetuate stigma and discrimination associated with HIV and enhance active community participation in solution development.
  • Replicable: Entries can be replicated and adapted by others at low cost to ensure broader implementation and uptake as quickly as possible in similar settings.
  • Scalable: Entries must demonstrate how they can be scaled beyond pilot programmes to large scale responses that can be implemented at greater/national scale.
  • Affordable: Entries must demonstrate affordability (low-cost or no-cost to the end users) within resource limited settings or other similar settings as detailed in the individual challenges.
  • Sustainable: Entries must demonstrate how they are implementable in the longer term (beyond the lifecycle of prize funding) using the resources that already exist or which can be incremental to existing service delivery.
  • Achieving substantive change: Successful entries are expected to change the thoughts, processes and other barriers that prevent people living in resource limited settings from receiving the best care possible within the resources (financial and other) available, demonstrating a clear benefit to the people and systems targeted.


Deadline: March 20, 2018

Cost/funding for participants:

Prize amount: up to three $25,000 prizes are available 

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