DOI: https://doi.org/10.36347/sjmcr.2026.v14i04.025

Pages: 689-693

Female genital mutilation (FGM/C) remains a major public health issue, particularly in sub-Saharan Africa. In Mali, prevalence remains high despite decades of interventions. This exploratory qualitative study aimed to understand community perceptions of FGM/C and propose context-adapted strategies for its prevention. The study was conducted from May to September 2022 in five university-affiliated community health centers in Mali. Data were collected through semi-structured individual interviews (n=300), focus group discussions (n=100), and interviews with community leaders, institutional actors, and healthcare providers. A thematic analysis based on Braun and Clarke's framework was performed. Findings indicate that most community members still support the continuation of FGM/C, viewing it as a deeply rooted social norm linked to tradition, religion, and control of female sexuality. Community leaders and healthcare providers are generally more supportive of abandonment, although some favor medicalization. Traditional excisers continue the practice despite training efforts. NGOs mainly rely on awareness-raising and legal enforcement strategies. The study highlights a gap between anti-FGM policies and sociocultural realities. It emphasizes the need for community-based approaches that incorporate local beliefs and behavioral models such as the Health Belief Model. Reorienting strategies toward health promotion and stronger community engagement appears crucial for sustainable change.