Despite Kenya’s strict laws against Female Genital Mutilation (FGM), international human rights organizations are expressing concerns over the low number of cases reaching court.
This is primarily due to difficulties in collecting, preserving, and presenting medical evidence.
While the national prevalence of FGM among women aged 15 to 49 has decreased from 21 percent in 2014 to one percent in 2022, only a small fraction of reported cases are successfully prosecuted.
According to a United Nations report, 91 FGM cases were registered in the country between December 2021 and June 2022. Of these, only 24 cases were concluded, while the remaining 67 are still pending.
Keep Reading
In Narok County, an FGM hotspot, 14 cases were filed during this period, none of which reached conclusion.
In response to this issue, a two-day workshop was held from August 4 to 5, 2025, in Narok Town.
The training aimed to bridge the gap between the medical and legal systems by equipping medical professionals—primarily doctors and clinical officers from the Narok Referral Hospital—with critical forensic and legal skills to support the prosecution of FGM cases.
The workshop was organised by Equality Now in collaboration with the Africa Coordinating Centre for Abandonment of FGM/Cutting (ACCAF) and the Tasaru Ntomonok Initiative (TNI).
It focused on improving healthcare workers’ capacity to document, preserve, and present medical evidence essential for achieving successful legal outcomes.
“Our goal is to equip medical professionals with the legal knowledge and practical skills necessary to support the justice system in prosecuting FGM cases,” said Caroline Lagat, Programme Officer at Equality Now.
“They play a vital role in documenting and preserving evidence that can determine a case’s outcome in court.”
Lagat emphasized the importance of building the capacity of frontline health workers, noting that survivors deserve access to justice, which hinges on proper evidence collection and presentation.
Poor documentation
Dr. Jacqueline Chesang of ACCAF stressed the importance of sensitivity and professionalism when handling FGM survivors.
“Proper documentation is crucial to ensuring that survivors can access justice and that offenders are held accountable,” she stated.
Prof. Ndari Muia, ACCAF Coordinator and Director of the Department of Obstetrics and Gynecology at the University of Nairobi, pointed out that many FGM-related cases collapse in court due to poor or incomplete documentation.
“Very few perpetrators of FGM are ever convicted, not because the law is lacking, but because the necessary evidence often does not meet the legal threshold,” said Prof. Muia.
“We are teaching practitioners how to collect and preserve biological samples, transport evidence properly, and understand what is needed for it to hold up in court.”
According to the 2022 Kenya Demographic and Health Survey, Narok County still has one of the highest FGM prevalence rates in the country at 51 per cent, although this marks a significant drop from 78 per cent in 2014.
The county also records high rates of teenage pregnancies and early marriages, issues that are closely tied to FGM.
The recent training is part of the Gender Justice Project, implemented by Equality Now across six counties—Busia, Kajiado, Kisumu, Kwale, Makueni, and Narok—over the past seven years. The project aims to strengthen the enforcement of gender-based laws and policies.