Guidelines to react in case of FGM or in facing a situation of risk for a child or an underage woman

This internal notification issued by the Maternal and Infantile protection service of the Ile-de-France region presents an analytical and intervention framework (Referentiel d'analyse et d'intervention). This tool identifies the different situations in which the FGM issue can (or has to) be addressed by its agents. This framework provides elements to appreciate respective situations, evaluate risks, and taking into account potential conflicts between the obligation to report abuses, and the privacy of medical information. Procedures to report mutilations are detailed for the agents of the Maternal Protection (Protection maternelle), of the Infantile Protection (Protection infantile) and of the Centres for Family Planning and Education (Centres de planification et d'education familiale). Similarly, the steps to be taken in case of immediate risk endangering children's health are detailed for each category of agents. These procedures have to involve medical supervisors, under the seal of medical secrecy, and to report to the Cellules departementales de recueil, de traitement et d'evaluation / * District-based units of data collection, treatment and evaluation.