CULTURALLY-BASED EDUCATIONAL MODEL FOR THE PREVENTION OF FEMALE GENITAL MUTILATION/CUTTING: A TRANSFORMATIVE APPROACH IN GORONTALO, INDONESIA

Abstract Female Genital Mutilation/Cutting (FGM/C) remains a culturally rooted practice in Gorontalo, Indonesia, presenting significant health, human rights, and sociocultural challenges. This study aimed to develop an educational model for the prevention of FGM/C based on local wisdom, addressing the cultural sensitivities and health risks associated with the practice. The objectives were to design, test, and evaluate an instructional framework that integrates cultural awareness with modern health education principles, fostering community acceptance and behavioral change. The study employed a research and development approach, utilizing the 4D model (Define, Design, Develop, Disseminate) to create culturally relevant learning tools, including instructional modules, clinical guides, and textbooks. The tools were developed and validated through expert reviews and pilot-tested with medical students at Gorontalo State University. The results demonstrated that the developed materials were highly valid, practical, and effective, significantly improving participants’ knowledge and awareness of FGM/C risks. Statistical analysis showed notable increases in pre- and post-test scores, indicating the model’s efficacy in transforming attitudes and understanding. The study further highlighted the importance of aligning educational interventions with local values to prevent cultural resistance. This research contributes to health education by providing a culturally adaptive framework for addressing FGM/C, with implications for curriculum integration in medical and health education. It underscores the potential of education as a transformative tool to reduce harmful practices while respecting cultural heritage. Future studies are encouraged to replicate this model in other cultural contexts to enhance its generalizability and impact.