In the majority-Muslim society, many men have multiple wives and large numbers of children. Religious leaders, who wield great influence, reject family planning as interfering with the divine order, and family planning advocates are under suspicion because of foreign funding.
Sep. 28, 2013 A woman sweeps a treatment room at the health post in the village of Mereto in Koumpentoum district, eastern Senegal. The rate of contraceptive use in the district is 4.7 percent — among the lowest in Senegal, which in turn has one of the lowest rates of contraceptive use in the world. Allison Shelley/Allison Shelley Buy Photo