aims to reduce mortality rates for mothers and children under five. However, there’s little public data to assess these measures’ efficiency or effectiveness.against women in some parts of Mali makes matters worse. Many believe that women’s suffering is a ‘source of blessings’ for them and their children, and violence against women is commonplace, even in obstetrics.
Institute for Security Studies research shows that some healthcare professionals — men and women alike — deliberately delay assistance to women in labour to prolong this state of suffering, which they consider positive. The time wasted is often the difference between life and death. Despite the risks and the weak protections available, maternity remains a social obligation for Malian women. The average fertility rate is one of the highest worldwide. Refusing or not being able to give birth is severely sanctioned by a woman’s family and society. Wives who don’t bear children face disgrace or rejection in a social context where divorce may destroy their social and economic status.
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