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The programme was launched in Senegal in 2011, but in recent years has attracted the attention of the Ministry of Women, Family, Gender and Child Protection, which regards it as an effective strategy for combatting maternal and infant mortality.

“Without men’s involvement, attitudes towards maternal health will not change,” said Aida Diouf, a 54-year-old female health worker who collaborates with the programme. Many husbands prefer their wives not to be treated by male health workers, she explained.

Discussions for men have also focused on girls’ rights, equality, and the harmful effects of female genital mutilation.

The programme now operates at least 20 schools throughout Senegal, and more than 300 men have been trained.

In some communities, men who once enforced patriarchal norms now promote gender equality, a shift which has led to a reduction in the number of forced marriages and greater acceptance of family planning, according to Senegal’s Ministry of Gender.

Men join the groups after being recruited based on trust, leadership and commitment. Candidates must be married, respected locally, and supportive of women’s health and rights.

After training, the men serve as peer educators, visiting homes and hosting informal discussions.

Although maternal and infant deaths in Senegal have declined over the past decade, experts say there is still much progress to be made. The country recorded 237 maternal deaths per 100,000 live births in 2023, and 21 newborns out of every 1,000 died within their first month. The UN’s global target is to reduce maternal deaths to 70 per 100,000 live births and newborn deaths to under 12 per 1,000 by 2030.

A key problem is that many women have continued to give birth at home, said El Hadj Malick, one of the programme’s coordinators.

“By educating men about the importance of supporting their wives during pregnancy, taking them to hospital and helping with domestic work at home, you are protecting people’s health,” Malick said.

He noted that he still encounters difficulty in changing attitudes on some issues.

“But when we focus on women’s right to be healthy, it gives a human face to the concept and it becomes universal,” Malick said.