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 h English (en)Overall, Senegal has one of the lowest rates of contraceptive use in the world. It also has one of the highest birth rates (five births per woman).<ref>[http://www.npr.org/sections/goatsandsoda/2014/12/29/372741067/family-planning-in-senegal-which-imam-do-you-listen-to Family Planning In Senegal: Which Imam Do You Listen To?]</ref> This can be partially attributed to social, cultural and religious factors. Senegal is a Muslim-majority country where men sometimes take multiple wives. In this environment, women are typically expected to have many children, and contraception is not highly common, especially in rural areas. Family planning decisions are usually left to men (e.g. husbands and imams) without significant input from women. Furthermore, contraception is often viewed as un-Islamic and a product of European interference in Senegalese affairs. This is compounded by the fact that most family planning programs in Senegal are funded by international donors.<ref>[https://www.washingtonpost.com/world/africa/family-planning-program-in-senegal-drawn-into-conflict-with-religious-leaders/2014/03/15/8c33b692-860e-11e3-b85b-b305db87fb90_story.html?utm_term=.685fdc825c2c Family planning program in Senegal drawn into conflict with religious leaders]</ref>