Health Policy Project

The Health Policy Project has ended, but work continues under a new USAID five-year project, Health Policy Plus (HP+).

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Spreading the Light for Healthy Families

Imam institutes pre-marriage counseling to improve family health in Mali

September 15, 2011

 Image of Imam Fousseyni
Through his participation in a training program for religious leaders, Imam Fousseyni’s inspiration continues to light the way for his followers and fellow imams on a path toward happy, healthy families in Mali.

Photo by Abdoulaye Ganda, Health Policy Project—Mali
Maternal and child mortality rates in Mali threaten the health of women and children throughout the country. With a young and rapidly growing population, education is essential in reducing risk factors and promoting healthy behaviors for women, children, and families. However, sharing this information is not always easy.

When asked why he became interested in using religion to promote better health, Imam Fousseyni Doumbia responds without hesitation. “The importance of marriage and the family in Islam pushed me to do it.”

Imam Fousseyni is one of several Islamic leaders involved in a USAID-funded initiative that works with religious leaders to study the Koran and highlight passages that relate to promoting better health. In turn, imams develop messages rooted in Islam to inform their communities about the importance of taking care of their children, respecting women’s choices, and engaging men to make informed decisions about the health of their families.

Following his training, Imam Fousseyni has employed an innovative approach in wielding influence among his followers in Bamako to improve their well-being. Several years ago, Imam Fousseyni began to notice a rise in failing marriages, which he attributes to a lack of communication between couples, as well as people not fully understanding the importance of marriage and the family. In response, he instituted mandatory counseling sessions for men and women who want to be married in his mosque, alongside the couples’ friends and family members. There, he discusses Islam’s view of women’s and children’s rights, human rights, and the importance of love, tolerance, mutual respect, understanding, and communication.

Imam Fousseyni also teaches them that Islam does not prohibit birth spacing and advises men to be more involved in the health of the family while maintaining respect for women’s health choices. “The husband should not be a dictator, nor the wife an object,” insists Imam Fousseyni.

Over the past few years, Imam Fousseyni has advised 58 couples before performing their marriage ceremony. In that time, only one couple refused counseling. They were told to find another imam to marry them—a display of Imam Fousseyni’s deep conviction for the role of mutual understanding and healthy living in marriage.

His influence spreads beyond his neighborhood. Imam Fousseyni encourages his peers to hold similar meetings to discuss Islam’s view of marriage with engaged couples and advise them on how to raise a healthy family with each other.

He is also one of the principal instructors in a new program that trains religious leaders to become advocates for improved maternal and child health, with an aim to expand emergency healthcare services to all women and children in the south-western district of Kita. Under this project, supported by the Organization of Islamic Conference, United States Government, and the Government of Mali, with technical assistance from the Health Policy Project, Imam Fousseyni has helped train 87 Muslim religious leaders since May 2011.

One of his trainees, Imam Mahamadou Dembélé, has already become a shining example for practicing family planning in his village of Tambaga. After attending Imam Fousseyni’s workshop, Imam Dembélé led a community discussion on family planning and reproductive health. Subsequently, his wife was the first person in the group to adopt a family planning method, prompting others to follow their lead.

While much work remains to be done, Imam Fousseyni’s inspiration continues to light the way for his followers and fellow imams on a path toward happy, healthy families in Mali.


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The Health Policy Project is a five-year cooperative agreement funded by the U.S. Agency for International Development under Agreement No. AID-OAA-A-10-00067, beginning September 30, 2010. The project's HIV-related activities are supported by the U.S. President's Emergency Plan for AIDS Relief (PEPFAR). It is implemented by Futures Group, in collaboration with Plan International USA, Avenir Health (previously Futures Institute), Partners in Population and Development, Africa Regional Office (PPD ARO), Population Reference Bureau (PRB), RTI International, and White Ribbon Alliance for Safe Motherhood (WRA). The information provided on this Web site is not official U.S. Government information and does not represent the views or positions of the U.S. Agency for International Development or the U.S. Government.

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