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The life expectancy at birth is about 60 for both females and males.[19] Fertility is at about 3 children per woman.[19] In the country there are about 18 doctors per 100,000 persons.[20]

According to a 2005 World Health Organization estimate, about 93.1% of Djibouti's women and girls have undergone female circumcision,[21] a pre-marital custom mainly endemic to Northeast Africa and parts of the Near East.[22][23] Encouraged by women in the community, it is primarily intended to deter promiscuity and to offer protection from assault.[24] About 94% of Djibouti's male population is also reportedly circumcised

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