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The movement to end genital cutting is spreading in Senegal at a quickening pace through the very ties of family and ethnicity that used to entrench it. And a practice once seen as an immutable part of a girl’s life in many ethnic groups and African nations is ebbing, though rarely at the pace or with the organized drive found in Senegal. The change is happening without the billions of dollars that have poured into other global health priorities throughout the developing world in recent years. Even after campaigning against genital cutting for years, the United Nations has raised less than half the $44 million it set as the goal.