Jean Marie Rukundo did not accompany his wife to the clinic the first two times she gave birth. Here in rural Rwanda, that was considered the duty of another woman, like her sister. His main job was farming — though his wife farmed too. After work, Rukundo used to leave his hoe with her and then go play cards with men in the village. Meanwhile, his wife went home from the fields, gathered firewood and water, prepared dinner, cleaned dishes and cared for their children.