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Being a girl can be tough but in some places it can also be traumatic and even deadly.

Each year, the United Nations takes a close look at the lives of females around the world and ranks 177 countries accordingly. The list, called the Gender Development Index, provides a snapshot of how being born female affects a person’s education, health and quality of life.

Here are some of the reasons Sierra Leone, Burkina Faso, Guinea-Bissau, Niger and Mali as countries where it is most difficult to be a girl.

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