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Sexual cleansing is sometimes performed by a selected future husband  for a girl or otherwise by a paid sex worker. A hyena is a traditional position in some parts of southern Malawi , held by a man who initiates young women into adulthood through sex.
The rite is believed to prevent disease. In parts of Kenya, widows are viewed as impure. A tradition to be cleansed to chase away demons involves having sex.
It is often forced upon the woman by the deceased husband's family. Those refusing to be cleansed risk getting beaten by superstitious villagers, who may also harm the woman's children.
It is argued that this notion arose from the idea that if a husband dies, the woman may have performed witchcraft against him. Cleansing can be done by the deceased husband's brother or other relative  or otherwise by a paid sex worker. A chicken is slaughtered at the end of the ceremony, which usually lasts from three to seven days. Widow cleansing was outlawed in Kenya in a domestic offences bill. In Malawi, the practice of sexual cleansing is largely confined to Salima , Chikwawa , and Nsanje District.