Birth rate
The region of Sub-Saharan Africa has the highest birth rate in the world. As of 2016, Niger, Mali, Uganda, Zambia, and Burundi have the highest birth rates in the world. This is part of the fertility-income paradox, as these countries are very poor, and it may seem counter-intuitive for families there to have so many children. The inverse relationship between income and fertility has been termed a "demographic-economic "paradox"" by the notion that greater means would enable the production of more offspring as suggested by the influential Thomas Malthus.
Health in Guatemala
Reproductive health focuses on the health of infants as well as mothers. Guatemala is only beginning their transition into a more health-centered nation. The overall Guatemalan population is very young, which not only affects infant mortality rates, but significantly impacts both reproductive age and fertility rates. In Guatemala, the fertility rate is almost 5 children per mother, the highest in all of Latin America.