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.
Bwindi Community Hospital
Uganda has one of the highest fertility rates in the world at seven children per woman, and has the youngest population on the planet with a median age of less than fifteen. Large families trap people in poverty with not enough money for food, schooling and health care for their children. High fertility rates are dangerous for women, and make it hard for them to escape traditional childbearing roles. A 3% annual population growth rate is unsustainable for the environment, and leaves younger generations without enough water or land for cultivation.