| Rank | Country | | Birth rate |
1 | Niger | 49.62 | 
49.62 births/1,000 population (2008 est.) |
2 | Mali | 49.38 |
49.38 births/1,000 population (2008 est.) |
3 | Uganda | 48.15 |
48.15 births/1,000 population (2008 est.) |
4 | Afghanistan | 45.82 |
45.82 births/1,000 population (2008 est.) |
5 | Sierra Leone | 45.08 |
45.08 births/1,000 population (2008 est.) |
6 | Burkina Faso | 44.68 |
44.68 births/1,000 population (2008 est.) |
7 | Somalia | 44.12 |
44.12 births/1,000 population (2008 est.) |
8 | Angola | 44.09 |
44.09 births/1,000 population (2008 est.) |
9 | Congo, Democratic Republic of the | 43.00 |
43 births/1,000 population (2008 est.) |
10 | Liberia | 42.92 |
42.92 births/1,000 population (2008 est.) |
11 | Yemen | 42.42 |
42.42 births/1,000 population (2008 est.) |
12 | Malawi | 41.79 |
41.79 births/1,000 population (2008 est.) |
13 | Congo, Republic of the | 41.76 |
41.76 births/1,000 population (2008 est.) |
14 | Burundi | 41.72 |
41.72 births/1,000 population (2008 est.) |
15 | Chad | 41.61 |
41.61 births/1,000 population (2008 est.) |
16 | Guinea | 41.31 |
41.31 births/1,000 population (2008 est.) |
17 | Zambia | 40.52 |
40.52 births/1,000 population (2008 est.) |
18 | Mauritania | 40.14 |
40.14 births/1,000 population (2008 est.) |
19 | Nigeria | 39.98 |
39.98 births/1,000 population (2008 est.) |
20 | Rwanda | 39.97 |
39.97 births/1,000 population (2008 est.) |
21 | Western Sahara | 39.95 |
39.95 births/1,000 population (2008 est.) |
22 | Mayotte | 39.79 |
39.79 births/1,000 population (2008 est.) |
23 | Sao Tome and Principe | 39.12 |
39.12 births/1,000 population (2008 est.) |
24 | Djibouti | 38.61 |
38.61 births/1,000 population (2008 est.) |
25 | Gaza Strip | 38.38 |
38.38 births/1,000 population (2008 est.) |
26 | Madagascar | 38.38 |
38.38 births/1,000 population (2008 est.) |
27 | Gambia, The | 38.36 |
38.36 births/1,000 population (2008 est.) |
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