| Rank | Country | | Birth rate |
1 | Niger | 51.60 |  51.6 births/1,000 population (2009 est.) |
2 | Mali | 49.15 |  49.15 births/1,000 population (2009 est.) |
3 | Uganda | 47.84 |  47.84 births/1,000 population (2009 est.) |
4 | Afghanistan | 45.46 |  45.46 births/1,000 population (2009 est.) |
5 | Sierra Leone | 44.73 |  44.73 births/1,000 population (2009 est.) |
6 | Burkina Faso | 44.33 |  44.33 births/1,000 population (2009 est.) |
7 | Somalia | 43.70 |  43.7 births/1,000 population (2009 est.) |
8 | Angola | 43.69 |  43.69 births/1,000 population (2009 est.) |
9 | Ethiopia | 43.66 |  43.66 births/1,000 population (2009 est.) |
10 | Congo, Democratic Republic of the | 42.63 |  42.63 births/1,000 population (2009 est.) |
11 | Liberia | 42.25 |  42.25 births/1,000 population (2009 est.) |
12 | Yemen | 42.14 |  42.14 births/1,000 population (2009 est.) |
13 | Malawi | 41.48 |  41.48 births/1,000 population (2009 est.) |
14 | Burundi | 41.42 |  41.42 births/1,000 population (2009 est.) |
15 | Congo, Republic of the | 41.37 |  41.37 births/1,000 population (2009 est.) |
16 | Chad | 40.86 |  40.86 births/1,000 population (2009 est.) |