| 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.) |
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