| Rank | Country | | Birth rate |
17 | Zambia | 40.24 | 
40.24 births/1,000 population (2009 est.) |
18 | Rwanda | 39.67 |
39.67 births/1,000 population (2009 est.) |
19 | Western Sahara | 39.54 |
39.54 births/1,000 population (2009 est.) |
20 | Mayotte | 39.26 |
39.26 births/1,000 population (2009 est.) |
21 | Benin | 39.22 |
39.22 births/1,000 population (2009 est.) |
22 | Sao Tome and Principe | 38.54 |
38.54 births/1,000 population (2009 est.) |
23 | Madagascar | 38.14 |
38.14 births/1,000 population (2009 est.) |
24 | Djibouti | 38.13 |
38.13 births/1,000 population (2009 est.) |
25 | Mozambique | 37.98 |
37.98 births/1,000 population (2009 est.) |
26 | Gambia, The | 37.87 |
37.87 births/1,000 population (2009 est.) |
27 | Guinea | 37.52 |
37.52 births/1,000 population (2009 est.) |
28 | Gaza Strip | 36.93 |
36.93 births/1,000 population (2009 est.) |
29 | Senegal | 36.84 |
36.84 births/1,000 population (2009 est.) |
30 | Nigeria | 36.65 |
36.65 births/1,000 population (2009 est.) |
31 | Kenya | 36.64 |
36.64 births/1,000 population (2009 est.) |
32 | Equatorial Guinea | 36.52 |
36.52 births/1,000 population (2009 est.) |
33 | Togo | 36.44 |
36.44 births/1,000 population (2009 est.) |
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