Why does the region have a high birthrate?

High birthrates in certain regions can be attributed to a combination of factors, including cultural norms that favor large families, limited access to contraception, and lower levels of women's education and workforce participation. Economic conditions often play a role, as families may rely on children for labor or support in old age. Additionally, in some areas, high infant mortality rates encourage families to have more children to ensure that some survive to adulthood.