Below is a list of 30 countries with the highest crude birth rates (births per 1,000 population), along with a simplified summary of legal access to abortion. Abortion laws can be complex and include exceptions, so the table groups them into broad categories. Rankings are based on recent international demographic data. (Geo Factbook)
RankCountryBirth Rate (approx.)Access to Abortion1Somalia46.4Very restricted (life-saving only)2Niger46.3Very restricted (life-saving only)3Benin39.8Limited (expanded for rape, incest, fetal anomaly, health)4Angola39.8Restricted (limited exceptions)5Mali39.4Very restricted (life-saving only)6Uganda38.9Restricted (health/life exceptions)7DR Congo38.8Broad access (health, based on regional treaty implementation)8Chad38.6Limited (rape, incest, fetal anomaly, health)9Mozambique36.1Legal on request (within early pregnancy)10Afghanistan36.0Nearly total ban (life-saving only)11Burundi35.9Very restricted (life-saving only)12Guinea-Bissau35.8Restricted (limited grounds)13South Sudan35.7Very restricted14Guinea35.0Restricted (health/life exceptions)15Mauritania34.0Very restricted16Nigeria33.6Very restricted (except to save life, varies by state)17Tanzania33.5Very restricted18Sudan33.0Restricted19Burkina Faso31.7Limited (rape, incest, fetal anomaly, health)20Liberia31.7Very restricted21Central African Republic31.5Very restricted22Cameroon30.8Limited (rape, health)23Togo30.2Limited (expanded exceptions)24Zambia30.0Relatively broad (health and socioeconomic grounds)25Sierra Leone29.8Very restricted26Ethiopia29.5Broad access (multiple legal grounds)27Malawi29.3Very restricted28Rwanda29.0Limited (expanded legal grounds)29Senegal28.9Very restricted30Madagascar28.8Nearly total ban
Overall summary
- Very restricted / nearly total ban: about 18–20 of these 30 countries.
- Limited legal access (specific exceptions): about 7–9 countries.
- Broad legal access or abortion on request: about 4–5 countries (such as Mozambique, DR Congo, Zambia, and Ethiopia). (Time)
The overall pattern is that the countries with the world's highest birth rates are concentrated in sub-Saharan Africa, where abortion laws tend to be more restrictive, although there are notable exceptions such as Mozambique and Ethiopia. This does not by itself establish a causal relationship between abortion laws and birth rates, as birth rates are also strongly influenced by factors including education, contraceptive access, child mortality, income, urbanization, and age at marriage. (thetimes.co.uk)