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When I first started researching family planning trends, I noticed a curious pattern: families in low-income areas often have more children compared to those in wealthier regions. This observation sparked a deep dive into the factors that influence this trend.
And, surprisingly, the reasons are multi-faceted, involving economics, culture, access to healthcare, and even education.
Let’s explore these factors in more detail, backed by real-world examples, case studies, and a glance at countries with the highest populations.
Why Do Families in Low-Income Areas Have More Children?

Economic Factors
In many low-income countries, children are seen not just as family members but also as assets. In rural areas, where agriculture is still a dominant industry, children are seen as extra hands to help with labor-intensive tasks like farming or tending livestock.
This is especially prevalent in countries with large rural populations, where subsistence farming is common.
For example, in countries like India, where agriculture employs around 60% of the population, many families view having more children as a way to ensure help with household work. With limited access to machinery, children can contribute significantly by performing tasks that support the family’s livelihood.
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Limited Access to Family Planning
In many low-income regions, access to family planning resources is limited. For instance, in rural parts of Sub-Saharan Africa, the availability of contraceptives or family planning education can be scarce.
According to a 2019 UN report, over 200 million women in developing countries have an unmet need for modern contraception.
Without these resources, people often can’t make informed decisions about the number of children they have.
In regions where family planning services are lacking, the birth rate tends to be higher because people simply don’t have access to the knowledge or tools that allow them to plan their families.
Cultural and Religious Beliefs
Culture and religion also play a significant role in family size. In countries like Mexico and the Philippines, having large families is often viewed as a cultural norm, with religious influences reinforcing the idea that children are a blessing.
This belief is particularly strong in countries with a significant Catholic population, where teachings on contraception and family planning can sometimes be restrictive.
For example, in Mexico, the average number of children per family is higher compared to developed countries, largely due to cultural beliefs around family.
Large families are often seen as a source of pride, and children are viewed as essential for ensuring social and emotional support within the family.
Social Safety Nets and Elderly Care
In many low-income regions, there are limited social security systems or pensions to support the elderly. In these areas, children often take on the role of caregivers for their aging parents. In countries with a weaker social safety net, families may decide to have more children as a long-term strategy to ensure they have support in their old age.
A good example of this can be seen in India and China, where family structures are often geared toward the children providing for elderly parents.
In China, the traditional belief in filial piety, where children are expected to care for their parents in old age, still influences family planning decisions, despite modern shifts in family structures.
Health Care and Infant Mortality Rates
Higher infant mortality rates are common in low-income countries, particularly in parts of Africa and Asia. In regions with limited healthcare infrastructure, families may choose to have more children because they anticipate that some children may not survive into adulthood.
For instance, in countries like Nigeria, where healthcare facilities are not easily accessible, the infant mortality rate is higher, which leads to families having more children as a form of “insurance.”
With the uncertainty around survival rates, having multiple children becomes a strategy to ensure that at least some will survive and thrive.
Case Studies and Real Examples
Case Study 1: Kenya’s Rural Families
In rural Kenya, the average family size is about five children, according to recent demographic surveys. One key reason for this is the reliance on children for help with farm work.
Families often have more children because they know they need them to help with tasks like tending to crops or caring for livestock. Additionally, access to family planning services is limited in rural areas, further contributing to higher birth rates.
Case Study 2: India’s Rural Villages
In rural India, especially in states like Uttar Pradesh and Bihar, large families are the norm. Many families here view children as essential workers who will eventually help run the family’s agricultural business.
Despite the government’s efforts to promote family planning, these regions have some of the highest fertility rates in the country. Lack of education and access to contraception contribute to these higher birth rates.
Countries with the Highest Population
As we look at the countries with the largest populations, we can see patterns of higher birth rates in developing nations. Here’s a quick comparison:
Country | Population (2025 estimate) | Birth Rate | Region |
---|---|---|---|
China | 1.44 billion | 11.4 births/1,000 people | East Asia |
India | 1.43 billion | 18.2 births/1,000 people | South Asia |
Nigeria | 227 million | 38.5 births/1,000 people | Sub-Saharan Africa |
Indonesia | 276 million | 18.5 births/1,000 people | Southeast Asia |
Pakistan | 249 million | 27.1 births/1,000 people | South Asia |
As you can see, countries with large rural populations, limited access to family planning, and lower levels of healthcare tend to have higher birth rates.
While this may seem like a global trend, the underlying causes vary across different regions and cultures.
Final Words
In summary, there’s no single answer to why families in low-income areas tend to have more children. It’s a complex issue influenced by a combination of economic factors, cultural norms, access to healthcare, and social expectations.
Understanding these factors is crucial to addressing the challenges these communities face and supporting them in making informed family planning choices.
If you’re interested in learning more about this topic or want to understand how family planning policies have worked in different countries, consider checking out case studies from organizations like the World Health Organization (WHO) or the United Nations Population Fund (UNFPA).
These resources provide deeper insights into the global family planning landscape and its impact on population growth.