[woodruffw]

This is again missing the big picture: the single easiest way to ensure that Mali's birthrate goes up instead of down is to make it as economically advantageous as possible to have large families. Famines tend to do that.

Talking about it in terms of ratios masks the actual material conditions we're talking about: withholding food would mean hundreds of thousands of pointless deaths; pointless because it undermines the actual macro trend we're seeing of rapidly falling birth rates. Infant mortality is a red herring: it's fallen faster than birth rates in every country that has undergone a development shift because it's the bellwether for the latter.