Leading demographers, including those at the United Nations and the U.S. Census Bureau, are projecting that world population will peak at 9.5 billion to 10 billion later this century and then gradually decline as poorer countries develop.... Forecasts that population is going to level off or decline this century have been based on the assumption that the developing world will necessarily follow the path of the industrialized world. That is far from a sure bet.
Additionally, they point to the challenges of reducing fertility rates in Sub-Saharan Africa:the logistical task of providing reproductive health services to women; informing them of their ability to limit their number of children and to space births over at least two years; low levels of literacy; the value husbands place on large families; and securing funding for family planning programs.
Sounds like someone should implement a community health worker program...