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The Sahel has one of the fastest growing populations in the world, with some of the world’s highest fertility rates. The combined populations of the G5 nations will nearly treble from 71 million today to more than 200 million by 2100. On average, a woman in Niger has a birth rate of 7.4 children and fewer than one in 10 couples uses modern contraception. We are rolling out the women’s integrated sexual health programme, WISH, which will operate in parts of the Sahel to improve access to modern family planning methods and create more choices for women in Africa on how many children they have and when they have them.