Answer:
Populations are shrinking due to poor health care and high rates of disease
Step-by-step explanation:
The answer is A. Population is decreasing due to poor health care and high rates of disease. According to IFC, people in this area of Africa have the worst health in the world. Its population is only 11% of the world however it has 24% contribution on the global disease burden. It accounts half of the world's death of children and has the highest maternal mortality rate.