In general...where there are 5+ children there is very little hope; there is extreme poverty (read: little consumption); and so on.
Children don't survive in those environments. Higher birthrates is a family's / culture's answer to that. It's playing the odds.
Put another way, if there was consumption to Western middle class levels, there would be no need to have 5+ children. This is why, as a middle class grows, birth rates fall.