Whoever is living there and whatever the history the fact is that that area of the world cannot properly sustain human existence. It has not just been that way since last week, it has been like it for as long as I can remember, with occasional short intervals where life might have been marginally bearable.
It makes absolutely no sense to continue to facilitate human reproduction in that godforsaken place. It makes no sense to sustain women who have 5.4 children each when three quarters of those infants are going to die a slow, painful and wretched death before they reach adulthood. Some way must be found to depopulate the region.
As has been said, the people currently there are reproducing in an attempt to “ensure continuence”. That is precisely the opposite of what is needed. I’d like to think that the better off nations (well, those who feel the need to address this problem) can find a way to achieve depopulation by curbing reproduction (to as close as nil as possible) as part of their aid package. Any solution must involve this strategy because simply chucking millions of pounds into the area every two or three years is an absolute waste. It may save a few lives, but it simply perpetuates the problem.
Every time we are told we cannot desert these people in their time of need because, apparently, it is largely the fault of Europeans that they face this plight. Nonetheless, if the inhabitants cannot already see or cannot be educated to see that their presence there is unsustainable then regrettably nature must take its course.