Second, worsening scarcity of critical resources like clean water, clean air, electric power, and land (and increasing oversupply of traffic, pollution, and greenhouse gases).
Like many maternity clinics in rural parts of Africa, the health center in Atitiri is lacking several necessary resources -- shortage of running water, electricity challenges, broken beds and scarcity of medicines all make Madudu's job very difficult.
It also means that whereas population growth may not be a global problem, it could often be a very nasty local one, causing conflict over local resources, especially water, and privation when politics (frequently) or natural disaster (occasionally) cause local scarcity or epidemic disease even within a wider world of abundance and improving health.