If I lived in that situation, I'd keep my dick in my pants. I would never want to chance having to bring a kid into that world. Why would you even want to take the risk of having to make more children suffer under those conditions?
I say the same thing about people I know. If they live under bad conditions, they need to make sure they take the proper precautions.
My wifes cousin is pregnant, and she lives in the crummiest part of Detroit. A house full of white people, in the middle of the hood. They tell people not to come visit them at night, and not to wear certain colors. Why in the fuck would you want to bring a child into that? She didn't plan it, but she couldn't keep her legs closed, and couldn't use proper protection. People need to think about the future, not just the here and now.
The conditions these people live in are the worst of the worst, yet they cant stop reproducing.
These people know how hard it is, how weak they feel, how hungry and sick they are. They were born and raised in it, they see others with children, suffering to stay alive, yet the keep popping those babies out. One by one. Day after day.