How to have child in Philippines?

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Google says "The average salary in the Philippines was PHP 161,847.60/year ($3,218)" https://www.timedoctor.com/blog/average-salary-in-philippines/

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Google also says "You can even have a normal delivery in Philippine public hospitals for free! But if you’re giving birth in private maternity hospitals, be prepared to shell out at least Php 25,000 for just the delivery. Of course, the cost is higher if you’re giving birth in a mid-range or high-end private hospital. You also need to consider doctor’s fees, medications, anesthesia, and the maternity room that you’re going to stay in and for how long. Opting for an epidural anesthesia may cost you from Php 25,000 to Php 40,000, maybe even more. All in all, you have to prepare at least Php 300,000 for the whole procedure."

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How can people afford to have babies at 300,000 PHP when average annual salary is 162,000 PHP?