In the places with high fertility rate, you will almost surely observe joint families. I'm from India where we have such demographic variety that you can see adjacent areas with completely different fertility rates. In one, you will see old-style large houses with courtyards and 15+ people in them living as a joint family. Invariably these people have more kids. But in the next town with more nuclear families and modernish apartments, you will be lucky to see 2 kids per family. [1]
This is what births the secondary economic incentives which are mentioned a lot in popular discourse. For example, if you're already living in a house with 15 people your financial realities will require a similar number of people in the next generation to continue the same lifestyle.
[1] Wealth is not a confounding factor here. The specific two areas I have in mind are both more or less equally wealthy, one has folks running a coconut business primarily and the other is a small town with the usual assortment of office jobs.