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Ephraim

Translators may also add a footnote that says, "The name 'Ephraim' means 'to be fruitful' or 'to have children.'"

made me fruitful

Here "fruitful" means to prosper or to have children. (See: rc://en/ta/man/translate/figs-idiom)

in the land of my affliction

The abstract noun "affliction" can be stated as "I have suffered." AT: "in this land where I have suffered" (See: rc://en/ta/man/translate/figs-abstractnouns)