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Fertility & birth rates in Afghanistan and North Macedonia

Updated on by Georank team

Afghanistan has an annual birth rate of 35.4 births per 1,000 people, compared to 9.2 for North Macedonia. The average number of children a woman is expected to have during her lifetime — the fertility rate, is 4.84 in Afghanistan and 1.5 in North Macedonia — 69% difference.

1960 vs 2023, the fertility rate has decreased by 33.5% in Afghanistan and by 60.8% in North Macedonia — in 1960, it was 7.28 and 3.83, respectively.

  • Afghanistan is ranked 9/196 by birth rate compared to 158/196 for North Macedonia.
  • The mean age for first-time mothers is 19.9 years in Afghanistan, compared to 27.4 years in North Macedonia.
  • The mean age at childbearing (for all the births, not just the first) is 30.6 in Afghanistan — it's 29.3 in North Macedonia.
  • Annual births per 1,000 women ages 15-19 (adolescent birth rate or teenage mother rate) is 64.1 in Afghanistan vs 13 in North Macedonia.
  • In Afghanistan, 24% of the population is composed of women of reproductive age (15-49), compared to 22.4% in North Macedonia.

Fertility rate in Afghanistan vs North Macedonia by year

Afghanistan
North Macedonia
1x
Year Fertility rate
Afghanistan North Macedonia
2023 4.84 1.5
2022 4.93 1.6
2021 5.04 1.6
2020 5.15 1.31
2019 5.24 1.34
2018 5.33 1.42
2017 5.43 1.43
2016 5.54 1.5
2015 5.65 1.49
2014 5.77 1.5
2013 5.88 1.5
2012 5.99 1.5
2011 6.09 1.46
2010 6.2 1.6
2009 6.3 1.5
2008 6.39 1.47
2007 6.51 1.46
2006 6.69 1.46
2005 6.86 1.5
2004 7.02 1.52
2003 7.17 1.75
2002 7.32 1.79
2001 7.45 1.73
2000 7.57 1.86
1999 7.64 1.77
1998 7.69 1.89
1997 7.73 1.92
1996 7.76 2.06
1995 7.77 2.13
1994 7.77 2.23
1993 7.76 2.26
1992 7.7 2.28
1991 7.63 2.31
1990 7.58 2.27
1989 7.56 2.25
1988 7.55 2.32
1987 7.55 2.32
1986 7.55 2.25
1985 7.55 2.25
1984 7.55 2.24
1983 7.57 2.25
1982 7.6 2.29
1981 7.62 2.29
1980 7.64 2.36
1979 7.61 2.4
1978 7.6 2.42
1977 7.59 2.49
1976 7.56 2.62
1975 7.54 2.69
1974 7.53 2.7
1973 7.49 2.72
1972 7.45 2.87
1971 7.43 2.93
1970 7.4 3.01
1969 7.39 3.1
1968 7.36 3.22
1967 7.34 3.33
1966 7.32 3.43
1965 7.31 3.52
1964 7.3 3.56
1963 7.3 3.62
1962 7.29 3.5
1961 7.28 3.62
1960 7.28 3.83

Data sources: World Bank | Health (1960–2023, retrieved 2026-04-06).

GeoRank.org/birth-rate/afghanistan/north-macedonia | CC BY

According to the latest available data on birth rates, the fertility rate in Afghanistan was 4.84 children per woman in 2023, compared to 1.5 in North Macedonia in 2023. The replacement level is considered to be 2.1 children per woman.

Check Afghanistan vs North Macedonia population clock for a dynamic visualization of the changing population.

Natural population change by year

Afghanistan
North Macedonia
1x
Year Natural population change
Afghanistan North Macedonia
2023 1,228,719 -3,290
2022 1,219,475 -4,397
2021 1,133,611 -9,737
2020 1,134,407 -5,939
2019 1,138,485 -375
2018 1,115,262 1,512
2017 1,101,218 1,329
2016 1,090,016 2,374
2015 1,077,068 2,294
2014 1,053,788 3,644
2013 1,033,778 3,653
2012 1,004,814 3,087
2011 966,743 3,100
2010 943,473 4,866
2009 920,581 4,309
2008 891,246 3,746
2007 889,848 2,974
2006 875,301 3,988
2005 855,112 4,011
2004 850,940 5,444
2003 826,165 8,900
2002 776,048 9,697
2001 764,090 10,174
2000 782,727 12,159
1999 760,727 10,489
1998 719,860 12,446
1997 709,778 12,979
1996 685,005 14,806
1995 653,280 17,239
1994 609,096 19,103
1993 541,257 20,797
1992 440,132 21,659
1991 409,954 23,387
1990 402,433 22,868
1989 381,158 22,912
1988 358,397 24,064
1987 314,361 24,359
1986 310,066 23,720
1985 228,469 24,167
1984 205,262 24,436
1983 263,778 24,690
1982 263,210 25,810
1981 343,468 25,689
1980 365,396 26,547
1979 361,750 27,096
1978 369,101 27,150
1977 372,567 27,410
1976 357,775 28,799
1975 343,850 28,983
1974 330,232 28,400
1973 315,062 28,032
1972 300,633 28,236
1971 288,267 28,010
1970 275,129 28,022
1969 263,823 27,464
1968 251,798 28,378
1967 239,967 28,401
1966 228,786 28,766
1965 217,741 28,564
1964 207,867 27,889
1963 198,035 28,124
1962 188,427 25,317
1961 179,094 27,846
1960 170,257 28,816

Data sources: World Bank | Health (1960–2023, retrieved 2026-04-06).

GeoRank.org/birth-rate/afghanistan/north-macedonia | CC BY

The chart above illustrates the comparison of the absolute yearly changes in population resulting from births and deaths.

Excluding migration, the natural population change due to births and deaths from 2022 to 2023 was +2.96% in Afghanistan and -0.18% in North Macedonia.

For the past 10 years, the annual natural population change has been +3.04% in Afghanistan and -0.07% in North Macedonia.

Birth rate in Afghanistan vs North Macedonia by year

Afghanistan
North Macedonia

Annual births per 1,000 people

1x
Year Annual births per 1,000 people
Afghanistan North Macedonia
2023 35.4 9.2
2022 36 9.9
2021 36.3 10.2
2020 36.6 9.2
2019 37.1 9.6
2018 37.6 10.3
2017 38.2 10.5
2016 38.7 11.1
2015 39.4 11.1
2014 39.6 11.4
2013 40.3 11.2
2012 40.7 11.4
2011 41 11.1
2010 41.8 11.8
2009 42.2 11.5
2008 42.5 11.2
2007 43.8 11.1
2006 44.1 11.1
2005 45 11
2004 46.5 11.5
2003 47.1 13.3
2002 47.5 13.7
2001 49.6 13.3
2000 51.5 14.5
1999 50.9 13.5
1998 51.5 14.6
1997 52.1 14.8
1996 52.5 16.1
1995 52.7 16.7
1994 52.4 17.7
1993 50.8 18.2
1992 50.3 18.4
1991 52.3 18.7
1990 52.9 18.4
1989 51.7 18.4
1988 51.7 19.1
1987 52.2 19.3
1986 52.2 18.9
1985 51.7 19.1
1984 50.4 19.2
1983 51.2 19.5
1982 52 19.9
1981 55.2 20.1
1980 53.5 20.8
1979 52 21.1
1978 51.3 21.3
1977 51.3 21.9
1976 51.3 23
1975 51.3 23.6
1974 51.4 23.5
1973 51.3 23.5
1972 51.2 24.5
1971 51.3 24.7
1970 51.2 25.1
1969 51.3 25.4
1968 51.2 26.1
1967 51.1 26.7
1966 51 27.5
1965 50.9 28.1
1964 50.9 28.4
1963 50.8 29
1962 50.7 28.3
1961 50.6 29.2
1960 50.5 31

Data sources: World Bank | Health (1960–2023, retrieved 2026-04-06).

GeoRank.org/birth-rate/afghanistan/north-macedonia | CC BY

The latest reported birth rate per 1,000 people in 2023 was 35.4 in Afghanistan and 9.2 in North Macedonia, compared with 50.5 and 31, respectively, in 1960.

Birth rate data compared

Afghanistan North Macedonia
Fertility rate 4.84 1.5
Fertility rate rank 9/196 146/196
Birth rate 35.4 9.2
Birth rate rank 9/196 158/196
Population change due to births and deaths +1,228,719 -3,290
Natural population change rank 13/196 165/196
Natural population change rate +2.96% -0.18%
Population growth +2.88% -0.19%
Population growth rank 20/197 176/197
Age at first childbirth 19.9 years 27.4 years
Average age at childbearing 30.6 years 29.3 years
Annual births per 1,000 women ages 15-19 56.8 11.7
Annual births per 1,000 women ages 20-29 195.6 76.7
Annual births per 1,000 women ages 30+ 93.7 11.9
Female of reproductive age (15-49), share of population 24% 22.4%
Any modern method of contraceptive prevalence among married women ages 15-49 19.8% 14%
Share of births attended by skilled health staff 61.8% 100%
Maternal mortality per live birth 0.52% 0.003%
Neonatal mortality rate (before reaching 28 days of age) 3.43% 0.14%
Infant mortality rate (before reaching 1 year of age) 5.04% 0.28%
Mortality rate before reaching 5 years of age 5.55% 0.33%
Life expectancy 66.8 years 77.8 years

Children 0-14 years as share of population

Afghanistan
Factual

UN forecast
North Macedonia
Factual

UN forecast
1x
Year Young
Afghanistan North Macedonia
2100 21% 10.6%
2099 21.2% 10.7%
2098 21.3% 10.7%
2097 21.5% 10.8%
2096 21.6% 10.8%
2095 21.8% 10.9%
2094 21.9% 11%
2093 22.1% 11%
2092 22.3% 11.1%
2091 22.4% 11.2%
2090 22.6% 11.2%
2089 22.8% 11.3%
2088 23% 11.3%
2087 23.1% 11.4%
2086 23.3% 11.4%
2085 23.5% 11.4%
2084 23.7% 11.4%
2083 23.9% 11.4%
2082 24.2% 11.4%
2081 24.4% 11.4%
2080 24.6% 11.4%
2079 24.8% 11.3%
2078 25% 11.3%
2077 25.3% 11.3%
2076 25.5% 11.2%
2075 25.8% 11.2%
2074 26% 11.2%
2073 26.2% 11.2%
2072 26.5% 11.1%
2071 26.7% 11.2%
2070 27% 11.2%
2069 27.3% 11.2%
2068 27.5% 11.3%
2067 27.8% 11.4%
2066 28% 11.5%
2065 28.3% 11.6%
2064 28.6% 11.7%
2063 28.8% 11.9%
2062 29.1% 12%
2061 29.4% 12.2%
2060 29.6% 12.3%
2059 29.9% 12.4%
2058 30.2% 12.6%
2057 30.4% 12.7%
2056 30.7% 12.8%
2055 31.1% 12.9%
2054 31.4% 13%
2053 31.7% 13%
2052 32% 13.1%
2051 32.4% 13.1%
2050 32.7% 13.1%
2049 33.1% 13.1%
2048 33.4% 13.1%
2047 33.8% 13%
2046 34.2% 13%
2045 34.6% 13%
2044 35% 13%
2043 35.4% 12.9%
2042 35.8% 12.9%
2041 36.3% 12.9%
2040 36.7% 13%
2039 37.2% 13%
2038 37.6% 13%
2037 38% 13.2%
2036 38.4% 13.4%
2035 38.8% 13.6%
2034 39.2% 13.8%
2033 39.6% 14.1%
2032 40.1% 14.4%
2031 40.5% 14.7%
2030 40.9% 15.1%
2029 41.3% 15.4%
2028 41.7% 15.8%
2027 42% 16.1%
2026 42.4% 16.4%
2025 42.7% 16.7%
2024 42.9% 16.8%
2023 43.2% 17.1%
2022 43.6% 17.2%
2021 43.9% 17.2%
2020 44.2% 17.2%
2019 44.6% 17.2%
2018 45% 17.4%
2017 45.4% 17.5%
2016 45.8% 17.8%
2015 46.3% 18%
2014 46.7% 18.3%
2013 47.2% 18.6%
2012 47.6% 18.8%
2011 48% 19%
2010 48.5% 19.3%
2009 48.9% 19.7%
2008 49.3% 20%
2007 49.6% 20.4%
2006 49.9% 20.8%
2005 50% 21.2%
2004 50.2% 21.7%
2003 50.2% 22.1%
2002 50.2% 22.5%
2001 50.2% 22.9%
2000 50% 23.4%
1999 49.8% 23.9%
1998 49.6% 24.4%
1997 49.3% 24.8%
1996 49% 25.1%
1995 48.7% 25.4%
1994 48.5% 25.5%
1993 48.2% 25.7%
1992 48% 26.1%
1991 47.8% 26.5%
1990 47.7% 26.9%
1989 47.5% 27.1%
1988 47.4% 27.4%
1987 47.3% 27.6%
1986 47.2% 27.8%
1985 47% 28.1%
1984 46.8% 28.3%
1983 46.6% 28.5%
1982 46.5% 28.8%
1981 46.3% 29.1%
1980 46.1% 29.5%
1979 45.8% 29.9%
1978 45.6% 30.3%
1977 45.4% 30.6%
1976 45.2% 30.9%
1975 45% 31.3%
1974 44.8% 31.7%
1973 44.6% 32.2%
1972 44.4% 32.6%
1971 44.2% 33%
1970 43.9% 33.5%
1969 43.7% 34.1%
1968 43.4% 34.7%
1967 43.2% 35.2%
1966 42.9% 35.8%
1965 42.6% 36.3%
1964 42.4% 36.7%
1963 42.2% 37.2%
1962 42.1% 37.6%
1961 42% 37.8%
1960 41.9% 37.7%

Data sources: World Bank | Health (1960–2024, retrieved 2026-04-06); United Nations | World Population Prospects (2025–2100, retrieved 2026-03-10).

GeoRank.org/birth-rate/afghanistan/north-macedonia | CC BY

Children aged 0-14 make up 42.9% of the population in Afghanistan and 16.8% in North Macedonia in 2024, compared to 47.7% and 26.9% respectively in 1990.

Demographics of Afghanistan and North Macedonia compared.

Fertility rates around the globe

1x

Data sources: World Bank | Health (1960–2023, retrieved 2026-04-06).

GeoRank.org/birth-rate/afghanistan/north-macedonia | CC BY

Maternal mortality chart: Afghanistan vs North Macedonia

Afghanistan
North Macedonia
1x
Year Maternal mortality per 100K births
Afghanistan North Macedonia
2023 521 3
2022 551 3
2021 660 12
2020 634 7
2019 601 3
2018 629 3
2017 659 4
2016 702 4
2015 741 4
2014 755 4
2013 778 5
2012 810 5
2011 838 5
2010 893 5
2009 925 6
2008 955 6
2007 1,032 7
2006 1,069 7
2005 1,108 7
2004 1,166 8
2003 1,201 8
2002 1,263 10
2001 1,311 9
2000 1,372 11
1999 1,346 12
1998 1,464 13
1997 1,376 13
1996 1,389 14
1995 1,414 13
1994 1,396 13
1993 1,347 14
1992 1,443 14
1991 1,534 15
1990 1,550 16
1989 1,520 14
1988 1,572 16
1987 1,821 15
1986 1,857 16
1985 2,232 17

Data sources: World Bank | Gender (1985–2023, retrieved 2026-04-06).

GeoRank.org/birth-rate/afghanistan/north-macedonia | CC BY

The maternal mortality rate, which is the probability of dying during childbirth or within 42 days of pregnancy termination, is 521 deaths per 100,000 live births in Afghanistan, compared to 3 deaths in North Macedonia.

Under-five mortality rates

Afghanistan
North Macedonia

Probability that a newborn baby will die before reaching age five

1x
Year Under 5 mortality rate
Afghanistan North Macedonia
2023 5.55% 0.33%
2022 5.74% 0.41%
2021 5.93% 0.5%
2020 6.13% 0.59%
2019 6.33% 0.7%
2018 6.54% 0.83%
2017 6.76% 0.97%
2016 7% 1.08%
2015 7.24% 1.13%
2014 7.51% 1.11%
2013 7.8% 1.07%
2012 8.12% 1.02%
2011 8.46% 1%
2010 8.83% 1.04%
2009 9.22% 1.1%
2008 9.63% 1.17%
2007 10.1% 1.23%
2006 10.5% 1.3%
2005 11% 1.37%
2004 11.4% 1.42%
2003 11.9% 1.43%
2002 12.3% 1.43%
2001 12.7% 1.48%
2000 13.2% 1.59%
1999 13.6% 1.73%
1998 14% 1.83%
1997 14.4% 1.93%
1996 14.8% 2.12%
1995 15.3% 2.45%
1994 15.8% 2.85%
1993 16.3% 3.13%
1992 16.9% 3.3%
1991 17.4% 3.46%
1990 18.1% 3.7%
1989 18.7% 4.01%
1988 21.8% 4.36%
1987 24.7% 4.69%
1986 25.3% 4.91%
1985 30.1% 5%
1984 30.9% 5.06%
1983 27.4% 5.25%
1982 28% 5.53%
1981 23.9% 5.79%
1980 24.6% -
1979 25.2% -
1978 25.8% -
1977 26.4% -
1976 27% -
1975 27.5% -
1974 28.1% -
1973 28.6% -
1972 29.1% -
1971 29.7% -
1970 30.2% -
1969 30.6% -
1968 31.2% -
1967 31.7% -
1966 32.2% -
1965 32.7% -
1964 33.2% -
1963 33.7% -
1962 34.2% -
1961 34.8% -
1960 35.3% -

Data sources: World Bank | Health (1960–2023, retrieved 2026-04-06).

GeoRank.org/birth-rate/afghanistan/north-macedonia | CC BY

The chance that a newborn baby will die before reaching age five is 5.55% in Afghanistan and 0.33% in North Macedonia. Above is a chart with historical data on under-five mortality rates.

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Data sources:

  1. World Bank | Health (1960–2024, retrieved 2026-04-06)
  2. United Nations | World Population Prospects (2025–2100, retrieved 2026-03-10)
  3. United Nations Economic Commission for Europe (UNECE) (2022, retrieved 2026-03-10)
  4. Central Intelligence Agency (CIA) (2025, retrieved 2026-02-20)

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