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Fertility & birth rates in Albania and North Macedonia

Updated on by Georank team

Albania has an annual birth rate of 10.2 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 1.35 in Albania and 1.5 in North Macedonia — 11.3% difference.

1960 vs 2023, the fertility rate has decreased by 78.9% in Albania and by 60.8% in North Macedonia — in 1960, it was 6.38 and 3.83, respectively.

  • Albania is ranked 143/196 by birth rate compared to 158/196 for North Macedonia.
  • The mean age for first-time mothers is 26.6 years in Albania, compared to 27.4 years in North Macedonia.
  • The mean age at childbearing (for all the births, not just the first) is 29.5 in Albania — it's 29.3 in North Macedonia.
  • Annual births per 1,000 women ages 15-19 (adolescent birth rate or teenage mother rate) is 12.8 in Albania vs 13 in North Macedonia.
  • In Albania, 23.5% of the population is composed of women of reproductive age (15-49), compared to 22.4% in North Macedonia.

Fertility rate in Albania vs North Macedonia by year

Albania
North Macedonia
1x
Year Fertility rate
Albania North Macedonia
2023 1.35 1.5
2022 1.36 1.6
2021 1.37 1.6
2020 1.37 1.31
2019 1.4 1.34
2018 1.42 1.42
2017 1.49 1.43
2016 1.56 1.5
2015 1.63 1.49
2014 1.72 1.5
2013 1.74 1.5
2012 1.72 1.5
2011 1.68 1.46
2010 1.65 1.6
2009 1.64 1.5
2008 1.62 1.47
2007 1.63 1.46
2006 1.69 1.46
2005 1.79 1.5
2004 1.89 1.52
2003 2.01 1.75
2002 2 1.79
2001 2.14 1.73
2000 2.22 1.86
1999 2.31 1.77
1998 2.42 1.89
1997 2.54 1.92
1996 2.67 2.06
1995 2.76 2.13
1994 2.8 2.23
1993 2.81 2.26
1992 2.89 2.28
1991 2.96 2.31
1990 3.01 2.27
1989 3.03 2.25
1988 3.07 2.32
1987 3.11 2.32
1986 3.14 2.25
1985 3.21 2.25
1984 3.28 2.24
1983 3.32 2.25
1982 3.42 2.29
1981 3.47 2.29
1980 3.59 2.36
1979 3.78 2.4
1978 4 2.42
1977 4.2 2.49
1976 4.37 2.62
1975 4.57 2.69
1974 4.7 2.7
1973 4.83 2.72
1972 4.98 2.87
1971 5.08 2.93
1970 5.16 3.01
1969 5.29 3.1
1968 5.32 3.22
1967 5.31 3.33
1966 5.33 3.43
1965 5.47 3.52
1964 5.71 3.56
1963 5.93 3.62
1962 6.11 3.5
1961 6.27 3.62
1960 6.38 3.83

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

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

According to the latest available data on birth rates, the fertility rate in Albania was 1.35 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 Albania vs North Macedonia population clock for a dynamic visualization of the changing population.

Natural population change by year

Albania
North Macedonia
1x
Year Natural population change
Albania North Macedonia
2023 4,615 -3,290
2022 3,913 -4,397
2021 623 -9,737
2020 3,682 -5,939
2019 8,432 -375
2018 9,187 1,512
2017 10,707 1,329
2016 12,332 2,374
2015 14,164 2,294
2014 16,185 3,644
2013 17,234 3,653
2012 17,565 3,087
2011 17,564 3,100
2010 18,404 4,866
2009 19,336 4,309
2008 19,526 3,746
2007 20,286 2,974
2006 21,732 3,988
2005 24,390 4,011
2004 26,989 5,444
2003 29,907 8,900
2002 30,189 9,697
2001 33,573 10,174
2000 36,741 12,159
1999 40,047 10,489
1998 43,884 12,446
1997 46,979 12,979
1996 52,745 14,806
1995 56,784 17,239
1994 59,086 19,103
1993 60,602 20,797
1992 63,376 21,659
1991 65,639 23,387
1990 67,355 22,868
1989 66,351 22,912
1988 64,616 24,064
1987 63,334 24,359
1986 61,925 23,720
1985 60,798 24,167
1984 59,396 24,436
1983 57,647 24,690
1982 56,443 25,810
1981 54,595 25,689
1980 53,803 26,547
1979 54,139 27,096
1978 55,463 27,150
1977 56,319 27,410
1976 56,428 28,799
1975 56,920 28,983
1974 56,133 28,400
1973 55,439 28,032
1972 54,966 28,236
1971 53,797 28,010
1970 52,293 28,022
1969 51,407 27,464
1968 49,258 28,378
1967 46,494 28,401
1966 44,507 28,766
1965 43,953 28,564
1964 44,205 27,889
1963 44,040 28,124
1962 43,124 25,317
1961 41,802 27,846
1960 40,436 28,816

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

GeoRank.org/birth-rate/albania/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 +0.19% in Albania and -0.18% in North Macedonia.

For the past 10 years, the annual natural population change has been +0.32% in Albania and -0.07% in North Macedonia.

Birth rate in Albania vs North Macedonia by year

Albania
North Macedonia

Annual births per 1,000 people

1x
Year Annual births per 1,000 people
Albania North Macedonia
2023 10.2 9.2
2022 10.3 9.9
2021 10.5 10.2
2020 10.5 9.2
2019 10.8 9.6
2018 10.9 10.3
2017 11.4 10.5
2016 11.9 11.1
2015 12.4 11.1
2014 13.1 11.4
2013 13.1 11.2
2012 12.9 11.4
2011 12.4 11.1
2010 12.4 11.8
2009 12.3 11.5
2008 12.2 11.2
2007 12.4 11.1
2006 13 11.1
2005 13.9 11
2004 14.7 11.5
2003 15.6 13.3
2002 15.6 13.7
2001 16.6 13.3
2000 17.5 14.5
1999 18.5 13.5
1998 19.6 14.6
1997 20.8 14.8
1996 22.1 16.1
1995 23.3 16.7
1994 23.9 17.7
1993 24.2 18.2
1992 25 18.4
1991 25.6 18.7
1990 26.1 18.4
1989 26.2 18.4
1988 26.2 19.1
1987 26.3 19.3
1986 26.3 18.9
1985 26.5 19.1
1984 26.5 19.2
1983 26.4 19.5
1982 26.6 19.9
1981 26.5 20.1
1980 26.8 20.8
1979 27.5 21.1
1978 28.5 21.3
1977 29.4 21.9
1976 30.1 23
1975 31 23.6
1974 31.5 23.5
1973 32 23.5
1972 32.6 24.5
1971 33.1 24.7
1970 33.4 25.1
1969 34 25.4
1968 34.1 26.1
1967 33.8 26.7
1966 33.9 27.5
1965 34.8 28.1
1964 36.4 28.4
1963 37.9 29
1962 39.1 28.3
1961 40.3 29.2
1960 41 31

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

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

The latest reported birth rate per 1,000 people in 2023 was 10.2 in Albania and 9.2 in North Macedonia, compared with 41 and 31, respectively, in 1960.

Birth rate data compared

Albania North Macedonia
Fertility rate 1.35 1.5
Fertility rate rank 170/196 146/196
Birth rate 10.2 9.2
Birth rate rank 143/196 158/196
Population change due to births and deaths +4,615 -3,290
Natural population change rank 129/196 165/196
Natural population change rate +0.19% -0.18%
Population growth -1.53% -0.19%
Population growth rank 194/197 176/197
Age at first childbirth 26.6 years 27.4 years
Average age at childbearing 29.5 years 29.3 years
Annual births per 1,000 women ages 15-19 11.4 11.7
Annual births per 1,000 women ages 20-29 64.8 76.7
Annual births per 1,000 women ages 30+ 14.9 11.9
Female of reproductive age (15-49), share of population 23.5% 22.4%
Any modern method of contraceptive prevalence among married women ages 15-49 3.7% 14%
Share of births attended by skilled health staff 99.8% 100%
Maternal mortality per live birth 0.007% 0.003%
Neonatal mortality rate (before reaching 28 days of age) 0.69% 0.14%
Infant mortality rate (before reaching 1 year of age) 0.83% 0.28%
Mortality rate before reaching 5 years of age 0.94% 0.33%
Life expectancy 80.1 years 77.8 years

Children 0-14 years as share of population

Albania
Factual

UN forecast
North Macedonia
Factual

UN forecast
1x
Year Young
Albania North Macedonia
2100 10% 10.6%
2099 10% 10.7%
2098 10% 10.7%
2097 10% 10.8%
2096 10% 10.8%
2095 9.99% 10.9%
2094 9.96% 11%
2093 9.92% 11%
2092 9.88% 11.1%
2091 9.83% 11.2%
2090 9.77% 11.2%
2089 9.7% 11.3%
2088 9.64% 11.3%
2087 9.56% 11.4%
2086 9.49% 11.4%
2085 9.43% 11.4%
2084 9.37% 11.4%
2083 9.31% 11.4%
2082 9.26% 11.4%
2081 9.22% 11.4%
2080 9.19% 11.4%
2079 9.17% 11.3%
2078 9.16% 11.3%
2077 9.16% 11.3%
2076 9.17% 11.2%
2075 9.2% 11.2%
2074 9.24% 11.2%
2073 9.28% 11.2%
2072 9.33% 11.1%
2071 9.39% 11.2%
2070 9.46% 11.2%
2069 9.54% 11.2%
2068 9.62% 11.3%
2067 9.71% 11.4%
2066 9.81% 11.5%
2065 9.9% 11.6%
2064 10% 11.7%
2063 10.1% 11.9%
2062 10.2% 12%
2061 10.3% 12.2%
2060 10.3% 12.3%
2059 10.4% 12.4%
2058 10.4% 12.6%
2057 10.5% 12.7%
2056 10.5% 12.8%
2055 10.6% 12.9%
2054 10.6% 13%
2053 10.6% 13%
2052 10.7% 13.1%
2051 10.7% 13.1%
2050 10.8% 13.1%
2049 10.8% 13.1%
2048 10.9% 13.1%
2047 11% 13%
2046 11.1% 13%
2045 11.3% 13%
2044 11.4% 13%
2043 11.6% 12.9%
2042 11.8% 12.9%
2041 12% 12.9%
2040 12.2% 13%
2039 12.4% 13%
2038 12.7% 13%
2037 12.9% 13.2%
2036 13.2% 13.4%
2035 13.4% 13.6%
2034 13.7% 13.8%
2033 14% 14.1%
2032 14.3% 14.4%
2031 14.6% 14.7%
2030 15% 15.1%
2029 15.4% 15.4%
2028 15.8% 15.8%
2027 16.2% 16.1%
2026 16.5% 16.4%
2025 16.7% 16.7%
2024 16.8% 16.8%
2023 17% 17.1%
2022 17.2% 17.2%
2021 17.4% 17.2%
2020 17.5% 17.2%
2019 17.7% 17.2%
2018 18% 17.4%
2017 18.3% 17.5%
2016 18.6% 17.8%
2015 19% 18%
2014 19.4% 18.3%
2013 19.8% 18.6%
2012 20.3% 18.8%
2011 20.9% 19%
2010 21.7% 19.3%
2009 22.5% 19.7%
2008 23.4% 20%
2007 24.2% 20.4%
2006 25% 20.8%
2005 25.9% 21.2%
2004 26.7% 21.7%
2003 27.5% 22.1%
2002 28.3% 22.5%
2001 29% 22.9%
2000 29.6% 23.4%
1999 30% 23.9%
1998 30.5% 24.4%
1997 30.8% 24.8%
1996 31.1% 25.1%
1995 31.4% 25.4%
1994 31.6% 25.5%
1993 31.9% 25.7%
1992 32.2% 26.1%
1991 32.4% 26.5%
1990 32.7% 26.9%
1989 32.9% 27.1%
1988 33.1% 27.4%
1987 33.4% 27.6%
1986 33.8% 27.8%
1985 34.2% 28.1%
1984 34.6% 28.3%
1983 35% 28.5%
1982 35.4% 28.8%
1981 35.8% 29.1%
1980 36.3% 29.5%
1979 36.7% 29.9%
1978 37.3% 30.3%
1977 38% 30.6%
1976 38.7% 30.9%
1975 39.4% 31.3%
1974 40% 31.7%
1973 40.6% 32.2%
1972 41.1% 32.6%
1971 41.5% 33%
1970 41.8% 33.5%
1969 42.1% 34.1%
1968 42.3% 34.7%
1967 42.3% 35.2%
1966 42.3% 35.8%
1965 42.3% 36.3%
1964 42.3% 36.7%
1963 42.2% 37.2%
1962 42% 37.6%
1961 41.7% 37.8%
1960 41.2% 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/albania/north-macedonia | CC BY

Children aged 0-14 make up 16.8% of the population in Albania and 16.8% in North Macedonia in 2024, compared to 32.7% and 26.9% respectively in 1990.

Demographics of Albania 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/albania/north-macedonia | CC BY

Maternal mortality chart: Albania vs North Macedonia

Albania
North Macedonia
1x
Year Maternal mortality per 100K births
Albania North Macedonia
2023 7 3
2022 8 3
2021 14 12
2020 7 7
2019 7 3
2018 7 3
2017 8 4
2016 8 4
2015 9 4
2014 10 4
2013 10 5
2012 10 5
2011 9 5
2010 9 5
2009 9 6
2008 10 6
2007 10 7
2006 11 7
2005 12 7
2004 13 8
2003 13 8
2002 14 10
2001 14 9
2000 15 11
1999 17 12
1998 18 13
1997 21 13
1996 20 14
1995 21 13
1994 22 13
1993 24 14
1992 26 14
1991 28 15
1990 30 16
1989 31 14
1988 32 16
1987 33 15
1986 35 16
1985 38 17

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

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

The maternal mortality rate, which is the probability of dying during childbirth or within 42 days of pregnancy termination, is 7 deaths per 100,000 live births in Albania, compared to 3 deaths in North Macedonia.

Under-five mortality rates

Albania
North Macedonia

Probability that a newborn baby will die before reaching age five

1x
Year Under 5 mortality rate
Albania North Macedonia
2023 0.94% 0.33%
2022 0.94% 0.41%
2021 0.95% 0.5%
2020 0.94% 0.59%
2019 0.94% 0.7%
2018 0.93% 0.83%
2017 0.93% 0.97%
2016 0.94% 1.08%
2015 0.96% 1.13%
2014 0.99% 1.11%
2013 1.05% 1.07%
2012 1.12% 1.02%
2011 1.22% 1%
2010 1.33% 1.04%
2009 1.45% 1.1%
2008 1.58% 1.17%
2007 1.71% 1.23%
2006 1.85% 1.3%
2005 2% 1.37%
2004 2.14% 1.42%
2003 2.29% 1.43%
2002 2.43% 1.43%
2001 2.57% 1.48%
2000 2.71% 1.59%
1999 2.84% 1.73%
1998 2.98% 1.83%
1997 3.11% 1.93%
1996 3.24% 2.12%
1995 3.36% 2.45%
1994 3.49% 2.85%
1993 3.62% 3.13%
1992 3.76% 3.3%
1991 3.9% 3.46%
1990 4.08% 3.7%
1989 4.28% 4.01%
1988 4.51% 4.36%
1987 4.79% 4.69%
1986 5.11% 4.91%
1985 5.48% 5%
1984 5.9% 5.06%
1983 6.37% 5.25%
1982 6.9% 5.53%
1981 7.49% 5.79%
1980 8.12% -
1979 8.84% -
1978 9.62% -

Data sources: World Bank | Health (1978–2023, retrieved 2026-04-06).

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

The chance that a newborn baby will die before reaching age five is 0.94% in Albania 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) (2021–2022, retrieved 2026-03-10)

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