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Fertility & birth rates in Bhutan and Madagascar

Updated on by Georank team

Bhutan has an annual birth rate of 12.7 births per 1,000 people, compared to 32.1 for Madagascar. The average number of children a woman is expected to have during her lifetime — the fertility rate, is 1.46 in Bhutan and 3.97 in Madagascar — 171.7% difference.

1960 vs 2023, the fertility rate has decreased by 78.2% in Bhutan and by 45.9% in Madagascar — in 1960, it was 6.7 and 7.34, respectively.

  • Bhutan is ranked 110/196 by birth rate compared to 21/196 for Madagascar.
  • The mean age at childbearing (for all the births, not just the first) is 30.1 in Bhutan — it's 27.8 in Madagascar.
  • Annual births per 1,000 women ages 15-19 (adolescent birth rate or teenage mother rate) is 9.36 in Bhutan vs 129.8 in Madagascar.
  • In Bhutan, 27.7% of the population is composed of women of reproductive age (15-49), compared to 24.7% in Madagascar.

Fertility rate in Bhutan vs Madagascar by year

Bhutan
Madagascar
1x
Year Fertility rate
Bhutan Madagascar
2023 1.46 3.97
2022 1.48 4.04
2021 1.49 4.1
2020 1.5 4.17
2019 1.45 4.22
2018 1.52 4.25
2017 1.62 4.26
2016 1.74 4.29
2015 1.84 4.34
2014 1.92 4.42
2013 2 4.53
2012 2.07 4.61
2011 2.15 4.74
2010 2.25 4.9
2009 2.36 5
2008 2.48 5.04
2007 2.59 5.08
2006 2.66 5.13
2005 2.73 5.2
2004 2.78 5.26
2003 2.87 5.33
2002 3.01 5.41
2001 3.19 5.53
2000 3.38 5.67
1999 3.61 5.84
1998 3.85 5.99
1997 4.09 6.02
1996 4.37 6.03
1995 4.62 6.04
1994 4.87 6.04
1993 5.07 6.06
1992 5.27 6.08
1991 5.45 6.12
1990 5.6 6.14
1989 5.76 6.15
1988 5.88 6.18
1987 6 6.24
1986 6.1 6.34
1985 6.18 6.46
1984 6.26 6.55
1983 6.34 6.63
1982 6.4 6.7
1981 6.46 6.77
1980 6.51 6.84
1979 6.55 6.87
1978 6.58 6.9
1977 6.61 6.93
1976 6.62 6.95
1975 6.62 6.97
1974 6.62 6.99
1973 6.63 7.01
1972 6.64 7.04
1971 6.64 7.07
1970 6.65 7.1
1969 6.66 7.12
1968 6.66 7.13
1967 6.67 7.14
1966 6.67 7.16
1965 6.68 7.17
1964 6.68 7.19
1963 6.69 7.21
1962 6.69 7.26
1961 6.7 7.3
1960 6.7 7.34

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

GeoRank.org/birth-rate/bhutan/madagascar | CC BY

According to the latest available data on birth rates, the fertility rate in Bhutan was 1.46 children per woman in 2023, compared to 3.97 in Madagascar in 2023. The replacement level is considered to be 2.1 children per woman.

Check Bhutan vs Madagascar population clock for a dynamic visualization of the changing population.

Natural population change by year

Bhutan
Madagascar
1x
Year Natural population change
Bhutan Madagascar
2023 5,153 766,391
2022 5,204 753,931
2021 5,162 741,416
2020 5,142 736,607
2019 4,643 735,853
2018 4,909 719,267
2017 5,367 699,498
2016 6,164 682,801
2015 6,762 668,977
2014 7,290 660,837
2013 7,689 654,230
2012 7,967 644,255
2011 8,282 640,577
2010 8,598 641,543
2009 8,913 634,008
2008 9,200 615,580
2007 9,322 597,772
2006 9,197 581,489
2005 9,102 568,143
2004 9,056 556,319
2003 9,132 544,903
2002 9,464 535,518
2001 9,904 529,656
2000 10,142 520,860
1999 10,940 516,976
1998 11,320 508,408
1997 11,668 490,905
1996 12,153 471,453
1995 12,938 450,259
1994 13,536 428,169
1993 13,915 408,801
1992 15,594 388,430
1991 15,801 375,040
1990 15,704 360,621
1989 15,516 344,279
1988 15,212 330,510
1987 14,887 317,621
1986 14,516 307,074
1985 14,061 304,199
1984 13,688 296,892
1983 13,284 290,085
1982 12,872 284,733
1981 12,444 277,535
1980 12,016 275,287
1979 11,583 270,752
1978 11,133 263,684
1977 10,679 255,399
1976 10,228 247,026
1975 9,775 238,774
1974 9,324 230,233
1973 8,939 221,768
1972 8,549 213,138
1971 8,161 204,617
1970 7,791 194,889
1969 7,435 184,562
1968 7,085 175,869
1967 6,744 167,287
1966 6,418 159,483
1965 6,109 152,362
1964 5,818 146,894
1963 5,551 142,666
1962 5,297 139,412
1961 5,081 136,578
1960 4,888 133,684

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

GeoRank.org/birth-rate/bhutan/madagascar | 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 +0.66% in Bhutan and +2.46% in Madagascar.

For the past 10 years, the annual natural population change has been +0.74% in Bhutan and +2.57% in Madagascar.

Birth rate in Bhutan vs Madagascar by year

Bhutan
Madagascar

Annual births per 1,000 people

1x
Year Annual births per 1,000 people
Bhutan Madagascar
2023 12.7 32.1
2022 12.8 32.5
2021 12.9 32.9
2020 13 33.3
2019 12.4 33.6
2018 12.9 33.7
2017 13.8 33.6
2016 14.8 33.6
2015 15.7 33.8
2014 16.4 34.2
2013 17.1 34.7
2012 17.6 35.1
2011 18.2 35.8
2010 18.9 36.7
2009 19.6 37.4
2008 20.3 37.5
2007 20.8 37.8
2006 21 38
2005 21.1 38.4
2004 21.3 39
2003 21.7 39.5
2002 22.7 40.2
2001 23.9 41.1
2000 25.2 42
1999 26.8 43.2
1998 28.3 44.1
1997 29.7 44.4
1996 31.3 44.6
1995 33.3 44.5
1994 34.6 44.2
1993 35.5 44.1
1992 38.3 43.9
1991 37.6 44.1
1990 38.2 44.1
1989 39 43.9
1988 39.8 43.8
1987 40.5 43.8
1986 41.1 44
1985 41.6 44.8
1984 42.3 45.2
1983 42.9 45.5
1982 43.4 45.9
1981 44 46.2
1980 44.5 46.8
1979 45 47.2
1978 45.4 47.4
1977 45.8 47.4
1976 46.1 47.4
1975 46.4 47.4
1974 46.6 47.4
1973 47 47.4
1972 47.2 47.4
1971 47.5 47.2
1970 47.7 46.8
1969 48 46.5
1968 48.2 46.1
1967 48.3 45.9
1966 48.4 45.7
1965 48.5 45.6
1964 48.6 45.7
1963 48.6 46
1962 48.6 46.5
1961 48.7 47.1
1960 48.8 47.6

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

GeoRank.org/birth-rate/bhutan/madagascar | CC BY

The latest reported birth rate per 1,000 people in 2023 was 12.7 in Bhutan and 32.1 in Madagascar, compared with 48.8 and 47.6, respectively, in 1960.

Birth rate data compared

Bhutan Madagascar
Fertility rate 1.46 3.97
Fertility rate rank 152/196 28/196
Birth rate 12.7 32.1
Birth rate rank 110/196 21/196
Population change due to births and deaths +5,153 +766,391
Natural population change rank 127/196 22/196
Natural population change rate +0.66% +2.46%
Population growth +0.65% +2.47%
Population growth rank 120/197 29/197
Age at first childbirth n/a 19.5 years
Average age at childbearing 30.1 years 27.8 years
Annual births per 1,000 women ages 15-19 7.36 127.7
Annual births per 1,000 women ages 20-29 69.6 171.3
Annual births per 1,000 women ages 30+ 24.4 52.7
Female of reproductive age (15-49), share of population 27.7% 24.7%
Any modern method of contraceptive prevalence among married women ages 15-49 65.4% 42.7%
Share of births attended by skilled health staff 98.9% 45.8%
Maternal mortality per live birth 0.05% 0.45%
Neonatal mortality rate (before reaching 28 days of age) 1.27% 2.38%
Infant mortality rate (before reaching 1 year of age) 1.85% 4.42%
Mortality rate before reaching 5 years of age 2.31% 6.48%
Life expectancy 73.8 years 64.3 years

Children 0-14 years as share of population

Bhutan
Factual

UN forecast
Madagascar
Factual

UN forecast
1x
Year Young
Bhutan Madagascar
2100 12.3% 21.5%
2099 12.3% 21.6%
2098 12.2% 21.8%
2097 12.2% 21.9%
2096 12.2% 22.1%
2095 12.2% 22.2%
2094 12.2% 22.3%
2093 12.2% 22.5%
2092 12.2% 22.6%
2091 12.2% 22.8%
2090 12.2% 22.9%
2089 12.2% 23.1%
2088 12.3% 23.3%
2087 12.3% 23.4%
2086 12.3% 23.6%
2085 12.4% 23.7%
2084 12.4% 23.9%
2083 12.4% 24.1%
2082 12.5% 24.3%
2081 12.5% 24.4%
2080 12.5% 24.6%
2079 12.5% 24.8%
2078 12.6% 25%
2077 12.6% 25.2%
2076 12.6% 25.4%
2075 12.6% 25.6%
2074 12.6% 25.8%
2073 12.6% 26%
2072 12.6% 26.2%
2071 12.6% 26.4%
2070 12.6% 26.6%
2069 12.6% 26.9%
2068 12.6% 27.1%
2067 12.6% 27.3%
2066 12.6% 27.5%
2065 12.7% 27.7%
2064 12.7% 28%
2063 12.8% 28.2%
2062 12.8% 28.4%
2061 12.9% 28.7%
2060 13% 28.9%
2059 13.2% 29.1%
2058 13.3% 29.4%
2057 13.4% 29.6%
2056 13.6% 29.9%
2055 13.8% 30.1%
2054 14% 30.4%
2053 14.2% 30.6%
2052 14.4% 30.9%
2051 14.5% 31.2%
2050 14.7% 31.4%
2049 14.9% 31.7%
2048 15.1% 32%
2047 15.3% 32.3%
2046 15.5% 32.6%
2045 15.7% 32.9%
2044 15.8% 33.2%
2043 16% 33.5%
2042 16.1% 33.8%
2041 16.3% 34.1%
2040 16.4% 34.5%
2039 16.5% 34.8%
2038 16.7% 35.1%
2037 16.8% 35.5%
2036 17% 35.8%
2035 17.1% 36.2%
2034 17.2% 36.5%
2033 17.3% 36.9%
2032 17.4% 37.2%
2031 17.8% 37.4%
2030 18.1% 37.7%
2029 18.5% 38%
2028 19% 38.2%
2027 19.5% 38.5%
2026 20.1% 38.8%
2025 20.6% 39.1%
2024 20.9% 39.3%
2023 21.5% 39.6%
2022 22% 39.9%
2021 22.7% 40.1%
2020 23.4% 40.4%
2019 24.2% 40.7%
2018 25% 40.9%
2017 25.8% 41.2%
2016 26.5% 41.6%
2015 27% 42%
2014 27.4% 42.4%
2013 27.8% 42.8%
2012 28.3% 43.3%
2011 28.8% 43.7%
2010 29.4% 44%
2009 30.1% 44.3%
2008 30.8% 44.6%
2007 31.6% 44.8%
2006 32.4% 45%
2005 33.2% 45.2%
2004 34.3% 45.3%
2003 35.5% 45.4%
2002 36.6% 45.4%
2001 37.7% 45.4%
2000 38.6% 45.4%
1999 39.4% 45.4%
1998 40.1% 45.4%
1997 40.7% 45.3%
1996 41.3% 45.3%
1995 41.7% 45.3%
1994 42.1% 45.4%
1993 42.4% 45.5%
1992 42.6% 45.6%
1991 42.8% 45.7%
1990 42.9% 45.9%
1989 43% 46.1%
1988 43% 46.3%
1987 43.1% 46.5%
1986 43.1% 46.7%
1985 43.1% 46.8%
1984 43.1% 46.9%
1983 43.1% 47%
1982 43% 47.1%
1981 42.9% 47.1%
1980 42.8% 47%
1979 42.7% 46.9%
1978 42.6% 46.8%
1977 42.5% 46.7%
1976 42.4% 46.6%
1975 42.3% 46.5%
1974 42.2% 46.5%
1973 42.1% 46.4%
1972 42% 46.4%
1971 41.9% 46.4%
1970 41.8% 46.4%
1969 41.8% 46.4%
1968 41.8% 46.5%
1967 41.7% 46.5%
1966 41.7% 46.6%
1965 41.7% 46.7%
1964 41.8% 46.8%
1963 41.8% 46.7%
1962 41.9% 46.3%
1961 42.1% 45.8%
1960 42.3% 45.2%

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/bhutan/madagascar | CC BY

Children aged 0-14 make up 20.9% of the population in Bhutan and 39.3% in Madagascar in 2024, compared to 42.9% and 45.9% respectively in 1990.

Demographics of Bhutan and Madagascar compared.

Fertility rates around the globe

1x

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

GeoRank.org/birth-rate/bhutan/madagascar | CC BY

Maternal mortality chart: Bhutan vs Madagascar

Bhutan
Madagascar
1x
Year Maternal mortality per 100K births
Bhutan Madagascar
2023 47 445
2022 49 439
2021 50 467
2020 51 447
2019 52 462
2018 55 466
2017 58 469
2016 63 470
2015 68 474
2014 73 477
2013 79 481
2012 86 487
2011 96 492
2010 107 500
2009 121 507
2008 133 510
2007 149 522
2006 167 528
2005 186 540
2004 207 555
2003 229 571
2002 257 593
2001 286 611
2000 324 638
1999 346 647
1998 378 663
1997 415 676
1996 450 680
1995 498 684
1994 544 688
1993 578 688
1992 656 699
1991 671 691
1990 704 692
1989 747 684
1988 798 687
1987 857 702
1986 911 730
1985 969 751

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

GeoRank.org/birth-rate/bhutan/madagascar | CC BY

The maternal mortality rate, which is the probability of dying during childbirth or within 42 days of pregnancy termination, is 47 deaths per 100,000 live births in Bhutan, compared to 445 deaths in Madagascar.

Under-five mortality rates

Bhutan
Madagascar

Probability that a newborn baby will die before reaching age five

1x
Year Under 5 mortality rate
Bhutan Madagascar
2023 2.31% 6.48%
2022 2.39% 6.57%
2021 2.47% 6.62%
2020 2.55% 6.63%
2019 2.65% 6.61%
2018 2.74% 6.58%
2017 2.85% 6.57%
2016 2.96% 6.57%
2015 3.08% 6.58%
2014 3.22% 6.62%
2013 3.38% 6.69%
2012 3.56% 6.77%
2011 3.77% 6.9%
2010 4.03% 7.07%
2009 4.31% 7.28%
2008 4.62% 7.53%
2007 4.96% 7.81%
2006 5.32% 8.12%
2005 5.71% 8.46%
2004 6.12% 8.82%
2003 6.54% 9.2%
2002 6.96% 9.6%
2001 7.4% 10%
2000 7.85% 10.5%
1999 8.3% 11%
1998 8.77% 11.5%
1997 9.26% 12%
1996 9.75% 12.6%
1995 10.3% 13.1%
1994 10.8% 13.5%
1993 11.3% 14%
1992 11.8% 14.5%
1991 12.3% 15%
1990 12.8% 15.6%
1989 13.4% 16.1%
1988 14% 16.6%
1987 14.6% 17.1%
1986 15.3% 17.5%
1985 15.9% 17.7%
1984 16.6% 17.8%
1983 17.3% 17.8%
1982 18% 17.6%
1981 18.7% 17.4%
1980 19.5% 17.1%
1979 20.2% 16.9%
1978 20.9% 16.7%
1977 21.6% 16.5%
1976 22.3% 16.3%
1975 22.9% 16.1%
1974 23.6% 15.8%
1973 24.3% 15.6%
1972 24.9% 15.3%
1971 25.5% 15.1%
1970 26.2% 14.9%
1969 26.7% 14.7%
1968 27.4% 14.6%

Data sources: World Bank | Health (1968–2023, retrieved 2026-04-06).

GeoRank.org/birth-rate/bhutan/madagascar | CC BY

The chance that a newborn baby will die before reaching age five is 2.31% in Bhutan and 6.48% in Madagascar. 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. Central Intelligence Agency (CIA) (2025, retrieved 2026-02-20)

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