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Fertility & birth rates in Bhutan and Sao Tome and Principe

Updated on by Georank team

Bhutan has an annual birth rate of 12.7 births per 1,000 people, compared to 28.2 for Sao Tome and Principe. The average number of children a woman is expected to have during her lifetime — the fertility rate, is 1.46 in Bhutan and 3.64 in Sao Tome and Principe — 149.2% difference.

1960 vs 2023, the fertility rate has decreased by 78.2% in Bhutan and by 41.6% in Sao Tome and Principe — in 1960, it was 6.7 and 6.24, respectively.

  • Bhutan is ranked 110/196 by birth rate compared to 39/196 for Sao Tome and Principe.
  • The mean age at childbearing (for all the births, not just the first) is 30.1 in Bhutan — it's 28.4 in Sao Tome and Principe.
  • Annual births per 1,000 women ages 15-19 (adolescent birth rate or teenage mother rate) is 9.36 in Bhutan vs 86.2 in Sao Tome and Principe.
  • In Bhutan, 27.7% of the population is composed of women of reproductive age (15-49), compared to 25.2% in Sao Tome and Principe.

Fertility rate in Bhutan vs Sao Tome and Principe by year

Bhutan
Sao Tome and Principe
1x
Year Fertility rate
Bhutan Sao Tome
2023 1.46 3.64
2022 1.48 3.7
2021 1.49 3.76
2020 1.5 3.83
2019 1.45 3.9
2018 1.52 3.98
2017 1.62 4.07
2016 1.74 4.2
2015 1.84 4.35
2014 1.92 4.49
2013 2 4.58
2012 2.07 4.66
2011 2.15 4.72
2010 2.25 4.77
2009 2.36 4.84
2008 2.48 4.91
2007 2.59 4.96
2006 2.66 4.93
2005 2.73 4.94
2004 2.78 4.96
2003 2.87 5.01
2002 3.01 5.06
2001 3.19 5.1
2000 3.38 5.16
1999 3.61 5.23
1998 3.85 5.3
1997 4.09 5.4
1996 4.37 5.47
1995 4.62 5.55
1994 4.87 5.56
1993 5.07 5.64
1992 5.27 5.7
1991 5.45 5.77
1990 5.6 5.83
1989 5.76 5.88
1988 5.88 5.94
1987 6 5.99
1986 6.1 6.05
1985 6.18 6.1
1984 6.26 6.16
1983 6.34 6.22
1982 6.4 6.28
1981 6.46 6.33
1980 6.51 6.39
1979 6.55 6.43
1978 6.58 6.47
1977 6.61 6.5
1976 6.62 6.52
1975 6.62 6.53
1974 6.62 6.53
1973 6.63 6.53
1972 6.64 6.51
1971 6.64 6.49
1970 6.65 6.47
1969 6.66 6.44
1968 6.66 6.42
1967 6.67 6.39
1966 6.67 6.37
1965 6.68 6.35
1964 6.68 6.33
1963 6.69 6.31
1962 6.69 6.28
1961 6.7 6.26
1960 6.7 6.24

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

GeoRank.org/birth-rate/bhutan/sao-tome-and-principe | 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 3.64 in Sao Tome and Principe in 2023. The replacement level is considered to be 2.1 children per woman.

Check Bhutan vs Sao Tome and Principe population clock for a dynamic visualization of the changing population.

Natural population change by year

Bhutan
Sao Tome and Principe
1x
Year Natural population change
Bhutan Sao Tome
2023 5,153 5,221
2022 5,204 5,102
2021 5,162 4,954
2020 5,142 4,874
2019 4,643 4,932
2018 4,909 4,957
2017 5,367 5,007
2016 6,164 5,125
2015 6,762 5,269
2014 7,290 5,381
2013 7,689 5,449
2012 7,967 5,501
2011 8,282 5,445
2010 8,598 5,391
2009 8,913 5,349
2008 9,200 5,297
2007 9,322 5,226
2006 9,197 5,057
2005 9,102 4,897
2004 9,056 4,810
2003 9,132 4,702
2002 9,464 4,591
2001 9,904 4,471
2000 10,142 4,334
1999 10,940 4,221
1998 11,320 4,120
1997 11,668 4,041
1996 12,153 3,993
1995 12,938 3,948
1994 13,536 3,860
1993 13,915 3,841
1992 15,594 3,822
1991 15,801 3,801
1990 15,704 3,719
1989 15,516 3,576
1988 15,212 3,544
1987 14,887 3,440
1986 14,516 3,180
1985 14,061 3,242
1984 13,688 3,163
1983 13,284 3,100
1982 12,872 3,047
1981 12,444 3,015
1980 12,016 2,965
1979 11,583 2,893
1978 11,133 2,800
1977 10,679 2,705
1976 10,228 2,608
1975 9,775 2,515
1974 9,324 2,422
1973 8,939 2,329
1972 8,549 2,232
1971 8,161 2,127
1970 7,791 1,980
1969 7,435 1,862
1968 7,085 1,767
1967 6,744 1,693
1966 6,418 1,642
1965 6,109 1,611
1964 5,818 1,600
1963 5,551 1,609
1962 5,297 1,625
1961 5,081 1,657
1960 4,888 1,547

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

GeoRank.org/birth-rate/bhutan/sao-tome-and-principe | 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 +2.26% in Sao Tome and Principe.

For the past 10 years, the annual natural population change has been +0.74% in Bhutan and +2.4% in Sao Tome and Principe.

Birth rate in Bhutan vs Sao Tome and Principe by year

Bhutan
Sao Tome and Principe

Annual births per 1,000 people

1x
Year Annual births per 1,000 people
Bhutan Sao Tome
2023 12.7 28.2
2022 12.8 28.3
2021 12.9 28.5
2020 13 28.6
2019 12.4 29.2
2018 12.9 29.8
2017 13.8 30.6
2016 14.8 31.7
2015 15.7 33
2014 16.4 34.3
2013 17.1 35.4
2012 17.6 36.4
2011 18.2 36.8
2010 18.9 37.3
2009 19.6 37.9
2008 20.3 38.5
2007 20.8 38.9
2006 21 38.9
2005 21.1 39
2004 21.3 39.2
2003 21.7 39.6
2002 22.7 39.8
2001 23.9 40
2000 25.2 39.7
1999 26.8 39.4
1998 28.3 39.2
1997 29.7 39.2
1996 31.3 39.3
1995 33.3 39.5
1994 34.6 39.4
1993 35.5 39.8
1992 38.3 40.2
1991 37.6 40.7
1990 38.2 40.7
1989 39 40.9
1988 39.8 40.9
1987 40.5 41
1986 41.1 41
1985 41.6 41
1984 42.3 41.1
1983 42.9 41.2
1982 43.4 41.3
1981 44 41.5
1980 44.5 41.6
1979 45 41.6
1978 45.4 41.4
1977 45.8 41.3
1976 46.1 41.1
1975 46.4 40.9
1974 46.6 40.6
1973 47 40.3
1972 47.2 39.9
1971 47.5 39.5
1970 47.7 38.8
1969 48 38.2
1968 48.2 37.8
1967 48.3 37.7
1966 48.4 38
1965 48.5 38.6
1964 48.6 39.7
1963 48.6 41.1
1962 48.6 42.7
1961 48.7 44.6
1960 48.8 44.6

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

GeoRank.org/birth-rate/bhutan/sao-tome-and-principe | CC BY

The latest reported birth rate per 1,000 people in 2023 was 12.7 in Bhutan and 28.2 in Sao Tome and Principe, compared with 48.8 and 44.6, respectively, in 1960.

Birth rate data compared

Bhutan Sao Tome
Fertility rate 1.46 3.64
Fertility rate rank 152/196 41/196
Birth rate 12.7 28.2
Birth rate rank 110/196 39/196
Population change due to births and deaths +5,153 +5,221
Natural population change rank 127/196 126/196
Natural population change rate +0.66% +2.26%
Population growth +0.65% +2.02%
Population growth rank 120/197 49/197
Age at first childbirth n/a 19.4 years
Average age at childbearing 30.1 years 28.4 years
Annual births per 1,000 women ages 15-19 7.36 82.5
Annual births per 1,000 women ages 20-29 69.6 169.9
Annual births per 1,000 women ages 30+ 24.4 47.4
Female of reproductive age (15-49), share of population 27.7% 25.2%
Any modern method of contraceptive prevalence among married women ages 15-49 65.4% 46%
Share of births attended by skilled health staff 98.9% 96.8%
Maternal mortality per live birth 0.05% 0.08%
Neonatal mortality rate (before reaching 28 days of age) 1.27% 0.68%
Infant mortality rate (before reaching 1 year of age) 1.85% 0.94%
Mortality rate before reaching 5 years of age 2.31% 1.39%
Life expectancy 73.8 years 70.3 years

Children 0-14 years as share of population

Bhutan
Factual

UN forecast
Sao Tome and Principe
Factual

UN forecast
1x
Year Young
Bhutan Sao Tome
2100 12.3% 19.5%
2099 12.3% 19.6%
2098 12.2% 19.8%
2097 12.2% 19.9%
2096 12.2% 20%
2095 12.2% 20.2%
2094 12.2% 20.3%
2093 12.2% 20.4%
2092 12.2% 20.6%
2091 12.2% 20.7%
2090 12.2% 20.9%
2089 12.2% 21.1%
2088 12.3% 21.2%
2087 12.3% 21.4%
2086 12.3% 21.6%
2085 12.4% 21.8%
2084 12.4% 22%
2083 12.4% 22.2%
2082 12.5% 22.4%
2081 12.5% 22.6%
2080 12.5% 22.9%
2079 12.5% 23.1%
2078 12.6% 23.3%
2077 12.6% 23.5%
2076 12.6% 23.7%
2075 12.6% 24%
2074 12.6% 24.2%
2073 12.6% 24.4%
2072 12.6% 24.6%
2071 12.6% 24.8%
2070 12.6% 25%
2069 12.6% 25.2%
2068 12.6% 25.4%
2067 12.6% 25.6%
2066 12.6% 25.9%
2065 12.7% 26.1%
2064 12.7% 26.3%
2063 12.8% 26.5%
2062 12.8% 26.8%
2061 12.9% 27%
2060 13% 27.3%
2059 13.2% 27.5%
2058 13.3% 27.8%
2057 13.4% 28.1%
2056 13.6% 28.4%
2055 13.8% 28.7%
2054 14% 29%
2053 14.2% 29.4%
2052 14.4% 29.7%
2051 14.5% 30.1%
2050 14.7% 30.4%
2049 14.9% 30.8%
2048 15.1% 31.1%
2047 15.3% 31.5%
2046 15.5% 31.8%
2045 15.7% 32.1%
2044 15.8% 32.5%
2043 16% 32.8%
2042 16.1% 33.1%
2041 16.3% 33.4%
2040 16.4% 33.6%
2039 16.5% 33.9%
2038 16.7% 34.1%
2037 16.8% 34.4%
2036 17% 34.6%
2035 17.1% 34.7%
2034 17.2% 34.9%
2033 17.3% 35.1%
2032 17.4% 35.3%
2031 17.8% 35.5%
2030 18.1% 35.8%
2029 18.5% 36.1%
2028 19% 36.6%
2027 19.5% 37%
2026 20.1% 37.3%
2025 20.6% 37.6%
2024 20.9% 37.8%
2023 21.5% 38.3%
2022 22% 38.8%
2021 22.7% 39.4%
2020 23.4% 39.9%
2019 24.2% 40.5%
2018 25% 40.9%
2017 25.8% 41.4%
2016 26.5% 41.7%
2015 27% 41.9%
2014 27.4% 42%
2013 27.8% 42%
2012 28.3% 42%
2011 28.8% 42%
2010 29.4% 42.1%
2009 30.1% 42.1%
2008 30.8% 42.1%
2007 31.6% 42%
2006 32.4% 42%
2005 33.2% 42%
2004 34.3% 42.1%
2003 35.5% 42.2%
2002 36.6% 42.3%
2001 37.7% 42.5%
2000 38.6% 42.8%
1999 39.4% 43.4%
1998 40.1% 43.9%
1997 40.7% 44.3%
1996 41.3% 44.7%
1995 41.7% 44.9%
1994 42.1% 45.1%
1993 42.4% 45.2%
1992 42.6% 45.2%
1991 42.8% 45.1%
1990 42.9% 45.1%
1989 43% 45%
1988 43% 45%
1987 43.1% 44.9%
1986 43.1% 44.7%
1985 43.1% 44.5%
1984 43.1% 44.4%
1983 43.1% 44.5%
1982 43% 44.5%
1981 42.9% 44.7%
1980 42.8% 44.9%
1979 42.7% 45.1%
1978 42.6% 45.2%
1977 42.5% 45.3%
1976 42.4% 45.4%
1975 42.3% 45.5%
1974 42.2% 45.6%
1973 42.1% 45.7%
1972 42% 45.9%
1971 41.9% 46.1%
1970 41.8% 46.2%
1969 41.8% 45.8%
1968 41.8% 44.9%
1967 41.7% 44%
1966 41.7% 42.9%
1965 41.7% 41.6%
1964 41.8% 40.2%
1963 41.8% 38.5%
1962 41.9% 36.6%
1961 42.1% 34.3%
1960 42.3% 32.9%

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/sao-tome-and-principe | CC BY

Children aged 0-14 make up 20.9% of the population in Bhutan and 37.8% in Sao Tome and Principe in 2024, compared to 42.9% and 45.1% respectively in 1990.

Demographics of Bhutan and Sao Tome and Principe compared.

Fertility rates around the globe

1x

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

GeoRank.org/birth-rate/bhutan/sao-tome-and-principe | CC BY

Maternal mortality chart: Bhutan vs Sao Tome and Principe

Bhutan
Sao Tome and Principe
1x
Year Maternal mortality per 100K births
Bhutan Sao Tome
2023 47 75
2022 49 82
2021 50 98
2020 51 92
2019 52 95
2018 55 100
2017 58 110
2016 63 119
2015 68 128
2014 73 138
2013 79 150
2012 86 158
2011 96 164
2010 107 170
2009 121 172
2008 133 174
2007 149 174
2006 167 177
2005 186 181
2004 207 177
2003 229 178
2002 257 179
2001 286 178
2000 324 180
1999 346 179
1998 378 175
1997 415 173
1996 450 171
1995 498 172
1994 544 168
1993 578 166
1992 656 164
1991 671 166
1990 704 164
1989 747 167
1988 798 157
1987 857 161
1986 911 175
1985 969 159

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

GeoRank.org/birth-rate/bhutan/sao-tome-and-principe | 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 75 deaths in Sao Tome and Principe.

Under-five mortality rates

Bhutan
Sao Tome and Principe

Probability that a newborn baby will die before reaching age five

1x
Year Under 5 mortality rate
Bhutan Sao Tome
2023 2.31% 1.39%
2022 2.39% 1.46%
2021 2.47% 1.53%
2020 2.55% 1.6%
2019 2.65% 1.7%
2018 2.74% 1.81%
2017 2.85% 1.95%
2016 2.96% 2.11%
2015 3.08% 2.31%
2014 3.22% 2.54%
2013 3.38% 2.77%
2012 3.56% 3.04%
2011 3.77% 3.33%
2010 4.03% 3.63%
2009 4.31% 3.95%
2008 4.62% 4.3%
2007 4.96% 4.68%
2006 5.32% 5.11%
2005 5.71% 5.56%
2004 6.12% 6.05%
2003 6.54% 6.57%
2002 6.96% 7.1%
2001 7.4% 7.66%
2000 7.85% 8.21%
1999 8.3% 8.76%
1998 8.77% 9.26%
1997 9.26% 9.73%
1996 9.75% 10.1%
1995 10.3% 10.4%
1994 10.8% 10.7%
1993 11.3% 10.8%
1992 11.8% 10.9%
1991 12.3% 10.9%
1990 12.8% 10.8%
1989 13.4% 10.7%
1988 14% 10.6%
1987 14.6% 10.4%
1986 15.3% 11.4%
1985 15.9% 9.99%
1984 16.6% 9.77%
1983 17.3% 9.56%
1982 18% 9.37%
1981 18.7% 9.21%
1980 19.5% 9.1%
1979 20.2% 9.02%
1978 20.9% 8.96%
1977 21.6% 8.93%
1976 22.3% 8.89%
1975 22.9% 8.85%
1974 23.6% 8.79%
1973 24.3% 8.73%
1972 24.9% 8.67%
1971 25.5% 8.63%
1970 26.2% 8.64%
1969 26.7% 8.71%
1968 27.4% 8.85%
1967 - 9.04%
1966 - 9.29%
1965 - 9.56%

Data sources: World Bank | Health (1965–2023, retrieved 2026-04-06).

GeoRank.org/birth-rate/bhutan/sao-tome-and-principe | CC BY

The chance that a newborn baby will die before reaching age five is 2.31% in Bhutan and 1.39% in Sao Tome and Principe. 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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