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Fertility & birth rates in Bhutan and Sierra Leone

Updated on by Georank team

Bhutan has an annual birth rate of 12.7 births per 1,000 people, compared to 30.6 for Sierra Leone. The average number of children a woman is expected to have during her lifetime — the fertility rate, is 1.46 in Bhutan and 3.79 in Sierra Leone — 159.3% difference.

1960 vs 2023, the fertility rate has decreased by 78.2% in Bhutan and by 38.6% in Sierra Leone — in 1960, it was 6.7 and 6.18, respectively.

  • Bhutan is ranked 110/196 by birth rate compared to 29/196 for Sierra Leone.
  • The mean age at childbearing (for all the births, not just the first) is 30.1 in Bhutan — it's 28.5 in Sierra Leone.
  • Annual births per 1,000 women ages 15-19 (adolescent birth rate or teenage mother rate) is 9.36 in Bhutan vs 93.6 in Sierra Leone.
  • In Bhutan, 27.7% of the population is composed of women of reproductive age (15-49), compared to 25.4% in Sierra Leone.

Fertility rate in Bhutan vs Sierra Leone by year

Bhutan
Sierra Leone
1x
Year Fertility rate
Bhutan Sierra Leone
2023 1.46 3.79
2022 1.48 3.88
2021 1.49 3.98
2020 1.5 4.08
2019 1.45 4.19
2018 1.52 4.29
2017 1.62 4.39
2016 1.74 4.47
2015 1.84 4.55
2014 1.92 4.7
2013 2 4.87
2012 2.07 5.06
2011 2.15 5.21
2010 2.25 5.33
2009 2.36 5.45
2008 2.48 5.56
2007 2.59 5.64
2006 2.66 5.74
2005 2.73 5.81
2004 2.78 5.92
2003 2.87 6.09
2002 3.01 6.23
2001 3.19 6.31
2000 3.38 6.36
1999 3.61 6.42
1998 3.85 6.5
1997 4.09 6.53
1996 4.37 6.55
1995 4.62 6.56
1994 4.87 6.56
1993 5.07 6.57
1992 5.27 6.56
1991 5.45 6.55
1990 5.6 6.57
1989 5.76 6.57
1988 5.88 6.59
1987 6 6.61
1986 6.1 6.6
1985 6.18 6.59
1984 6.26 6.59
1983 6.34 6.57
1982 6.4 6.56
1981 6.46 6.55
1980 6.51 6.56
1979 6.55 6.58
1978 6.58 6.59
1977 6.61 6.57
1976 6.62 6.55
1975 6.62 6.55
1974 6.62 6.53
1973 6.63 6.47
1972 6.64 6.45
1971 6.64 6.43
1970 6.65 6.41
1969 6.66 6.39
1968 6.66 6.39
1967 6.67 6.38
1966 6.67 6.35
1965 6.68 6.31
1964 6.68 6.29
1963 6.69 6.26
1962 6.69 6.22
1961 6.7 6.21
1960 6.7 6.18

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

GeoRank.org/birth-rate/bhutan/sierra-leone | 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 3.79 in Sierra Leone in 2023. The replacement level is considered to be 2.1 children per woman.

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

Natural population change by year

Bhutan
Sierra Leone
1x
Year Natural population change
Bhutan Sierra Leone
2023 5,153 188,788
2022 5,204 186,625
2021 5,162 183,326
2020 5,142 181,015
2019 4,643 181,068
2018 4,909 178,772
2017 5,367 173,259
2016 6,164 168,784
2015 6,762 162,275
2014 7,290 160,137
2013 7,689 161,265
2012 7,967 160,915
2011 8,282 158,858
2010 8,598 155,338
2009 8,913 152,669
2008 9,200 149,855
2007 9,322 145,740
2006 9,197 144,127
2005 9,102 137,234
2004 9,056 132,661
2003 9,132 130,312
2002 9,464 126,429
2001 9,904 116,647
2000 10,142 110,754
1999 10,940 102,295
1998 11,320 103,906
1997 11,668 105,433
1996 12,153 104,140
1995 12,938 100,885
1994 13,536 101,486
1993 13,915 103,317
1992 15,594 103,251
1991 15,801 105,477
1990 15,704 100,778
1989 15,516 98,298
1988 15,212 96,344
1987 14,887 94,235
1986 14,516 90,902
1985 14,061 88,869
1984 13,688 87,072
1983 13,284 84,628
1982 12,872 82,457
1981 12,444 80,111
1980 12,016 77,932
1979 11,583 75,992
1978 11,133 74,130
1977 10,679 71,663
1976 10,228 69,506
1975 9,775 67,560
1974 9,324 65,357
1973 8,939 62,443
1972 8,549 60,279
1971 8,161 58,484
1970 7,791 56,513
1969 7,435 54,768
1968 7,085 53,126
1967 6,744 51,734
1966 6,418 49,486
1965 6,109 47,223
1964 5,818 45,487
1963 5,551 43,569
1962 5,297 41,603
1961 5,081 40,022
1960 4,888 38,192

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

GeoRank.org/birth-rate/bhutan/sierra-leone | 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 +2.23% in Sierra Leone.

For the past 10 years, the annual natural population change has been +0.74% in Bhutan and +2.31% in Sierra Leone.

Birth rate in Bhutan vs Sierra Leone by year

Bhutan
Sierra Leone

Annual births per 1,000 people

1x
Year Annual births per 1,000 people
Bhutan Sierra Leone
2023 12.7 30.6
2022 12.8 31.1
2021 12.9 31.6
2020 13 32.2
2019 12.4 32.8
2018 12.9 33.3
2017 13.8 33.8
2016 14.8 34.2
2015 15.7 34.7
2014 16.4 35.6
2013 17.1 36.6
2012 17.6 37.8
2011 18.2 38.5
2010 18.9 39.1
2009 19.6 39.9
2008 20.3 40.6
2007 20.8 41.1
2006 21 41.8
2005 21.1 42
2004 21.3 42.5
2003 21.7 43.5
2002 22.7 44.3
2001 23.9 44
2000 25.2 45
1999 26.8 46.1
1998 28.3 46.3
1997 29.7 46.3
1996 31.3 46.5
1995 33.3 46.8
1994 34.6 46.8
1993 35.5 46.9
1992 38.3 47
1991 37.6 47.5
1990 38.2 45.5
1989 39 46.3
1988 39.8 46.4
1987 40.5 46.6
1986 41.1 46.6
1985 41.6 46.7
1984 42.3 46.8
1983 42.9 46.7
1982 43.4 46.8
1981 44 46.8
1980 44.5 46.8
1979 45 47
1978 45.4 47.2
1977 45.8 47.1
1976 46.1 47.2
1975 46.4 47.3
1974 46.6 47.4
1973 47 47.2
1972 47.2 47.2
1971 47.5 47.3
1970 47.7 47.4
1969 48 47.5
1968 48.2 47.7
1967 48.3 47.9
1966 48.4 48
1965 48.5 48
1964 48.6 48.2
1963 48.6 48.2
1962 48.6 48.1
1961 48.7 48.1
1960 48.8 48

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

GeoRank.org/birth-rate/bhutan/sierra-leone | CC BY

The latest reported birth rate per 1,000 people in 2023 was 12.7 in Bhutan and 30.6 in Sierra Leone, compared with 48.8 and 48, respectively, in 1960.

Birth rate data compared

Bhutan Sierra Leone
Fertility rate 1.46 3.79
Fertility rate rank 152/196 35/196
Birth rate 12.7 30.6
Birth rate rank 110/196 29/196
Population change due to births and deaths +5,153 +188,788
Natural population change rank 127/196 62/196
Natural population change rate +0.66% +2.23%
Population growth +0.65% +2.15%
Population growth rank 120/197 47/197
Age at first childbirth n/a 19.6 years
Average age at childbearing 30.1 years 28.5 years
Annual births per 1,000 women ages 15-19 7.36 87.7
Annual births per 1,000 women ages 20-29 69.6 169.3
Annual births per 1,000 women ages 30+ 24.4 53.4
Female of reproductive age (15-49), share of population 27.7% 25.4%
Any modern method of contraceptive prevalence among married women ages 15-49 65.4% 20.9%
Share of births attended by skilled health staff 98.9% 86.9%
Maternal mortality per live birth 0.05% 0.35%
Neonatal mortality rate (before reaching 28 days of age) 1.27% 2.93%
Infant mortality rate (before reaching 1 year of age) 1.85% 5.62%
Mortality rate before reaching 5 years of age 2.31% 9.43%
Life expectancy 73.8 years 62.3 years

Children 0-14 years as share of population

Bhutan
Factual

UN forecast
Sierra Leone
Factual

UN forecast
1x
Year Young
Bhutan Sierra Leone
2100 12.3% 19%
2099 12.3% 19%
2098 12.2% 19.1%
2097 12.2% 19.2%
2096 12.2% 19.3%
2095 12.2% 19.5%
2094 12.2% 19.6%
2093 12.2% 19.7%
2092 12.2% 19.8%
2091 12.2% 19.9%
2090 12.2% 20%
2089 12.2% 20.1%
2088 12.3% 20.3%
2087 12.3% 20.4%
2086 12.3% 20.5%
2085 12.4% 20.7%
2084 12.4% 20.8%
2083 12.4% 20.9%
2082 12.5% 21.1%
2081 12.5% 21.2%
2080 12.5% 21.4%
2079 12.5% 21.6%
2078 12.6% 21.7%
2077 12.6% 21.9%
2076 12.6% 22.1%
2075 12.6% 22.2%
2074 12.6% 22.4%
2073 12.6% 22.6%
2072 12.6% 22.8%
2071 12.6% 23%
2070 12.6% 23.2%
2069 12.6% 23.4%
2068 12.6% 23.6%
2067 12.6% 23.8%
2066 12.6% 24%
2065 12.7% 24.3%
2064 12.7% 24.5%
2063 12.8% 24.7%
2062 12.8% 25%
2061 12.9% 25.2%
2060 13% 25.5%
2059 13.2% 25.7%
2058 13.3% 26%
2057 13.4% 26.3%
2056 13.6% 26.6%
2055 13.8% 26.9%
2054 14% 27.1%
2053 14.2% 27.4%
2052 14.4% 27.7%
2051 14.5% 28.1%
2050 14.7% 28.4%
2049 14.9% 28.7%
2048 15.1% 29%
2047 15.3% 29.3%
2046 15.5% 29.7%
2045 15.7% 30%
2044 15.8% 30.3%
2043 16% 30.7%
2042 16.1% 31.1%
2041 16.3% 31.4%
2040 16.4% 31.8%
2039 16.5% 32.2%
2038 16.7% 32.6%
2037 16.8% 33%
2036 17% 33.4%
2035 17.1% 33.8%
2034 17.2% 34.2%
2033 17.3% 34.6%
2032 17.4% 35%
2031 17.8% 35.4%
2030 18.1% 35.7%
2029 18.5% 36.1%
2028 19% 36.5%
2027 19.5% 37%
2026 20.1% 37.4%
2025 20.6% 37.9%
2024 20.9% 38.1%
2023 21.5% 38.5%
2022 22% 39%
2021 22.7% 39.4%
2020 23.4% 39.8%
2019 24.2% 40.2%
2018 25% 40.6%
2017 25.8% 41%
2016 26.5% 41.4%
2015 27% 41.8%
2014 27.4% 42.2%
2013 27.8% 42.5%
2012 28.3% 42.8%
2011 28.8% 43%
2010 29.4% 43.2%
2009 30.1% 43.4%
2008 30.8% 43.5%
2007 31.6% 43.6%
2006 32.4% 43.7%
2005 33.2% 43.8%
2004 34.3% 43.9%
2003 35.5% 43.9%
2002 36.6% 43.9%
2001 37.7% 43.9%
2000 38.6% 43.8%
1999 39.4% 43.7%
1998 40.1% 43.6%
1997 40.7% 43.5%
1996 41.3% 43.5%
1995 41.7% 43.4%
1994 42.1% 43.3%
1993 42.4% 43.2%
1992 42.6% 43.1%
1991 42.8% 43%
1990 42.9% 42.9%
1989 43% 42.9%
1988 43% 42.8%
1987 43.1% 42.7%
1986 43.1% 42.6%
1985 43.1% 42.5%
1984 43.1% 42.3%
1983 43.1% 42.2%
1982 43% 42.1%
1981 42.9% 42%
1980 42.8% 41.9%
1979 42.7% 41.8%
1978 42.6% 41.7%
1977 42.5% 41.6%
1976 42.4% 41.4%
1975 42.3% 41.3%
1974 42.2% 41.1%
1973 42.1% 40.9%
1972 42% 40.7%
1971 41.9% 40.6%
1970 41.8% 40.3%
1969 41.8% 40.1%
1968 41.8% 39.9%
1967 41.7% 39.6%
1966 41.7% 39.4%
1965 41.7% 39.1%
1964 41.8% 38.8%
1963 41.8% 38.5%
1962 41.9% 38.3%
1961 42.1% 38.3%
1960 42.3% 38.2%

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/sierra-leone | CC BY

Children aged 0-14 make up 20.9% of the population in Bhutan and 38.1% in Sierra Leone in 2024, compared to 42.9% and 42.9% respectively in 1990.

Demographics of Bhutan and Sierra Leone compared.

Fertility rates around the globe

1x

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

GeoRank.org/birth-rate/bhutan/sierra-leone | CC BY

Maternal mortality chart: Bhutan vs Sierra Leone

Bhutan
Sierra Leone
1x
Year Maternal mortality per 100K births
Bhutan Sierra Leone
2023 47 354
2022 49 370
2021 50 403
2020 51 422
2019 52 464
2018 55 491
2017 58 578
2016 63 633
2015 68 730
2014 73 821
2013 79 842
2012 86 915
2011 96 967
2010 107 1,018
2009 121 1,054
2008 133 1,093
2007 149 1,132
2006 167 1,168
2005 186 1,294
2004 207 1,366
2003 229 1,433
2002 257 1,492
2001 286 1,518
2000 324 1,603
1999 346 1,731
1998 378 1,753
1997 415 1,721
1996 450 1,726
1995 498 1,777
1994 544 1,755
1993 578 1,696
1992 656 1,681
1991 671 1,699
1990 704 1,572
1989 747 1,575
1988 798 1,549
1987 857 1,533
1986 911 1,530
1985 969 1,506

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

GeoRank.org/birth-rate/bhutan/sierra-leone | 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 354 deaths in Sierra Leone.

Under-five mortality rates

Bhutan
Sierra Leone

Probability that a newborn baby will die before reaching age five

1x
Year Under 5 mortality rate
Bhutan Sierra Leone
2023 2.31% 9.43%
2022 2.39% 9.77%
2021 2.47% 10.1%
2020 2.55% 10.5%
2019 2.65% 10.9%
2018 2.74% 11.3%
2017 2.85% 11.8%
2016 2.96% 12.3%
2015 3.08% 13.8%
2014 3.22% 13.7%
2013 3.38% 13.9%
2012 3.56% 14.5%
2011 3.77% 15.2%
2010 4.03% 15.9%
2009 4.31% 16.6%
2008 4.62% 17.3%
2007 4.96% 18.1%
2006 5.32% 18.8%
2005 5.71% 19.4%
2004 6.12% 20.1%
2003 6.54% 20.7%
2002 6.96% 21.3%
2001 7.4% 21.8%
2000 7.85% 22.4%
1999 8.3% 22.9%
1998 8.77% 23.4%
1997 9.26% 23.9%
1996 9.75% 24.3%
1995 10.3% 24.7%
1994 10.8% 25%
1993 11.3% 25.3%
1992 11.8% 25.5%
1991 12.3% 25.7%
1990 12.8% 25.9%
1989 13.4% 26.2%
1988 14% 26.4%
1987 14.6% 26.6%
1986 15.3% 26.9%
1985 15.9% 27.2%
1984 16.6% 27.5%
1983 17.3% 27.8%
1982 18% 28.1%
1981 18.7% 28.5%
1980 19.5% 28.9%
1979 20.2% 29.2%
1978 20.9% 29.6%
1977 21.6% 30%
1976 22.3% 30.5%
1975 22.9% 30.9%
1974 23.6% 31.4%
1973 24.3% 31.9%
1972 24.9% 32.3%
1971 25.5% 32.9%
1970 26.2% 33.4%
1969 26.7% 33.9%
1968 27.4% 34.5%
1967 - 35%
1966 - 35.6%
1965 - 36.2%
1964 - 36.8%
1963 - 37.4%
1962 - 38%
1961 - 38.5%
1960 - 39.1%

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

GeoRank.org/birth-rate/bhutan/sierra-leone | CC BY

The chance that a newborn baby will die before reaching age five is 2.31% in Bhutan and 9.43% in Sierra Leone. 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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