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Fertility & birth rates in Central African Republic and Sierra Leone

Updated on by Georank team

The Central African Republic has an annual birth rate of 46.4 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 6.01 in the Central African Republic and 3.79 in Sierra Leone — 36.9% difference.

1960 vs 2023, the fertility rate has changed by +1.08% in the Central African Republic and by 38.6% in Sierra Leone — in 1960, it was 5.95 and 6.18, respectively.

  • The Central African Republic is ranked 1/196 by birth rate compared to 29/196 for Sierra Leone.
  • The mean age at childbearing (for all the births, not just the first) is 28.9 in the Central African Republic — it's 28.5 in Sierra Leone.
  • Annual births per 1,000 women ages 15-19 (adolescent birth rate or teenage mother rate) is 163.1 in the Central African Republic vs 93.6 in Sierra Leone.
  • In the Central African Republic, 23.2% of the population is composed of women of reproductive age (15-49), compared to 25.4% in Sierra Leone.

Fertility rate in Central African Republic vs Sierra Leone by year

Central African Republic
Sierra Leone
1x
Year Fertility rate
CAR Sierra Leone
2023 6.01 3.79
2022 6.02 3.88
2021 6.05 3.98
2020 6.06 4.08
2019 6.09 4.19
2018 6.11 4.29
2017 6.13 4.39
2016 6.13 4.47
2015 6.13 4.55
2014 6.1 4.7
2013 6.08 4.87
2012 6.05 5.06
2011 6.01 5.21
2010 5.96 5.33
2009 5.94 5.45
2008 5.9 5.56
2007 5.87 5.64
2006 5.84 5.74
2005 5.81 5.81
2004 5.78 5.92
2003 5.8 6.09
2002 5.79 6.23
2001 5.81 6.31
2000 5.85 6.36
1999 5.88 6.42
1998 5.89 6.5
1997 5.92 6.53
1996 5.96 6.55
1995 5.94 6.56
1994 5.92 6.56
1993 5.93 6.57
1992 5.96 6.56
1991 6.03 6.55
1990 6.05 6.57
1989 6.07 6.57
1988 6.1 6.59
1987 6.12 6.61
1986 6.11 6.6
1985 6.12 6.59
1984 6.14 6.59
1983 6.15 6.57
1982 6.16 6.56
1981 6.17 6.55
1980 6.13 6.56
1979 6.09 6.58
1978 6.04 6.59
1977 5.99 6.57
1976 5.94 6.55
1975 5.88 6.55
1974 5.9 6.53
1973 5.93 6.47
1972 5.96 6.45
1971 5.99 6.43
1970 6.03 6.41
1969 6.06 6.39
1968 6.1 6.39
1967 6.08 6.38
1966 6.06 6.35
1965 6.03 6.31
1964 6.01 6.29
1963 5.99 6.26
1962 5.97 6.22
1961 5.96 6.21
1960 5.95 6.18

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

GeoRank.org/birth-rate/central-african-republic/sierra-leone | CC BY

According to the latest available data on birth rates, the fertility rate in the Central African Republic was 6.01 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 the Central African Republic vs Sierra Leone population clock for a dynamic visualization of the changing population.

Natural population change by year

Central African Republic
Sierra Leone
1x
Year Natural population change
CAR Sierra Leone
2023 190,325 188,788
2022 -49,456 186,625
2021 124,408 183,326
2020 156,911 181,015
2019 68,523 181,068
2018 153,361 178,772
2017 128,461 173,259
2016 142,419 168,784
2015 141,912 162,275
2014 107,448 160,137
2013 140,489 161,265
2012 146,791 160,915
2011 142,913 158,858
2010 130,539 155,338
2009 -130,613 152,669
2008 128,627 149,855
2007 123,137 145,740
2006 118,882 144,127
2005 113,534 137,234
2004 108,548 132,661
2003 105,540 130,312
2002 100,588 126,429
2001 99,598 116,647
2000 97,468 110,754
1999 96,108 102,295
1998 94,361 103,906
1997 93,378 105,433
1996 93,369 104,140
1995 92,748 100,885
1994 90,943 101,486
1993 89,873 103,317
1992 88,939 103,251
1991 88,688 105,477
1990 87,507 100,778
1989 85,969 98,298
1988 84,654 96,344
1987 83,408 94,235
1986 81,149 90,902
1985 79,266 88,869
1984 77,395 87,072
1983 75,399 84,628
1982 73,330 82,457
1981 71,391 80,111
1980 68,759 77,932
1979 66,104 75,992
1978 63,285 74,130
1977 60,436 71,663
1976 57,725 69,506
1975 55,106 67,560
1974 53,777 65,357
1973 52,525 62,443
1972 51,390 60,279
1971 50,142 58,484
1970 48,690 56,513
1969 47,066 54,768
1968 45,377 53,126
1967 42,979 51,734
1966 40,804 49,486
1965 38,710 47,223
1964 36,878 45,487
1963 35,218 43,569
1962 33,731 41,603
1961 32,383 40,022
1960 31,131 38,192

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

GeoRank.org/birth-rate/central-african-republic/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 +3.69% in the Central African Republic and +2.23% in Sierra Leone.

For the past 10 years, the annual natural population change has been +2.39% in the Central African Republic and +2.31% in Sierra Leone.

Birth rate in Central African Republic vs Sierra Leone by year

Central African Republic
Sierra Leone

Annual births per 1,000 people

1x
Year Annual births per 1,000 people
CAR Sierra Leone
2023 46.4 30.6
2022 45.4 31.1
2021 45.2 31.6
2020 44.5 32.2
2019 44.1 32.8
2018 43.8 33.3
2017 43.7 33.8
2016 43.4 34.2
2015 43.3 34.7
2014 44.6 35.6
2013 44.7 36.6
2012 45.1 37.8
2011 45.3 38.5
2010 45 39.1
2009 43.6 39.9
2008 42.5 40.6
2007 42.2 41.1
2006 42.2 41.8
2005 41.8 42
2004 41.6 42.5
2003 41.7 43.5
2002 41.4 44.3
2001 42 44
2000 42.1 45
1999 42.3 46.1
1998 42.6 46.3
1997 43 46.3
1996 43.7 46.5
1995 44.1 46.8
1994 44.2 46.8
1993 44.7 46.9
1992 45.4 47
1991 46.2 47.5
1990 46.8 45.5
1989 47.3 46.3
1988 47.8 46.4
1987 47.9 46.6
1986 47.5 46.6
1985 47.2 46.7
1984 46.9 46.8
1983 46.5 46.7
1982 46.1 46.8
1981 45.8 46.8
1980 45.1 46.8
1979 44.4 47
1978 43.7 47.2
1977 42.9 47.1
1976 42.2 47.2
1975 41.7 47.3
1974 42 47.4
1973 42.4 47.2
1972 42.8 47.2
1971 43.1 47.3
1970 43.4 47.4
1969 43.7 47.5
1968 43.8 47.7
1967 43.6 47.9
1966 43.4 48
1965 43.3 48
1964 43.2 48.2
1963 43.2 48.2
1962 43.3 48.1
1961 43.4 48.1
1960 43.5 48

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

GeoRank.org/birth-rate/central-african-republic/sierra-leone | CC BY

The latest reported birth rate per 1,000 people in 2023 was 46.4 in the Central African Republic and 30.6 in Sierra Leone, compared with 43.5 and 48, respectively, in 1960.

Birth rate data compared

CAR Sierra Leone
Fertility rate 6.01 3.79
Fertility rate rank 5/196 35/196
Birth rate 46.4 30.6
Birth rate rank 1/196 29/196
Population change due to births and deaths +190,325 +188,788
Natural population change rank 61/196 62/196
Natural population change rate +3.69% +2.23%
Population growth +3.46% +2.15%
Population growth rank 9/197 47/197
Age at first childbirth n/a 19.6 years
Average age at childbearing 28.9 years 28.5 years
Annual births per 1,000 women ages 15-19 153.8 87.7
Annual births per 1,000 women ages 20-29 247.5 169.3
Annual births per 1,000 women ages 30+ 97.4 53.4
Female of reproductive age (15-49), share of population 23.2% 25.4%
Any modern method of contraceptive prevalence among married women ages 15-49 14.4% 20.9%
Share of births attended by skilled health staff 40.3% 86.9%
Maternal mortality per live birth 0.69% 0.35%
Neonatal mortality rate (before reaching 28 days of age) 3.07% 2.93%
Infant mortality rate (before reaching 1 year of age) 6.04% 5.62%
Mortality rate before reaching 5 years of age 9.22% 9.43%
Life expectancy 58.2 years 62.3 years

Children 0-14 years as share of population

Central African Republic
Factual

UN forecast
Sierra Leone
Factual

UN forecast
1x
Year Young
CAR Sierra Leone
2100 22.2% 19%
2099 22.4% 19%
2098 22.6% 19.1%
2097 22.7% 19.2%
2096 22.9% 19.3%
2095 23.1% 19.5%
2094 23.3% 19.6%
2093 23.5% 19.7%
2092 23.7% 19.8%
2091 23.9% 19.9%
2090 24.1% 20%
2089 24.3% 20.1%
2088 24.5% 20.3%
2087 24.7% 20.4%
2086 25% 20.5%
2085 25.2% 20.7%
2084 25.5% 20.8%
2083 25.7% 20.9%
2082 26% 21.1%
2081 26.3% 21.2%
2080 26.6% 21.4%
2079 26.9% 21.6%
2078 27.2% 21.7%
2077 27.6% 21.9%
2076 27.9% 22.1%
2075 28.2% 22.2%
2074 28.6% 22.4%
2073 28.9% 22.6%
2072 29.3% 22.8%
2071 29.7% 23%
2070 30% 23.2%
2069 30.4% 23.4%
2068 30.8% 23.6%
2067 31.2% 23.8%
2066 31.5% 24%
2065 31.9% 24.3%
2064 32.3% 24.5%
2063 32.7% 24.7%
2062 33% 25%
2061 33.4% 25.2%
2060 33.8% 25.5%
2059 34.2% 25.7%
2058 34.5% 26%
2057 34.9% 26.3%
2056 35.3% 26.6%
2055 35.7% 26.9%
2054 36.2% 27.1%
2053 36.6% 27.4%
2052 37.1% 27.7%
2051 37.6% 28.1%
2050 38.1% 28.4%
2049 38.7% 28.7%
2048 39.3% 29%
2047 39.9% 29.3%
2046 40.5% 29.7%
2045 41.2% 30%
2044 41.9% 30.3%
2043 42.5% 30.7%
2042 43.2% 31.1%
2041 43.8% 31.4%
2040 44.4% 31.8%
2039 45% 32.2%
2038 45.6% 32.6%
2037 45.9% 33%
2036 46.2% 33.4%
2035 46.4% 33.8%
2034 46.6% 34.2%
2033 46.7% 34.6%
2032 46.9% 35%
2031 47% 35.4%
2030 47.1% 35.7%
2029 47.3% 36.1%
2028 47.6% 36.5%
2027 48% 37%
2026 48.5% 37.4%
2025 48.9% 37.9%
2024 49% 38.1%
2023 49.2% 38.5%
2022 49.2% 39%
2021 49% 39.4%
2020 48.9% 39.8%
2019 49% 40.2%
2018 49% 40.6%
2017 49% 41%
2016 49% 41.4%
2015 49% 41.8%
2014 48.5% 42.2%
2013 47.6% 42.5%
2012 46.9% 42.8%
2011 46.3% 43%
2010 45.9% 43.2%
2009 45.6% 43.4%
2008 45.4% 43.5%
2007 45.3% 43.6%
2006 45.1% 43.7%
2005 45.1% 43.8%
2004 45.1% 43.9%
2003 45.2% 43.9%
2002 45.3% 43.9%
2001 45.4% 43.9%
2000 45.5% 43.8%
1999 45.6% 43.7%
1998 45.7% 43.6%
1997 45.7% 43.5%
1996 45.7% 43.5%
1995 45.6% 43.4%
1994 45.5% 43.3%
1993 45.4% 43.2%
1992 45.2% 43.1%
1991 44.9% 43%
1990 44.5% 42.9%
1989 44.1% 42.9%
1988 43.8% 42.8%
1987 43.5% 42.7%
1986 43.3% 42.6%
1985 43.2% 42.5%
1984 43% 42.3%
1983 43% 42.2%
1982 42.9% 42.1%
1981 42.8% 42%
1980 42.8% 41.9%
1979 42.8% 41.8%
1978 42.8% 41.7%
1977 42.8% 41.6%
1976 42.9% 41.4%
1975 42.9% 41.3%
1974 42.7% 41.1%
1973 42.6% 40.9%
1972 42.4% 40.7%
1971 42.2% 40.6%
1970 42.1% 40.3%
1969 41.9% 40.1%
1968 41.9% 39.9%
1967 41.8% 39.6%
1966 41.7% 39.4%
1965 41.7% 39.1%
1964 41.6% 38.8%
1963 41.4% 38.5%
1962 41.1% 38.3%
1961 40.8% 38.3%
1960 40.5% 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/central-african-republic/sierra-leone | CC BY

Children aged 0-14 make up 49% of the population in the Central African Republic and 38.1% in Sierra Leone in 2024, compared to 44.5% and 42.9% respectively in 1990.

Demographics of the Central African Republic 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/central-african-republic/sierra-leone | CC BY

Maternal mortality chart: Central African Republic vs Sierra Leone

Central African Republic
Sierra Leone
1x
Year Maternal mortality per 100K births
CAR Sierra Leone
2023 692 354
2022 841 370
2021 1,127 403
2020 1,296 422
2019 1,650 464
2018 881 491
2017 1,093 578
2016 962 633
2015 981 730
2014 1,034 821
2013 1,092 842
2012 1,092 915
2011 1,131 967
2010 1,230 1,018
2009 1,272 1,054
2008 1,234 1,093
2007 1,271 1,132
2006 1,337 1,168
2005 1,389 1,294
2004 1,450 1,366
2003 1,487 1,433
2002 1,496 1,492
2001 1,504 1,518
2000 1,490 1,603
1999 1,411 1,731
1998 1,346 1,753
1997 1,270 1,721
1996 1,191 1,726
1995 1,123 1,777
1994 1,053 1,755
1993 997 1,696
1992 956 1,681
1991 910 1,699
1990 866 1,572
1989 835 1,575
1988 815 1,549
1987 803 1,533
1986 795 1,530
1985 796 1,506

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

GeoRank.org/birth-rate/central-african-republic/sierra-leone | CC BY

The maternal mortality rate, which is the probability of dying during childbirth or within 42 days of pregnancy termination, is 692 deaths per 100,000 live births in the Central African Republic, compared to 354 deaths in Sierra Leone.

Under-five mortality rates

Central African Republic
Sierra Leone

Probability that a newborn baby will die before reaching age five

1x
Year Under 5 mortality rate
CAR Sierra Leone
2023 9.22% 9.43%
2022 38.7% 9.77%
2021 17.1% 10.1%
2020 12.3% 10.5%
2019 24.3% 10.9%
2018 12% 11.3%
2017 15.2% 11.8%
2016 12.6% 12.3%
2015 11.4% 13.8%
2014 18.3% 13.7%
2013 13.4% 13.9%
2012 12.2% 14.5%
2011 12.5% 15.2%
2010 14.9% 15.9%
2009 47.9% 16.6%
2008 13.6% 17.3%
2007 14% 18.1%
2006 14.4% 18.8%
2005 14.8% 19.4%
2004 15.2% 20.1%
2003 15.6% 20.7%
2002 15.9% 21.3%
2001 16.3% 21.8%
2000 16.6% 22.4%
1999 16.8% 22.9%
1998 17% 23.4%
1997 17.2% 23.9%
1996 17.3% 24.3%
1995 17.5% 24.7%
1994 17.5% 25%
1993 17.6% 25.3%
1992 17.7% 25.5%
1991 17.7% 25.7%
1990 17.8% 25.9%
1989 17.8% 26.2%
1988 17.8% 26.4%
1987 17.9% 26.6%
1986 17.9% 26.9%
1985 18% 27.2%
1984 18.1% 27.5%
1983 18.2% 27.8%
1982 18.4% 28.1%
1981 18.6% 28.5%
1980 18.8% 28.9%
1979 19.1% 29.2%
1978 19.4% 29.6%
1977 19.7% 30%
1976 20% 30.5%
1975 20.4% 30.9%
1974 20.8% 31.4%
1973 21.2% 31.9%
1972 21.7% 32.3%
1971 22.1% 32.9%
1970 22.6% 33.4%
1969 23.2% 33.9%
1968 23.7% 34.5%
1967 24.3% 35%
1966 24.9% 35.6%
1965 25.5% 36.2%
1964 26.1% 36.8%
1963 26.7% 37.4%
1962 27.2% 38%
1961 27.8% 38.5%
1960 28.3% 39.1%

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

GeoRank.org/birth-rate/central-african-republic/sierra-leone | CC BY

The chance that a newborn baby will die before reaching age five is 9.22% in the Central African Republic 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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