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Fertility & birth rates in China and Lesotho

Updated on by Georank team

China has an annual birth rate of 6.39 births per 1,000 people, compared to 24.1 for Lesotho. The average number of children a woman is expected to have during her lifetime — the fertility rate, is 1 in China and 2.69 in Lesotho — 169.7% difference.

1960 vs 2023, the fertility rate has decreased by 77.6% in China and by 53.4% in Lesotho — in 1960, it was 4.45 and 5.78, respectively.

  • China is ranked 191/196 by birth rate compared to 56/196 for Lesotho.
  • The mean age at childbearing (for all the births, not just the first) is 29.4 in China — it's 27.8 in Lesotho.
  • Annual births per 1,000 women ages 15-19 (adolescent birth rate or teenage mother rate) is 5.23 in China vs 70.6 in Lesotho.
  • In China, 22.3% of the population is composed of women of reproductive age (15-49), compared to 27.8% in Lesotho.

Fertility rate in China vs Lesotho by year

China
Lesotho
1x
Year Fertility rate
China Lesotho
2023 1 2.69
2022 1.03 2.72
2021 1.12 2.77
2020 1.24 2.85
2019 1.5 2.92
2018 1.54 3.02
2017 1.8 3.11
2016 1.77 3.18
2015 1.67 3.22
2014 1.77 3.24
2013 1.71 3.28
2012 1.8 3.3
2011 1.67 3.34
2010 1.69 3.25
2009 1.71 3.31
2008 1.7 3.39
2007 1.67 3.44
2006 1.64 3.41
2005 1.62 3.43
2004 1.61 3.51
2003 1.57 3.62
2002 1.57 3.68
2001 1.56 3.63
2000 1.63 3.61
1999 1.53 3.67
1998 1.52 3.82
1997 1.53 3.98
1996 1.55 4.06
1995 1.59 4.13
1994 1.63 4.21
1993 1.69 4.37
1992 1.78 4.54
1991 1.93 4.68
1990 2.51 4.81
1989 2.52 4.96
1988 2.54 5.1
1987 2.76 5.22
1986 2.72 5.32
1985 2.63 5.4
1984 2.61 5.48
1983 2.56 5.56
1982 2.97 5.63
1981 2.79 5.69
1980 2.74 5.75
1979 2.75 5.79
1978 2.72 5.82
1977 2.84 5.85
1976 3.24 5.87
1975 3.57 5.83
1974 4.17 5.75
1973 4.73 5.69
1972 5.11 5.69
1971 5.52 5.7
1970 6.09 5.7
1969 6.18 5.7
1968 6.51 5.73
1967 5.81 5.75
1966 6.31 5.76
1965 6.61 5.77
1964 6.67 5.77
1963 7.51 5.78
1962 6.09 5.79
1961 3.86 5.79
1960 4.45 5.78

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

GeoRank.org/birth-rate/china/lesotho | CC BY

According to the latest available data on birth rates, the fertility rate in China was 1 children per woman in 2023, compared to 2.69 in Lesotho in 2023. The replacement level is considered to be 2.1 children per woman.

Check China vs Lesotho population clock for a dynamic visualization of the changing population.

Natural population change by year

China
Lesotho
1x
Year Natural population change
China Lesotho
2023 -2,087,851 31,115
2022 -847,305 30,803
2021 480,203 27,806
2020 2,046,095 30,721
2019 4,673,713 32,279
2018 5,302,433 33,112
2017 7,790,880 33,601
2016 9,062,269 33,390
2015 6,788,911 32,087
2014 9,205,180 30,922
2013 8,043,116 29,789
2012 10,075,174 27,592
2011 8,245,065 25,647
2010 6,407,607 21,877
2009 6,483,236 20,335
2008 6,729,247 19,349
2007 6,813,465 17,763
2006 6,922,185 15,234
2005 7,678,911 15,831
2004 7,607,960 17,271
2003 7,743,284 20,133
2002 8,258,580 22,274
2001 8,839,358 23,190
2000 9,570,849 24,786
1999 10,247,372 27,393
1998 11,351,286 30,889
1997 12,374,554 34,637
1996 12,686,872 36,228
1995 12,711,220 37,370
1994 13,360,470 38,629
1993 13,493,138 40,505
1992 13,548,601 42,579
1991 14,937,124 44,026
1990 16,335,313 45,060
1989 16,824,495 46,264
1988 17,328,640 47,158
1987 18,005,821 47,718
1986 16,609,920 45,232
1985 14,987,830 44,575
1984 13,561,671 43,785
1983 13,599,789 42,899
1982 15,815,318 41,941
1981 14,461,027 40,808
1980 11,647,260 39,617
1979 11,250,148 38,440
1978 11,473,980 37,084
1977 11,378,068 35,654
1976 11,782,472 34,117
1975 14,378,237 32,311
1974 15,738,118 30,444
1973 18,423,727 28,859
1972 19,102,585 27,841
1971 19,622,980 26,838
1970 21,137,076 25,935
1969 20,760,332 25,137
1968 21,206,083 24,490
1967 19,263,662 23,911
1966 19,282,187 23,326
1965 20,296,950 22,755
1964 19,302,532 22,116
1963 22,742,225 21,585
1962 17,969,132 21,132
1961 2,496,047 20,581
1960 -3,048,510 19,981

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

GeoRank.org/birth-rate/china/lesotho | 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 -0.15% in China and +1.35% in Lesotho.

For the past 10 years, the annual natural population change has been +0.31% in China and +1.44% in Lesotho.

Birth rate in China vs Lesotho by year

China
Lesotho

Annual births per 1,000 people

1x
Year Annual births per 1,000 people
China Lesotho
2023 6.39 24.1
2022 6.77 24.4
2021 7.52 24.9
2020 8.52 25.6
2019 10.4 26.4
2018 10.9 27.4
2017 12.6 28.2
2016 13.6 28.9
2015 12 29.2
2014 13.8 29.5
2013 13 30
2012 14.6 30
2011 13.3 30.2
2010 11.9 29.2
2009 12 29.4
2008 12.1 29.6
2007 12.1 29.5
2006 12.1 28.6
2005 12.4 28.6
2004 12.3 28.7
2003 12.4 29.3
2002 12.9 29.4
2001 13.4 28.7
2000 14 28.2
1999 14.6 28.5
1998 15.6 29.2
1997 16.6 30.2
1996 17 30.4
1995 17.1 30.6
1994 17.7 31
1993 18.1 32
1992 18.3 33.2
1991 19.7 34.2
1990 21.1 35.1
1989 21.6 36.3
1988 22.4 37.4
1987 23.3 38.3
1986 22.4 37.5
1985 21 37.9
1984 19.9 38.4
1983 20.2 38.9
1982 22.3 39.5
1981 20.9 39.9
1980 18.2 40.4
1979 17.8 40.8
1978 18.3 41
1977 18.9 41.1
1976 19.9 41
1975 23 40.6
1974 24.8 40.2
1973 27.9 39.9
1972 29.8 40.2
1971 30.7 40.5
1970 33.4 40.8
1969 34.1 41.3
1968 35.6 41.9
1967 34 42.5
1966 35.1 43
1965 37.9 43.3
1964 39.1 43.5
1963 43.4 43.7
1962 37 44.1
1961 18 44.3
1960 20.9 44.6

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

GeoRank.org/birth-rate/china/lesotho | CC BY

The latest reported birth rate per 1,000 people in 2023 was 6.39 in China and 24.1 in Lesotho, compared with 20.9 and 44.6, respectively, in 1960.

Birth rate data compared

China Lesotho
Fertility rate 1 2.69
Fertility rate rank 192/196 68/196
Birth rate 6.39 24.1
Birth rate rank 191/196 56/196
Population change due to births and deaths -2,087,851 +31,115
Natural population change rank 196/196 103/196
Natural population change rate -0.15% +1.35%
Population growth -0.12% +1.12%
Population growth rank 173/197 93/197
Age at first childbirth n/a 20.9 years
Average age at childbearing 29.4 years 27.8 years
Annual births per 1,000 women ages 15-19 5.17 69.3
Annual births per 1,000 women ages 20-29 56.6 133.8
Annual births per 1,000 women ages 30+ 8.76 37.3
Female of reproductive age (15-49), share of population 22.3% 27.8%
Any modern method of contraceptive prevalence among married women ages 15-49 80.5% 65.3%
Share of births attended by skilled health staff 99.9% 86.6%
Maternal mortality per live birth 0.02% 0.48%
Neonatal mortality rate (before reaching 28 days of age) 0.28% 2.87%
Infant mortality rate (before reaching 1 year of age) 0.45% 5.54%
Mortality rate before reaching 5 years of age 0.62% 5.89%
Life expectancy 79 years 58.6 years

Children 0-14 years as share of population

China
Factual

UN forecast
Lesotho
Factual

UN forecast
1x
Year Young
China Lesotho
2100 7.83% 18%
2099 7.84% 18.1%
2098 7.87% 18.2%
2097 7.91% 18.3%
2096 7.96% 18.3%
2095 8.03% 18.4%
2094 8.1% 18.5%
2093 8.18% 18.6%
2092 8.26% 18.7%
2091 8.34% 18.9%
2090 8.41% 19%
2089 8.47% 19.1%
2088 8.52% 19.2%
2087 8.55% 19.3%
2086 8.57% 19.4%
2085 8.57% 19.6%
2084 8.56% 19.7%
2083 8.53% 19.8%
2082 8.48% 19.9%
2081 8.41% 20%
2080 8.34% 20.2%
2079 8.25% 20.3%
2078 8.15% 20.4%
2077 8.06% 20.5%
2076 7.96% 20.6%
2075 7.86% 20.7%
2074 7.77% 20.9%
2073 7.7% 21%
2072 7.64% 21.1%
2071 7.6% 21.3%
2070 7.58% 21.4%
2069 7.59% 21.5%
2068 7.63% 21.7%
2067 7.7% 21.9%
2066 7.8% 22%
2065 7.93% 22.2%
2064 8.08% 22.4%
2063 8.25% 22.6%
2062 8.44% 22.8%
2061 8.64% 23%
2060 8.84% 23.3%
2059 9.03% 23.5%
2058 9.22% 23.7%
2057 9.39% 24%
2056 9.54% 24.2%
2055 9.67% 24.5%
2054 9.78% 24.7%
2053 9.86% 25%
2052 9.92% 25.3%
2051 9.94% 25.5%
2050 9.94% 25.8%
2049 9.92% 26.1%
2048 9.88% 26.3%
2047 9.82% 26.5%
2046 9.75% 26.8%
2045 9.67% 27%
2044 9.59% 27.3%
2043 9.52% 27.5%
2042 9.46% 27.7%
2041 9.4% 28%
2040 9.35% 28.2%
2039 9.32% 28.4%
2038 9.3% 28.7%
2037 9.32% 28.9%
2036 9.42% 29.2%
2035 9.63% 29.5%
2034 10% 29.9%
2033 10.5% 30.3%
2032 11.2% 30.8%
2031 11.8% 31.3%
2030 12.4% 31.8%
2029 13.1% 32.3%
2028 13.8% 32.8%
2027 14.5% 33.4%
2026 15.1% 33.9%
2025 15.7% 34.3%
2024 16% 34.5%
2023 16.6% 34.9%
2022 17.1% 35.3%
2021 17.6% 35.6%
2020 18% 35.8%
2019 18.2% 36.1%
2018 18.3% 36.3%
2017 18.4% 36.5%
2016 18.3% 36.6%
2015 18.3% 36.6%
2014 18.3% 36.6%
2013 18.3% 36.5%
2012 18.3% 36.5%
2011 18.3% 36.5%
2010 18.5% 36.5%
2009 18.6% 36.6%
2008 18.9% 36.7%
2007 19.2% 36.8%
2006 19.6% 37.1%
2005 20.3% 37.4%
2004 21.2% 37.7%
2003 22% 38.1%
2002 22.9% 38.6%
2001 23.8% 39.1%
2000 24.5% 39.6%
1999 25.2% 40.2%
1998 25.7% 40.7%
1997 26.3% 41.2%
1996 27% 41.7%
1995 27.4% 42%
1994 27.8% 42.3%
1993 28.2% 42.6%
1992 28.4% 42.8%
1991 28.6% 42.9%
1990 28.8% 42.9%
1989 28.9% 42.8%
1988 29.3% 42.7%
1987 29.8% 42.5%
1986 30.4% 42.7%
1985 31.2% 43%
1984 32.2% 42.8%
1983 33.3% 42.7%
1982 34.3% 42.5%
1981 35.1% 42.3%
1980 36.1% 42.1%
1979 37.2% 41.9%
1978 38.6% 41.7%
1977 39.8% 41.5%
1976 40.3% 41.4%
1975 40.2% 41.6%
1974 40.2% 41.9%
1973 40.1% 42.3%
1972 40.4% 42.7%
1971 40.7% 43.1%
1970 40.8% 43.6%
1969 41% 44%
1968 41% 44.4%
1967 41.3% 44.8%
1966 41.5% 44.9%
1965 41.5% 44.8%
1964 41.2% 44.9%
1963 40.6% 45.2%
1962 40% 45.3%
1961 40% 45.2%
1960 40.3% 45.1%

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/china/lesotho | CC BY

Children aged 0-14 make up 16% of the population in China and 34.5% in Lesotho in 2024, compared to 28.8% and 42.9% respectively in 1990.

Demographics of China and Lesotho compared.

Fertility rates around the globe

1x

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

GeoRank.org/birth-rate/china/lesotho | CC BY

Maternal mortality chart: China vs Lesotho

China
Lesotho
1x
Year Maternal mortality per 100K births
China Lesotho
2023 16 478
2022 18 477
2021 21 577
2020 20 529
2019 21 467
2018 22 491
2017 24 468
2016 25 518
2015 26 594
2014 28 707
2013 30 855
2012 32 1,000
2011 33 1,210
2010 34 1,311
2009 35 1,387
2008 38 1,205
2007 38 891
2006 40 696
2005 42 549
2004 45 499
2003 47 508
2002 50 484
2001 52 465
2000 56 413
1999 58 371
1998 60 332
1997 63 312
1996 67 319
1995 71 357
1994 76 423
1993 80 542
1992 86 601
1991 92 641
1990 102 665
1989 104 680
1988 108 680
1987 114 686
1986 120 680
1985 125 711

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

GeoRank.org/birth-rate/china/lesotho | CC BY

The maternal mortality rate, which is the probability of dying during childbirth or within 42 days of pregnancy termination, is 16 deaths per 100,000 live births in China, compared to 478 deaths in Lesotho.

Under-five mortality rates

China
Lesotho

Probability that a newborn baby will die before reaching age five

1x
Year Under 5 mortality rate
China Lesotho
2023 0.62% 5.89%
2022 0.66% 6.15%
2021 0.7% 6.44%
2020 0.75% 6.68%
2019 0.8% 6.87%
2018 0.86% 6.91%
2017 0.92% 7.12%
2016 0.99% 7.18%
2015 1.07% 7.51%
2014 1.15% 7.82%
2013 1.25% 8.02%
2012 1.35% 8.26%
2011 1.46% 8.59%
2010 1.58% 9.01%
2009 1.71% 9.64%
2008 1.85% 10.9%
2007 2.01% 11.2%
2006 2.19% 11.5%
2005 2.4% 11.6%
2004 2.64% 11.5%
2003 2.89% 11.4%
2002 3.15% 11.2%
2001 3.42% 11.1%
2000 3.67% 10.9%
1999 3.91% 10.7%
1998 4.14% 10.5%
1997 4.36% 10.2%
1996 4.56% 9.83%
1995 4.75% 9.45%
1994 4.93% 9.07%
1993 5.08% 8.73%
1992 5.22% 8.51%
1991 5.31% 8.43%
1990 5.37% 8.47%
1989 5.39% 8.6%
1988 5.4% 8.8%
1987 5.4% 9.06%
1986 5.4% 9.36%
1985 5.43% 9.72%
1984 5.5% 10.1%
1983 5.61% 10.6%
1982 5.78% 11.1%
1981 6% 11.7%
1980 6.28% 12.3%
1979 6.62% 12.9%
1978 7.01% 13.6%
1977 7.47% 14.2%
1976 7.97% 14.9%
1975 8.5% 15.5%
1974 9.05% 16%
1973 9.61% 16.5%
1972 10.2% 16.9%
1971 10.7% 17.3%
1970 11.3% 17.7%
1969 11.9% 18%
1968 - 18.3%
1967 - 18.5%
1966 - 18.6%
1965 - 18.7%
1964 - 18.6%
1963 - 18.6%
1962 - 18.5%
1961 - 18.5%
1960 - 18.6%

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

GeoRank.org/birth-rate/china/lesotho | CC BY

The chance that a newborn baby will die before reaching age five is 0.62% in China and 5.89% in Lesotho. 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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